ACOs restrained by IT obstacles

Interoperability and technology costs cited as challenges

The ability of accountable care organizations to meet the goals of improving care and lowering costs may be hindered by health IT obstacles suggests a new analysis.

Of the 62 ACOs polled by Premier healthcare alliance this past summer, 88 percent report "significant obstacles" in integrating data from disparate sources; 83 percent say they have a hard time fitting analytics tools into their workflow; and 90 percent say IT costs and a lack of return on investment are key roadblocks to more effective implementation of health IT.

Even when ACOs have successfully merged health IT systems, "they aren't able to effectively leverage data and analytics to derive value out of their investments given the pervasive issues with data quality, liquidity and access, as well as issues with integrating data from disparate sources," said Keith J. Figlioli, Premier's senior vice president of healthcare informatics, in a press statement announcing the findings.

The numbers reported in the survey suggest interoperability is a "pervasive problem among ACOs, and it could stymie the long-term vision for ACO cost and quality improvements if not addressed," Figlioli added.

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