The Centers for Medicare & Medicaid Services’ (CMS) final rule on accountable care organizations (ACOs) includes 33 measures on overall performance while allowing providers options on shared savings. In order properly report on these 33 measures it will require integrating multiple data sources, including ambulatory and inpatient EHRs, labs, scheduling, billing, health information exchanges (HIEs), insurance claims, remote monitoring, patient self-reports, research, demographic, administrative and financial data. May help to get more information related to it. Another key piece for larger organizations is getting all organizations involved in the transition on the same page. Since they may be on multiple systems and have multiple data sources, one of the challenges upfront is integrating and taking data from all those sources into one common data warehouse. As a result of the requirement to integrate multiple data sources from multiple organizations, a vendor-agnostic data warehouse becomes an essential step in achieving the strategic goal of becoming an ACO.