In this interview with The American Journal of Managed Care^® (AJMC^®), Bevey Miner, executive vice president of health care strategy and policy, Consensus Cloud Solutions, discusses the evolution of digital health, challenges in achieving interoperability, and policy development.

This interview has been lightly edited for clarity.

AJMC: Given the importance of interoperability in health care, what initiatives or strategies are in place at Consensus Cloud Solutions to promote data sharing and collaboration among different health care systems and stakeholders?

Miner: It’s interesting because when I first joined this health information technology industry, it was pre-EHRs [electronic health records]. We had EHRs, but we didn't have meaningful use. I hate to date myself. I've been in this business for 2 decades; it's given me a perspective that it's important to look at what we've tried to do in terms of Herculean steps that didn't get anywhere and the baby steps that amounted to what we didn't even envision when some of these new models of care were put into place.

I worked for Allscripts, a company that was very large in the EHR space. We were pushing and promoting and giving physicians money to get on an EHR because these paper files had such manual intervention to update. Anywhere between 10 to 15% of the content in a paper file was inaccurate, wrong, or missing, and could really harm a patient. It was manually intensive. Doctors didn't want to get off those paper files and they were very used to just going through paper files.

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