Optimizing EMR Interoperability for a Non-Profit Benefits Association

Overview

A major non-profit benefits association supporting over two million federal employees, retirees, and their families needed a more reliable way to access, process, and share clinical data. The organization sought to modernize its interoperability workflows and enable scalable, accurate data exchange across varied clinical sources.

The Challenge

The association depended on clinical information from diverse EMR systems but faced limitations:

• No streamlined method to extract and standardize multi-source EMR data
• Limited ability to generate secure, client-specific output files at scale
• Insufficient support for provider engagement, impacting visibility and collaboration

A unified approach was required, one that enabled consistent data extraction, improved accuracy, and strengthened efforts to close critical care gaps.

The Solution

An interoperability-driven framework was implemented to integrate with multiple clinical systems, retrieve structured data, and automate aggregation for downstream use.

The solution enabled:

• End-to-end extraction of clinical data from multiple EMRs
• Automated file creation tailored to client-specific requirements
• Intelligent workflows to improve accuracy in clinical and claims data
• Provider onboarding and support to increase participation and data completeness

Additional strengths were supported in the following areas:

• Interoperability Optimization: Best practices for multi-EMR integrations
• Provider Engagement & Outreach: Efficient onboarding and secure data exchange
• Registry & Compliance Connectivity: Seamless reporting to state immunization registries and regulatory bodies

This strengthened the association’s ability to access timely clinical insights, enhance care gap closure, and meet evolving healthcare reporting requirements.

Impact

The organization achieved notable improvements in interoperability performance and provider participation. Faster access to clinical data and increased completeness directly supported better care coordination and gap-closure initiatives.

Value Delivered

• 32.8% improvement beyond the initial service-level target
• 265,762 members with complete clinical data
• 364,872 members with primary care claims ingested
• 7 statewide immunization registry integrations, enabling improved visibility and gap-closure accuracy

This solution was delivered in partnership with DataLink.