When patient information is out of reach or out of sight, danger emerges. Incomplete clinical history can interfere with diagnosis. Unseen medications can cause adverse drug events. Trouble accessing the patient data needed for administrative tasks can delay care.

Meanwhile, the promise of value-based care remains hard to realize, and clinician burnout looms. In one survey, 4 in 5 physicians said the inability to share data between information systems increased stress levels, and 59% reported feeling frustrated on a weekly basis by the challenges of accessing clinical information.1

One remedy is interoperability—the ability for information to flow efficiently across systems—and information sharing that lets our evolving care teams easily consume the insights they need. In 2022, the Network Alliance supplied this missing piece for more healthcare professionals, making it simpler to communicate and bridge information gaps when coordinating care

Medication History

Medication History helps avoid adverse drug events and readmissions by giving care teams and care managers a cleaner, more complete and intelligently enhanced picture of medications prescribed and dispensed for individuals or populations.

medication interoperability
medication history graph

Health Systems see immediate results with Medication History for Reconciliation

In 2022, KLAS Research surveyed 20 health systems about their experience implementing Medication History for Reconciliation.2 All reported that they would choose to implement the solution again, and 90% saw outcomes immediately.

Outcomes achieved:

  • Closing of gaps in patient medication histories
  • Support with e-prescribing visibility into medications filled outside of the organization
  • Improved patient safety
  • Information suggesting a greater need for reconciliation than expected

“That 12 hours is very impactful when a prescriber might prescribe something unintentionally in error and want to call that prescription back.”

Michelle Chui, Pharm.D.
University of Wisconsin, Madison

Record Locator & Exchange

Record Locator & Exchange Record Locator & Exchange helps clinicians find and retrieve clinical documents exchanged via Carequality—a national, consensus-based interoperability framework that enables information exchange among health data sharing networks.  In 2022, more than 250,000 clinicians from 31,314 organizations across all 50 states and Washington, D.C. (27% more users than in 2021) used Record Locator & Exchange to locate and exchange more than 100 million clinical documents each month. This represented 30% of the average monthly exchange activity within Carequality in 2022.3

links clinical document sources

Clinical Direct Messaging

In 2022, 823,000 individuals and organizations—including more than 23,000 pharmacies—used Clinical Direct Messaging for secure, HIPAA-compliant exchange of protected health information within clinicians’ electronic workflows. Clinical Direct Messaging also continued to support public health, transmitting 23,390,617 electronic case reports to public health agencies (+32% in 2022). 

clinical direct messaging tranactions

Health Plans pursue positive outcomes with Clinical Direct Messaging

Four health plans and two pharmacy benefit managers covering nearly 220 million patients nationwide used Clinical Direct Messaging in 2022 to pursue goals including:

  • Improving medication adherence
  • Closing gaps in care
  • Reducing hospital admissions
  • Improving Centers for Medicare and Medicaid Services quality ratings
  • Enabling their care managers to focus on patients more than paperwork

One health plan with more than 26 million patients across all 50 states is using this technology to prompt providers to complete medication reviews, notify them about patient adherence issues such as missed pickups, and monitor statin use  in patients with diabetes and cardiovascular disease.

The 2022 National Progress Report

Raising the bar for network integrity at scale
Raising the bar for network integrity at scale
Solving for medication affordability & adherence up front
Solving for medication affordability & adherence up front
Getting Specialty Prescriptions to patients faster
Getting Specialty Prescriptions to patients faster
  1. Athenahealth, “Physician Sentiment Survey 2022: Key Factors Shaping the Physician Experience,” June 2022.
  2. Tyson Blauer et al., “KLAS Performance Insights First Look: Surescripts Medication History for Health Systems 2022,” October 2022. 
  3. Calculation based on monthly transaction reporting from Carequality, January–November 2022. 
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