The Interoperability Proving Ground has been archived and is no longer actively maintained. All information identified as archived is provided for reference, research or recordkeeping purposes.
Welcome to the Interoperability Proving Ground!
The Interoperability Proving Ground (IPG) is an open, community platform where you can share, learn, and be inspired by interoperability projects occurring in the United States (and around the world).
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Use the Active and Completed buttons to change the project view displayed below | Click the map to see where interoperability projects are taking place
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Project Spotlight
A HIPAA Compliant, Interdisciplinary Collaboration Tool for Front-Line Clinicians: TrekIT ONC Official Spotlight, clinician, Collaborative, HL7, interoperability, COVID-19, COVID19, documentation, EHR, FHIR, frontline, Handoff, HIE |
Active Projects
| Project Name | Project Description | Tags | Projected End Date |
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| Argonaut Phase 2 Implementation & Testing - Developing a Web Based Client | This is a personal project to test the FHIR (http://hl7.org/fhir/index.html) and Security standards (http://fhir-docs.smarthealthit.org/argonaut-dev/authorization), that are currently being tested as part of the Argonaut Phase 2 Implementation & Testing Project (https://github.com/argonautproject/implementation-program/wiki). The project is currently developing a web based client that connects securely (via SMART OAuth2 profiles) to various FHIR servers that are being deployed by participants of the Argonaut project. Once the Argonaut phase 2 implementation is completed, the application will be deployed on the internet. The application uses Spring Boot (http://projects.spring.io/spring-boot/) and is written in Java, with AngularJS frontend. | AngularJS, FHIR, Java, OAuth2, SMART, Spring Boot | |
| SMART Health IT | SMART Health IT is an open, standards based technology platform that enables innovators to create apps that seamlessly and securely run across the healthcare system. Using an electronic health record (EHR) system or data warehouse that supports the SMART standard, patients, doctors, and healthcare practitioners can draw on this library of apps to improve clinical care, research, and public health. | CCDA, FHIR, OAuth2, SMART | 12/31/9999 |
| eHealth Exchange Testing Program | AEGIS currently provides the Developers Integration Lab (DIL) to the Sequoia Project (formerly Healtheway) to support a number of testing programs. The DIL is a cloud based globally accessible Test Platform which support Test-Driven-Development (TDD) Interoperability and Conformance testing; with a focus to provide self-service bi-directional exchange based message testing platform. A few of the unique features include a full CA support (so free certificates issues to everyone testing), both happy path and negative testing. Support for NwHIN/NHIN PD, QD, and RD; along with ACP and Security. More than 1,350 Test Cases avaiable with a significant number of dynamic rules (assertions). | IHE, eHEX | |
| HHS Office of Population Affairs (HHS/OPA) IHE QRPH Family Planning Profile | AEGIS currently provides the Developers Integration Lab (DIL) to HHS/OPA to support their IHE QRPH testing program. The DIL is a cloud based globally accessible Test Platform which support Test-Driven-Development (TDD) Interoperability and Conformance testing; with a focus to provide self-service bi-directional IHE exchange based message testing platform. A few of the unique features include a full CA support (so free certificates issues to everyone testing), both happy path and negative testing. Support for IHE QRPH Family Planning (FP) Profile. Test Cases avaiable to support implementation and quality assurance. The DIL was featured at the 2015 IHE Connectathon - where six (6) testing organizations successfully demonstrated interoperability of the FP specification/standard. | C-CDA, IHE, QRPH | |
| CDC Send Immunization History (HL7 Version 2.5.1, I.G. Release 1.4) | AEGIS partnered with HL7 to provide the Developers Integration Lab (DIL) to the HL7 community to support the Send Immunization History Use Cases 1,8,9 by referencing requirements indicated in the HL7 International 2.5.1 Standard, the HL7 Version 2.5.1 Implementation Guide: Immunization Messaging (Release 1.4) and the Addendum to HL7 Version 2.5.1 Implementation Guide for Immunization Messaging: Conformance Clarification for EHR Certification of Immunization Messaging, VXU Messages V04, HL7 Version 2.5.1 | HL7 V2 | |
| HL7 FHIR Conformance and Interoperability Test Platform | AEGIS currently provides Touchstone to the HL7 FHIR Implementer community. Touchstone is a next-generation natural-language processor (NLP) based cloud accessible Test Platform which advances Test-Driven-Development (TDD) Interoperability and Conformance testing; with a focus to provide self-service bi-directional multi-actor exchange based message testing platform. A few of the unique features include native processing for the HL7 FHIR Test Script Resource. With more than twelve FHIR Resources currently supporting and growing daily. Touchstone support crowd-source test case development, where organizations, programs or associated groups will be able to define their own test cases. Groups include HL7 Argonauts, HSPC, and HL7 FHIR implementations along with support for the HL7 FHIR Connectathon. | DAF, FHIR, HL7 | |
| AEGIS WildFHIR Client and Server | AEGIS reference implementation of Health Level Seven (HL7) Fast Healthcare Interoperability Resources (FHIR) is code named WildFHIR. WildFHIR supports Argonaut, DAF, and many other FHIR Resources. AEGIS uses this RI to ensure the Touchstone Test Script Resources are correctly implemented and that each Test Cases is 100% Quality Assurance Tested, both from the Client side and Server Side. | DAF, FHIR, HL7 | |
| Semantic Interoperability Framework (SIF) | SIF is composed of several Open Source components including Model Driven Health Tools (MDHT), Model Driven Message Interoperability (MDMI) and a runtime named the Information Exchange Hub (IExHub). The design environment uses MDHT which imports CDA and FHIR Templates and MDMI which manages a Referent Index containing meta data associated with business data elements. The business data elements are mapped to the templates imported with MDHT. Source data from an EHR or HIE for example is then mapped to the Referent Index business data elements completing the design process. The map from the source data to the Referent Index is then used by the IExHub to consume and create HL7 CDA or FHIR or V2 documents, resources or segments. | C-CDA, CDA, FHIR, HL7 V2, IExHub, MDHT, MDMI, SIF | |
| Crucible: A FHIR Testing Tool | Crucible is a comprehensive, open source, FHIR testing tool designed to help ensure the accurate implementation of FHIR. Crucible provides an efficient and automated testing framework with over 2000 tests to ensure FHIR implementations are consistent and interoperable. Crucible testing covers all the core FHIR resources, major API operations, Argonaut security definitions, and DAF profiles. The Crucible source code is available on Github, and community contributions are encouraged. | DAF, FHIR, HL7, OAuth2, Testing | |
| Direct Project | Direct Project is a consensus-based community of stakeholders that develops specifications for a secure, scalable, standards-based way to establish universal health addressing and transport for participants (including providers, laboratories, hospitals, pharmacies and patients) to send encrypted health information directly to trusted recipients over the Internet. To assist implementers of these specifications, Direct Project also hosts the development of open-source, referenceable software implementations. | DIRECT | |
| PatientPing: Real-Time ADT Notifications | Real-time notifications when patients gets admitted or discharged anywhere. We also help the point-of-care receive highly actionable information on the patient's full care team. Join our rapidly growing care coordination community by providing your ADT feeds and/or your patient roster. PatientPing is backed by Google. | ADT, AngularJS, CMS, FHIR, HL7, HL7 V2 | |
| ConnectEHR Transition of Care and DIRECT – Dynamic Health IT | ConnectEHR is flexible, modularly-certified software designed to provide ONC certification modules and maximize interoperability within the framework of an existing EHR. Two primary pathways for interoperability in this project are DIRECT protocol and Transition of Care (TOC) document support. Through DIRECT, ConnectEHR provides an authenticated, encrypted means of sending clinical documents, with batch send capability and connectivity to multiple DIRECT HISPs. We have developed both Patient Portal and administrative user interfaces that allow users to monitor message status. We completed development on XDS.b Cross-Enterprise Document Sharing at the beginning of February and are now in the process of expanding integration of the UI screens with more HISPs and support for DIRECT Edge protocols. A major goal of this project has been to make sending a TOC C-CDA as easy as a few clicks. TOC recipients who may not have a DIRECT address are still able to view/download TOC documents. TOCs – and other health information – should have the ease and feel of webmail, with all attendant back-end security necessitated by exchanges of sensitive data. | Certification, DIRECT, HISP, ONC, Patient Portal, Portal, TOC, User Interface | |
| HSX Interoperability Testing Process-Enabling Meaningful Exchange in the SEPA region | HealthShare Exchange of Southeastern PA is the regional Health Information Exchange (HIE) for the Philadelphia region. HSX provides Direct Secure Messaging and Provider Directory Services to the providers in the SEPA region to facilitate the meaningful exchange of CCD/As and ToCs. With over 27 EHR systems participating in the HIE, HSX has experienced many issues related to interoperability. To address these challenges, HSX implemented an interoperability testing process as part of onboarding new entities to the HIE. This process assesses the capability of member EHR systems to send, receive, view and import CCDs from disparate systems. | C-CDA, CCDA, CDA, DIRECT, interoperability | |
| HIETexas | The Texas Health Services Authority (THSA) was created as a public-private partnership by the Texas Legislature in 2007, and is charged with serving as a catalyst for the development of a seamless electronic health information exchange infrastructure for the state of Texas. The THSA fulfills this through the creation of HIETexas, a network of local HIEs and connections to state and federal data sources that allows a patient's health information to follow them wherever they go. HIETexas offers several services, including a record locator service, security, patient consent management (in development), in-state connectivity, and out-of-state connectivity via a gateway to the eHealth Exchange. HIETexas is a member of both Carequality and CommonWell as a voice on behalf of Texas local HIEs to see how these networks can work together to meet the needs of patients in Texas. | HIE | |
| Allscripts Developer Program (ADP) | The Allscripts Developer Program (ADP) enables third-parties to build integrations quickly that enhance Allscripts electronic health record and population health solutions. Our open platform facilitates modern bi-directional application programming interfaces (APIs) including FHIR APIs that are transforming healthcare delivery. Developers can create a free account at developer.allscripts.com to learn how our program works, explore sandboxes, sample code, documentation and gain access to resources. Allscripts also offers free monthly workshops and discussion forums to assist partners and clients with their integrations. | EHR, FHIR, Functional Interoperability, HIT Vendor, Innovation, interoperability, Open API, Patient Portal | |
| Glendale, Arizona - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Phoenix, AZ - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Gilbert, AZ - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Chandler, AZ - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Bakersfield, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| San Francisco, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Santa Maria, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| San Luis Obispo, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Arroyo Grande, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Merced, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Henderson, NV - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Las Vegas, NV - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Mt. Shasta, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Redding, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Red Bluff, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Sacramento, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Folsom, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Carmichael, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Grass Valley, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Woodland, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Redwood City, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Santa Cruz, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Los Angeles, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Glendale, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Northridge, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| San Bernardino, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Long Beach, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Stockton, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| San Andreas, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Camarillo, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Glendale, Arizona - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Phoenix, AZ - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Gilbert, AZ - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Chandler, AZ - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Bakersfield , CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| San Francisco, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Santa Maria, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| San Luis Obispo, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Arroyo Grande, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Merced, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Henderson, NV - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Las Vegas, NV - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Mt. Shasta, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Redding, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Red Bluff, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Sacramento, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Folsom, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Carmichael, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Grass Valley, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Woodland, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Redwood City, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Santa Cruz, CA- Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Los Angeles, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Glendale, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Northridge, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| San Bernardino, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Long Beach, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Stockton, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| San Andreas, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Camarillo, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Glendale, Arizona - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Phoenix, AZ - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Gilbert, AZ - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Chandler, AZ - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Bakersfield , CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| San Francisco, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Santa Maria, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| San Luis Obispo, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Arroyo Grande, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Merced, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Henderson, NV - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Las Vegas, NV - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Mt. Shasta, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Redding, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Red Bluff, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Sacramento, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Folsom, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Carmichael, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Grass Valley, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Woodland, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Redwood City, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Santa Cruz, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Los Angeles, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Glendale, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Northridge, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| San Bernardino, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Long Beach, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Stockton, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| San Andreas, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Camarillo, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Glendale, AZ - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Phoenix, AZ - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Gilbert, AZ - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Chandler, AZ - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Bakersfield , CA - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| San Francisco, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Santa Maria, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| San Luis Obispo, CA - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Arroyo Grande, CA - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Merced, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Henderson, NV - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Las Vegas, NV - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Mt. Shasta, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Redding, CA - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Red Bluff, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Sacramento, CA - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Folsom, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Carmichael, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Grass Valley, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Woodland, CA - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Redwood City, CA - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Santa Cruz, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Los Angeles, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Glendale, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Northridge, CA - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| San Bernardino, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Long Beach, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Stockton, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| San Andreas, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Camarillo, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Glendale, AZ - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Phoenix, AZ - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Gilbert, AZ - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Chandler, AZ - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Bakersfield , CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| San Francisco, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Santa Maria, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| San Luis Obispo, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Arroyo Grande, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Merced, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Henderson, NV - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Las Vegas, NV - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Mt. Shasta, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Redding, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Red Bluff, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Sacramento, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Folsom, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Carmichael, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Grass Valley, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Woodland, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Redwood City, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Santa Cruz, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Los Angeles, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Glendale, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Northridge, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| San Bernardino, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Long Beach, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Stockton, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| San Andreas, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Camarillo, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Carequality Interoperability Framework | Carequality is a multi-stakeholder initiative that maintains and operates a trusted exchange framework and common agreement governing health information exchange between and among health information networks on a nationwide scale. The Carequality Interoperability Framework is a trusted exchange framework that consists of a common trust agreement, policy requirements, technical specifications, and governance processes that together make it possible for healthcare to replicate the success other industries have achieved in breaking down barriers between many networks, programs, and platforms. The Carequality Interoperability Framework is supported by Carequality Inc., an independent non-profit organization. | C-CDA, Carequality, Trusted Exchange Framework, HIN, Push Notifications, Imaging, Common Legal Agreement, FHIR, Governance, HIE, IHE, interoperability, Network of Networks, Sequoia Project | |
