Our QHIN Use Case Guide: 17 Clinical & Business Scenarios

What are the opportunities that come with connecting to a Qualified Health Information Network^TM (QHIN^TM) for expanded access to data? Our guide lays out the possibilities.

Why participate in a QHIN? What’s worth your time and effort? Should you act on something now or later? Our QHIN Use Case Guide answers these questions with a series of clinical and business scenarios to consider when it comes to data exchange.

Sample QHIN Use Cases

Below, we put the spotlight on one use case for providers and electronic health record (EHR) vendors; one for health plans and pharmacy benefit managers (PBMs); and one for pharmacies.

• Providers & EHRs: Providers can efficiently access more complete clinical records, enabling them to make more informed decisions, reduce the number of duplicative tests administered, and increase care coordination.
• Health plans & PBMs: With easier access to clinical and administrative information, health plans and PBMs can support patients who need prior authorization and other activities and ensure that care recommendations are appropriate, affordable and safe.
• Pharmacies: Improved access to patient information for use in dispensing medications and delivering clinical services to better equip pharmacists to answer their patient population’s needs for clinical care.

Dive into all 17 scenarios with our QHIN Use Case Guide, then read more about the work we’ve already been doing to simplify the path to nationwide interoperability.

An Interoperability Pioneer

At Surescripts, we turn data into intelligence that reaches healthcare professionals when and where they need it most.

Record Locator & Exchange is just one example. In 2023 alone, healthcare professionals and organizations across all 50 states and Washington, D.C., exchanged 1.89 billion clinical documents using Record Locator & Exchange. It’s an example of interoperability at work right now.

See our 2023 National Progress Report for more of the big picture.

Unparalleled Connectivity

We make interoperability in healthcare simpler, with a single point of connection to health systems, pharmacies and payers across the U.S. The network that we’ve built over the past two decades leads the industry for reliability, security and scalability.

• Standards-based, scalable and secure: The Surescripts network was built and runs on the highest standards for access, security and performance. Our interoperable solutions promote and apply HL7 and NCPDP standards and the Carequality framework. Our Master Patient Index covers virtually every U.S. patient, and our directories link nearly 2 million healthcare professionals and organizations.
• Integrated with existing workflows: Surescripts delivers critical intelligence when and where it’s needed most, with a wide range of clinical and care management scenarios that benefit from the flexibility of solutions like Record Locator & Exchange.

Surescripts has far exceeded the overall goals for interoperability across the country. With 23.8 billion exchanges for clinical information in 2023, and the ability to cover virtually every American patient, the Surescripts network has enabled providers with access to their patients’ care history. In turn, this leads to better informed care decisions with patients.

Together, we’re making interoperability an everyday reality.

Download the Use Case Guide

Go deeper: Dive into 17 scenarios for QHIN connection