VIable

NDHI
NAT IONAL DIALOGUE FOR
Healthcare Innovation
Mosaic Interoperability
Initiative
Organization Overview
• Baylor Scott & White Health is an integrated healthcare
system comprising over 900 sites of care with
10,400 active physicians, and serving over 5 million
patient encounters annually
• The health system operates the Baylor Scott &
White Quality Alliance (BSWQA), one of the largest
accountable care organizations in the country with
nearly 4,600 physicians
• Mosaic arose out of BSWQA’s mission to achieve
high quality and cost effective care for patients
through clinical integration
Background
The Mosaic initiative, which began in September 2014,
was developed to implement an interoperability solution
that would support the Health Information Exchange
and Population Health Initiatives at Baylor Scott &
White, such as BSWQA. Mosaic improves the health
system’s ability to deliver the best care possible, as
measured and reported through safety and quality key
performance indicators.
Baylor Scott & White partnered with Allscripts, a vendor
of interoperability solutions, to enable the exchange of
actionable health information at the point of care within
the system using dbMotion. The key stakeholders
involved in this initiative from Baylor Scott & White
Health were the president of BSWQA, the Chief Medical
Information Officer, and the Chief Information Officer.
Initiative Details
The aim of Mosaic is to improve interoperability within
the Baylor Scott & White ecosystem, in order to:
• Enhance access to Patient Information for
Care Providers
• Provide data for analytics to support
Population Health
A governance body oversees the project, ensuring that
the following guiding principles are met:
• Prioritize patient safety and quality as
highest importance
• Pursue a system technology strategy where
appropriate
• Develop a uniform system build across the enterprise
• Drive accountability through clearly defined roles
and responsibilities
• Listen to the vendor, but take ownership
Today, all major systems in Baylor Scott & White’s
network are connected to a database storing over 2.7
million patients’ records. The data collection standards
for Mosaic are HL7, CCD, and CCDA.
Value Delivered
Mosaic connects BSWQA physicians with several
systems used within the Baylor Scott & White North
An Initiative of the
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Mosaic Interoperability Initiative