| The Sequoia Project Interoperability Testing | The Sequoia Project interoperability testing program is focused on real-world testing necessary to establish interoperable exchange of clinical data among stakeholder in a secure way. It currently includes transport, security, and content testing. The rigorous testing program was initially developed to test conformance for health data sharing standards for on-boarding to the eHealth Exchange network. The program includes Participant Validation, which is specifically designed for applicants that are seeking to on-board to the eHealth Exchange or for existing eHealth Exchange participants seeking to retest their system due to a major system upgrade or change to their technology. The program also includes Product Testing. Significant benefits exist to Participants using a validated system, including reduced or eliminated testing fees. | Content, eHealth Exchange, Testing, Transport, Validation, US Core Data for Interoperability, HIE, HL7, IHE, Imaging, interoperability, Product Certification, Security, Sequoia Project | |
| RSNA Image Share Validation Program | The Radiological Society of North America (RSNA) and The Sequoia Project manage the Image Share Validation Program, a medical image sharing testing program that validates compliance of imaging systems with standards for sharing medical images and reports. The program is ideal for vendors of imaging systems such as Reporting Systems, RIS and PACS that wish to enable those systems to connect to networks for sharing images with providers and patients or vendors of health information exchange systems that wish to enhance their systems to exchange medical images and reports. Standards used include IHE XDS-I and XCA-I, among others. | DICOM, IHE, Imaging, interoperability, PHR, RSNA, Sequoia Project, Testing, XCA-I, XDS-I | |
| The Sequoia Project Clinical Content Interoperability Testing | The Sequoia Project is focused on helping solve the national imperative of clinical document (C-CDA) content interoperability improvements in terms of test cases, procedures, and tooling. The publicly-available content testing documentation details the testing methodology and scenarios that are required for interoperability testing and exchange of content documents between eHealth Exchange participants. | C-CDA, CCD, eHealth Exchange, HIE, HL7, interoperability, Sequoia Project, Testing, Content | |
| FHIR-Based Healthcare Provider Directory | The Sequoia Project has launched a FHIR-based provider directory that is leveraged by eHealth Exchange and Carequality. As FHIR becomes more deployed across the industry, we will be ready to leverage the standard in other ways as well. Organizations that are interested in participating should contact [email protected]. | Argonaut, Carequality, FHIR, HL7, interoperability, Sequoia Project | |
| The Sequoia Project | The Sequoia Project is a neutral, stakeholder-driven, public-private collaborative whose sole mission is advancing secure, trusted, interoperable health data sharing across the U.S. We support multiple, independently-governed initiatives, such as the eHealth Exchange, the largest data sharing network of its kind in the US, and Carequality, which facilitates consensus on a standardized, national-level interoperability framework to link all data sharing networks from across the entire healthcare ecosystem. The eHealth Exchange network and Carequality are now independent non-profit organizations. The RSNA Image Share Validation Program is an interoperability testing program to enable seamless sharing of medical images. In 2019, Interoperability Matters is a new cooperative of private sector and government stakeholders convening to prioritize and solve discrete barriers to exchange, such as information blocking. The Sequoia Project also champions interoperability, building upon the successes across industry and government and working proactively to identify and systematically address known impediments to interoperability, such as patient matching. The Sequoia Project and its initiatives implement federally-recognized and national interoperability standards throughout our work. We firmly believe in the importance of interoperability standards and advocate for open approaches to interoperability that are built upon standards that work nationwide. In addition, The Sequoia Project, in conjunction with HL7's Argonaut Project, is pioneering implementation of FHIR via its initiatives, such as a FHIR-based provider directory work. | C-CDA, Carequality, Patient Matching, policy, Public-Private Collaborative, RSNA, Sequoia Project, Testing, information blocking, eHealth Exchange, FHIR, Governance, HIE, HL7, IHE, Imaging, interoperability | |
| Cross-Organizational Patient Matching Work Group | The Sequoia Project is a neutral, stakeholder-driven, public-private collaborative that convenes industry and government to work proactively to identify and systematically address known impediments to interoperability, such as patient matching. The Sequoia Project's Framework for Cross-Organizational Patient Matching Work Group was designed to shed light on, define, document, and operationalize specific improvements in patient matching across organizational boundaries. In 2018, this workgroup updated and published a white paper on this topic, including a detailed case study of how one organization increased their patient matching rates (across organizations) from 10% to over 95%, using existing technologies. The white paper also includes a proposed maturity model, and specific implementation guidance. This new paper is free for the public to use and leverage in their organizations. Ultimately, the matching rules in this paper will likely be employed as pass/fail testing criteria for The Sequoia Project testing program, and potentially healthcare data sharing networks as well. | interoperability, Patient Matching, Sequoia Project, Testing, HIE | |
| eHealth Exchange | The eHealth Exchange is a rapidly growing health information network of exchange of public and private sector partners who securely share clinical information over the Internet across the US, using a standardized approach. By leveraging a common set of standards, legal agreement and governance, eHealth Exchange participants are able to securely share health information with each other, without additional customization and one-off legal agreements. Initially, the eHealth Exchange was incubated within The Office of the National Coordinator for Health Information Technology, part of the US Department of Health and Human Services, before transitioning management to The Sequoia Project, an independent 501c3 dedicated to addressing interoperability issues, in 2012. In 2018, the health information network became a separate non-profit organization. Since then, the eHealth Exchange has become its own non-profit corporation and more than quadrupled in size to become the nation's largest public-private health information network of its kind, supporting 120 million patients across: - 50 states - 4 federal agencies (DoD, VA, HHS including CMS, and SSA) - 75%+ of US hospitals - 70,000+ medical groups - 3,400+ dialysis centers - 8,300+ pharmacies - 61 regional and state health information exchanges | C-CDA, CMS, Nationwide Network, PDMP, policy, Sequoia Project, SSA, Testing, VHA, HIN, DIRECT, DoD, eHealth Exchange, FHIR, HIE, HL7, IHE, interoperability | |
| Total Interoperability Today, with MedKaz® | Major New Development MedKaz® recently announced a groundbreaking new record-sharing capability, called Targeted Record Sharing or TRS, that enables a patient to share her records from one provider with other providers who treat her for the same illness. This new capability ensures that care providers are aware, on an ongoing basis and without having to see their patients, of the care their patients are receiving from other care providers, and makes it possible for each provider treating the same patient to deliver better, coordinated, lower-cost care. It also is the first step in the dramatic expansion of MedKaz from a record-sharing application to a record-sharing communication platform that soon will enable patients to securely share their records with anyone they choose – such as parents, children, care givers, researchers — anywhere in the world, much as they exchange emails today! | EHR, EMR, patient-centric, personal health records, PHR, FHIR, Functional Interoperability, HIT Vendor, Innovation, interoperability, Nationwide Network, Open API, Patient Portal | |
| NCQA eMeasure Certification | NCQA's eMeasure Certification (eMC) program is designed for organizations that develop, license, and sell quality-measure reporting software that calculates electronic clinical quality measures (eCQMs) using electronic health record (EHR) data. eCQMs allow organizations to track and monitor the quality of care delivered by providers who use EHRs. The eMC program tests and validates the integrity of the software code that produces the eCQM results. Certifying measures contained in your software demonstrates to existing and prospective customers that the coded measures meet current NCQA standards, improves the accuracy of reporting measures and produces more reliable and comparable results. | CCD, Certification, eCQM, Product Certification, QRDA | |
| OpenHIE (OHIE) | The OpenHIE community supports interoperability by creating a reusable architectural framework that introduces a service oriented approach, maximally leverages health information standards, enables flexible implementation by country partners, and supports interchangeability of individual components. | eHealth Exchange, FHIR, HIE, IHE, architecture | |
| Arkansas OHIT - ADT Alerts | The Arkansas Office of Health Information Technology (OHIT) implements the State Health Alliance for Records Exchange (SHARE), the statewide health information exchange (HIE). SHARE is a secure, electronic system that allows authorized health care providers, health services professionals and public health authorities in Arkansas to exchange accurate patient medical information in real time. OHIT is working with health care providers regardless of payer as well as the Arkansas Medicaid providers in an on-going effort to enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent from referring hospitals either directly into the Medicaid provider's EHR or via secure messaging. | HIE - EHR | |
| Surescripts National Record Locator Service (NRLS) | Powered by Surescripts’ nationwide network, National Record Locator Service (NRLS) gives providers a fast and easy way to obtain historical patient visit locations and retrieve clinical records, regardless of geography or EHR system. Today, the service includes 140 million patients and almost 2 billion, and growing, interactions between those patients and members of their care team. Surescripts NRLS is currently running an Early Adopter program and will be generally available later this year. | IHE, Nationwide Network, Record Locator Service, HIE, interoperability | |
| Managing behavioral health and substance abuse patients in an HIE | KHIN has been sharing behavioral health and substance abuse treatment information among its member organizations using a process approved by the National Council of Community Mental Health Centers and reviewed by SAMHSA. KHIN identifies which members have patients that meet the 42 CFR Part 2 regulations and should have their data restricted and under what circumstances a patients’ data can be disclosed due to patient consent or life threatening emergency. KHIN and its members work together to develop a clear understanding of 42 C.F.R Part 2 in order to manage patients’ identifiable health information related to substance abuse treatment. Understanding this regulation is needed to protect patients, KHIN and its members. | Behavioral Health, HIE, interoperability, substance abuse patients | |
| MyKsHealth eRecords Statewide Patient Portal | A MyKSHealth eRecords personal health record (PHR) is a smart way to manage your medical information: It's all in one place online – giving you one location to keep records on everything from medications and allergies to previous illnesses and injuries – any time you need them. MyKSHealth eRecords personal health record (PHR) is sponsored by Kansas Health Information Network (KHIN). No matter what records system your doctors use, you can update, organize and access your eRecords using any computer, tablet or smartphone. What's more, you can securely share your medical information with health care providers you trust. Doing so gives your doctors an accurate and complete picture of your health while reducing medical errors and duplicate tests. Instead of sitting in a doctor's office, struggling to recall your medications or the date of your daughter's tonsillectomy, let MyKSHealth eRecords serve as your medical memory. This service can help you and your doctors work together to improve your family's health and wellness. Through MyKSHealth eRecords you can access and print a certified copy of your State of Kansas Immunization record needed to register children in school. MyKSHealth eRecords is a convenient and collaborative tool that supports secure communication between you and any medical provider. | HIE, Patient Portal | |
| Learning UDI Community | The AHRMM Learning UDI Community (LUC) is an industry collaborative effort designed to address issues impacting the implementation and use of unique device identifiers by developing a common understanding and approach to UDI adoption. At 280 plus members, the (LUC) brings together representatives from many of the major healthcare sectors with the focus on identifying issues impacting UDI adoption across the healthcare field, and developing solutions through the formation of cross-functional work groups made up of subject matter experts and stakeholders. The findings and recommendations of the work groups are designed to benefit the healthcare field by providing a more consistent, consensus-based processes to support UDI adoption and are shared through the Learning UDI Repository. Providing public access to this shared knowledge base will increase the likelihood of success in accelerating UDI adoption practices and utilization. The Learning UDI Community Steering Committee is not an advisory committee to the U.S. FDA. For more information regarding the community and it's work groups please visit us at www.ahrmm.org/luc or email Mike Schiller at [email protected]. | AHRMM, Catalog Number, Low Unit of Measure, LUC, ROI for the UDI, Scanning, UDI, UDI Adoption, UDI Capture, UDI Recognition, Unit of Use, work groups, Clinically Relevant Size, Cost Benefits of the UDI, Device Categorization, GUDID Data Quality, HCTP, High Risk Implants, Human Cellular Tissue Products, Learning UDI Community | |
| Medical Shop Software | Improve your clinical performance and quality control with our pharmacy management software. Hcue provide complete pharmacy management system from sales to inventory details. | EHR, EMR, medication management, Public Health, hCue, Pharmacy, Software | 05/31/2026 |
| MDEpiNet Registry Assessment of Peripheral Interventional Devices (RAPID) | RAPID emerged from the Predictable And SuStainable Implementation Of National (PASSION) Registries for Cardiovascular Devices program of Medical Device Epidemiology Network (MDEpiNet), a public-private partnership supported by U.S. FDA funding to advance the nation’s approaches to the evaluation of medical devices. It is one project in a series initiated to advance and support an interoperable flow of data & information across electronic health information systems with the intent to create a total product lifecycle (TPLC) approach to evaluate the medical device ecosystem. RAPID is focused on devices for peripheral vascular intervention as an archetype of the envisioned TPLC ecosystem. A core minimum set of data elements related to the care & treatment of patients with peripheral arterial disease are being developed for use with data elements from the Global Unique Device Identification Database (GUDID) database to create a structured dataset that supports pre- & post-market assessment, quality improvement, & safety surveillance of peripheral interventional devices (Phase I). Subsequent phases will validate the data elements’ potential for implementation in various healthcare information systems such that structured, interoperable data is collected at the point of care & is available for use by patient registries, clinical research & medical device evaluation initiatives. Additionally, the RAPID data elements will inform the development of a global case report form & data collection instruments needed in the interim. This work facilitates peripheral arterial device development, addresses regulatory needs, & creates efficiencies that will reduce overall time & costs & support quality improvement efforts across the medical device lifecycle. Participants include representatives of specialty societies, device manufacturers, electronic health information systems vendors, US FDA & other federal partners as well as international device registries & regulators. | Clinical Research, Common data elements, EHR, GUDID, interoperability, Medical Device Surveillance, PAD, Patient Registry, Unique Device Identifiers | |
| Public Health Immunization Data Exchange | Description: Immunization information systems (IIS) are confidential, population-based, computerized databases that record all immunization doses administered by participating providers to persons residing within a given geopolitical area. ONC launched the Public Health Immunization Cross-jurisdictional Pilot Project to address the need to share immunization records from IIS to IIS across jurisdictional boundaries. By creating a transport hub, participating pilot sites are able to exchange immunization data across jurisdictional boundaries through the centralized hub via a SOAP Web Service utilizing adopted and approved standards for IIS interoperability. The Hub enables providers the ability to request a patient’s record from another immunization registry and retrieve that data across jurisdictional boundaries. The consumer also has the option to export data in a format that they may use as proof of immunization, eliminating the need for a visit to a provider’s office. The Centers for Disease Control and Prevention (CDC)/ National Center for Immunization provides funding for this project an Inter-Agency Agreement with the Office of the National Coordinator of Health IT. Currently the District of Columbia, Louisiana, Maryland, Mississippi ,Oregon, Washington, West Virginia and are currently participating. | EHR, EHR Integration, HL7, HL7 V2, Immunization, interoperability, Public Health | |
| DirectTrust | The Framework prescribes the technical, legal, security, and identity policies and practices that all members of the community agree to follow. In addition to the Framework, DirectTrust has partnered with EHNAC to put in place a program of Accreditation and Audit that transparently verifies the adherence of all DirectTrust service providers and their customers to the Framework’s criteria. Federation of trust relationships allows the entire network to operate and grow at scale, without the need for individual one-off negotiations or costly legal contracting between exchange partners. 1) >1.1 million Direct addresses in use 2) > 67 million Direct transactions since the organization's inception 3) > 52,000 health care organizations served by DirectTrust accredited health information service providers (HISPs) POC: David Kibbe Email: [email protected] | DIRECT, EHR, esMD, FHIR, HIE, HISP, interoperability, Network of Networks, provider directory, Trusted Exchange Framework | |
