Solution Focus: Data Archiving

Health Data Archiving: A Guide for HIT Leaders

Healthcare organizations are increasingly reliant on data to inform operational and strategic decisions, making data archiving an essential data management strategy. As more healthcare organizations modernize IT, and merger and acquisition activity continues, legacy health data management has only grown more essential and complex. In fact, a recent report found that many healthcare organizations will have to archive seven or more additional systems in the next one-to-three years.

Just as Prisma Health discovered, a robust and centralized data archive can deliver significant cost savings while ensuring long-term data preservation. This guide serves as a comprehensive resource for HIT leaders, providing a deep dive into the benefits and use cases for health data archiving and highlighting best practices for successful implementation.

What is an EMR Data Archive?

Health systems operate dozens, sometimes hundreds, of applications daily. As outdated systems are retired, staff still need access to legacy data for compliance, patient care, account receivables, and other administrative purposes. An EMR data archive centralizes historical patient data into a secure, accessible repository that integrates with the other HIT applications that hospitals use.

These archives are a valuable long-term storage solution for healthcare organizations that retire legacy applications. That’s because they enable seamless data retrieval and access by authorized hospital users who need historical patient information to conduct critical activities that are part of a hospital’s operations.

Traditional storage methods that simply hold data in a static archive and provide data in a PDF make the data difficult to find and use. In contrast, active EMR data archives store legacy health data in its native format, ensuring it can be used and analyzed by healthcare organization staff to better support operations and drive future innovation. 

EMR Data Archiving Benefits and Use Cases

As hospitals retire outdated applications, their staff still need access to legacy data, but it’s often scattered across multiple applications and silos. This complexity creates inefficiencies, especially during mergers and acquisitions, where the volume of legacy applications that must be integrated substantially increases. 

Here are some of the most common and effective ways that legacy data can be used:

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Reducing IT Costs:  Healthcare organizations often struggle with technical debt, the accumulation of outdated systems and processes. Data archiving significantly lowers IT costs by decreasing or eliminating the expenses required to maintain and manage legacy applications. Managing a single data archive also reduces pressure on IT

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Ensuring Regulatory Compliance: Most providers are required to retain clinical data for long periods, sometimes up to 20 or 30 years. A quality EMR archive solution should include features to automate compliance tracking and reporting for HIPAA data retention and other regulations. Your EMR archive solution should also simplify and reduce the burden on your hospital staff for common HIM activities such as responding to audits and Releases of Information (ROIs). Such functionality is critical to decrease the risk of costly penalties associated with non-compliance of federal, state, and organization-specific regulations governing medical record retention.

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Increasing Operational Efficiency: Hospital staff must have access to legacy data to support various clinical, financial, and administrative operations performed throughout the continuum of care. This includes clinicians who often refer to EMR data archives for patient care, as well as HIM teams that leverage it for compliance tracking and reporting. It’s also vital for accounts receivable staff to have seamless access to EMR data archives in order to work down A/R, helping avoid revenue cycle disruptions during IT transitions and supporting profitable hospital operations. EMR data archives streamline and centralize access to legacy data for hospital and health system users, making it easy for them to access and use in operational, administrative, financial, and clinical workflows.

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Lowering Cybersecurity Risks: Legacy applications are vulnerable to security threats because outdated applications often lack the necessary security updates and patches, leaving gaps for cyber criminals to exploit. Decommissioning legacy data and storing it in an EMR data archive reduces the attack surface to better ensure that sensitive patient data is protected. Additionally, active EMR data archives with features such as HIPAA auditing and tracking and role-based access offer additional layers of protection against the increasing threat of cyber-attacks such as ransomware, that can lead to data breaches, patient care disruptions, and severe financial losses.

