EMR Patient Data Interoperability Between 3 Locations

Another interesting story from EMRUpdate talking about how one EMR vendor, Medtuity EMR, took 3 locations and tied their EMRs together. However, they didn’t just do one centralized database accessed from each location. Instead, they essentially built patient data interoperability between the 3 locations. Check it out:

We just linked 3 sites in October. The docs described what they wanted, including the speed of a separate SQL Server in each facility. They also had a billing office (as the center or hub). They previously used a single server with Remote Desktop as the means of communicating with a central server. They were not entirely happy with that arrangement and so wanted to embark on a SQL Server in each facility. Additionally, they did not want all encounters synched to all facilities daily. Instead, the 3 offices synch to the billing office once daily. Pt demographics get synched from that hub outward to all offices daily just in case a pt should visit another office.

So the underlying theme was speed– each office has its own server; pt encounters originating there are stored there + at the billing office, but pt demographics are synched to the hub and from there back to all 3 facilities. It’s all automated. If a pt visits a different facility than the original, the demographics are already at that alternate site and so the additional encounters can be synch with a button press to insure contemporaneous info.

What they did not want is to have all encounters stored at each site because there is not enough cross visiting among docs to warrant it, but they did want to be able to transfer encounters quickly when the need arose.

Certainly, this problem is much easier since all 3 locations used the same EMR software. However, it seems like there’s something that can be learned from this story in regards to broader interoperability of EMR software.

About the author

John Lynn

John Lynn

John Lynn is the Founder of the HealthcareScene.com, a network of leading Healthcare IT resources. The flagship blog, Healthcare IT Today, contains over 13,000 articles with over half of the articles written by John. These EMR and Healthcare IT related articles have been viewed over 20 million times.

John manages Healthcare IT Central, the leading career Health IT job board. He also organizes the first of its kind conference and community focused on healthcare marketing, Healthcare and IT Marketing Conference, and a healthcare IT conference, EXPO.health, focused on practical healthcare IT innovation. John is an advisor to multiple healthcare IT companies. John is highly involved in social media, and in addition to his blogs can be found on Twitter: @techguy.


  • The article doesn’t offer many details on patient data portability. However, I agree with its comments that it could be healthcare’s most valuable asset. If it just wasn’t stored in these silos where it can’t be utilized.

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