| NATE's Blue Button for Consumers (NBB4C) | NATE's Blue Button for Consumers (NBB4C) Trust Bundle is open to all consumer-facing applications (CFAs) that utilize Direct to securely transport Protected Health Information between the consumer's Providers and Payers that support Direct and the CFA selected by the consumer. The NBB4C Trust Bundle helps relying parties to identify CFAs that meet or exceed criteria considered to be the most important characteristics of a trustworthy steward of consumer health information, while still enabling patients to benefit from the value of having access to their health information. | CEHRT, Clinical Research, NATE, DIRECT, HISP, Patient Engagement, Patient Portal, Patient Registry, personal health records, PHR, Portal | |
| CIHIE Advanced LTPAC | Transforming MDS reports to CCDs | LTPAC, ONC-led | |
| FHIR Enabled Open Source Terminology Service | Apelon, Inc. is adding FHIR terminology services to its open source Distributed Terminology System (DTS), a full-featured terminology management platform. DTS has a rich set of features for authoring and maintaining local vocabularies and accessing externally mandated standards including SNOMED CT, LOINC, ICD-10-CM, RxNorm and many more. The FHIR access layer provides a modular architecture for users to share FHIR compliant vocabulary resources (CodeSystem, ValueSet, ConceptMap). This is an active project that is helping to shape the evolving FHIR Terminology Service specification. A demo server is publically available and we encourage all participants interested in validating or translating data to utilize the service and contact us with any questions. | FHIR, HL7, interoperability, Open-Source, Terminology | |
| Pre-OAuth Entity Trust (POET) | Pre-OAuth Entity Trust (POET) is a specifically formatted JWT designed to allow parties to make assertions about an application (e.g. it meets some criteria such as a Good Housekeeping Seal of Approval). POET provides a technical standard for 3rd party application endorsement that is intended to be displayed to the end user within the application authorization dialogue within an OAuth2 flow. The JWT's payload is based on RFC7591 (https://tools.ietf.org/html/rfc7591). | FHIR, OAuth2 | |
| HealthInfoNet - Maine's statewide health information exchange | In addition to HIE, HealthInfoNet also provides a number of value added services including assisting providers with meaningful use attestation, single sign on to the state prescription monitoring program, public health reporting, event of care notifications, and population analytics and reporting services. HealthInfoNet also provides tools to support the needs of Accountable Care Organizations such as member aggregation services and predictive modeling solutions. We are connected to all hospitals in Maine, over 450 ambulatory care locations and the Veterans Administration. | Alerts, Behavioral Health, HIE, Meaningful Use, Patient Matching, Sequoia Project | |
| HealthInfoNet/HBI Analytics and Reporting Platform | HealthInfoNet’s reporting and analytics service uses real-time clinical data from the HIE to help providers drive quality and cost improvements, manage risk and population health, and inform operational decision making. It includes Hospital Performance, Volume and Market Share, Population Risk, 30-Day Readmission Risk, and Variation Management. Findings have been published in International Journal of Medical Informatics, Journal of Medical Internet Research, and PLOS One. | HIE | |
| Behavioral Health Integration - HealthInfoNet | In 2012, HealthInfoNet was awarded a one-year contract with SAMHSA to bring together a stakeholder group to develop the technical and educational tools needed to implement a new opt-in policy for sensitive data. The first behavioral health organizations were connected to the HIE on a view-only basis in 2013. Through the SIM Grant, HealthInfoNet is in the process of connecting 20 behavioral health facilities to the HIE. | 42 CFR Part 2, Behavioral Health, HIE, Innovation, medication management | |
| MaineCare Notification Project – HealthInfoNet | MaineCare Notification Project – HealthInfoNet replaced faxes with automated secure email notifications to MaineCare (the State's Medicaid Program) and participating provider care managers when MaineCare patients are admitted to Emergency Departments and Inpatient Settings. The new electronic process using the HIE created a more efficient workflow for both the hospital and MaineCare staff while supporting MaineCare member’s best possible care. This is a SIM project | Alerts, HIE | |
| MaineCare Clinical Dashboard – HealthInfoNet | MaineCare Clinical Dashboard – HealthInfoNet provides a “Clinical Dashboard” to MaineCare (the State's Medicaid Program) using their member’s information available in the Health Information Exchange (HIE). The goal is to make the HIE clinical data available to MaineCare as a payer to support program and policy development related to population health efforts. Supporting MaineCare population health initiatives by providing a clinical dashboard of member risk and health care utilization captured in the HIE. This work includes integrating MaineCare claims and medication data in the HIE and Analytics tools. This is a SIM Project. | CMS, HIE | |
| National Clinical Terminology Service (NCTS) | The Australian National Clinical Terminology Service (NCTS) is a national infrastructure project providing technical specification, application services, and national infrastructure to simplify use and adoption of clinical terminology products in Australia. All specifications and services are based on open standards such HL7 Fast Healthcare Interoperability Resources (FHIR), IHTSDO SNOMED CT, and Regentrief Inc's LOINC. | FHIR, HL7, interoperability, Terminology, IHTSDO SNOMED LOINC IETF ATOM | |
| PatientGen - synthetic, realistic patient data for use in interoperability testing | Michigan's PatientGen is a FHIR-compatible test data generator that produces “fake people” who have realistic patient histories with clinically relevant patient encounters. In today’s healthcare environment there is a critical shortage of good test data. This shortage is so severe that organizations create their own test data or worse, test with live data – someone’s protected health information – creating security and privacy risks. Testing with real health data is, of course, very dangerous. Therefore, there is a significant need for realistic patient data that does not pose any risks of disclosure and can be safely used for system testing, interoperability testing, and other purposes. PatientGen has created thousands of SimPatients that are highly configurable, including such detailed data points as name, address, gender, race, religion, PCP, practice, specialist, etc. PatientGen also breaks down different risk factors from diet, exercise, alcohol, smoking, drug use and promiscuity. | FHIR, HIE, interoperability, Michigan, MiHIN, patientgen, realistic, Synthetic | |
| FHIR HAPI Test Server | This is the home for the FHIR test server operated by Michigan Health Information Network Shared Services. This server is entirely built using HAPI-FHIR, a 100% open-source Java implementation of the FHIR specification. If you are a Java developer, you can use the HAPI-FHIR client (hapi-fhir-cli) to access this server and the web pages it displays will coach you with client code snippets to guide your exploration. The resources on this server were generated by MiHIN's PatientGen, a Monte Carlo test data generator that produces realistic patient histories involving clinically relevant patient encounters. The generator models a simulated health care network of Providers, Practices, Hospitals, Specialty and Provider Organizations. A large population of Patients experience weekly incidence and mortality risks for many important medical conditions and procedures. Since all of the resources are produced using random methods, this database contains no PHI and may be freely accessed. | FHIR, HIE, interoperability, Open Source, Testing, Michigan, MiHIN | |
| FHIR APIs for Health Provider Directory and Consumer Directory | Document defining RESTful FHIR APIs that can be used to Create and Update Providers and Organizations within Michigan's Statewide Health Provider Directory (HPD). This interface adopts the terminology and semantics of a subset of the HL7 Fast Healthcare Interoperability Resources (FHIR) standard. References to particular resources defined by the FHIR standard and adopted by this API are included in the document. This document also defines a RESTful API that can be used create and update information about Consumers within the Statewide Consumer Directory (SCD). | APIs, Consumer Directory, MiHIN, FHIR, Health Provider Directory, HIE, HPD, interoperability, RESTful, SCD, Michigan | |
| Use Case Factory for Standard Creation of Health Information Sharing Use Cases | The Use Case Factory is a lean-manufacturing-oriented approach to build health information Use Cases, providing a standard, scalable approach for capturing ideas, identifying priorities and developing the technical and legal framework required to share health information among approved participants. Through the Use Case Factory, Michigan has created a road map to prioritize where to convene stakeholders and focus resources, what kinds of Use Cases need to be developed, what technical capabilities are needed internally and with partners, and how best to pilot and release new Use Cases. This lean-driven, continuous process improvement approach to developing Use Case data-sharing widgets brings a clarity of focus to the process that has yielded increased efficiency as we move from our initial group of priority Use Cases to a wider release of Use Cases across a variety of segments and disciplines. | HIE, interoperability, Use Case, Use Case Factory, Michigan, MiHIN | |
| Carolinas HealthCare System-LInK | LINK Creating a data repository with bi-directional feeds to facilitate Molecular Data Tumor Board and point of care decision support. The Link system combines genomic data (bam, vcf, and summary pdf), Clinical Trials (API), Oncology Pathways (FHIR), with EMR data (ETL), in order to contextualize the patient’s treatment. | APIs, EHR, FHIR, interoperability | |
| GLHC – Complex Care Guides and the Statewide Community Patient Record | Healthcare providers across Michigan have focused resources and efforts on making patient care plans available via a statewide registry. This assures that treatment for complex care patients remains consistent wherever it is received. In response, Great Lakes Health Connect (GLHC) in Grand Rapids, MI, has developed a web-based application for healthcare entities to upload action plans at no cost. In 2013, GLHC partnered with Spectrum Health, Metro Health Hospital, Mercy Health, and other provider organizations in Kent County, to add Community Care Guides to the GLHC statewide health information exchange registry. The participating organizations continue to meet monthly to discuss complex cases and develop care guides. Many complex patients’ diagnoses include behavioral health or chemical dependency issues. They are unfortunately unable to upload documents to the repository at this time, due to existing State and federal regulations that prohibit the sharing of this information. | care plan, Community Record, Complex Care, Complex Care Guide, Michigan | |
| SHRINE | More than 60 health institutions participate in SHRINE "Shared Health Research Information NEtwork". SHRINE enables population scale query and analysis of patient demographics, ICD diagnoses, RxNorm medications with NDF-RT drug classifications, and LOINC lab tests. In total, more than 30 thousand (30k) clinical concepts can be used to select patient cohorts and analyze population health. | Clinical Research, Distributed Research Network | |
| Kingsport, TN - Vaccine Administration Information sent to Tennessee (TennIIS) Immunization Registry - Wellmont Health System | Vaccine administration information is planned to be sent to the Tennessee (TennIIS) immunization registry via HL7 interface once project completed. | HL7, Immunization, Immunization Registry | |
| VA FHIR Transition Working Group (FTWG) | The Veterans Affairs (VA) FHIR Transition Working Group (FTWG) is established by the VA, OI&T, Enterprise Program Management Office (EPMO), Intake & Analysis of Alternatives Team to serve as the principal coordination body for the VA’s transition to the FHIR Standard. The FTWG is a key vehicle for collaborative participation across the VA. Its membership includes full “participation by” and “coordination between” VA’s program, business and technology stakeholders. The responsibilities of the VA FTWG are as follows: 1. Ensure the FHIR Standard properly aligns with VA Enterprise Business and Technical Requirements, Goals, and Objectives, which is necessary to justify its use within the VA Information Environment. 2. Ensure the FHIR Standard aligns with established Federal & VA Policies/Directives and Mandates. 3. Identify, approve and oversee all prototype efforts required to analyze the FHIR Standard’s Suitability for the VA Information Environment. 4. Ensure that all analysis results and decisions made regarding the use of the FHIR Standard within the VA Information Environment are communicated across the VA Enterprise, and all concerns, issues and risks are collected and addressed/adjudicated. 5. Establish “One Voice” on VA’s use of the FHIR Standard for Bi-directional Communications with official HL7 FHIR Working Groups and with VA’s Partners, such as DoD and third party healthcare providers. 6. Oversee the development of all required VA mandates, policies/directives regarding the Transition to the FHIR Standard. 7. Oversee the VA Enterprise planning and management of the FHIR Transition. 8. Oversee the proper hand-off of the standard’s management in the field to the appropriate VA organizations for sustainment. | FHIR, Functional Interoperability, IHE | |
| Oregon Provider Directory | The Oregon Health Authority (OHA) is implementing a resource for accurate, trusted provider data called the Oregon Provider Directory (OPD). The OPD will enable health care entities, including providers, hospitals, payers, Medicaid Coordinated Care Organizations, to find and connect with other providers, improve efficiencies in managing provider data, and support provider data analytics. It will not be consumer-facing. Data from existing, trusted data sources, including data from providers and clinics will feed the OPD. Source data will be cleaned, matched, and merged to create a single master record also called the “golden record.” Types of data that can be found in the OPD will include provider names, practice locations, and contact information (including health information exchange addresses). The OPD will also leverage national or federally recognized standards (e.g. FHIR), which opens the door for an interoperable solution. The project includes design, development, implementation, and maintenance of the technical solution, data validation and data management. MiHIN is the solution vendor and OneHealthPort provides single sign-on and identity verification services. An incremental implementation approach, driven by stakeholder-endorsed use cases, will be applied to ensure success. Implementation began in fall 2019. | APIs, Data Matching, Data Quality, Data Stewardship, FHIR, Health Provider Directory, HIE, HPD, provider directory, System Integrator | |
| NKDEP Chronic Kidney Disease Electronic Care Plan | The Chronic Kidney Disease (CKD) Care Plan Working Group aims to address the challenges with longitudinal transfer of CKD patient data by developing an electronic care plan template for CKD that is consistent with the certification criteria detailed by the Office of the National Coordinator of Health Information Technology and will enable patients and their clinicians to record, change, access, create and receive key patient information and goals. The care plan will use HL7 Consolidated Clinical Document Architecture (C-CDA) and existing regional health information exchanges to facilitate longitudinal transfer of key patient data among both the patient and his/her providers and across settings. | C-CDA, care plan, SNOMED-CT, LOINC, IETF, ATOM, Chronic Kidney Disease, CPT, ICD-10, EHR, EHR Integration, HIE, HL7, interoperability, ONC, Patient Portal, work groups | |
| Clinical Quality Measurement Reporting and Repository (CQMRR) - MiHIN | The Michigan Department of Health and Human Services (MDHHS) is charged with receiving and managing Clinical Quality Measures (CQMs) as part of the Meaningful Use (MU) Stage 2 requirements established by the Centers for Medicare and Medicaid Services. MDHHS and MiHIN have developed the CQMRR service to enable any Medicaid-Eligible Providers, Hospitals and Critical Access Hospitals to submit clinical quality measures to MDHHS for State Medicaid MU Stage 2 attestation credit. The CQMRR service receives, validates, stores and transmits these CQMs to the state, and provides reporting tools to allow trend analysis on quality measures that have been submitted. | Michigan, cqms, ecqms, clinical quality measures, quality reporting, interoperability | |
| Identity Exchange Hub - MiHIN | In collaboration with the State of Michigan, MiHIN has created an Identity Exchange Hub (IEH) that federates trusted identities across organizations. The IEH provides identity authentication technologies and legal framework to allow federated, trusted identities to be easily distributed, maintained, exchanged and utilized across multiple healthcare organizations, systems and services. | Michigan, single sign-on, federated identities, interoperability | |
| Statewide Consumer Directory (SCD) - MiHIN | The statewide consumer directory is designed to allow consumers (starting with Medicaid beneficiaries) to manage their health care information and how that information is shared. The SCD allows Medicaid beneficiaries and other consumers to identify their care team, define where their electronic health information is stored, specify how and where to share their health data, and indicate their preferences for consent. The SCD also gives healthcare providers a centralized service to find a patient�s care team, locate critical patient documents, identify where to send patient information and recognize patient consent designations. | Michigan, consumer engagement, consumer directory, interoperability | |
| Transitions of Care Service - MiHIN | The Transitions of Care service gives healthcare providers and care teams early warnings for critical patient health events. The service provides clinical alerts, including medication reconciliation messages, to any provider who has declared an Active Care Relationship with a patient when that patient is admitted, discharged or transferred by a participating hospital or acute care facility, allowing care teams to proactively address patient care following discharge. More than 97% of admissions statewide in Michigan are currently reported through this service. | Michigan, transitions of care, interoperability, adt, admission, discharge, transfer | |
| Active Care Relationship Service (ACRS) - MiHIN | The Active Care Relationship Service (ACRS) enables organizations to identify patient-provider attributions (called active care relationships) associating a particular patient with health providers at that organization. For health providers, an �active care relationship� indicates a patient has been seen by a health provider within the past 24 months, or is considered part of the health providers� active patient population they are responsible for managing. For payers, an active care relationship indicates a patient is an eligible member of a health plan. These attributions are used to accurately route transitions of care and other notifications for a patient to all members of their care team. | Michigan | |
| Prove My ID - MiHIN | Proving patient and provider identities to enable accurate exchange of health information is rapidly rising to the top of critical-path issues facing the health information technology sector. �Identity proofing� in the past typically has meant visiting a notary public with documents that prove your identity. To do this usually meant time spent travelling to a notary�s office, and time lost from normal daily activities. Remote identity proofing is a dependable, legal way to prove identity without having to drive to a notary�s office. MiHIN�s Prove My ID service allows consumers and healthcare professionals to conveniently, quickly prove their identities for the purpose of obtaining a trusted digital identity, which can in turn be used to acquire a Direct Secure Messaging account, or to access federated systems. | Michigan | |
| Medical Information Direct Gateway (MIDIGATE) - MiHIN | MIDIGATE is Software as a Service designed to streamline and organize the routing, processing and exchange of health information by providing a common process to accept incoming health information messages (such as CCD attachments sent via Direct messages), isolate the messages/attachments, and route them through the MiHIN Enterprise Architecture to their destination(s) in appropriate and acceptable formats. MIDIGATE leverages emerging Health Information Exchange (HIE) capabilities to give public health agencies, HIE organizations, and health plans access to accurate, structured data straight from providers, allowing for better care coordination, easier analysis, streamlined population management, and ultimately stronger support for quality incentives and higher quality ratings. | Michigan, direct secure messaging, interoperability | |
| Single Sign-On - MiHIN | This Use Case allows organizations to use either trusted identities of their own provision or MILogin trusted identities from the State of Michigan. This allows users to use Single Sign-On (SSO) across multiple healthcare services. As a result, users within the organization can maintain a single login ID and password (i.e. a trusted identity) which can access all services available through the Identity Exchange Platform based on the permissions given to them by the organization. Enabling SSO in healthcare requires a very solid �trust framework� where identities are thoroughly verified before allowing use of that identity across multiple systems. This SSO Use Case provides a trust framework and identity authentication technologies that allow trusted identities to be easily shared, distributed, maintained, exchanged and used across multiple healthcare systems, organizations, and services to enable widespread, secure Single Sign-On. | Michigan, single sign-on, federated identities, interoperability | |
| Common Key Service - MiHIN | The Common Key Service (CKS) use case provides a consistent and reliable way to match patients with their electronic health information across multiple organizations, applications, and services. One of the most important goals of sharing patient information electronically is helping doctors build complete, current pictures of their patients using health information from multiple sources. These sources can include other doctors or specialists, hospitals, clinics, pharmacies, skilled nursing facilities and any other healthcare setting where care is provided. Enabling doctors to gather the details to build these complete patient pictures requires accurate �patient-matching� to make sure electronic health information from outside sources is attached to the correct patient. These patient-matching challenges can cause higher healthcare costs and lower care quality in many ways. When a patient�s health information is shared among doctors who use different systems, a lot of effort is needed to find and evaluate variations and identify the correct patient in each health information system. Errors can and do occur, meaning the wrong information can be matched to a patient. | Michigan, common key service, patient matching, master person index, interoperability | |
| Health Provider Directory - MiHIN | MiHIN has developed a comprehensive provider directory that contains the necessary information to allow providers to securely communicate and exchange patient information, and that allows a level of�Provider Relationship Management� (PRM)�previously unavailable with existing solutions. In addition to providers, the MiHIN directory contains other caregivers that patients will likely encounter when seeking treatment, such as nurses, lab technicians, office staff, and care coordinators. This ensures that people who should have access to patient information can get it, as allowed by the patient. The directory also contains each provider�s preference for document formats to ensure seamless integration between offices. | Michigan, directory, interoperability, hpd, provider directory, electronic service information | |
| AEGIS Touchstone : FHIR Testing Platform | AEGIS Cloud based Testing Platform Touchstone features multi-version support for HL7 FHIR leveraging Natural Language Processing (NLP) for FHIR Test Script Resources. Touchstone tests both from the Client and Server Side. Along with Conformance and Interoperability- and provides a starburst matrix illustrating percentage of Conformance/Compatibility to the specification. | FHIR | |
| Collaborative Health Record - Elation Health | The Collaborative Health Record (CHR) is an interoperability tool that helps providers caring for mutual patients to seamlessly share up-to-date patient information in real time. Using C-CDA standards and proprietary Elation technology as a vehicle for data mobility, patient information flows between all members of a Care Team, providing both on-demand access to clinical data and automatic updates following a new encounter. In combination with the Elation Health EHR, this information becomes increasingly actionable at the point of care — all with the intent to promote more informed clinical decision making and reduce fragmented patient information spread across the system. Currently the project is in beta in the Hawaii community with plans to expand across the US in 2017. | Care Coordination, CCDA, EHR, HIE, interoperability | |
| EMDI- Medforce Technologies Interoperability Pilot | Organization: Medforce Technologies POC: Nathan Apter Phone: 845-426-0459 Pilot Goal: Our goal is to facilitate the efficiency, security, and effectiveness of documentation transmission between hospitals and DME/HHA/Lab providers. With the three use cases already identified (order, documentation request, signature request) as well as others that may be uncovered, we strive to develop technologies that will help healthcare providers streamline their processes, reduce costs and improve patient care. | EMDI, HIH, HISP, Provider-to-Provider | |
| EMDI- Health Aid Of Ohio Interoperability Pilot | Organization: Health Aid Of Ohio POC: Jennifer Sylvester Phone: 216-252-3900 Pilot Goal: As the contracted DME Provider for Metro Health Hospital we would like to improve the ordering process within the EPIC system. This will improve patient care and decrease the documentation burden for our referral sources. | EMDI, HHA, Provider-to-Provider | |
| EMDI- ABILITY Network Interoperability Pilot | Organization: ABILITY Network POC: Jennifer Crandall (Product Manager, Clinical Applications), Soo Hyun Choi (Product Manager) Pilot Goal: ABILITY is dedicated to helping our customers solve the problem of document exchange between providers. This pilot needs volunteers from both sides of the document exchange use cases between HHA and Hospitals. ABILITY will represent the HHA customer and we will be paired with (facilitated/assisted by CMS) another vendor representing the hospital customer. ABILITY recognizes a successful outcome will require a willing and able vendor partner to represent the hospital customer/data so we can work to be able to exchange documents indicated in the defined use cases. Once we have paired with such a partner, we expect to solve the three EMDI HHA pilot use cases designed to promote provider-to-provider communications in a healthcare environment. | EHR, EMDI, interoperability, Provider-to-Provider | |
| EMDI- Encompass Home Health Interoperability Pilot | Organization: Encompass Home Health POC: Kasey Morgan, Scott Beard Pilot Goal: To automate the interoperablity critical information for patient records by implementing the EMDI Implementation guide and conducting the EMDI use cases for HHA. | EMDI, HHA, interoperability, Provider-to-Provider | |
| EMDI- Medical Service Company Interoperability Pilot | Organization: Medical Service Company POC: Judy Bunn, Compliance Manager/AAHC Reg Council Chair; Michael McGill ,VP IT/Business Development; Pilot Goal: To be able to help test EMDI use for intake and communication between ordering referral and provider to attain compliance with payer rules. | EMDI, interoperability, Provider-to-Provider | |
| EMDI- Main Street Medical Interoperability Pilot | Organization: Main Street Medical POC: Casey Bateman, Manager; Joel Johnson, MD; Pilot Goal: Evidence based guidelines to be utilized in claim adjudication. Automate pre-claim audits. Decrease CMS administrative expenses. Change medicare compliance integration of clinical data for coordination of care and claim management. | EMDI, interoperability, Provider-to-Lab | |
| EMDI- South Coast Radiologist Interoperability Pilot | Organization: South Coast Medical POC: Patricia Shapiro, MD, Owner/Medical Director; David Esth, MD, Owner; Pilot Goal: Evidence based guidelines to be utilized in claim adjudication. Automate pre-claim audits. Decrease CMS administrative expenses. Change medicare compliance integration of clinical data for coordination of care and claim management. | EMDI, interoperability, Provider-to-Lab | |
| EMDI- Southeastern Pathology Associates Interoperability Pilot | Organization: Southeastern Pathology Associates POC: Barham Cook, COO; Pat Godbey, CEO Lab; Pilot Goal: Evidence based guidelines to be utilized in claim adjudication. Automate pre-claim audits. Decrease CMS administrative expenses. Change medicare compliance integration of clinical data for coordination of care and claim management. | EMDI, interoperability, Provider-to-Lab | |
| EMDI- Advantage Dermatology Interoperability Pilot | Organization: Advantage Dermatology POC: Oliver Perez, MD, CEO; Betly Paulin, COO; Pilot Goal: Evidence based guidelines to be utilized in claim adjudication. Automate pre-claim audits. Decrease CMS administrative expenses. Change medicare compliance integration of clinical data for coordination of care and claim management. | EMDI, interoperability, Provider-to-Lab | |
| EMDI- Radiology Tracker Interoperability Pilot | Organization: Radiology Tracker POC: Sidney Smith, MD, CEO; Pilot Goal: Evidence based guidelines to be utilized in claim adjudication. Automate pre-claim audits. Decrease CMS administrative expenses. Change medicare compliance integration of clinical data for coordination of care and claim management. | EMDI, interoperability, Provider-to-Lab | |
| EMDI- Pathology Tracker Interoperability Pilot | Organization: Pathology Tracker POC: Sidney Smith, MD, CEO; Pilot Goal: Evidence based guidelines to be utilized in claim adjudication. Automate pre-claim audits. Decrease CMS administrative expenses. Change medicare compliance integration of clinical data for coordination of care and claim management. | EMDI, interoperability, Provider-to-Lab | |
| EMDI- Encite, Inc. Interoperability Pilot | Organization: Encite, Inc. POC: Ed Horner, CEO; Donald Stewart, CTO; Pilot Goal: Evidence based guidelines to be utilized in claim adjudication. Automate pre-claim audits. Decrease CMS administrative expenses. Change medicare compliance integration of clinical data for coordination of care and claim management. | EMDI, interoperability, Provider-to-Lab | |
| EMDI- Almost Family Inc. Interoperability Pilot | Organization: Almost Family Inc. POC: Robert Cornell, Chief Information Officer; Perry Pruett, VP of IT; Pilot Goal: We hope to partner with our EMR vendor, Homecare Homebase, and some hospitals to validate the use cases using HL7's FHIR framework. | EMDI, interoperability, Provider-to-Provider, Providers | |
| EMDI- Suncoast RHIO Interoperability Pilot | Organization: Suncoast RHIO POC: Louis Galterio, President/PM/PI; Christopher Sullivan, VP; Pilot Goal: This activity supports the well documented goals of HHS and the medical community to insure connectivity within the Gap Continuum is achieved when electronic means are available and is in line with regulation advancement. | DME, EMDI, HHA, interoperability, Provider-to-Provider | |
| Reduce Skilled Nursing Facility Readmissions | Objective: Assist health systems to reduce readmission rates in bundled payment arrangements by providing community-wide SNFs who continue to fax with an easy & affordable standards-based interoperability solution. Description: A longstanding barrier to broad connectivity has been the awareness of interoperability and EMR capabilities of external providers, particularly in post-acute setting –skilled nursing, assisted living, behavior health, therapies and others. Health systems, HIEs & large physician groups are challenged to meet interoperability measures as they transition to value based care. Without interoperability, they struggle to gain visibility to care delivered outside their four walls –which is necessary to meet MU & ACI measures under MIPS/MACRA, but also for the greater goal of improving care coordination with these valued partners –resulting in better patient outcomes while they shift to alternate payment models. Kno2.iQ™ is a data-driven service offered to health systems & providers to quickly drive connectivity & interoperability adoption throughout a community using referral patterns as the driver. Kno2.iQ collects, analyzes & reports on data from many different sources, including CMS, to quickly identify the best connection option available between providers in a given geography or health referral region. This particular project centers around connecting skilled nursing facilities (SNF) to the health system. It streamlines referrals and helps patients move out of the hospital (ie the most expensive venue of care) to the appropriate venue in a more timely & efficient way. It also gives doctors at the hospital (who are ultimately responsible for the cost & quality of care) a direct line of sight into what is occurring at the SNF. By streamlining the flow of information bidirectionally, they can coordinate care more effectively, shortening the length of stay & reducing readmission rates while ensuring patients are managed appropriately. | ACO, bundled payments, post-acute, reduce readmissions, Skilled Nursing Facilities, SNF, Value-based Care, DIRECT, direct secure messaging, EHR, Health Systems, interoperability, Kno2, Kno2.iQ, narrow networks | |
| EMS Connectivity | Objective: Drive interoperability between the hospital and EMS agencies throughout the patient’s transport and hospital stay – impacting the quality of care, patient safety and outcomes reporting. Description: Every year, approximately 30M patient transports take place in the US. Historically, when patients are transported to the hospital by EMS agencies, acute care information is typically shared verbally with the ED, while in non-acute cases, documentation is often sent via fax within 24 hours of patient delivery to meet Joint Commission requirements. This process creates an additional burden on both sides, as ePCR information must be printed and faxed by the EMS agency and later entered into the hospital’s EHR. Additionally, EMS agencies spend time tracking down patient’s name and health insurance carrier so that they can get reimbursed. In this use case, Kno2 creates the connectivity between the EMS agency and the hospital. Through our platform, Kno2’s integrated EMS EMR partners can: • Broadcast query by EMS crew to providers surrounding patients home for most recent meds, allergies, problem list, recently performed procedures, etc. – (Carequality, Commonwell, P2P HIE) –allowing them to provide safer care during transport • Transition of care from EMS crew to the hosp staff – (Direct message with C-CDA) • Complete prehospital report from EMS agency to hosp HIM/compliance staff – After they deliver the patient to the ED, EMS agencies prepare and send the ePCR to complete the record of care and meet regulatory requirements (Direct message, HL7, MDM, IHE) • Outcomes data - Upon discharge, the hosp can provide the patient treatment and outcomes data within a C-CDA and deliver it via Direct message, or the EMS agency can query for outcomes, confirming accuracy of treatment to ensure ongoing improved quality of care – (Direct message with C-CDA, Carequality, Commonwell) • Payer information - EMS agency can query for pymt info & submit for timely reimbursement | C-CDA, Carequality, interoperability, Kno2, MDM, CommonWell, DIRECT, direct secure messaging, EHR, EMS, HL7, Hospitals, IHE | |
| Kno2 Developer Program | Kno2’s cloud-based interoperability platform aggregates all forms of standards-based exchange into a single solution, accessible through a simple set of APIs. Vendors can integrate within days, removing the burden of months of development time, money and resources. As a result, healthcare providers can become interoperable and exchange patient documents electronically across all of healthcare's major networks simply by registering online and completing the security steps to obtain their own Kno2 account. Virtually any healthcare technology platform or provider then positioned for better care coordination and patient outcomes by making the sharing of documents easy, cost-effective and secure. | APIs, Carequality, RESTful, cloud-fax, CommonWell, DIRECT, directory, e-fax, IHE, Kno2, query | |
| EMDI- Professional Pathology Services Interoperability Pilot | Organization: Professional Pathology Services POC: Paul Guerry, Managment Committee; Pilot Goal: Evidence based guidelines to be utilized in claim adjudication. Automate pre-claim audits. Decrease CMS administrative expenses. Change medicare compliance integration of clinical data for coordination of care and claim management. | EMDI, interoperability, Provider-to-Lab | |
| FHIR based terminology server at NewYork-Presbyterian Hospital, NY, NY | NewYork-Presbyterian Hospital has a robust terminology service that maintains clinical concepts in a large semantic data network. Active since the 1980s, the terminology repository originated at Columbia as the Medical Entities Dictionary (“the MED”), and is one of the first distinct terminology systems to be integrated with an EHR. Historically, terminology from the MED is served via C programs that provide direct shared memory access or via a web browser. In this proof-of-concept project, we provide FHIR capabilities to the MED to allow FHIR based queries for code translations. | FHIR, interoperability, Standards, Terminology, Vocabulary | |
| CDA Viewer - Medical Record Rendering Application and Server | This application was initially based on the winning entry of the HL7/ONC C-CDA Rendering Tool Challenge (see https://github.com/brynlewis/C-CDA_Viewer). That tool has been further developed and implements extended CDA viewing functionality, allowing easy viewing, analysis and editing of CDA files. We are interested in collaborations and requests for further feature development. Features include: Personal privacy and security. Multiple document loading. Structure and Validation reporting of a batch or single document. Patient feedback collection. Review functionality. Quality assurance checking: The machine readable (XML) version of the document can be viewed and easily compared to the narrative text. Document details including author are immediately accessible. Provenance and authorship assessment. Visual indicators of Section linking. Access Logging. As well as being a standalone desktop application, the Viewer can installed as a server to allow integration with third party systems via a http request.. | C-CDA, CCDA, CDA, HL7 | |
| EzVac: Immunization Forecasts using FHIR at the NewYork-Presbyterian Hospital | In the 1990s, NewYork-Presbyterian Hospital began developing a comprehensive, standards-based immunization information system. The system, known as EzVac, contains a large repository of immunization history and has been operational since 1998. It uses HL7 Version 2 messaging and communicates with multiple EHRs affiliated with NewYork-Presbyterian hospital as well as with the NY City Immunization Registry. In this proof-of-concept project, our goal is to provide clinical decision support on vaccine forecasting via FHIR services. Additionally, we are extending our implementation to provide FHIR based queries for immunization within our institution. | EHR, FHIR, Immunization, Immunization Registry, interoperability | |
| Western Collaborative Patient-Centered Data Home | 5 states connected to be able to let the data follow the patient where they are. | Arizona, Colorado, HIE, Idaho, interoperability, Nationwide Network, Nebraska, Nevada, SHIEC, Utah | |
| Edge Testing Tool (ETT) | The Edge Testing Tool is a collection of testing utilities created to validate the requirements of the ONC 2014 and 2015 Edition Health IT Certification Program. The Edge Testing Tool was originally designed to test only network "Edge" capabilities, but over time assumed HISP and other transport testing abilities, along with C-CDA and content validation utilities. The Edge Testing Tool software is open source and available for download. | ETT, ONC | |
| Standards Implementation & Testing Environment (SITE) | The Standards Implementation & Testing Environment (SITE) is a centralized collection of testing tools and resources designed to assist health IT developers and health IT users fully evaluate specific technical standards and maximize the potential of their health IT implementations. SITE is organized in a collection of sandboxes that provide test tools, sample data, collaboration resources, and useful links. | SITE | |
| Interoperability Standards Advisory (ISA) | The Interoperability Standards Advisory (ISA) process represents the model by which the Office of the National Coordinator for Health Information Technology (ONC) will coordinate the identification, assessment, and public awareness of interoperability standards and implementation specifications that can be used by the healthcare industry to address specific interoperability needs including, but not limited to, interoperability for clinical, public health, and research purposes. ONC encourages all stakeholders to implement and use the standards and implementation specifications identified in the ISA as applicable to the specific interoperability needs they seek to address. Furthermore, ONC encourages further pilot testing and industry experience to be sought with respect to standards and implementation specifications identified as “emerging” in the ISA. | C-CDA, DIRECT, SDC, NCPDP, e-Rx, LOINC, SNOMED, EHR, FHIR, HIE, HL7, IHE, interoperability, ONC, ONC-led | |
