{"id":27190,"date":"2024-03-28T12:46:25","date_gmt":"2024-03-28T16:46:25","guid":{"rendered":"https:\/\/www.3pillarglobal.com\/?p=27190"},"modified":"2025-05-14T14:38:33","modified_gmt":"2025-05-14T14:38:33","slug":"data-quality-control-healthcare-interoperability","status":"publish","type":"blog","link":"https:\/\/www.3pillarglobal.com\/insights\/blog\/data-quality-control-healthcare-interoperability\/","title":{"rendered":"Why Data Quality Control is a Prerequisite for True Interoperability"},"content":{"rendered":"Interoperability is about more than integrations and data exchange. If the technical capabilities are there but one or both parties can\u2019t use the data, there\u2019s no value, no true interoperability.\n\nFor example, both payers and providers have EMR systems, but the way they operate and classify data is different enough to drive misalignment. So when the two systems attempt to integrate, data is often misclassified, resulting in errors, gaps, and poor quality.\n\nTo achieve true interoperability, you need data quality control. Here\u2019s how to build the systems and processes necessary to make that happen.\n<h2>Why data quality control is a prerequisite for true interoperability in healthcare<\/h2>\nLet\u2019s consider a scenario. A provider implements a new clinical system. The goal is to clean up the previous unusable data under the old system, enabling the new system to operate efficiently going forward.\n\nBut even if you clean up your data and have a <a href=\"https:\/\/www.3pillarglobal.com\/insights\/roadmap-for-implementing-big-data-analytics-at-your-organization\/\">perfect implementation<\/a>, if your underlying data control processes don\u2019t change, the new data will be as unusable as the old. Between your initial assessment and implementation, you\u2019ll have potentially months of bad data\u2014and that\u2019s before the new system starts to operate.\n\nOr, in other cases, you\u2019ll redefine and reclassify old data based on how you think the new system is supposed to work. As time goes on, however, your processes don\u2019t align with the expectations surrounding the new system, resulting in misaligned data.\n\nFor example, your EMR can send an <a href=\"https:\/\/www.3pillarglobal.com\/insights\/interoperability-seamless-connections-healthcare-technology\/\">interoperable medical record<\/a> from a provider to a payer. But if the payer needs to not only receive that record, but also understand what was said and done, code all of these procedures and practices correctly, and ensure they\u2019re charging the correct amount. Which means the systems need to be able to classify and coordinate those specific data.\n\nWhile there are <a href=\"https:\/\/www.apexon.com\/blog\/health-data-standards-empowering-interoperability-in-the-healthcare-industry\/\">data exchange standards in healthcare<\/a>, there are also nuances within those standards. And while they may seem small, when dealing with massive datasets, these nuances have the potential to add up quickly.\n\nThe result: wasted time and resources, inefficiencies, and dissatisfied patients and healthcare workers alike.\n\nWhether <a href=\"https:\/\/www.3pillarglobal.com\/insights\/emr-optimization\/\">EMR or other systems<\/a>, the goal of true interoperability is to reach a state where you\u2019re constantly comparing apples to apples. This is only possible with rigorous, continuous data quality control.\n<h2>Two-step approach to healthcare data quality control<\/h2>\nTrue data quality control comes in two stages. Unfortunately, most healthcare organizations and their <a href=\"https:\/\/www.3pillarglobal.com\/industries\/healthcare\/\">technology partners<\/a> focus on one and not the other. This, as we\u2019ve seen, causes major problems.\n\nHere are the two steps necessary for effective data quality control:\n<ul>\n \t<li aria-level=\"1\"><b>Proactive data quality control. <\/b>This is where you change your current actions so data in any future state aligns with the standards you\u2019ve put in place.<\/li>\n \t<li aria-level=\"1\"><b>Retroactive data quality control. <\/b>This is where you look back on all your data thus far and update it to align with your desired standards.<\/li>\n<\/ul>\nIf you have the latter without the former, you\u2019ll inevitably end up working against yourself, as old data will get cleaned up but new data will still be a mess. To make matters worse, most often these two processes are <a href=\"https:\/\/medlawadvisory.com\/five-things-to-know-about-health-care-silos-and-how-they-harm-both-patients-and-organizations\/\">managed by different teams or functions<\/a>, often so siloed that neither knows they\u2019re working against the other.\n<h3>Step 1: Proactive data quality control<\/h3>\nBefore you fix your existing data, you need to change your current data capture and management processes. Change today so things will be better tomorrow. Otherwise, you\u2019ll destroy what you\u2019ve worked hard to build.\n\nMost technology and data partners don\u2019t account for this when initiating data quality control efforts. One example is the gap between assessment and implementation. Assessments typically happen at the beginning of the engagement, defining the workload for retroactively correcting data quality.\n\nBut if the engagement takes six months to complete, and the organization has done nothing to correct their processes over those six months, they end up starting the new system with six months of bad data.