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Unlocking Data Insights for Secondary Use: Active archiving of discrete data maintains the integrity and usability of legacy data, preserving its value for future initiatives.The archives also enable healthcare organizations to apply AI and machine learning to large datasets so they can better analyze and identify patterns, gleaning meaningful insights to inform smarter, strategic decisions. This empowers healthcare providers, researchers, and other stakeholders to leverage legacy data for future uses such as chart reviews, population health studies, patient engagement initiatives, clinical research — and more.

Medical Record Archiving Systems: A Modern Case Study

Consider the case study of Mosaic Life Care, a healthcare organization that leveraged DataArk ®, MediQuant’s flagship active data archiving platform, to achieve significant improvements in data accessibility, compliance, and cost savings. Mosaic Life Care faced a critical deadline to retire their legacy Cerner EHR and migrate to Epic before their current contract expired. While other vendors quoted 12-to-18 months to complete the project, MediQuant delivered it in just seven months, saving Mosaic Life Care millions.

Healthcare Data Archiving Solutions: A Roadmap to Success

Implementing successful health data archiving solutions requires careful planning and execution, strategically integrating it throughout the entire data management lifecycle. Here’s a breakdown of best practices to maximize the process:

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Data Governance and Stewardship: To develop the most EMR data archiving plan, organizations need a clear understanding of and alignment with both short- and long-term IT and broader hospital goals. This insight is key to identifying and classifying which data sets should be archived and which can be identified through an application inventory. Application rationalization helps organizations determine which data sets are essential for long-term storage and compliance purposes. The insights gained through this process provide invaluable context that can inform other critical data management decisions such as evaluating and choosing storage options.

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Data Extraction: The success of data conversion, migration, and archival depends on complete and accurate data extractions. Consequently, data extraction errors often derail IT transitions, exceeding budgets and timelines. Because some applications are easier to extract than others, deep application expertise is critical. Any vendor that performs data extraction must fully understand the unique vendor-specific nuances involved in extracting certain applications. For instance, see Cerner and Epic as examples. Additionally, data extraction requires extensive preparation to enable subsequent data mapping., and thorough validation is vital after extraction to ensure data integrity. An experienced EMR data archive partner will know the right questions to ask vendors upfront before extraction. This is critical to ensuring a full understanding of the scope of work, helping to determine the right tools, process, and timeline for data extraction.

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Data Conversion and Migration: Legacy data may need to be converted and migrated into a standardized format to ensure compatibility with an organization’s go-forward EMR or HIS application(s). Choosing the right data transformation tools and techniques is crucial for smooth migration. Thorough validation ensures that legacy data successfully converts to the new application, verifying that it is complete, error-free and that workflows are fully operational before data conversion and migration.  

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Decommissioning: After data is prepared, mapped, loaded, and validated, the legacy application is typically “frozen” and final data is received for archiving. Due diligence throughout this phase is essential. Before your organization signs off on its EMR data archive, additional validation is necessary to identify and resolve any data quality issues that may arise and verify that functionality meets your expectations, supporting adoption of your archive. After your EMR data is archived, final compliance reporting and transition support should be provided for not only ensuring a seamless rollout but also verifying that your EMR data archive is properly maintaining compliance with applicable data retention requirements.

Harness the Power of Legacy Data Archiving

A robust EMR data archiving strategy is no longer optional. It’s a critical tool for maximizing the value of your data assets, enhancing patient care delivery, and propelling your organization towards a future of data-driven healthcare excellence. Like Prisma Health, your organization can utilize effective legacy data archiving to deliver significant financial benefits while ensuring the long-term preservation of vital patient information.

Ready to learn more?

Let us help you harness data archiving to save time and money by eliminating maintenance costs and licensing fees, as well as reducing the time required to support outdated or redundant applications. Contact us today for a free demo.

MediQuant’s data archiving team prepares, maps and loads your organization’s full data set into your new archive solution, validating its accuracy not once, but twice. Under the direction of a dedicated project manager, we partner with our customers throughout the archiving process, establishing interfaces, integrations and customizations.

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