What are some of the most successful HIT interoperability initiatives?

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Interoperability is the ability of different health information systems and devices to communicate and exchange data. It is essential for improving the quality, safety, and efficiency of healthcare delivery. However, achieving interoperability is not easy, as there are many technical, organizational, and regulatory challenges to overcome. In this article, you will learn about some of the most successful health information technology (HIT) interoperability initiatives that have been implemented in different settings and domains.

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1 HIE Networks

Health information exchange (HIE) networks are platforms that enable the secure and timely sharing of clinical data among authorized healthcare providers and organizations. These networks can facilitate coordination of care, reduce duplication of tests and procedures, and enhance patient engagement. For example, the Indiana Health Information Exchange (IHIE) connects over 100 hospitals, 18,000 physicians, and 50,000 users across the state. It provides services such as clinical messaging, public health reporting, and quality measurement. The HealthShare Exchange (HSX) of Southeastern Pennsylvania connects more than 400 healthcare entities including hospitals, health plans, and ambulatory practices. It offers services such as clinical summaries, event notifications, and care coordination tools. The eHealth Exchange is a nationwide network that connects federal agencies, state and regional HIEs, as well as private organizations. It supports the exchange of data for various purposes such as patient care, research, and public health.

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Manohar Kamalapurkar

"The Care Integrator"| Products Guy | Bridging FHIR, AI & Revenue in Healthcare | Intrapreneur | Digital Health Innovator | Healthcare Integration Advocate | Product Strategist | Interop/RCM Expert | Storyteller
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TEFCA is another framework on top of HIE that has the potential to be a game changer in the healthcare industry. By establishing a standardized, nationwide framework for health information exchange, TEFCA could significantly enhance the existing capabilities of Health Information Exchanges (HIEs). This could lead to improved interoperability across different healthcare systems and platforms, ensuring that patient data is more easily accessible and securely shared among authorized providers. If adopted widely, TEFCA could streamline clinical workflows, reduce redundancies, and ultimately enhance patient care across the entire U.S. healthcare system.

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Joey Kennedy

VP at KMS Healthcare | Enterprise Sales and Business Development within Health Technology
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While all of these efforts have been highly successful, none of them have cracked the code on unstructured data, such as data found in PDF files, notes, etc., There is still a "Holy Grail" out there for a company that can figure out a way to ingest and give structure to unstructured data to be used for different purposes.

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2 FHIR Standards

Fast Healthcare Interoperability Resources (FHIR) is a set of standards that define how health data can be represented, structured, and exchanged using modern web technologies. FHIR seeks to make health data more accessible, interoperable, and reusable across different systems and applications. For instance, the SMART on FHIR platform allows developers to create apps that can run within any FHIR-enabled system, providing users with additional functionality such as decision support, data visualization, and patient education. Additionally, the Argonaut Project is a collaborative effort among health IT vendors, providers, and developers to accelerate the adoption of FHIR standards. To this end, they have developed implementation guides and profiles for common use cases like patient access, provider directory, and scheduling. Finally, the Da Vinci Project is a private-sector initiative that focuses on using FHIR standards to improve data exchange for value-based care. In this sense, they have developed use cases and implementation guides for areas such as quality measurement, prior authorization, and care management.

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Dr. Elise Victor

#1 LinkedIn Creator ?????? Sociology | AI | PhD | Former Prof. | Home Health Biz. Owner | Human Centered Ethical AI Advocate | B2B Curriculum Licensing, Training, & Speaking | PwC & BCBS Alum
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Some of the most impactful HIT interoperability initiatives include the adoption and expansion of FHIR standards, which streamline health data exchange across systems. The SMART on FHIR platform stands out by enabling app developers to create versatile tools for decision support, data visualization, and patient education. The Argonaut Project has accelerated FHIR implementation through collaboration, producing guides for key use cases like patient access and scheduling. Additionally, the Da Vinci Project focuses on value-based care, offering FHIR-based solutions for quality measurement, care management, and prior authorization, further enhancing interoperability in complex care settings.

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3 EHR Certification

Electronic health record (EHR) certification is a process that ensures the functionality, security, and interoperability of EHR systems. This certification can help providers and organizations comply with regulations, qualify for incentives, and improve their workflows and outcomes. The ONC Health IT Certification Program is one example of a successful program, as it sets standards and criteria for EHR systems used by eligible providers and hospitals under the Medicare and Medicaid EHR Incentive Programs. Additionally, the EHR Association (EHRA) Conformance Testing Program is a voluntary program that allows vendors to demonstrate their compliance with FHIR standards. Finally, the HIMSS EHR Adoption Model (EMRAM) is a framework that assesses the level of EHR adoption among hospitals and health systems, using a scale of 0 to 7. All these programs enable organizations to benchmark their progress and identify best practices.

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Dr. Elise Victor

#1 LinkedIn Creator ?????? Sociology | AI | PhD | Former Prof. | Home Health Biz. Owner | Human Centered Ethical AI Advocate | B2B Curriculum Licensing, Training, & Speaking | PwC & BCBS Alum
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EHR certification goes beyond complianceâ€”itâ€™s a foundational step towards a unified, patient-centered healthcare ecosystem. Programs like the ONC Health IT Certification are essential, but the real value lies in fostering trust and transparency across the entire health IT landscape. As the industry advances, certification should evolve from a static "checkbox" exercise into a dynamic, outcomes-based model that measures the actual impact on patient care and interoperability.

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4 Hereâ€™s what else to consider

This is a space to share examples, stories, or insights that donâ€™t fit into any of the previous sections. What else would you like to add?

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Kerry Kennedy

Highly Talented Multi-modality Imaging Engineer
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In my 20+ years experience in the medical imaging/PACS/IT field, the largest obstacle I face, even today, is incorrect personnel. It is imperative that a trained person in Medical Informatics with radiology experience be positioned to bridge the gap between HIT and Medical Imaging. If IT is required to provide the essential securities and interoperation, a liason is needed to provide expertise in deploying that knows the needs and workflow for Radiology.

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What are some of the most successful HIT interoperability initiatives?

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1 HIE Networks

2 FHIR Standards

3 EHR Certification

4 Hereâ€™s what else to consider

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What are some of the most successful HIT interoperability initiatives?

1

2

3

4

1 HIE Networks

2 FHIR Standards

3 EHR Certification

4 Hereâ€™s what else to consider

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