\n\nRather than starting with fixing what came before, change your current operations going forward, including adopting these key practices:\n<ul>\n \t<li aria-level=\"1\">Real-time data verification to correct errors as they arise<\/li>\n \t<li aria-level=\"1\">Data entry analysis and integrity constraints to limit incomplete data from entering the system<\/li>\n \t<li aria-level=\"1\">Implementing data normalization and standardization techniques to drive consistency<\/li>\n \t<li aria-level=\"1\">Capturing data in real time to ensure all information is up-to-date<\/li>\n \t<li aria-level=\"1\">Removing unnecessary or irrelevant data to increase data analysis efficiency<\/li>\n \t<li aria-level=\"1\">Protecting data from unauthorized access, tampering or breaches; compliance with <a href=\"https:\/\/www.upguard.com\/blog\/cybersecurity-regulations-and-frameworks-healthcare\">HIPAA and other standards<\/a>; and safeguarding patient privacy and confidentiality<\/li>\n \t<li aria-level=\"1\">Establishing governance policies, including defined roles and responsibilities, data standards, and quality control processes<\/li>\n \t<li aria-level=\"1\">Comprehensive documentation of data sources, collection methods, transformations, and changes<\/li>\n \t<li aria-level=\"1\">Regular data audits and cross-references with external sources<\/li>\n<\/ul>\nOnly after you\u2019ve implemented these data quality control processes will you be in a position to fix your existing data.\n<h3>Step 2: Retroactive data quality control<\/h3>\nRetroactive data quality control looks back on all the data you\u2019ve captured thus far and adjusts it to align with current standards. This includes cleaning up the data, correcting errors, filling incomplete data sets, and converting it into a usable format.\n\nOnce you finish these two steps, you\u2019ll be in a much better position to quickly apply complex data analysis. As problems arise, you\u2019ll be able to retrieve information at the point of need, enabling faster, better decision making.\n\nNot only will this improve your current operations, but it will also lay the groundwork for <a href=\"https:\/\/blog.medicai.io\/en\/scalability-in-healthcare-industry\">future scalability efforts<\/a>, as you\u2019ll have the governed processes in place to handle data from new systems and integrations.\n<h2>Final thoughts on data quality control and healthcare interoperability<\/h2>\nInteroperability in healthcare isn\u2019t about just turning on an integration and calling it a day. It\u2019s about ensuring the data shared via that integration is usable for both parties. This requires a more stringent data quality control process than most healthcare organizations currently have.\n\nWhile implementing the policies listed above is a big lift, it\u2019s easier when you have a data and technology partner who has proven expertise in these areas. <a href=\"https:\/\/www.3pillarglobal.com\/industries\/healthcare\/\">Learn more about 3Pillar Global\u2019s healthcare data expertise here.<\/a>\n\n\n<p><\/p>\n\n\n<div class=\"wp-block-heading\">\n<h2 class=\"wp-block-heading\">About the Author<\/h2>\n<\/div>\n\n<div class=\"wp-bootstrap-blocks-row row\">\n\t\n\n<div class=\"col-12 col-md-6\">\n\t\t\t\n\n    <div  class=\"custom-block card-profile-block card card-profile card-image-offset card-image-offset-right card-image-offset-sm card-border-left text-bg-light-cyan\">\n        <div class=\"card-body\">\n            <div class=\"row flex-md-row-reverse\">\n                <div class=\"col-md-5\">\n                                            <img loading=\"lazy\" decoding=\"async\" width=\"532\" height=\"532\" src=\"https:\/\/www.3pillarglobal.com\/wp-content\/uploads\/2024\/07\/Carl-Rudow.jpg\" class=\"img-fluid\" alt=\"\" data-aos=\"none\" srcset=\"https:\/\/www.3pillarglobal.com\/wp-content\/uploads\/2024\/07\/Carl-Rudow.jpg 532w, https:\/\/www.3pillarglobal.com\/wp-content\/uploads\/2024\/07\/Carl-Rudow-300x300.jpg 300w, https:\/\/www.3pillarglobal.com\/wp-content\/uploads\/2024\/07\/Carl-Rudow-172x172.jpg 172w\" sizes=\"auto, (max-width: 532px) 100vw, 532px\" \/>                                    <\/div>\n\n                <div class=\"col-md-7\">\n                    <h3 class=\"card-title\">Carl Rudow<\/h3>\n                    \n                                            <p class=\"card-text\">VP, Client Success<\/p>\n                                        \n                    <a href=\"https:\/\/www.3pillarglobal.com\/leadership\/carl-rudow\/\" class=\"link-arrow link-arrow-dark\">\n                        <span>Read bio<\/span>\n                    <\/a>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n\n\t<\/div>\n\n\n\n<div class=\"col-12 col-md-6\">\n\t\t\t\t<\/div>\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Interoperability is about more than integrations and data exchange. If the technical capabilities are there but one or both parties can\u2019t use the data, there\u2019s no value, no true interoperability. For example, both payers and providers have EMR systems, but the way they operate and classify data is different enough to drive misalignment. So when [&hellip;]<\/p>\n","protected":false},"featured_media":30729,"template":"","industry-types":[],"service-types":[],"topics":[],"class_list":["post-27190","blog","type-blog","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Why Data Quality Control is a Prerequisite for Healthcare Interoperability - 3Pillar<\/title>\n<meta name=\"description\" content=\"Without governed, controlled data, true healthcare interoperability isn\u2019t possible. 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