| Interoperability Standards Measurement Framework | The purpose is to finalize the strategy to measure the adoption and use of key and emerging standards and relevant implementation specifications. | Interoperability, ONC, ONC-led | |
| AMA Integrated Health Model Initiative (IHMI) | The Integrated Health Model Initiative (IHMI) is a collaborative effort across health care and technology stakeholders. IHMI supports a continuous learning environment to enable interoperable technology solutions and care models that evolve with real-world use and feedback. IHMI uses the best available science to incorporate essential data elements around function, state and patient goals. IHMI features a digital platform for: 1) collaborative communities around costly and burdensome areas; 2) a physician-led validation process to review clinical applicability; and 3) a data model for semantic interoperability. Project Manager: [email protected] | Collaboration, Community, LOINC, Patient Goals, Semantic Interoperability, SNOMED, Terminology, Data Model, EHR, FHIR, HL7, ICD-10, IHMI, Innovation, Interoperability | |
| Distributed Data Sharing Hyperledger (DDASH) | DDASH is an open-source protocol for information exchange across blockchain networks. Our goals are to eliminate barriers to information exchange within and among organizations and to build open economies around health information. DDASH allows Ethereum applications to run securely and inexpensively on private Ethereum networks while enabling their integration with the main Ethereum network. The result is a mechanism for health information exchange via transfer of information and value among the main Ethereum network and private Ethereum networks. | Blockchain, Ethereum, HIE, interoperability | |
| MyLinks - 1st Place winner of ONC Consumer Health Data Aggregator Challenge | MyLinks uses FHIR standards to allow patients to pull, aggregate, and share their information. Patients are able to share their records with others, improving personal and family care management. MyLinks has been able to connect to multiple EHRs in both sandbox, test, and production environments. We are currently helping several EHR vendors and health organizations with their production FHIR testing and happy to help any others that need a live partner. | C-CDA, Care Coordination, HL7, interoperability, Patient-Centered Outcomes Research, PHR, Promoting Interoperability Requirements, MU, Care Transitions, CCD, Clinical Research, consumer engagement, DIRECT, Distributed Research Network, EHR Integration, FHIR | |
| Moxe Health - Clinical Data Sharing - Substrate | Complete clinical records move freely between health systems and payers in a controlled, HIPAA-compliant manner. Moxe's EMR-agnostic platform, Substrate leverages HL7/FHIR standards and vendor specific tools to create normalized, machine-readable health records that go beyond CCDs to meet standards for use in risk adjustment and HEDIS. Substrate automatically enforces health system-defined data release restrictions to ensure that only the right people have access. Learn more about Moxe’s network at www.MoxeHealth.com. | ADT Notifications, Beyond HIE, CCD, CCDA, EHR Integration, FHIR, HL7, IHE, Nationwide Network, quality reporting | |
| Moxe Health - Bi-directional EMR Integration - Convergence | Convergence replaces the paper and portals that payers traditionally use to send data to clinicians. Convergence is a bi-directional application for sharing insights that is embedded directly within the EMR. As insurers identify information needed for HEDIS or risk adjustment, they can send this data—and all relevant context—through Convergence,so that clinicians can review and act on the data without interrupting their workflow. The application uses single-sign-on to minimize effort needed from clinicians. This implementation of Convergence focuses on HCC capture for Medicare Advantage risk adjustment. As our health plan partner identifies undocumented conditions, these insights and supporting evidence are shown to clinicians who can provide the update needed to close the gap in documentation. Learn more about Moxe’s network at www.MoxeHealth.com | Alerts, Care Coordination, clinical quality measures, EHR Integration, FHIR, HL7, IHE, Risk Adjustment | |
| "FHIR Activity Definition": Zynx Health Developer Program | The Zynx Health Developer Program offers FHIR®-enabled APIs to connect third-party applications, devices, and other innovative healthcare technologies with Zynx solutions. Consuming our API-based content can help third-party solution developers and providers enhance the delivery of patient care through better care coordination and better awareness and adherence to evidence-based standards. | API, FHIR, SMART | 05/31/2028 |
| Interoperability for Health Info. Systems - HL7, FHIR, CCDA, PHM, CCM, Quality Measures | As part of our Advance HIT experience coming from the ONC certifications, this project focuses on improving and expanding the use of Data to improve the Quality of Care and streamline the process of information sharing. Inclination of the ecosystem towards Value Based Care has led to new solutions to improve the Health of a Population by analyzing past data. We have been working on this project to make sure the population across states are getting the quality of services that they expect. | C-CDA, EHR, FHIR, HIE, HL7, IHE, interoperability, Population Health Management, Care Coordination | |
| Digital Certificates to Scale Cross-Organizational use of FHIR | This project leverages trusted digital certificates to help scale the use of FHIR through reusable individual-, organizational-, or app-level credentials that can be leveraged to rapidly scale secure FHIR-based exchange. UDAP Profiles also include extensions to OAuth 2.0 and OpenID Connect. Join the UDAP Google Group here: https://groups.google.com/forum/#!forum/udap-discuss or contact [email protected] for more information or if you would like to explore use of these credentials in a FHIR client application, FHIR server, or Identity Service, or to cross-test trusted endpoints as a UDAP collaborator. The client app registration and authentication/authorization use cases enabled through UDAP profiles are regularly tested at HL7 FHIR connectathons and in the interim between those events; see this track description for more information: https://confluence.hl7.org/display/FHIR/2020-05+Cross+Organization+Application+Access See the last 15 minutes of this ONC webinar for a presentation covering the project, and some screen shots of UDAP profiles in action: https://www.youtube.com/watch?v=8wpYVQDvYJI&t=6384s | COVID-19, Digital Certificates, Security, Trusted Exchange Framework, UDAP, FHIR, HIT Vendor, Identity, Interoperability, OAuth, OIDC, Open API, PKI | |
| Fluidity Health: A Collaborative Patient-Centric Care Delivery Network | We represent a major breakthrough in care coordination, communication facilitation combined with high volume data exchange. We bring together in a HIPAA compliant, standards-based manner, everyone involved in a patient’s circle of care, doctors, nurses, therapists, hospitals, administrators, caregivers, family members, and friends. We allow them to communicate with each other, and through collaboration, monitor and follow care plans, manage tasks, and deliver quality care. Our cross-platform application (web, iOS, Android) interoperates between sundry health system networks and, by pulling and pushing data from various sources, creates a patient health record, where every data element can be evaluated and analyzed. Our system currently is integrated with instances of VistA, Cerner, HSPC, and an open source EMR. We look forward to expanding our resources by continuing to integrate with other EMR systems. We are currently preparing to start a 60-90 day pilot with the VA. | Care Coordination, care plan, Value-based Care, Care Planning, consumer engagement, EHR Integration, FHIR, HIPAA, Home Health, Interoperability, telehealth | |
| PULSE - Patient Unified Lookup System for Emergencies | When disaster strikes and families are relocated to shelters in their community or even further afield, prescription refills and other healthcare needs become more challenging. The Sequoia Project, in support of the Centers for Medicare & Medicaid Services (CMS), is developing a nationwide deployment plan for the health IT disaster response platform known as the Patient Unified Lookup System for Emergencies (PULSE). The Patient Unified Lookup System for Emergencies (PULSE) is a nationwide health IT disaster response platform that can be deployed at the city, county, or state level to authenticate disaster healthcare volunteer providers. PULSE allows disaster workers to query and view patient documents from all connected healthcare organizations. Sequoia also formed an advisory council to inform PULSE's progress. | Disaster, Emergency, EMS, HIE, interoperability, Public-Private Collaborative, Sequoia Project | |
| 1upHealth - FHIR API Platform and EHR Connectivity | 1upHealth helps patients, providers and app developers get electronic health data in minutes. Clinical data is connected from over 200 health systems and wearable devices across the US. Using our application platform, developers are able to build connected HIPAA compliant apps in days. Patients can connect health data from hundreds of facilities and share medical data. Providers and researchers can view that shared data in the 1upHealth EMR integrated application. | C-CDA, EHR, FHIR, HIE, HL7, interoperability | |
| "Dynamic FHIR API" | The Dynamic FHIR API allows health IT applications to make read-only data requests for patient health information. The API request process encompasses all data elements in ONC’s Common Clinical Data Set and meets §170.315(g)(7), §170.315(g)(8) and §170.315(g)(9) measures under 2015 Edition ONC Certification. The API allows requests for “all” patient data, irrespective of dates/category, and also “by specific data category,” for specified date range and/or data section. The API is designed to be lightweight and accessible by patient mobile and web applications with robust security that does not impede interoperability. This includes the use of HIPAA-compliant OAuth 2.0, unique identification of patients by Token and the availability of data on receipt of a version 2.1 CCDA. The API renders FHIR® resources (in XML and JSON) on demand directly from a CCDA repository. FHIR is a set of clinical interoperability resources under the umbrella of HL7 and is based on common web standards. We chose FHIR because it combines the domain-specific features developed over many years through the HL7 standards organization with leading-edge e-commerce and security authorization protocols used by industry leaders. Through this project, we also made available a FHIR Client Test Application, which enables patient account activation and provides a GUI display of each data category and a method for downloading a full patient CCDA package. | API, C-CDA, FHIR, HL7, interoperability, XML | |
| eHealth Exchange Interoperability Pilot | Organization: eHealth Exchange POC: Jay Nakashima, Executive Director; Eric Heflin, CTO; Pilot Goal: The eHealth Exchange interoperability pilot would like to complete an EMDI pilot to identify interoperable solutions to the second EMDI Use Case: Additional Documentation Request and to improve healthcare information sharing. | ||
| EMDI- MedAllies Direct Interoperability Pilot | Organization: MedAllies POC: Holly Miller, MD; Pilot Goal: MedAllies is participating in the EMDI project to advance secure Direct interoperability in support of reducing provider and staff burden through the ability for systems to track orders to completion, i.e. “closing the loop”. Specifically, to use Direct interoperability to ensure closed loop patient referrals, from PCPs to specialists and back, thereby automating referral tracking, enhancing clinical workflows and patient care processes. | 360X, closed_loop, DIRECT, EMDI, interoperability, Provider-to-Provider, Referral_Management | |
| Da Vinci Data Exchange for Quality Measures (DEQM) Implementation Guide including Gaps in Care Reporting | This Fast Healthcare Interoperability Resources (FHIR) based Implementation Guide (IG) was developed by the DaVinci Project in coordination with the HL7 Clinical Quality Information (CQI) Workgroup. The DEQM IG was presented for HL7 May ballot. The purpose of this guide is to allow for using FHIR for exchanging data to support quality measures as well as for submitting/requesting Individual Measure Reports (QRDA Category 1) and Summary Measure Reports (QRDA Category 3). The latest ballot added Gaps in Care Reporting Examples include Colorectal Cancer, Venous Thromboembolism Prophylaxis and Medication Reconciliation Post Discharge. | clinical quality measures, Da Vinci Project, DaVinci, DaVinci Project, FHIR, HL7, quality metrics, quality reporting, gaps in care, gaps in care reporting | |
| Da Vinci Coverage Requirement Discovery (CRD) Implementation Guide | This FHIR based Implementation Guide was developed by the DaVinci group in coordination with HL7 Financial Management Workgroup. It was balloted in September and comments are being reviewed. This implementation guide defines a mechanism for insurance payers to share coverage requirements with EHRs and other clinical systems at the time decisions around treatment are being made. This ensures that clinicians and administrative staff can make informed decisions and can meet the requirements of the insurance coverage the patient has. | CDS Hooks, Coverage Requirements, Da Vinci Project, DaVinci, DaVinci Project, FHIR, HL7, Payer | |
| Georgia Tech: Asthma Control Tracker | Asthma guidelines suggest having a patient’s asthma control evaluated regularly. This application is a working prototype used to ask patients a series of questions appropriate to their age group, evaluate their current control of their asthma across the domains of risk and impairment, and provide recommended action steps for treatment based on EPR-3 asthma guidelines. This information is then stored to a FHIR server. Epidemics is a web application. It is typically run at a care provider’s office and would be integrated with an EHR (Electronic Health Record) application. The provider would select the patient and work with the patient to answer a set of relevant questions and submit the responses to a computer server which would analyze and present to the provider treatment recommendations, which can be modified by the provider. The application is designed to be highly interoperable with the use of Fast Interoperability Health Resources (FHIR) standards. | Ashma, FHIR | |
| Georgia Tech: Chart Review and Annotator | A tool to explore patient and cohort-level data for chart review incorporating structured and unstructured sources. This examples uses MIMIC dataset. | FHIR | |
| Georgia Tech: Clinical Decison Support for Pediatric mTBI | To guide care providers through diagnosis and initial management of mild traumatic brain injury (mTBI), this web-based clinical decision support application assists in collecting indicators of the severity of the injury. It then applies evidence based guidelines to produce a recommended course of action. As the care provider enters data about the patient’s injury, the application uses the information to provide graphical and textual output. All user interaction with the web application is private to the web browser session. Nothing entered on any page is transmitted externally, or stored locally outside of the web browser’s own storage for the session. | CDS, FHIR | |
| Georgia Tech: Epidemics – Asthma Control | Asthma guidelines suggest having a patient’s asthma control evaluated regularly. This application is a working prototype used to ask patients a series of questions appropriate to their age group, evaluate their current control of their asthma across the domains of risk and impairment, and provide recommended action steps for treatment based on EPR-3 asthma guidelines. This information is then stored to a FHIR server. | FHIR | |
| Georgia Tech: fareRx – Drug Price Comparison | A variety of drug discount program are available in all states in USA. For a consumer who wants to pay out of pocket, these are an essential for savings. However, the discount these program offer may differ for each medication. Some of them may in addition offer coupons and the discounts may vary amongst different pharmacies. A consumer may have to go to different sites to find the best deals. A single website, where a consumer can compare prices across all discount cards can be very beneficial. This application is powered by the GoodRx API. | FHIR | |
| Georgia Tech: HART on FHIR | This is a system to provide the user a way to track heart rate anomalies. This tool was created to integrate personal heart rate monitors products like watch, cellphone, fitbit, etc. with webserver in an easy use interface. We are pleased to provide you this tool in being proactive in your health. Please understand this tool is only to complement a doctor or clinician analysis. | FHIR | |
| Georgia Tech: Healthy Heart | Healthy Heart is our web application developed for patients to easily monitor and improve their cardiovascular health. There are two main components this application provides: cardiovascular risk assessment, and health counseling. Former component relies on assessment of patients’ frammingham risk score using EHR retrieved from FHIR server. An observation page displays FHIR resources retrieved for the authenticated patient. The patient may edit this record to recompute a more accurate risk assessment. Our application tracks patients’ risk score assessment over a period of time so that patients may visualize changes in cardiovascular health. The counseling component allows patients’ to compute their Body Mass Index (BMI). Our application utilizes this BMI to suggest appropriate diet and exercise plans to help patients reduce their risk of cardiovascular diseases. | FHIR | |
| Georgia Tech: Identification of Patients Requiring Statin Therapy | The US Preventive Services Task Force recommends that adults without a history of cardiovascular disease (CVD) use a low- to moderate-dose statin for the prevention of cardiovascular events and mortality when certain conditions are met. Every day, providers see many patients who each have different existing conditions, and providers may be focused on those current conditions/illnesses. Prevention can be easily overlooked. By leveraging CDS Hooks and FHIR, we can automatically check conditions upon chart opening and provide the physician with an indication that a patient would or would not benefit from Statin use. This takes the burden off the physician and greatly benefits the patient. | API, Cardiology, care plan, CDS, CDS Hooks, FHIR, medication management, Providers | |
| Georgia Tech: Labor Tracker | Obese women (BMI >= 30 kg/m^2) are at elevated risk for cesarean delivery, with rates up to 5 times higher than normal weight women. Cesarean deliveries are most often indicated for obese women because of abnormally slow labor progression, a complication known as labor dystocia. In clinical practice, expectations of labor progress are not individualized by degree of maternal obesity, but instead are standardized based on the average rate of cervical dilation among healthy-weight women (about 1cm/hour). As a result, obese women are at increased risk of cesarean delivery simply because they do not proceed through labor as expected by the nurses and doctors who provide their intrapartum care. This project involves the development of a tool, the Labor Tracker, that would allow clinicians caring for obese women during labor to view a woman’s cervical dilation progress on a graph that represents normal and abnormally slow labor progression according to that woman’s BMI. Although information about cervical dilation among women with different degrees of obesity is available from large, multi-site studies, this data is not typical ly used by clinicians to guide their care of obese women. The Labor Tracker would, for the first time, provide easy access to BMI-individualized labor progression tracking for clinicians at the bedside. | FHIR | |
| Georgia Tech: Livermore – 3D Liver Modeling | This application presents 3D models of liver diseases for patient education. | FHIR | |
| Georgia Tech: Managed Weight Loss System | An essential component of a weigh loss management system is tracking the calories burned and calories consumed. The app we built has the functionality to track and record multiple observations. | FHIR | |
| Georgia Tech: Medication Reconciliation | Medication reconciliation is the process of identifying the most accurate list of all medications that the patient is taking, including name, dosage, frequency, and route, by comparing the medical record to an external list of medications obtained from a patient, hospital, or other provider. | FHIR | |
