Interoperability 101—Make the Rails Work for Your Clinic

Andres Jimenez MD MSED MBA MS

“Interoperability isn’t magic; it’s plumbing. The win comes from using those pipes daily—so a completed mammogram turns into a closed gap with proof by Friday.” Dr. Andres Jimenez, Double-Board-Certified in Public Health & Prevention and Clinical Informatics, Founder of HealthPrevent360

Interoperability isn’t a buzzword—it’s the difference between phone-tag and fast proof. CommonWell Health Alliance connects a nationwide network that reaches hundreds of millions of patient records across tens of thousands of sites, including major vendors (e.g., athenahealth, Oracle Health). Carequality is the national framework that lets different networks exchange data—the “rules of the road” for cross-network sharing. TEFCA is the federal “network-of-networks” trust framework; major EHRs, including Epic through its QHIN, are onboarding, expanding reach to Epic-using systems. (See each network’s official materials for current details.) American Medical Association

Why care managers should care

• Find results faster. Mammograms, colonoscopies, LDCT, labs—without fax.

• Reduce rework. Ingest once; attach proof; move on.

• Close gaps earlier. Prevent year-end scramble.

• Standardize evidence. Same packet, every time.

Implementation tips

• Map which external partners commonly perform your diagnostics.

• Turn on connection(s) your EHR supports (CommonWell; Carequality; TEFCA QHIN routes).

• Create a daily “new documents” queue with AI parsing + MD validation.

• Attach evidence to the gap the same day.

How HP360 can help

We wire in national exchange rails, parse inbound documents, and produce MD-validated, audit-ready packets—so your team closes more gaps with less friction. Schedule a quick consult to see the ingestion-to-evidence flow.