cracking the code on nationwide interoperability disclaimer: the views and opinions expressed in...
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Cracking the Code on Nationwide Interoperability
DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.
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Healtheway is the trusted, independent convener of industry and government
Works to address the challenges of secure, interoperable nationwide health information exchange (HIE).
2
Healtheway’s Role
NATIONWIDEINTEROPERABLESECURE
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Current Healtheway Initiatives
The eHealth Exchange is the largest health information exchange network in the US
Carequality is a public-private collaborative creating a standardized, national-level interoperability framework to link all data sharing networks
Copyright © 2015 Care Connectivity Consortium
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Largest HIE Network in the U.S.
4
Tech Vendors
Federal Govt
States
PharmaciesPayers
HIEs
Care Facilities
Shared Governance and Trust Agreement Common Standards, Specifications & Policies
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10 Years of Progress
2006
ONC sponsors prototype architectures, followed
by trial implementations.
5
2008Focus shifted to
supportingproduction pilots
2009First production
exchange between Social Security
Administration and MedVirginia, followed by Veterans Health Administration and
Kaiser Permanente
2012Exchange
transitions to Healtheway.
Private sector participation
increases
2015Nationwide
implementation across 50
states
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eHealth Exchange: Benefits
10,000 medical groups
900+ dialysis centers
8200 pharmacies
Supporting more than 100 million patients
All 50 states
Four federal agencies
(DoD, VA, HHS including CMS, and
SSA)
30% of U.S. hospitals
Benefit How eHealth Exchange Achieves Benefit
Reducing Costs
Using common standards, legal agreements and governance enables participants to reduce legal fees and avoid building custom interfaces with trading partners.
Improving Clinical and Business Decisions
Access to a nationwide data sharing network provides secure access to the comprehensive health data that healthcare providers, pharmacies and payers require to improve clinical decision making, patient safety, process improvement and fair payment.
Exchanging Data with Government Agencies
Federal participation in the eHealth Exchange supports data sharing among all participants and with agencies such as Centers for Medicare & Medicaid Services, the Department of Defense, the Social Security Administration and the Department of Veterans Affairs.
Planning for the Future
Because the eHealth Exchange is governed by a representative set of participants, its multi-purpose interoperability platform has the ability to evolve and incorporate new use cases, standards, etc.
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• Improves Care Coordination and can reduce medical errors• Expedites Social Security Benefits for the disabled• Ensures that individuals with End Stage Renal Disease receive the highest
quality of care
• Allows access to critical information such as test results, medication history and allergy information is available to providers when the patient is transferred to another service.
• Enables exchange with government providers with national level ROI• Can earn credit for MU2 Transitions of Care Measures
• Supports active duty military, retirees, their families, and veterans throughout their care by making it possible for medical records to follow the patient
PATIENTS
PROVIDERS
ACTIVE DUTY MILITARY, RETIREES, AND VETERANS
How does the eHealth Exchange impact us?
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Innovation Strategy
AUGMENT
Increase connectivity to other care settings
Improve content & patient matching
Identify high value transactions
MODERNIZE
Review legal framework, specifications, policies
Federated HPD Expand supported
transport protocols (e.g. Direct and FHIR)
ACCELERATE
Rapid Onboarding Strategy
Enhance Testing Program
INNOVATE
150+ Participants Increased
adoption, transactions, connected providers
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Carequality
Accelerating seamless, interoperable health information exchange
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What if you had a cell phone plan that only allowed you to call other customers of your
carrier?
That’s the situation for most
healthcare providers today, when they join a
data sharing network.
The Challenge
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The Solution
Carequality creates a standardized, national-level interoperability framework to link all data sharing
networks
Carequality is creating a web of interconnected networks
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A Trusted Approach
Collaborative
Multi-Stakehold
er
Open
Real- World
Carequality is Managed by
Healtheway is a nonprofit acting for the public good. It convenes industry and
government to address common interoperability challenges.
Carequality’s strength lies in its diverse stakeholder base. We approach the interoperability challenge from all sides.
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The Carequality Community
• Physicians
• Consumers
• Government Agencies
• Data Sharing Networks
• Payers
• Behavioral Health
• Acute Care
• Long Term/Post-Acute Care
• Hospice and Home Care
• Research
• Public Health
• Vendors
• Standards Development Orgs.
• Pharmacies
• EMS Services
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Carequality Members
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Common rules of the road: In order for the varied participants to trust each other with health information, everyone needs to have a legal obligation to abide by the same rules.
Well-defined technical specs: Shared rules are not enough; clear standards must be laid out in an implementation guide that all implementers can follow.
A participant directory: To connect using the common standards, systems must know the addresses and roles of each participant.
Essential Elements
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February 2014
Carequality Launch
May 2014
Operating Principles & Governance Model
June 2014
Steering Committee Formed
Aug/Sept 2014
Advisory Council & Work Groups Chartered
January 2015
Principles of Trust Adopted
April 2015
Initial RolloutKickoff
A Brief History
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Carequality Initial Rollout Begins: APRIL 2015!
Initial Use Case Implementation Guide: Implement the technical, business, and policy requirements outlined in the Query Use Case Implementation Guide, and provide feedback to inform the version of the Guide adopted for general public use.
Legal Framework for Exchange: Provide feedback on Carequality’s legal framework, and implement the standardized terms once they are adopted.
It’s not too late to participate in the initial rollout! For information, contact [email protected]
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Demos:- Interoperability Showcase &
- Main Conference Exhibit Floor Booth #8448
www.healthewayinc.org