| Georgia Tech: Medicines in the Media | Explore associations between medication prescribing and relevant information in news and social media. | ||
| Georgia Tech: Mild Traumatic Brain Injury in Pediatric Patients | Developed an interface that provides clinical decision support informed by evidence-based guidelines for the diagnosis and management of mild traumatic brain injuries. | 10A, FHIR | |
| Georgia Tech: Modified Early Warning System | The system is a proof of concept to help EMS keep track of actions taken while transporting the patient. The system, Deus Ex Machina, seeks to solve these two problems: 1) data isolation to transport agencies 2) little to no means of communicating with the facilities as to the actions taken during transport. The system address the first pain point by having a shared FHIR server. While limited due to the PoC nature, this brings common benefits of FHIR as well as a means by which the agencies can share patient information. It also allows the extension of the system into Regional Health Information Organisations (Health Care IT News, 2011) via FHIR federation. Such a feature would allow a patient search across the nation provided enough RINO join. The system address the second pain point by allowing the driver to either complete the drop off and print a report or use FHIR interactivity to directly push the patient information to the facility. Finally, the PoC only implements the driver view of the data. It does not implement dispatching capabilities. This means that while the front end polls the back end for a transport update, there is presently no user available GUI to push the data. | FHIR | |
| Georgia Tech: Planet Health – Predictive Model for Mortality | PlanetHealth offers a healthcare system to utilize electronic health records of patients for analytic. PlanetHealth’s algorithm is to provide clinical environment to detect high risk health complications. Thus the system can be used to monitor with the intention to improve the patient conditions. | FHIR | |
| Georgia Tech: Prescription drug monitoring program | The HealthMatrix Prescription drug monitoring program (PDMP) Dashboard can be used to display the various Metrics for a Particular Prescriber as well as the relation of such Metrics to other Specialty and State wide metrics for the Utah state. The Dashboard derives the various metrics and other data from the Utah state Controlled Substance Database. Additional details will be discussed in the remaining sections of this document. | FHIR, HealthcareIT, IPG, Opioid Management, PDMP | |
| Georgia Tech: Prescription Pricer | The Consolidates and Compares Prices on Different Discount Drug Programs. A desktop web application where a user can compare drug prices among the major three pharmacies (Walmart, CVS, Walgreen) along GoodRx discount program. User can use this app either by signing in or not signing in. Once signing up with FHIR ID , users can also get access to their medical history stored in the FHIR server to get the information of their prescribed drugs. Besides, user can view their personal information and search history. This document guides a user through the necessary steps to find the drug prices and get access to the account once signing up. | FHIR | |
| Title: Airene C. Church Vuitton's Role in MU. And "Red Light on Road/Street Poles on Highway Untill Candle Lights Blew. | EVENT(S) START YEAR 2018. For: Doctor Mr. Railey William Conant Church And Ms. Airene Vuittion Also Known as Airene F. T. (Conant Church). www.open.gov www.cia.gov I Do, We both will. | C-CDA | 12/24/2028 |
| EMDI- MedWare, Inc Interoperability Pilot | Organization: Medware, Inc POC:Victor Vaysman, CEO; Hannah Cyktich, Account Representative; Pilot Goal: Through this pilot project, we hope to foster additional methods of communication between participating providers utilizing FHIR, thereby improving clinical and administrative outcomes. Further, participating in EMDI’s Pilot Program offers an opportunity to bolster the healthcare industry’s interoperability between organizations across various settings – hospitals, primary care, home health, DME, and more. | DME, EMDI, FHIR, HHA, interoperability, Labs, Provider-to-Provider | |
| EMDI- MedSide Healthcare Interoperability Pilot | Organization: MedSide Healthcare POC:Julia Korabelnikova, Director of Operations; Beatrice Coulombe, Home Health Administrator; Pilot Goal: Through this project, we hope to foster communication between our home health agency and ordering physicians, thereby improving clinical outcomes for our shared patients. Further, we found this project offers and opportunity to streamline administrative processes to avoid unnecessary frustration surrounding the completion of documentation. | DME, EMDI, FHIR, HHA, interoperability, Labs, Provider-to-Provider | |
| Pop Health on FLAT FHIR: A SMART Approach to Universal Healthcare Reporting | We catalyze an ecosystem for accessing and analyzing, without special effort, data on whole populations rather than one patient at a time. We have made real progress toward this vision, working with HL7 and ONC, to define the population health analog to the SMART API—the FHIR Bulk Data Export API. The output is “Flat FHIR,” an easily consumable flat file. Currently, a provider using EHR data to meet reporting requirements on population-level quality or cost measures requires a customized and prohibitively complex process to extract, transform, and load data into a separate analytic engine. Our vision is seamless data exchange, via an API, between provider organizations and third parties. We propose a use case of exchange of EHR and claims data and derivative metrics between a provider and a payor. Toward this end, we design, develop, and test a substitutable population health analytics app, SMART-PopHealth, which enables a payor to access permitted data and metrics on covered populations, directly through the API. We test it in a real-world Accountable Care Organization. | FHIR, Population Health Management, quality reporting, SMART | |
| EMDI- eHealth Exchange Interoperability Pilot | Organization: eHealth Exchange POC: Jay Nakashima, Executive Director; Eric Heflin, CTO; Pilot Goal: The eHealth Exchange interoperability pilot would like to complete an EMDI pilot to identify interoperable solutions to the second EMDI Use Case: Additional Documentation Request and to improve healthcare information sharing. | EMDI, FHIR, HL7, interoperability, Provider-to-Provider | |
| Da Vinci Payer Data Exchange (PDex) Implementation Guide | This FHIR based Implementation Guide was developed by the DaVinci Project in coordination with the HL7 Financial Management Workgroup. It is being prepared for an early ballot in September 2019 where comments are being reviewed. The purpose of this guide is to support two scenarios: 1) To allow a provider to request a health history (via CDS-Hooks) from a payer/health plan that returns clinical information derived from claims and other sources and presents them using FHIR US Core Profiles. 2) To support patient-mediated Payer-to-Payer exchange of a member’s health history. Mentioned by CMS: https://www.cms.gov/Regulations-and-Guidance/Guidance/Interoperability/index | ||
| Da Vinci Clinical Data Exchange (CDex) Implementation Guide | The Clinical Data exchange (CDex) is part of the larger Da Vinci use case for Health Record exchange (HRex). The scope of the CDex project is to defined combinations of exchange methods (push, pull, subscribe, CDS Hooks, ), specific payloads (Documents, Bundles, and Individual Resources), search criteria, conformance, provenance, and other relevant requirements to support specific exchanges of clinical information between provider and other providers and/or payers. The goal is to identify, document and constrain very specific patterns of exchange so that providers and payers can reliably exchange information for patient care (including coordination of care), risk adjustment, quality reporting, identifying that requested services are necessary and appropriate (e.g. should be covered by the payer) and other uses that may be documented as part of this effort. Clinical data payloads will include C-CDA, C-CDA on FHIR, compositions, bundles, specific resources, and bulk data exchange. This list is intended to be illustrative and not prescriptive. | Oncology | |
| Integration of health information exchange (HIE) data with the Cerner electronic health record (EHR) | Our software application (the "App") integrates selected information from the Indiana Health Information Exchange's clinical data repository—the Indiana Network for Patient Care (INPC)—with the Cerner EHR system at Indiana University Health (IUH) Methodist. The App allows clinicians in the emergency department at IUH Methodist to view health information about their patients from outside of the IUH system. The App is currently implemented for the conditions of chest pain, abdominal pain, arrhythmia, dyspnea, pregnancy, back/flank pain, and weakness/dizziness/headache. The App is integrated with the Cerner EHR in such a way that most users do not realize they are interacting with an external application. A basic demonstration of the App (limited to the chief complaint of chest pain) is available at https://gallery.smarthealthit.org/app/chest-pain-application. The App is supported by a collaboration among the Regenstrief Institute (informatics research), the Indiana Health Information Exchange (health information exchange), and IU Health (clinical care). | EHR, EHR Integration, Emergency Medicine, FHIR, HIE | |
| Referral loop closure and EMR/EHR Interoperability | HealthViewX has executed credible projects with healthcare facilities (Imaging Centers, FQHC’s, Specialty clinics, & Large Hospitals) across the USA to reduce care fragmentation & to improve the quality of referrals & transitions through our patient referral solution. Features: Streamlines referral workflow, Referral insights, & analytics, secure referral communication, Patient coordination framework, Automated insurance pre-authorization, Specialist smart search, Referral timeline view, & communication, Scheduler integration. Benefits: Increased operational efficiency, improved completion rates/referral loop closure, better care coordination, & patient outcomes, increased revenue. Interoperability, streamlined referral workflows, patient referrals, referral loop closure, secure messaging, referral completion rates, care coordination, increased revenue, referral dashboard & analytics, scheduler integration, specialist smart search, meaningful use, EHR/EMR integration, transitions of care | ACO, Bi-directional Direct Referrals, Hospitals, interoperability, patient care, Patient Engagement, patient referrals, Referrals, Referral_Management, Care Coordination, Carequality, closed loop referral workflows, community clinics, Enterprise Hospitals, Expected Outcomes: • Improve referrals and follow-up for diabetic patients requiring an annual eye exam • Improve quality measu, FQHC, Health Systems | |
| EMDI- Electromed Inc. Interoperability Pilot | Organization: Electromed Inc. POC: Kathryn Thompson, Vice President Reimbursement; Stephanie LaBelle; Pilot Goal: Electromed would like to allow for ease of their providers in getting their medical documentation without having to fax for billing purposes and meeting appropriate billing criteria. | DME, EMDI, interoperability, DMEPOS | |
| Redox Integration Platform and Interoperability Network | Redox provides a scalable integration platform and interoperability network that simplifies the way healthcare organizations and innovative technology companies exchange data. Provider organizations and technology vendors connect once and authorize the data they send and receive across the most extensive interoperable network in healthcare. Learn more at www.redoxengine.com. | API, DIRECT, Direct Interoperability, EHR Integration, FHIR, HIE, HL7, interoperability, Interoperability, Payer | |
| iNavigator | The iNavigator platform allows for the discovery of interoperability solutions, use cases, case studies, vendors, standards, regulations and more. iNavigator offers a curated index, a single place to discover information, assets, and even APIs. It allows the user to get detailed information on a healthcare technology, or even to understand how a local HIE can meet the needs of the community. It prevents the time and cost associated with cross-referencing multiple resources and trying to interpret different information and options. iNavigator is allowing for the discovery of information across interoperability stakeholders: medical societies, HIEs, academia, vendors, service providers, non-profits/industry alliances, payers, accreditation agencies, etc. Each industry segment is composed of a large number of companies, each contributing to interoperability. iNavigator will provide the interoperability bridge and incentives to make that information discoverable. | APIs, curated index, discover, HIE, interoperability, Service Catalog, Use Case Catalog | |
| Veradigm 30 Day Medication Reconciliation Post Discharge (MRP) use case via Da Vinci project | Veradigm is currently developing a Data Exchange for Quality Metrics (DEQM) initiative for 30 Day Medication Reconciliation Post Discharge (MRP) based on the Da Vinci Use case implementation guide and industry standards. They are partnering with a national health plan in support of HEDIS reporting requirements. The Veradigm MRP use case will enable health plans to access quality measures data required by HEDIS for medication reconciliations completed within 30 days of patient hospital discharge. FHIR allows capture of relevant codes from provider EHRs for verification of completion. Veradigm intends to expand to additional quality measures per Da Vinci project development of implementation guides and reference architectures. | EHR, FHIR, HL7, "Da Vinci Project”, DEQM, MRP, HEDIS, Veradigm, Value-based Care, Quality Measures | |
| eLTSS FHIR Reference Implementation Guide - Altarum Institute | The eLTSS (Electronic Long-Term Services and Supports) initiative is a CMS-ONC partnership. Pilots in the initiative will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Altarum Institute is a nonprofit research and consulting organization that creates and implements solutions to advance health among vulnerable and publicly insured populations. Altarum Institute developed an eLTSS FHIR reference implementation guide to provide a testing ground for applications to request eLTSS compliant data or to validate eLTSS compliant FHIR bundles. | Altarum Institute, API, HL7, Interoperability, JSON, ONC, Service Plan, VONK, XML, Altarum, Care Coordination, care plan, CMS, EHR, eLTSS, FHIR, HAPI, HIE | |
| Da Vinci Notifications | The Notification Implementation Guide will support the real-time unsolicited exchange of notificationss that impact patient care and value based or risk based services. The first scenario that will be defined is to represent admissions and discharges events to support the CMS proposed rule requirement. This represents an unsolicited notification Note that Argonaut is doing work on Subscription which would allow for a Solicited Notification | admission, Admit, Notifications, Push Notifications, Value-based Care, ADT Notifications, DaVinci, DaVinci Project, Discharge, EHR, FHIR, FHIR Messaging, HL7 | |
| DaVinci Prior Authorization Support (PAS) | Define FHIR based services to enable provider, at point of service, to request authorization (including all necessary clinical information to support the request) and receive immediate authorization. | Da Vinci Project, FHIR, HL7, Prior Authorizations, Provider-to-Payer, Value-based Care | |
| Da Vinci Payer Data Exchange Formulary (PDEX Formulary) | This FHIR based Implementation Guide was developed by the Da Vinci Project in coordination with the HL7 Financial Management Workgroup. This guide defines a FHIR interface to a health insurer's drug formulary information for patients/consumers. A drug formulary is a list of brand-name and generic prescription drugs a health insurer agrees to pay for, at least partially, as part of health insurance coverage. Drug formularies are developed based on the efficacy, safety and cost of drugs. The primary use cases for this FHIR interface enable consumers/patients to understand the costs and alternatives for drugs that have been prescribed, and to compare their drug costs across different insurance plans. Noted by CMS: https://www.cms.gov/Regulations-and-Guidance/Guidance/Interoperability/index | Da Vinci Project, FHIR, Formulary, HL7, Payer-to-Provider | |
| Da Vinci Payer Data Exchange(PDex) Plan Net Directory | This FHIR based Implementation Guide was developed by the Da Vinci Project in coordination with the HL7 Financial Management Workgroup. This guide covers the requirements and profiles required to enable health plans to publish Healthcare and Pharmacy network information to members via API. Noted by CMS: https://www.cms.gov/Regulations-and-Guidance/Guidance/Interoperability/index | Da Vinci Project, directory, FHIR, Health Provider Directory, HL7, Payer-to-Provider, provider directory | |
| Da Vinci Payer Coverage Decision Exchange | This FHIR based Implementation Guide was developed by the Da Vinci Project in coordination with the HL7 Financial Management Workgroup. This guide defines the exchange of specific coverage/treatment decisions from one payer to another payer to allow for continued coverage of specific treatments without needing to repeat the review and authorization process. The decisions may be based on commercial guidelines that can be uniquely referenced or based on specific payer rules (if and when available and defined in a structured, rules-based manner, without a proprietary payer's evaluation process). This guides supports the exchange of the supporting documentation used to validate the necessity for coverage of specific treatments This work builds on the Payer Data Exchange (PDex) Implementation Guide to define patient driven/authorized exchange methods to meet the anticipated requirements for coverage portability. | Da Vinci Project, FHIR, HL7, Payer, Payer-to-Payer | |
| Da Vinci Risk Based Contract Member Identification | This FHIR based Implementation Guide was developed by the Da Vinci Project in coordination with the HL7 Financial Management Workgroup. The goal of this guide is to enable Payers and Providers to exchange information that identifies members of a patient population associated with a particular risk-based contract. Can be used in conjunction with DEQM IG Gaps in Care Operation http://hl7.org/fhir/us/davinci-deqm/history.html | attribution, Da Vinci Project, EHR, FHIR, HL7, Payer, Payer-to-Provider, Providers | |
| MI Health Link Care Plan C-CDA - Altarum Institute | Michigan was selected by CMS as one of fifteen states to be awarded a contract for the development of an integrated care plan for individuals who are dually eligible for Medicare and Medicaid. The goal of the demonstration is to improve quality and access to care by more effectively aligning the two programs and bridging the divide between the physical health, long term care, and behavioral health systems. Altarum Institute is a nonprofit research and consulting organization that creates and implements solutions to advance health among vulnerable and publicly insured populations. Altarum developed a care plan consolidated-clinical document architecture (C-CDA) supplemental implementation guide, a complimentary CDA rendering App for care teams to customize the view of the care plan, and a C-CDA validator tool automating conformance checking. | Altarum, C-CDA, ONC, Service Plan, XML, Altarum Institute, Care Coordination, care plan, CMS, EHR, HIE, HL7, interoperability, Michigan | |
| The SANER Project | The Situation Awareness for Novel Epidemic Response Project a.k.a, the SANER Project was launched by Audacious Inquiry in response to concerns from public health departments, health information exchanges supporting public health, and inquiries from public health officials at the regional, state and Federal level in the US. It is the technical part of a multi-pronged effort to develop a workable, quickly deployable, national approach for situational awareness. The initial short-term goals of this are three fold: * Quickly develop a specification that will support communication of essential situation awareness data for consumption by public health. * Test the ability of systems to use this specification. * Pilot test systems implementing the specification in real world settings. Longer term goals include evolving this specification as a balloted HL7 FHIR Implementation Guide, and further adapting, testing, and piloting it to meet the growing needs of public health as the current crisis evolves. But at the outset, this is not a standards development project. Rather it is a software development project that is looking to deploy a solution rapidly in the midst of a crisis. | BEDS, COVID-19, UTILIZATION, Ventilators | |
