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The Ultimate Headless EHR Checklist: What to Consider When Developing Your Own EHR System

October 1, 2024

What to Look for in a Headless EHR: Things to Consider 

Finding the Right EHR

We created this EHR checklist to help you get started with the foundational understanding on what to look for in your EHR vendor or health tech cloud service. Whether you’re a health tech startup or an established healthcare organization, this list will have all the features and functionality you should consider as you develop your own EHR that fits your organization’s unique needs.

What’s in this Checklist?

  • What is a headless EHR? And how is it different from traditional EHRs?
  • Features & Functionality to consider
  • Cost & Pricing
  • Is a headless EHR the right fit for you?

What is a Headless EHR?

Headless EHR systems separate the ‘front end’ user experience from the ‘back end’ data storage and processing. Decoupling creates an API driven foundation, providing significant benefits including: 

  • Enhanced Flexibility 
  • Scalability 
  • Interoperability 
  • Customizability

How is it Different from Traditional EHRs?

This allows growing healthcare companies to build a scalable EHR that can be customized to their unique use-cases far more rapidly and cheaply than building from scratch. Oystehr provides the API, core data model, cloud infrastructure, EHR interoperability, security, and compliance as a single service so you can build the front-end applications with ease.

Traditional EHR vs Headless EHR Comparison Table

Is Headless Right for You? 

Headless EHRs vastly improve interoperability, scalability, and customizability compared to traditional EHRs. However, headless EHRs may require more lift and will need a team of developers to build on top of the headless platform. This system is right for you if:

  • You have the team and bandwidth to develop your applications on top of your EHR platform 
  • Your organization has unique workflows and need something customized in order to integrate with other healthcare systems 
  • You value innovation and modernization to provide a good user experience for your clients and patients 
  • You’re a growing business that needs to scale up as your patient base grows, but may not have the budget in the early stages for a fully developed out-of-the box EHR or to fully develop your own EHR from scratch. 
  • Your organization aims for seamless patient data pathways, prioritizing quality measures and optimal healthcare outcomes through safer, more meaningful delivery.

Features and Functionality

Interoperability Using FHIR 

Interoperability is essential for the exchange of health data across various healthcare systems and providers. Make sure your headless EHR leverages FHIR which is the modern and standard language for modeling and exchanging health data, promoting data accessibility and interoperability. Oystehr uses FHIR R4b and R5. These modern specifications enable effortless integration with diverse systems and applications as well as easy access to health data.

Traditional EHRs have to maintain their proprietary data models as well as a mapping to and from FHIR to facilitate interoperability. With Oystehr, you use FHIR as your data model from the start, removing the entire cost center of mapping into and out of FHIR.

Benefits of using FHIR

  • If you are trying to import data from another source that uses FHIR, the process is much easier than if it is in another format
  • If you are trying to work with another service that uses FHIR, the data is already in FHIR format
  • If you decide to switch away from the Oystehr platform, the data is in a standard format
  • If you are already familiar with FHIR, you don't need to learn a new way of storing data

Oystehr is built using the FHIR model with FHIR resources provided in developer documentation.

ONC Certification

Make sure your EHR meets the basic criteria and is recognized by the Office of National Coordinators.

The ONC certification serves as a guarantee that an EHR system meets the necessary criteria for data security, interoperability, and adherence to regulatory standards.

This not only ensures compliance with federal regulations but also facilitates smoother billing and claims processes for Medicare and Medicaid, allowing the highest rate of reimbursement.

Oystehr is HIPAA compliant and ONC 170.315(g)(10) certified.

Customizability

Building on top of a headless EHR means that you have the freedom to develop your applications, user interface, and workflows to your unique use cases. Make sure that your headless EHR has the APIs and capabilities you need such as creating new patient records, ordering labs, or checking for patients’ insurance eligibility.

Check out our products page for a comprehensive list of capabilities and solutions.

