Advancing Interoperability and Collaborative Care in Kidney Health

Ben H.

Hatched by Ben H.

Dec 26, 2023

4 min read


Advancing Interoperability and Collaborative Care in Kidney Health


In the world of healthcare, interoperability plays a crucial role in ensuring seamless data exchange and improving patient outcomes. Epic, a leading healthcare software company, boasts 100% interoperability among its customers. This means that a staggering 430,175,716 records were exchanged this month alone, with an average of 15 million patient record documents being shared daily between health systems. This widespread interoperability sets the stage for collaborative efforts aimed at enhancing care delivery. One such partnership that exemplifies this is the expansion between Somatus, a prominent value-based kidney care company, and Kidney Care Center. Let's delve into the details of this collaboration and explore how it contributes to the advancement of kidney health.

Joint Venture and Comprehensive Kidney Care Contracting:

Somatus and Kidney Care Center have built a strong foundation through their existing value-based care (VBC) partnership. Leveraging this success, the two organizations have decided to establish a long-term joint venture arrangement. This collaboration aims to improve outcomes for patients residing in Illinois, Indiana, Georgia, Tennessee, Pennsylvania, and Florida, who are affected by chronic kidney disease (CKD) and end-stage kidney disease (ESKD). By reducing unnecessary Medicare expenses, the joint venture seeks to provide cost-effective and high-quality care to these individuals.

Furthermore, Somatus and Kidney Care Center have joined forces to participate in Medicare's Comprehensive Kidney Care Contracting (CKCC) program. This program offers an innovative approach to managing kidney health by targeting a multidisciplinary local care team, utilizing advanced technology and analytics, and providing direct medical care. Through this program, both organizations envision a future where patients receive holistic care that addresses their unique needs, resulting in improved health outcomes and enhanced quality of life.

The Role of Local Care Teams:

A pivotal aspect of this collaboration is the establishment of locally based Registered Nurse Care Managers, Nurse Practitioners, Renal Dietitians, Licensed Clinical Social Workers, Pharmacists, and Patient Health Advocates within the Somatus team. These dedicated professionals work together to deliver whole-person, in-home care to patients. By providing personalized support and guidance, local care teams aim to empower patients to take control of their health and make informed decisions. This hands-on approach ensures that patients receive comprehensive care that extends beyond medical interventions, ultimately leading to more healthy days spent at home.

Leveraging Technology and Analytics:

To optimize care delivery and streamline communication, Somatus and Kidney Care Center will harness targeted technology and analytics. By leveraging these tools, healthcare providers can access critical patient data and make well-informed decisions. This data-driven approach enables the identification of trends, patterns, and potential areas for improvement. With a comprehensive view of a patient's health, healthcare professionals can tailor treatment plans to individual needs, leading to more effective interventions and enhanced patient outcomes.

Actionable Advice for Advancing Collaborative Care:

  • 1. Embrace Interoperability: Healthcare organizations should prioritize interoperability to ensure seamless data exchange. By adopting interoperable systems, providers can access comprehensive patient records, enabling them to make well-informed decisions and provide efficient, coordinated care.
  • 2. Foster Collaborative Partnerships: Collaboration between healthcare organizations is key to advancing care delivery. By forming strategic partnerships, like the one between Somatus and Kidney Care Center, organizations can pool resources, expertise, and knowledge to develop innovative solutions that improve patient outcomes.
  • 3. Invest in Technological Solutions: Healthcare providers should invest in targeted technology and analytics platforms to optimize care delivery. These tools enable healthcare professionals to access critical patient data, identify trends, and make data-driven decisions. By leveraging technology, providers can enhance efficiency, streamline communication, and ultimately improve patient outcomes.


The expansion of the partnership between Somatus and Kidney Care Center exemplifies the power of interoperability and collaborative care in the field of kidney health. Through their joint venture arrangement and participation in Medicare's CKCC program, these organizations aim to improve outcomes for individuals with CKD and ESKD while reducing unnecessary healthcare expenses. By establishing multidisciplinary local care teams, leveraging technology and analytics, and providing personalized in-home care, patients can experience more healthy days at home. As healthcare providers and organizations continue to prioritize interoperability, foster collaborative partnerships, and invest in technological solutions, the future of kidney health looks promising, with improved care delivery and enhanced patient outcomes.

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