| Hospital and healthcare resource surge surveillance system | Collective Medical, Juvare and PatientPing have developed a program to help federal and statewide agencies understand hospital bed availability and resource trends to more effectively provide and coordinate a response. This system can be used to support the management of the COVID-19 pandemic immediately, but has been designed to support responses to future pandemics and natural disasters. The system includes an interactive analytics dashboard using hospital-sourced quantitative and qualitative information coupled with real-time information from the majority (approximately >85% of acute care volume) of hospitals to provide aggregated views at the national, statewide, regional and individual facility level. Beginning with a baseline near real-time bed availability, we leverage this real-time encounter information to visually provide ongoing real-time insight into the following metrics: total number of available beds (by unit); hospital admissions; hospital discharges; average IP LOS; average ED LOS; hospitals on diversion; number of diagnoses of interest; staff/supply shortages. All metrics can be trended over time and can be displayed at the national, statewide, regional or individual facility level. Epidemiologic transmission models suggest that voluntary quarantine, social distancing, and closure of public services and many private businesses serve to flatten the infection curve. Front and center is concern for the overburdening of our finite healthcare resources if they are overwhelmed by a preponderance of simultaneously infected and acutely symptomatic patients. The nationwide hospital and healthcare resource surge surveillance system will permit adaptive interventions. Expected outcomes include: Reduced mortality and morbidity rate for COVID-19 (and future pandemics) patients; reduced mortality rate for non-COVID-19 patients presenting to overwhelmed hospitals; reduced unnecessary economic burden; enhanced resource management; reduced provider strain. | ADT, Carequality, US Core Data for Interoperability, CDA, CommonWell, COVID-19, FHIR Messaging, HITRUST; DTSU, HL7 V2, ICD-10, LOINC | |
| Rene Health - Comprehensive travel insurance, telemedicine and wellness | Rene is an AI-powered app designed to keeps travelers safe and healthy on their journeys by providing tailored travel insurance, wellness programs and telemedicine services, allowing users to seamlessly access medical services around the globe. | APIs, COVID-19, insurance, telehealth | |
| Family Proud | Family Proud is a software solution that connects patients and caretakers with a community and resources critical for their care, all on one easy-to-use, secure, platform. Back end analytics and data that allow for increased patient and family engagement, custom reports on resource alignment, population health metrics and recommendations. | Care Coordination, Communication, Community, consumer engagement, COVID-19, Patient Engagement, Population Health Management | |
| Video Nudges for Covid19 Self-Care MotiSpark | MotiSpark is currently working with providers to define and distribute essential information and mental health support for patients and their families coping with Covid19 through SMS-based video nudges in English and Spanish. The short-format videos are accessible on any mobile device and provide easy-to-understand instructions that help answer basic self-care questions to pre-empt unnecessary calls to providers. The platform also invites patients to set-up personalized coping plans through a delightful, motivational experience that has shown success in helping Chronic Care Management patients in multiple states. In addition, providers can upload one set of video greeting that can be dynamically inserted into nudges that go to all of their patients. See https://www.motispark.com/programs and www.motispark.com/seniors | Community Mental Health, COVID-19, Education, Mental Health, Patient Engagement, reduce readmissions, video | |
| JOY MD™ Publishes Online Directory of Telemedicine Providers | JOY MD™ has published an online directory of telemedicine platforms that provide consumers an option to see a doctor online in order to help alleviate the volume our current healthcare facilities are seeing during COVID-19. Some platforms are also offering free self-assessments for Coronavirus (COVID-19) as will as low cost options to see a doctor online. | COVID-19, telehealth, telemedicine | |
| Replete® - Take Control of Your Health Today | Replete® doctor patient communication platform includes direct messaging between the doctor and patient, virtual triage, virtual appointment scheduling, telehealth visits, broadcast messaging to whole patient populations etc. Replete® patient app includes pre-screening questionnaire for patients to fill, helping their providers to triage patients based on risk. Our offering is completely free. Let’s work together to flatten the curve of COVID19. | Active Care Relationship Service, Artificial Intelligence, CommonWell, COVID-19, HIE; EHR; Emergency Medicine; FHIR; EHR integration, patient care, Patient Data, Patient Engagement, telehealth, telemedicine | |
| Hardwiring Transitions of Care: Leverage AI to Predict COVIC19 Patient Outcomes | "Failed hand-offs are a longstanding, common problem in health care” (The Joint Commission, Sentinel Event Alert, Issue 58, September 2017) and arise primarily due to communication failures between healthcare workers. Given that healthcare workers at the front lines of COVID19 are bearing disproportionate burden - higher proportion of nurses and physicians are experiencing symptoms of depression, anxiety, insomnia, and distress (https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2763229), the chances of patient handoff failures are higher during this pandemic. We are working with hospitals to hard wire patient handoffs, transfers, rounding between nurses and doctors. Our software solution, Caringly, integrates with hospital EMR - ingests patient clinical data as HL7 messages, transforms them into FHIR and runs our proprietary Rules Engine to prioritize data for information exchange between the handoff sender and the handoff receiver. Caringly hardwires the patient handoff process making it resilient to potential points of failure arising from mental health status of the sender and receiver or distractions. Our Rues Engine algorithms employ AI based tools to anticipate outcomes and safety events in COVID19 patients before they occur and alert nurses and physicians. | Analytics, API, Patient Discharge, Patient Handoff, Patient Handover, Patient Report, Patient Rounding, Patient Transfer, Rounding, Transitions of Care, Caringly, Artificial Intelligence, EHR, EHR Integration, FHIR, HAPI, HL7, Interoperability, Machine Learning | |
| Navimize COVID-19 Solutions | Navimize now offers the following solutions: 1.QUEUE MANAGEMENT FOR DRIVE-THROUGH TESTING: Provides crowd control at test sites by automating queues and real-time texting to patients when to arrive at testing site. 2.WAITING ROOM SOCIAL DISTANCING: Eliminates waiting room crowding by notifying patients of exact arrival time so they can go straight to an exam room. 3. COVID-19 TRIAGE*: Cuts down on need for phone based or in person triage by using an automated decision tree for COVID-19 symptoms. *in beta | Clinical Decision Support (CDS), COVID-19, Patient Engagement, workflow redesign | |
| STANFORD - MAPPING COVID-19 RESULTS (on-going project) | Stanford has begun to use Care Everywhere - Happy Together advanced mapping tools to map relevant external COVID-19 Lab Results across the country. The advanced mapping allows for organizations to identify covid-19 external results positive or negative within their native system to trigger Clinical Decision Support tools, Patient Banner Flags, Registry Metrics and other tools like Results Review with the Epic EHR. | COVID-19, EHR, Lab Results | |
| COVID-19 Knowledge Accelerator | COVID-19 Knowledge Accelerator is a identifying research results related to COVID-19 in humans and clinical outcomes (the evidence to inform prediction and intervention decisions), expressing the evidence and statistics in a FHIR-based standard for computable expression, and facilitating the collaboration of systematic reviewers to more quickly identify, evaluate and synthesize evidence to inform management of COVID-19 related healthcare decisions. | Clinical Research, COVID-19, FHIR, Patient-Centered Outcomes Research, evidence-based medicine, EBM, systematic review, statistics, prediction | |
| eHealth Exchange connects to PULSE-COVID | The eHealth Exchange, the nationwide health information network, has on-boarded PULSE-COVID, an adaptation of Patient Unified Lookup System for Emergencies (PULSE) for public health and clinician access. PULSE is a health IT disaster response platform, which was deployed during the response to the California wild fires of 2017, 2018, and 2019. Developed by Audacious Inquiry and an initiative of The Sequoia Project, the modified PULSE-COVID allows verified users (e.g., public health authorities and clinical providers) to find and view electronic patient health and medication histories from across the eHealth Exchange network, which includes more than 60 regional and state health information exchanges and 75 percent of all hospitals in the U.S. With a simple search on PULSE-COVID, users can access and view clinical care documents including medications, allergies, diagnoses, lab results, and other relevant information to augment clinical care, identify patient comorbidities, and fill in gaps related to patient health or demographic characteristics. Users can also use PULSE-COVID to access clinical histories for patients in non-routine care settings such as quarantine centers and other alternate care sites. | COVID-19, eHealth Exchange, Nationwide Network, Public Health, PULSE, Sequoia Project | |
| eHealth Exchange: electronic Case Reporting (eCR) Use Case | The eHealth Exchange, the nationwide health information network, supports electronic case reporting, such as COVID-19, for its network participants. This enables automated generation and transmission of case reports to public health agencies. | COVID-19, eHealth Exchange, Nationwide Network, Public Health, Use Case, Case Reporting | |
| OneRecord | Meet OneRecord! The only consumer-facing application that enables the user to access and aggregate their medical records and healthcare data via a combination of IHE XCA/XCPD and FHIR transactions through secure, standards-based APIs. OneRecord is the ONLY consumer application live on CareQuality and Commonwell Networks and is actively working with stakeholders within the Networks to develop a plan for COVID. OneRecord is connected to Epic, Cerner, Meditech, eCW, Athena, CPSI/Evident, Medhost, and more vendors via FHIR APIs. Enable OneRecord today to help fight COVID 19 through consumer - consented exchange. | Carequality, CCDA, CommonWell, Consent, COVID-19, FHIR, HIPAA, HL7, IHE, Patient Engagement | |
| COVID Notifications for Public Health Tracking and Tracing | Description Public Health departments across the country have aggressively sought to both track utilization as well as obtain the clinical history of known COVID-19 patients. Using Ai’s ENS®, the Louisiana Hospital Association has worked closely with the Louisiana Department of Health to upload panels of known COVID-19 patients and have begun a series of alerts and reports to perform a number of critical activities to stem the outbreak - Understand Healthcare Utilization once diagnosed o ER visits, IP Admission and Discharge events o Active Census – Daily report of currently admitted patients - Disease Investigation and Clinical Case Augmentation o 90-day utilization history, including Admission and Discharge Diagnoses o Contact Tracing Investigations o Epidemiological Assessments | COVID-19, HIE, HL7, interoperability | |
| COVID-19 High Risk and Travel Analysis | Using claims, clinical and patient-generated data, algorithms generate the high risk, medication adherence and travel tracking. Consumers complete COVID-19 and social determinants health screenings that is combined with claims and clinical data. | ||
| MDcovid - patients with Covid-19 share their DNA with researchers | It is a crowdsourcing initiative: Patients with severe, mild or no symptoms of COVID-19 are able to upload their genetic data from 23andMe, Ancestry, FamilyTreeDNA, LivingDNA, MyHeritage, HomeDNA or from other sources. The goal is to compare the DNA of people who have serious cases of COVID-19 with those with mild or no symptoms. | Clinical Genomics, COVID-19, crowdsourcing, Patient Engagement | |
| Remote Elderly Home Care via Privacy Preserving Surveillance | COVID19 isolated at home many of us, including our elderly parents and grandparents. Not being able to check on them regularly elevates the risks that they are exposed to such as falls, gas leaks, flooding, fire and others. Ambianic.ai is an end-to-end Open Source Ambient Intelligence project that removes the stigma associated with surveillance systems by implementing privacy preserving algorithms in three critical layers: Peer-to-Peer Remote access Local device AI inference and training Local data storage Ambianic.ai observes a target environment and alerts users for events of interest. Data us only available to homeowners and their family. User data is never sent to any third party cloud servers. Here is a blog post that goes into the reasons why we started this project: https://blog.ambianic.ai/2020/02/05/pnp.html And here is a technical deep dive article published in WebRTCHacks. It clarifies that it is absolutely possible to build a privacy preserving surveillance system, despite popular cloud vendors making us believe that all user data belongs safely on their cloud servers: https://webrtchacks.com/private-home-surveillance-with-the-webrtc-datachannel/ | Active Care Relationship Service, COVID-19, HIE, Privacy, Remote Patient Monitoring | |
| Qventus Patient Flow Automation Platform | Qventus automates patient flow for leading hospitals and health systems. Integrating with EHRs, Qventus combines AI, behavioral science, and data science to predict operational issues before they occur, orchestrate actions among frontline teams and ancillaries, and manage accountability to drive continuous improvement. Qventus is currently partnering with health systems to help them address the challenges of COVID-19 and its subsequent impact by predicting COVID-19 admits, mitigating critical resource shortages, and driving continued focus on discharge optimization to prepare for future surges. | Artificial Intelligence, Behavioral Science, Patient Flow, COVID-19, Data Science, Discharge, EHR, HL7, interoperability, Machine Learning, Operations Management | |
| Pharmacists Combatting COVID-19 | DocStation launched a COVID-19 risk assessment that uses medical claims data on FHIR to target patients at high-risk for COVID-related illness. Pharmacists perform risk assessments to determine if patients are symptomatic and provide education on self-monitoring and social distancing. Pharmacists identifying patients who are symptomatic are encouraged to follow-up and monitor for symptom progression and assist with care coordination. | "Da Vinci Project”, APIs, COVID-19, DaVinci Project, FHIR, Pharmacist, Pharmacy, EMTM, CMMI, DocStation | |
| Improved Disease Modeling Tools for Populations | The MIcro Simulation Tool (MIST) https://simtk.org/projects/mist is disease modeling software. The software allows advanced population modeling with a convenient user interface that allows easy, yet reliable modeling with the ability to use High Performance Computing and Evolutionary Computation. This is especially useful in cases where only summary data is available. MIST is already used as the engine behind the most validated diabetes cardiovascular model known worldwide. MIST was recently adapted to allow Infectious Disease modeling for pandemics like COVID-19. | AI/ML/NLP, COVID-19, Data Model | |
| A Library of Automatable Visual Guidlelines | A library of over 800 Automatable Visual Guidelines categorized by over 90 clinical problems hosted by Trisotech. Offers restful endpoints that are standardized using Open API and CDS Hooks. Leverages international open modeling notations standards like BPMN, CMMN and DMN,combined with FHIR and CQL. | AI, API, BPM+ (BPMN DMN CMMN), COVID-19, CQL, FHIR, HL7, Interoperability | |
| sars2pack: An open source COVID-19 package for R | The sars2pack R package includes data resources, workflows, and data science tools to understand and interpret the COVID-19 pandemic. Access to data resources is “real-time” to get the most up-to-date information. Use cases and introductory material are available in vignettes and in documentation. Use cases include exploratory data analysis of national and international pandemic cases, plotting, and interactive maps as well as tooling included with R to build dynamic dashboards and dynamic reports in Word, PDF, HTML formats. | Actionable Data, COVID-19, reporting, Rstats, R, COVID19, Data, Data Science, Open Source, Open-Source, pandemic, US Core Data for Interoperability, geospatial | |
| Michigan Health Information Network Shared Services (MiHIN) COVID-19 Response in Michigan | Michigan Health Information Network Shared Services (MiHIN) has been leading the way in various efforts surrounding the secure exchange of health information for a decade. Our focus has always been, and always will be, the residents of Michigan. With the COVID-19 pandemic, it has been our mission over the past several weeks to amplify our efforts in the best way possible to reduce burdens on our medical communities and lead statewide efforts to increase efficiency for sharing data, accessing data across care givers, and reduce burdens on physicians and those on the front line. Together, with Michigan Department of Health & Human Services, we have accomplished a great deal in a short amount of time. Each week, over 17 million messages and pieces of health information get passed through our system; Admission, Discharge, and Transfer notifications, lab results, are incorporated in the response to COVID-19, we have only continued to increase the ability to securely exchange critical, real-time, patient data. • MiHIN’s main priority is to utilize the key information that is flowing through the network to accomplish comprehensive use of the data. MiHIN has created reports that contain: Admissions to an Emergency Department for COVID and Non-COVID Discharges from an Emergency Department COVID and Non-COVID Admission In-Patient COVID and Non-COVID Discharge from In-Patient COVID and Non-COVID ICU Admission COVID and Non-COVID ICU Discharge COVID and Non-COVID The data is being used and analyzed in new ways to support the effort of cohesive care across teams. • MiHIN’s Active Care Relationship Service® (ACRS®) has been turned on for all hospitals across the state of Michigan; the file will also be routed back to the sender • In conjunction with the Lab Database, MiHIN is placing indicators on the ACRS files indicating a Covid-19 Positive, Negative, Indeterminant result, along with the date • MiHIN is routing all COVID-19 lab results to the State of Michigan | acrs, ADT, ADT Notifications, COVID-19, Discharge, Lab Results, telehealth, telemedicine | |
| Synthea | Synthea is an open-source synthetic patient data generator that can generate realistic-but-not-real synthetic data conformant with FHIR (R4, STU3, DSTU2), US Core IG, BB2.0, CCDA, and other formats. The data is free from any privacy and security restrictions. | CCDA, Data, EHR, FHIR, Open Source, Software, Synthetic, Testing, US Core Data for Interoperability | |
| COVID-19: Swift Response Solution, Medisafe’s Care Support Platform for Digital Drug Management | Medisafe, a leading digital therapeutics company providing digital drug companions for medication management is currently offering a Swift Response package, ready for rapid deployment, for Pharma, Specialty Pharmacies, and Hub services. The solution includes a digital drug companion and a quick launch version of the Care Connector, a patient engagement platform. The bundle enhances connectivity to patients in times of uncertainty, like now with the ongoing COVID-19 pandemic, offering personalized and proactive guidance, support and engagement around medication management. | COVID-19, interoperability, #DigitalTherapeutics, #SpecialtyPharma, #MedicationManagement, #PatientEngagementPlatform, #DigitalDrugManagement | |
| COVID-19 patient symptom survey with EHR and Device integration | Helping patients understand their COVID-19 risk through easy symptom tracking and information. Mobile app based survey and web based dashboard. HIPAA and GDPR compliant and available in 22 languages. | CEHRT, COVID-19, COVID19, Interoperability, Patient Engagement, Survey, Patient survey, Dashboard | |
| COVID Patient Monitoring and Contact Tracing | App: Developing a system where patients who have tested positive for COVID-19 can use a smartphone based application to submit their oral temperature as well as other symptoms. Dashboard: Healthcare providers have a dashboard to view these results to monitor their condition. Contact Tracing: We will collect contact information (name/phone/email) from COVID-19 positives of whom they have been in close contact with to follow up with them to determine if they should be screened for COVID-19. | COVID-19, Dashboard, Patient Mobile Application, contact tracing | |
