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Interoperability Proving Ground (IPG) submissions within the ONC Tech Lab are submitted by healthcare, technology and development organizations that are invested in Health IT and Interoperability and want to share, learn and collaborate with similar stakeholders in the US, and around the world.
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360X-C
Description
360X strives to define implementation guidance to enable EHR interoperability in support of patient transitions of care. To date, the 360X work group has two use cases approved as Integrating the Healthcare Enterprise (IHE) approved Profiles. These Profiles are: • Referral Management and • Ambulatory/Acute transfer to a Skilled Nursing Facility (SNF). A third use case: Transfer from SNFs to acute emergency departments (EDs) has been submitted for IHE Profile approval. The group is currently focused on the pandemic relevant use cases of: • Social Determinants of Health (SDOH) needs-based referrals and • eConsults (a provider asking a specialist provider a question regarding a specific patient without, at least initially, referring the patient to the specialist). 360X requires the robust exchange of patient information between two providers using disparate EHR systems, or different instances of the same EHR system, by leveraging existing ubiquitously deployed industry standards, including: - HL7® C-CDA for clinical content - The Direct Standard™ (often referred to as Direct) for transport - XD for establishing context (metadata) - HL7® V2 messages for referral/transfer status messages across care environments. The overarching goals of 360X are to improve patient, caregiver and provider satisfaction, enhance the efficiency and value of patient care while decreasing provider burden, transcription errors and the cost of care. This will be accomplished by EHR vendors developing this functionality into their systems and making this generally available to their provider customers who in turn broadly deploy and adopt 360X functionality for their patients as they transition across the spectrum of care. 360X goals for 2021 include: - Pilot of 360X Referral Management with one or more vendors in two or more clinical environments – in process - General availability of 360X Referral Management and/or 360XL SNF Transfer in one or more EHR vendor systems – in process - Completion of defining at least one additional use case and submitting for IHE balloting - achieved - Live demonstration involving multiple vendors to several interested groups of clinicians and HIT professionals – achieved: HIMSS 2021 Interoperability Showcase Las Vegas with the following companies participating: eClinicalWorks, Epic, MatrixCare, MedAllies, Mettles Solutions, Netsmart and NextGen
Start Date
07/10/2012
Projected End Date
NA
Project Point of Contact:
hmillerremove@removemedallies.com
Project Results
A survey, conducted immediately following a demo of 360X on 4/14/2020 to a group of clinicians, HIT vendors and other HIT professionals (approximately 200 attendees) yielded the following results: Approximately 59% of the audience responded to the survey questions. Question 1: Do you think 360X would improve the referral process in your healthcare organization? Yes/Maybe 98% Yes 88% Maybe 10% No 2% Question 2: Do you think 360X would improve referral tracking from start to finish (Close the loop)? Yes/Maybe 99% Yes 92% Maybe 7% No 1% Question 3: Do you think 360X would decrease provider and staff documentation burden? Yes/Maybe 94% Yes 67% Maybe 27% No 6% Question 4: Do you think 360X would decrease duplicate clinical diagnostic testing? Yes/Maybe 93% Yes 49% Maybe 44% No 7% Question 5: Do you think 360X would decrease the cost of duplicate testing? Yes/Maybe 92% Yes 46% Maybe 46% No 8% Question 6: Do you think 360X would ease the reconciliation of patient information post transition of care? Yes/Maybe 96% Yes 78% Maybe 18% No 4% Question 7: Do you think 360X would decrease provider and staff scheduling burden? Yes/Maybe 92% Yes 67% Maybe 25% No 8% Question 8: Do you think 360X would improve access to patient information at the point of care? Yes/Maybe 99% Yes 92% Maybe 7% No 1% To join or learn more about the 360x Transitions of Care project please contact: Brett Andriesen brett.andriesen@hhs.gov