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Regional Hospital Network Unifies 18 EMRs Through FHIR-Based Interoperability

About the Client

The client was a regional hospital network operating 12 hospitals and multiple outpatient facilities, collectively supporting over 2.4 million patient encounters annually. Over years of growth and acquisitions, the network accumulated 18 disparate EMR systems across inpatient, outpatient, and specialty care settings. While each system functioned independently, the lack of interoperability created operational inefficiencies, data inconsistencies, and limited system-wide visibility.

To improve care coordination, reduce data errors, and enable enterprise analytics, the network partnered with Zymr to implement a unified interoperability layer based on the FHIR R4 standard.

Key Outcomes

68% Reduction in ADT Errors
Support for 2.4 Million Annual Encounters

Business Challenges

The hospital network struggled with fragmented patient data spread across multiple EMRs that did not communicate reliably. ADT (admission, discharge, transfer) events were frequently delayed or duplicated, leading to downstream clinical and billing errors. Analytics teams lacked access to normalized, real-time data, limiting population health insights and operational reporting. Any integration approach also had to support high encounter volumes, preserve EMR vendor independence, and meet strict healthcare data security and compliance requirements.

Business Impacts / Key Results Achieved

Zymr helped the hospital network move from fragmented EMR silos to a unified, standards-based interoperability foundation. By leveraging FHIR R4, the network reduced operational errors, improved clinical data reliability, and unlocked enterprise-wide analytics without disrupting existing EMR investments.

  • 68% Reduction in ADT Errors
  • Unified Data Access Across 12 Hospitals
  • Support for 2.4 Million Annual Encounters
  • Improved Care Coordination and Data Accuracy
  • Foundation for System-Wide Analytics and Reporting

Strategy and Solutions

Zymr designed and deployed a centralized FHIR R4-based interoperability platform to unify clinical data across the network.

  • FHIR R4 Integration Layer
    Implemented a standards-based API layer connecting 18 legacy EMRs without replacing existing systems.

  • Real-Time ADT Event Normalization
    Standardized and synchronized ADT messages across hospitals to reduce duplication and latency.

  • Unified Patient Data Model
    Normalized clinical and demographic data into a consistent FHIR resource structure.

  • Enterprise Analytics Enablement
    Enabled system-wide reporting and population health analytics from a single data layer.

  • High-Throughput Architecture
    Designed the platform to handle millions of annual encounters without performance degradation.

  • Security and Compliance Controls
    Embedded access controls, audit logs, and encryption aligned with healthcare regulatory requirements.

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