Access to clinical data across settings and the ability to link financial implications to the patient encounter are key under value-based reimbursement models. Banner Health in Phoenix uses a single clinical and financial data system throughout the enterprise.

“This ensures data quality and consistency, and also ensures that we apply interventions the same way everywhere in our enterprise,” says Geoff Duke, vice president of clinical applications. Using the enterprisewide electronic health record system and data warehousing tools, Banner created analytical tools for identification, management and outcomes metrics across the population. These analytical data drive individual-based interventions at the point of care within the EHR workflow. 

While the benefits can be wide-ranging, Banner generally focuses on areas that drive consistency, quality, automation and ease of practice. These improvement activities aid in lowering the cost of care and improving patient outcomes. They also focus on improvements that provide a better experience for the patient — both in person and digitally.

Whenever and wherever possible, Banner uses a single, enterprisewide EHR for all venues and types of care, actively minimizing the need to interoperate within its enterprise. One of our challenges is the ability to effectively gather consistent information from outside our system, says Duke. To address interoperability, Banner uses current and new standards such as HL7, SMART and FHIR.


  • Link clinical and financial data for a full picture of trends and opportunities.
  • Get clinicians involved in looking at both clinical and financial data.
  • Educate finance and administration on the impact clinical processes have on the bottom line.
  • Identify opportunities to reduce costs through patient throughput, supply chain management and drug formularies.
  • Use data to meet quality and cost goals.