Eye towards the future

Spreadsheets are great—except when they’re not.

Unraveling the risk of insecure file exchange in health plans

Posted by Anthony Gomes on February 26, 2024

We all know how important it is to have the right tool for the job you’re doing. Every homeowner has been frustrated by the second (and even third) trip to Home Depot .

So, as we work to build the next generation of data-exchange platforms, it's crucial to gather the best tools along with adopting the right protocols. 

And that’s why we need to talk about spreadsheets. Spreadsheets in .xls and .csv formats are the equivalent of bringing a flathead screwdriver when you need a Philips—right idea, wrong execution. It might work, but it’s not precise. 

These file types lack robust mechanisms for ensuring data integrity, which leaves room for corruption and inaccuracies during transfers. In the healthcare domain, where precision is paramount, compromised data integrity can have severe consequences. 

Complex healthcare data has outgrown the capabilities of these file formats. These formats struggle to represent hierarchical structures, nested fields, and diverse data types, leading to information loss or misinterpretation. 

Collaborative data exchanges in health plans involve multiple iterations, making version control a critical aspect. These formats face challenges in tracking changes effectively, potentially resulting in errors and confusion. 

Transmitting sensitive healthcare data via email attachments also introduces significant security vulnerabilities. Spreadsheets sent via email are prone to interception, unauthorized access, and breaches, posing a serious threat to data privacy. 

 So what is the alternative? 

Other formats like the Fast Healthcare Interoperability Resources (FHIR) standard—an emerging and transformative approach to healthcare data exchange  - are far more efficient and offer advantages. 

FHIR, developed by HL7 (Health Level Seven International), provides a standardized and modern approach to representing healthcare data. Its resource-based model allows for the structured and interoperable exchange of information. 

FHIR's resource structure accommodates rich data elements and relationships, making it well-suited for representing complex healthcare information. This capability ensures that the nuances of health plan data are accurately captured and shared.  

FHIR leverages RESTful APIs (Application Programming Interfaces) for data exchange. This approach enables real-time and secure communication between health plans and their partners, eliminating the need for periodic file transfers and reducing latency. 

FHIR incorporates granular security controls, allowing health plans to define access permissions at a detailed level. This ensures that only authorized parties can access specific types of healthcare data, enhancing overall data security. 

Benefits of Adopting FHIR for Health Plan Data Exchange: 

FHIR promotes interoperability by providing a common framework for healthcare data exchange. Health plans can seamlessly communicate with diverse systems, fostering collaboration and data sharing across the healthcare ecosystem. 

The use of FHIR and RESTful APIs enables real-time data access. Health plans and their partners can retrieve and exchange information instantly, supporting quicker decision-making and enhancing operational efficiency. 

FHIR's granular security controls contribute to comprehensive data governance. Health plans can define and enforce access policies, ensuring compliance with data protection regulations and safeguarding sensitive healthcare information. 

FHIR is designed to be extensible and adaptable to evolving healthcare standards. As the healthcare industry continues to evolve, FHIR provides a future-proof solution that can accommodate emerging requirements and innovations. 

While spreadsheets have long been the conventional choice for data exchange in healthcare, the industry's evolving landscape demands adoption of a more sophisticated and secure approach. FHIR, with its standardized representation, rich data elements, RESTful APIs, and granular security controls, emerges as a transformative solution for health plan data exchange. Embracing FHIR not only addresses the limitations of traditional formats but also positions health plans at the forefront of interoperability and data security in the dynamic healthcare ecosystem. 

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