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Nov 14 2025
Data Analytics

CHIME25: Data Governance and Interoperability Are Critical to AI Preparedness

Having quality data and interoperable systems is necessary for healthcare organizations to take advantage of artificial intelligence.

As more healthcare organizations implement artificial intelligence tools into their workflows, interoperability and data quality become increasingly important. Breaking down silos and cleaning data have been a focus of many organizations for years, but the AI boom is creating excitement among staff beyond IT, and now may be the time to gain clinician buy-in on data governance initiatives. 

That’s some of what healthcare leaders discussed at the 2025 CHIME Fall Forum in San Antonio. They explained how AI is impacting interoperability, how organizations need to adjust their approach to data to take advantage of AI, and how data can be applied to improve community health and well-being. 

Click the banner below to find out how to take advantage of data and artificial intelligence for better healthcare outcomes.

 

How Does AI Relate to Healthcare Interoperability? 

In a panel on the future of interoperable intelligence, Sarang Deshpande, vice president and chief data and analytics officer at Franciscan Health, said that for the past 10 years interoperability has been about regulatory data-sharing requirements, such as HL7 and Fast Healthcare Interoperability Resources (FHIR). From his perspective, the next phase for interoperability is getting internal systems to connect and talk to each other, improving workflows. 

“We have a lot of work to do, but my main thing is moving from data sharing to a well-connected ecosystem,” said Deshpande. 

Jawad Khan, chief data and analytics officer at Akron Children’s Hospital, said that interoperability is often limited to discrete data shared system to system; in the age of AI, it needs to be more dynamic and able to change its format on the fly. 

Panelists expressed that many organizations’ data isn’t ready for AI and the interoperability required to make AI initiatives successful on a larger scale. 

Tamara Wegner, senior director of enterprise platform service at Nordic, said that some organizations are rushing too fast into the AI space. 

“You see lofty AI thoughts, but when you peel the onion, the core is still struggling and the foundation isn’t there to get organizations to where they want to go in the AI workstream,” she said. 

“Everything and everyone is ready for AI except your own data,” agreed Deshpande, adding that there is a lack of data literacy and stewardship in the industry and many people don’t want to put in the hard, tedious work to prepare data for the future. 

EXPLORE: How are health systems transforming their data management? 

Preparing Data for AI Implementation in Healthcare 

Khan said that it’s important for IT teams to understand full-stack engineering and how it works in the data space. It can help to unify data in ways that data lakes cannot, he explained. AI can play a critical role in making full-stack engineering easier. Governance is also crucial

“To improve data quality, you have to push as close to data generation as possible. I encourage my team to understand how data is entered into the system,” said Khan. “If you can tackle data quality as close to where the data is generated as possible, then you won’t have to be as concerned on the back end. If you’re doing data quality on the back end, you’ll end up in a vicious cycle.” 

To achieve this, data producers need to be a part of data governance committees. He recommended starting on the front end of the data and working toward the back end. Leveraging technology to report on data quality is also helpful, according to Khan. 

Scott McEachern, CIO at Southern Coos Hospital and Health Center in Bandon, Ore., emphasized the need for clear steps and understanding the “why” for end users who are generating data. 

Khan encouraged healthcare IT leaders to take stock of their internal resources before implementing new tools. Working with partners can help to maximize investments already made, especially electronic health record and enterprise resource planning platforms. 

While data stewardship can seem daunting, Deshpande said it’s a good time to ride the AI wave and take a center-of-excellence approach to data. 

Focus on governance, process and the right tools, and then push that work into the business units,” he said. “If you don’t leverage the current excitement, you might miss your opportunity.” 

McEachern said that metrics are helpful in getting buy-in from clinicians. He recommended presenting the data in a calm and professional manner to show how long it’s taking them to do certain tasks, then explaining how new processes or tools can help give them time back. 

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How WellLink Is Using Data To Improve Care in Cleveland 

WellLink, a regional hospital association based in Cleveland, created one of the largest social determinants of health (SDOH) platforms to address health disparities in local communities and beyond. 

According to Brian Lane, president and CEO of WellLink, Cleveland has one of the highest poverty levels in the U.S. The city has a median household income of $35,600. Lane pointed out that nearly half of Cleveland’s children live in poverty, compared with 15% of children nationwide, and over 90% of the housing stock has lead-based paint. 

“Individuals are in dire need of food, medical services and jobs,” he said, adding that hundreds of nonprofits operate in the metro area. 

READ MORE: Discover data governance strategies for artificial intelligence success. 

However, a lack of common infrastructure was holding them back from achieve change. Lane said people were putting money toward specific projects rather than specific neighborhoods, and it wasn’t having a strong influence. 

WellLink leaders realized they needed to become a trust broker to these organizations to create change. It created an advisory group with representatives from politics, hospitals and nonprofits to convene on the health and well-being of the community. 

One of the first calls to action was to reduce suicides. The group created an SDOH data lake using Amazon Web Services in less than three months. It pulled from over 500 sources of public and private data. According to Endrit Meta, director of data and technology at WellLink, 58% of suicide deaths in Cleveland from 2017-2022 were via firearms. For black males aged 12-45, that rate was 70%.

Sarang Deshpande of Franciscan Health
Everything and everyone is ready for AI except your own data.”

Sarang Deshpande Vice President and Chief Data and Analytics Officer, Franciscan Health

Meta said that the team looked at data sets to determine the highest impacted zip codes and drivers specific to those areas. The data found that the highest indicators were unemployment, lack of transportation and housing insecurity. 

With those insights in mind, the advisory group worked with different organizations to make changes to where and how administrative services were being offered. The team piloted targeted interventions, including crisis intervention teams. Certified mental health specialists joined police on calls, and out of 400 calls, 20% didn’t require police response, Meta pointed out. The community also launched a peer counseling training program for teens. 

Another way WellLink used the data was in partnership with Cleveland Clinic around asthma and COPD. They were able to get access to 185,000 patients’ data to create a machine learning algorithm to find factors leading to increased emergency department visits. The data found that lack of health insurance and employment led to a higher rate of ED and hospital visits for patients with asthma, while patients with insurance and access to treatment received better care and had better outcomes. Meta explained that as a result, Cleveland Clinic created an app for asthma patients to help them mitigate their symptoms. 

Lane emphasized that the data lake is a platform for everyone. AWS is responsible for the whole cloud, while WellLink is responsible for what’s in the cloud. Organizations can even set up their own secure environments within the data lake. Lane described it as independent lakes within a larger ocean. 

Keep this page bookmarked for our coverage of the 2025 CHIME Fall Forum. Follow us on X at @HealthTechMag and join the conversation at #CHIME25.

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