Way back in the beginning, when OBRA 87 evolved, I was handed a box of forms and a large cumbersome manual. That paper version of the Minimum Data Set (MDS) assessment had little triangles next to each question. You took those little symbols and compared and calculated to determine whether or not an area would trigger. Case mix scores? It took hours to calculate, that is, if you could understand the complicated government imposed, hand written algorithms.
According to the Office of the National Coordinator (“ONC”) the purpose of interoperability in Health IT is the following:
Interoperability ensures that health-related information flows seamlessly from General Practitioner, to Specialist, to Hospital, to Post Acute Care and to Patient. In other words, the patient’s information follows the patient regardless of geographic, organizational, or vendor boundaries. Specifically, Interoperability refers to the architecture or standards that make it possible for diverse electronic health record (EHR) systems to work compatibly in a true information network.
With these purposes in mind, the following types of sharing are most important in LTPAC: