This is a time of great health policy discussion and activity, especially given the challenge of COVID-19 and the finalization of significant federal regulations that will now move into the implementation stage. HL7 and its standards, such as Fast Healthcare Interoperabilty Resources (FHIR®), are a strong fiber in these developments. Discussed here are key aspects of the final interoperability, patient access and information blocking rules recently released related to implementing provisions in the 21st Century Cures Act (Public Law 114-155). The intersection of policy, HL7 standards and COVID-19 will be highlighted in this space soon. Stay tuned!
HL7 collaborates with the U.S. Centers for Disease Control and Prevention (CDC), the Council of State and Territorial Epidemiologists (CSTE), and the Association of Public Health Laboratories (APHL) to support eCR Now through the use of HL7 FHIR in the nationwide initiative formulated for the rapid roll-out of automated electronic case reporting (eCR) from EHRs to state and local public health agencies.
HL7 is developing the SANER HL7® Fast Healthcare Interoperability Resources (FHIR®) Implementation Guide (IG) to support standards-based communication to emergency response authorities regarding critical COVID-19 resources such as ICU beds, ventilators and other essential equipment and treatment supplies. Audacious Inquiry is leading the development of open source solutions that will follow the SANER HL7® FHIR® IG.
CMS released the much-awaited Interoperability & Patient Access Rule in early March this year. This rule establishes policies that aim to break down barriers in the health system across the US for better patient engagement.
CMS had proposed the Interoperability & Patient Access Rule to support regulations of the MyHealthEData initiative and 21st Century Cures Act with an implementation timeline. This resulted in numerous requests from the healthcare industry, especially from the payer community, which demanded for the rule to be implemented in a phased manner. This was well received by CMS and timelines have been set accordingly given that technological advancements and security of data exchange need to be taken into consideration.
The rule promises to enable better patient access to their health information, improve interoperability and drive innovation, while reducing burden on payers and providers. Patients can now be aware of their health information for better care and improved patient outcomes. With data being available conveniently and securely among payers, providers and patients, CMS hopes to achieve real coordinated care, improved health outcomes and reduced costs.
Keeping Us Together While Apart
During this time of global crisis, it’s worth remembering the critical importance of what we at HL7 are doing to improve global health by making health information more available and useful. While so many are struggling with social distancing, we already have a culture that long ago learned to work together remotely on our common goals. But now with fewer opportunities to meet together in person, we need to move ahead to finish much of the work we’ve been doing over the past few years – so we’re better prepared to work together even more effectively, while knowing we must be further apart geographically.
Seqster has developed a platform that allows patients and their caregivers to collect, visualize, manage and share all of their health data in one app. We aggregate clinical data points across providers chronologically using the industry-standard coding systems that the HL7 community knows all too well.
WASHINGTON – Today a group of technology leaders from Amazon, Google, IBM, Microsoft, Oracle and Salesforce came together at the CMS Blue Button 2.0 Developer Conference to reaffirm a commitment to interoperability made one year ago, and to share progress and plans to move decisively forward on this pledge.
HL7 International offers a wide range of certification options for its products. The purpose of these certifications is to ensure the quality of the workforce implementing HL7's standards.
Join Our Webinar on May 22, 2019 at 12 pm Central!
API 101: An Introduction to APIs and How They Are Transforming Health IT
Webinar speakers and blog authors:
Wayne Kubick, HL7 CTO
John Orosco, CTO, Sansoro Health
Dave Levin, CMO, Sansoro Health
Application program interface (API) technology has transformed the digital economy and is now poised to do the same in health IT. The combination of the an increasingly robust HL7 Fast Healthcare Interoperability Resources (FHIR®) standard API and the rules proposed by ONC on interoperability will accelerate this trend. What should you know before diving in? Tune in to our live webinar on Wednesday May 22 at 12pm CT.
APIs allow software applications to connect, communicate and collaborate through a combination of web services. This harnesses the power of internet “backbone” communication protocols to provide a secure channel for connecting two applications and standards like JSON and XML that provide data-interchange formats or “objects.”
APIs also allow businesses to collaborate more seamlessly. For example, businesses that ship packages via UPS can leverage the UPS API to easily track shipping status. This API hides the complexity of the UPS database and business logic. It’s an open API that is exposed to the world so almost anyone can use it. Simply register, learn how the API works and connect and your system can interrogate the UPS API, instantly retrieve the current status, and display it to your customers on your website or app.
Our ongoing tooling journey at HL7 continues, neither as a sprint nor a marathon. For us, it’s really more like an odyssey – an ongoing journey where there is always something more to be done, another path to explore, and a final destination (retirement, for example) seems far out of reach. In the case of HL7 tooling, a fair number of tooling retirements are well overdue.
Despite the wait, it’s gratifying to see when tangible progress is actually achieved. On the Confluence front, we’re in the home stretch of phase 1 of the rollout, though there’s a whole new course to pursue just around the bend. We now have all work groups on Confluence (!) and have also migrated many more projects, committees and collaborations. New functions and help features in Confluence (including a major facelift for confluence.hl7.org) are being added regularly, and you can keep up with these by checking the CTO Tooling Update page. This enabling platform is already unleashing many new opportunities within the HL7 community. Our next target is to work toward optimizing our processes with online forms and workflow. The online project scope statement (PSS) pilot is now available and will give us an opportunity to speed up reviews and approvals as well as make new projects more visible to the community in the hope we can avoid last minute catchups.