Increasingly, organizations are swimming in disparate data sources. For a payer, that could mean data that is stored and used by their claims adjudication engine (membership, provider, benefits, and claims data), financial systems, and care management systems just to name a few. Even for the smallest of provider organization, they might use a patient registration system, billing system, clinical documentation workflow system, and a financial system. Generally, these systems do not speak to one another. It takes (yet another) system to make sense of all this data. A growing segment of healthcare is ECM or Enterprise Content Management. I know of one large payer that had a real struggle w/their information management department b/c of the myriad systems that had accumulated over many years and the acquisition of multiple health plans.
This article dives deeper into ECM and also how systems outside of an organization’s typical ecosystem will need to be reevaluated and rethought in order to keep up w/the changing healthcare landscape.