Clinical Services

When evaluating a headless EHR, it's essential to ensure that it provides the necessary APIs and infrastructure for building clinical solutions. Look for a platform that supports key clinical functionalities that integrate directly to the FHIR service like patient scheduling, ePrescriptions (eRx), and more. Having access to these APIs allows you to seamlessly integrate critical healthcare services into your workflows, ensuring that you can efficiently manage patient appointments, prescribe medications digitally, and support other clinical tasks. With Oystehr, you can build robust clinical solutions on top of a flexible, API-driven foundation, tailored to meet the unique needs of your healthcare organization.

Additional Capabilities to Consider

  • Messaging and Patient Engagement - Engaging with patients via automated messages or 2-way conversation will make patient communication easy. You have the capability to build your own digital front door, allowing you to build a user experience that reflects your mission and brand.
  • Revenue Cycle Management - Streamline your RCM tasks with functionality like Insurance Validation and Claims Submissions Services
  • Telehealth - If you are able to conduct your appointments virtually, a functional telehealth solution that integrates directly with your clinical notes solution and scheduling solutions will reduce administrative burden for patient record management.
  • Document File Storage Service - Store your patient documentation and files.
  • ePrescriptions - Create your own streamlined workflows for digital prescription orders.
  • Clinical Documentation - Customize your documentation from your clinical encounters.
  • Scheduling - Make sure your scheduling functionality can suit self-serve and online appointment management.
  • Security -  Customize access and authentication systems within your EHR.
  • Diagnostics Service - Order labs and radiology with this capability
  • Payments Service - Allow transfer of payment between provider and payer
  • Developer Console Manage your EHR projects in a visual interface where you can explore and update your FHIR resources, create new applications, monitor logs in real-time, and more.
  • Access Policies - Create access policies for certain user groups or roles within your EHR
  • Developer Console - Manage your EHR projects in a visual interface where you can explore and update your FHIR resources, create new applications, monitor logs in real-time, and more.

Cost and Pricing

While cost assessment is essential, it's equally important to consider the long-term value. A well-chosen Headless EHR can offer a cost-effective solution over time, delivering a favorable return on investment. 

Most EHRs (traditional and headless) in the market today follow a traditional pricing model that involves substantial upfront costs, lengthy annual commitments, per-provider or fixed monthly fees, and even revenue percentage deductions. 

These pricing structures can lock healthcare organizations into rigid contracts and often lead to high costs over time, with limited flexibility for customization. 

Oystehr stands out by offering a transactional, usage-based pricing model. This model eliminates upfront expenses and lengthy commitments, allowing healthcare organizations to pay based on actual usage. This approach provides transparency and cost control, making it an attractive choice for healthcare providers and health tech startups with a goal to scale their EHR with their patient growth. 

With Oystehr’s pricing, you only pay for what you use, avoiding hidden integration or API access charges. Additionally, Oystehr even offers a free tier to help users get started without the burden of immediate costs. This approach aligns more closely with the modern needs of healthcare organizations, promoting cost-efficiency and flexibility in their EHR management.

Summary

Finding the right EHR that will grow with your business is a long and complicated process. If you are going to spend an extensive amount of time and money, you might as well do your due diligence to make sure it meets your needs for maximum profitability, scalability, and agility as your organization grows.

Want to learn more about Oystehr? Book a demo to learn more, or request FREE access to sandbox today to give it a try.

Get the Ultimate Headless EHR Checklist for free

  • What is a headless EHR? And how is it different from traditional EHRs?
  • Features & Functionality to
    consider
  • Cost & Pricing
  • Is a headless EHR the right fit for you?
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Our new behavioral health intake application, built on Oystehr, allowed us to build a solution that is customized for our use including scheduling, insurance validation, and direct integration with our eClinicalWorks EHR.

Mordechai Raskas
Mordechai Raskas

Chief Medical Information Officer at PM Pediatric Care