| Tennessee COVID-19 Notifications for Public Health Tracking and Tracing | Using Audacious Inquiry’s Encounter Notification Service (ENS), branded as ConnecTN, the Tennessee Hospital Association (THA) has worked closely with the Tennessee Department of Health (TDH) to upload panels of confirmed COVID-19 patients to develop a series of alerts and reports to stem the outbreak. TDH is receiving both real-time and daily summary files to augment their COVID-19 response tracking. • Understand Healthcare Utilization once diagnosed o Real-time and daily summary inpatient and emergency department admission and discharge event notifications to track hospitalizations after initial diagnosis o Active Census showing which COVID-19 patients are currently in the ED, in the hospital, or have been recently discharged • Disease Investigation and Clinical Case Augmentation – 60-day prior events history including admit reason and diagnoses • Hospital Early Outbreak Detection Surveillance – Daily and historical reports monitoring trends of patients diagnosed with COVID-19 (using WHO and CDC interim ICD-10 codes) and other respiratory or influenza like illness (ILI) codes Project Points of Contact: David Rodriguez ([email protected]) and Bryan Metzger ([email protected]) | #COVID, COVID-19, HIE, HL7, Interoperability | |
| A COVID-19 Preparedness App to Enhance Front-line Interoperability by OCHIN/Epic | Created through a collaboration of OCHIN and Epic for the Washington Health Care Authority, the COVID-19 Preparedness App is a scalable, mobile solution for communities responding to the COVID-19 pandemic. This HIPAA-compliant tool empowers frontline health care workers to conduct emergency patient triage in the field that automatically becomes part of a patient’s medical record—closing existing interoperability gaps between providers at emergency pop-up care sites, labs, and public health agencies working to monitor community spread. It can also be utilized by citizen volunteers, expanding health care capacity in rural and underserved areas. This tool is being deployed in Washington state, where OCHIN has also helped to deploy four COVID-19 Assessment Centers to triage patients that are experiencing symptoms and/or have tested positive and need to be quarantined or admitted to an in-patient facility. This solution is scalable to any entities at the local or state level, and to other public health agencies to aid in patient triage. | #COVID, API, Scalable, App, Care Coordination, Care Transitions, Collaboration, EHR, Interoperability, mobile health, Rural | |
| Particle Health - Health data access via a simple API | Particle Health allows access to ~250M lives across the USA via a simple 2 step API. By passing in demographics Particle searches out and collects these records from over 25,000 facilities, delivering them in seconds. We are offering access to this API free for all COVID-19 projects, allowing for fast patient processing and triage. | C-CDA, COVID-19, EHR, FHIR, HIE, HL7, IHE, interoperability | |
| COVID Response App from Smile CDR | COVID Response app is an open-source COVID-19 Self-Assessment Tool using HAPI-FHIR as a FHIR server and Angular for front-end application. | #BetterGlobalHealth, Angular9, COVID-19, FHIR, HAPI, FHIRBall | |
| Orbita's COVID-19 Conversational Screening, Navigation and Monitoring Application | Orbita creates conversational chatbot and voice experiences tailored to the healthcare audience. When the COVID-19 outbreak began to gain steam, customers and the healthcare community alike were in need of a tool to supplement their front-line response. Orbita subsequently rolled out a free, clinically vetted screening tool that's designed to help organizations and employers support and screen patients concerned about the potentially deadly and highly contagious coronavirus (COVID-19). The tool can be used by health systems, employers and as a public health resource to screen, track and has the ability to proactively check-in, monitor and manage patients. The tool is already live and at large academic medical centers across the US, top telemedicine companies and large employers to help them manage their employee population. | COVID-19, COVID19, EHR Integration, HIE; EHR; Emergency Medicine; FHIR; EHR integration, interoperability | |
| FHIR R4 test sandbox from Smile CDR | This FHIR R4 test sandbox is available for organizations and individuals to gain some basic knowledge and experience using FHIR. A tutorial on using FHIR can be found here: https://smilecdr.com/docs/tutorial_and_tour/preamble_and_setup.html | #BetterGlobalHealth, C-CDA, FHIRBall, EHR Integration, FHIR, HAPI, HAPI FHIR, HHS ruling, HIE, HL7 V2, Interoperability | |
| Clinical Communications Suite Now - PatientKeeper, Inc. | To help healthcare providers treat more patients, more quickly, under surge conditions during the COVID-19 pandemic, PatientKeeper is delivering a hosted software solution that combines mobile anytime, anywhere access to patient data and secure messaging with care team members, via smartphones and tablets. PatientKeeper Clinical Communications Suite Now optimizes and integrates with MEDITECH® acute-care electronic health records systems that do not provide such native functionality. The offering is available on a six-month renewable contract for an affordable fixed fee, with a low-overhead implementation. | COVID-19, COVID19, direct secure messaging, EHR Integration, mobile health | |
| StayHome.app sharable COVID-19 tracking & info | StayHome (https://stayhome.app, https://project.stayhome.app) is a web-friendly mobile app developed by a UW/Seattle team, that supports people who want to find reliable information and resources, track symptoms and temperature, and record COVID-19 testing and results, and who may choose to share that information with public health agencies, their friends/family, or researchers. Users can access resources about COVID-19 even if you don’t have an account, create an account with minimal information to start tracking, and elect to share anonymous or identified information. | COVID-19, FHIR, HAPI, Patient Engagement, Patient Reported Outcomes | |
| Health Alerts COVID-19 Testing Locations Mapping & Self Assessments | Our solution allows the mapping of COVID-19 testing sites as well as to provide links to localized assessment tools (their guidance varies greatly by geographic location) and public health alerts bulletins from trustworthy sources including CDC, HHS, FDA, etc. AmericanEHR has produced numerous healthcare apps and websites for everyone from the CDC to the American College of Physicians. In light of everything going on, we made the call to establish a team to support healthcare workers and communities during this pandemic (our self-imposed version of the Defence Preparedness Act). With the right tool we can help reduce the burden on frontline healthcare workers. While we know that COVID-19 test sites are not readily available yet, they will be, and then it will be a monumental task to assess and prioritize everyone for testing. A presentation is available here: https://vimeo.com/402220493 The website is in live beta right now and we have a dozen volunteers collecting test location data from all over the US. Data will be imported into the platform in the first week of April. | API, COVID-19, COVID-19 Testing Location Dat, Health Alerts, Maps, Mobile Application, Patient Engagement, Public Health, Self-Assessments | |
| Indianapolis EMS and OpenMRS Collaboration | As the coronavirus pandemic progresses through Indiana, the traditional care system may be overwhelmed by the provision of care to people who have non COVID related urgent care concerns or who are at risk of or are actively dealing with non-emergent COVID-19 infections. Indianapolis EMS (IEMS) has proposed establishing “disaster field clinics” similar to urgent care clinics that will be designed to meet these needs. These settings will be established under the provenance of the public health department in collaboration with IEMS, with staffing to be coordinated and provided by their organization in conjunction with other designees. These clinical settings require a patient-level record system that can be deployed within these settings. IEMS has no current patient-level record system in the clinic setting at their disposal to meet this need. IEMS has evaluated multiple systems to provide this functionality within their time constraints and has proposed using OpenMRS as their patient record keeping solution. | EMR, EMS, frontline, OpenMRS, disaster field clinics | |
| COVID-19 Medical Brain | In response to the COVID-19 crisis, healthPrecision has launched a COVID-19 module, added to the library of best-practice modules powering its Medical Brain. The COVID-19 Medical Brain is an intelligent automated front-end triage and support tool to assist healthcare workers in complying with the Departments of Health and CDC guidelines for those healthcare workers who are exposed to COVID-19 patients. The COVID-19 Medical Brain is an automated triage tool that: - Integrates any available authorized data using HL7, FHIR, CCDs, etc. -Identifies employees suspected of potential COVID-19 infection -Connects suspected/ill employees with the right entities when diagnosis/intervention required - Intelligently assists employees comply with current DOH & CDC information & guidance - Maintains 24/7 monitoring and guidance to quarantined employees - Notifies the organization’s COVID-19 Clinical Command Center of employees at need for urgent medical attention, employees required to stay at home for self-isolation and monitoring, and employees failing to comply with DOH guidelines - Enables telehealth sessions when needed - Notifies authorities for diagnosis and follow up - Continues on-going critical support to the organization’s healthcare workers who need follow up and support due to coexisting high-risk medical conditions | #COVID, Artificial Intelligence, Clinical Decision Support (CDS), Machine Learning | |
| Phreesia Patient Intake to reduce COVID-19 exposure for patients and staff | Phreesia Patient Intake platform helps reduce COVID-19 exposure between patients and staff, deploying key features in as little as 2 days. 1) Reduce face-to-face interaction during registration: “Zero-Contact Intake” reduces face-to-face interactions to keep patients and staff safe during intake. Patients complete registration from their home, car or another personal space, using Phreesia Mobile. Staff manage the intake process from a remote location without needing to handle patients’ documentation. 2) Screen patients for COVID-19 risk factors: COVID-19 Screening Module automatically screens patients according to CDC guidelines for risk factors before their visit, alerting both patients and staff to the most appropriate action such as re-routing patients to sick and well visit care settings. 3) Automate intake for Telehealth: Intake for telehealth captures intake information ahead of each telehealth visit and facilitates the start of virtual sessions. 4) Prioritize outreach to the most vulnerable patients: Improve vulnerable patients’ access to care through targeted communications (emails/texts) that alert certain populations of their higher risk and encourages them to schedule an appointment - either via telemedicine or in-person, depending on their needs and the practices’ resources. Phreesia is integrated with 22+ PM/EMR systems including Epic, Cerner, Athenahealth, Allscripts and Greenway. Note, integration is not required for some COVID-19 related features. | COVID-19, FHIR, telehealth, HL7, HL7 V2, Intake, Integration, mobile health, Patient Data, Patient Engagement, Phreesia | |
| Service of tracking symptoms - SymptomMe | Know. Track. Share. Secure. Service SymptomMe simplifies a process of tracking symptoms of diseases. SymptomMe allows choosing symptoms you have and helps to identify the probability of your health condition. Service enables tracking symptoms for a long time and sharing this information with your doctor if you want it. You, as a client, can have visibility of changes in your health condition in time. We have developed the first release to make an elementary assessment if you have COVID-19. We continue our development and do our best to find a way to publish our application to the apple store and google play markets. We are looking for a partnership with medical institutions to extend the capabilities of our application, and with investors to accelerate development and reach the market. | #SymptomTracker | |
| CIEL COVID-19 Terminology Starter Set | The Columbia International eHealth Laboratory (CIEL) has been producing terminology for OpenMRS since 2006. Distributed through SQL files and now via the Open Concept Lab API, CIEL has been posting COVID-19 enhanced files since January 2020. The COVID-19 starter set is a list of interface terminology mapped to standard codes (ICD-10, SNOMED CT, LOINC, RxNORM, etc.) covering diagnoses, comorbidities, lab testing, treatments and observations necessary for screening, treatment, monitoring and reporting to the CDC, WHO, etc. New concepts have been added to support research and the bridge between clinical systems and research databases. | COVID19, EHR, ICD-10, interoperability, LOINC, SNOMED, Terminology | |
| A COVID-19 management system powered by Innovaccer | Currently deployed at Physicians of Southwest Washington, multiple state healthcare organizations, MercyOne PHSO, Sanitas Health, Elevate health among others, Innovaccer’s COVID-19 Management System is a solution that enables practices to more easily manage and screen high volumes of patients efficiently. It is a HIPAA compliant, multi-platform and robust solution designed to support our healthcare professionals in the time of this pandemic. COVID-19 Management System for health systems, governments and health organizations provides immediate assistance to fight the pandemic by using remote assessments, monitoring, education, outreach, and treatment based on the Centers for Disease Control and Prevention (CDC) guidelines. 1.)The COVID-19 Management System is designed to help medical practitioners by providing the following capabilities: 2.)Conducts COVID-19 screening assessments within minutes, remotely and with ease. 3.)Automates outreach of helpful CDC guidelines to patients. 4.)Auto-fills completion of CDC’s Person Under Investigation (PUI) form to reduce the clinician’s documentation burden 5.)Identifies high-risk patients and report to state agencies using this PUI form to administer necessary actions 6.)A HIPAA-compliant video communication platform that enables two-way communication between physician and patient 7.)HIPAA compliant SMS capabilities that allow our users to send text messages from within our application to anywhere in the US 8.)End-to-end data encryption within our application 9.)Secure messaging to transmit data such as the PUI forms to state authorities | #BetterGlobalHealth, #COVID, #healthcare, #healthcareIT, #PatientEngagementPlatform, #Research, COVID, COVID-19, COVID-19 Testing Location Dat, HIPAA | 04/01/2025 |
| Rhinogram's Telehealth Helps Flatten the Curve of COVID-19 | Rhinogram’s HIPAA-compliant telehealth platform helps help flatten the curve of COVID-19 by managing physician-patient interactions without physical contact – complying with federal and state health department advisories to have high-risk patients remain at home. Rhinogram integrates with a practice’s EHR system and offers the ability to conduct virtual consults so practices can securely engage with patients via two-way texting at any time from their mobile device. This includes remote consults, answering clinical questions, paying for treatment, retrieving medical records, refilling prescriptions and more. Rhinogram has waived all setup fees during the pandemic. | #PatientEngagementPlatform, HIE, HL7, interoperability, patient care, Patient Engagement, telehealth, telemedicine, Virtual Care | |
| Enli COVID-19 Patient Monitoring - deployed in 25 metro areas across 15 states | Enli’s COVID-19 care coordination solution is a cloud-based patient tracking program for healthcare providers and payers. Workflow and task support enable teams to record, manage, and monitor patients under investigation or diagnosed with coronavirus. Suspected or confirmed cases can be imported from any data source or added manually. During import, the patient profile can be augmented with comorbidities and other risk factors defined by the CDC. Once processed, patients are sent to the COVID-19 program worklist for active management by the care team. Risk factors are automatically assessed so care coordinators can filter to prioritize outreach. Patients can be assigned to specific care team members that are most suited for job, supporting top-of-license work. The tool includes tasks that are based on CDC and WHO COVID-19 guidelines, including check-ins, self-isolation, and assessments for symptomatic and high-risk individuals. The care plan can be tailored for specific patients based on clinical and non-clinical factors that are accessible within the tool. Contact patients using an integrated texting service or patient-member portals. All data can be easily exported to other HIT systems for processing, reporting, and storage. Key Features: • Leverages Enli’s industry-leading cloud-based Central Worklist application with COVID-19-specific configuration. • Translates current CDC and WHO guidance on self-isolation at home into care team decision support. • Allows clinical users to assess symptomatic and high-risk individuals to determine if self-isolation is safe and practical. • Facilitates periodic care coordination check-in calls to detect symptomatic deterioration and possible need for in-person care. • Incorporates CDC guidance on when to discharge patients from self-isolation. • Supports importing patient lists from any data source. Also supports manual data entry from the frontlines including urgent care centers and temporary hospital facilities. | #COVID, #COVID-19 Patient Monitoring, Care Coordination, Care Coordination with COVID-19 Extenaion, CDC COVID-19 Guidelines, COVID-19 | 04/01/2025 |
| Patientory's COVID-19 tracking, reporting and rapid diagnostic kit | Patientory is a global population health management software that gives users access to actionable insights from their health data. Patientory provides a real-time COVID-19 patient tracking and reporting tool which evaluates users’ current health condition with a self-inspection quiz and diagnostic testing kit equipped with diagnostic care treatment plan to share with telehealth providers. The mobile app also alerts users prior to entering COVID-19 hot spots. | #BetterGlobalHealth, #COVID-19 Patient Monitoring, #healthcareIT, Health Alerts, health records | |
| Bridge Connector Data Integrations for COVID-19 Responders | Bridge Connector is offering rapid deployment system integrations for COVID-19 use cases free of charge for six months. Given the dynamic nature of the virus and far-reaching impact, ending further spread will require system-wide collaboration that enables front-line responders to communicate effectively. The free, pre-configured system integrations will help response teams, call centers and care teams more effectively communicate and manage patient data and streamline communications for a more efficient treatment process. | COVID-19, EHR Integration, HIE; EHR; Emergency Medicine; FHIR; EHR integration, Integration, interoperability | |
| i2i Population Health: COVID-19 Toolkit for Health Centers Nationwide | i2i Population Health, founded in 2000, delivers next generation population health management (PHM) tools to provider organizations nationwide. i2i provides dynamic software solutions that enable providers to extract and aggregate patient information directly from disparate systems in near real time. i2i has developed a comprehensive COVID-19 toolkit to support the heroic efforts of healthcare providers during this pandemic. Starting March 18th, i2i released a COVID-19 Toolkit to 200+ customer i2iTracks® databases. This toolkit provided organizations with actionable reports that helped to identify at-risk populations, monitor screening tests performed/results, and track Coronavirus cases. In addition, this solution allows health centers to engage with patients through text, email, or other communication channels. This allows providers to safely engage with patients without a face-to-face meeting. | #COVID, #COVID-19 Patient Monitoring, #healthcareIT, #PatientEngagementPlatform, Care Transitions, COVID-19, digital transformation, EHR, Innovation | |
| A standards-based, plug-and-play interoperability and analytics platform: HealthConcourse | HealthConcourse is a digital health platform that links data consumers (mobile apps, portals, analytics) to fragmented and unstandardized data providers. HealthConcourse provides 4 primary functions: 1. Data ingestion and standardization: HealthConcourse aggregates data (including free text) from multiple sources, maps and transforms the data to FHIR and normalizes terminology bindings and identities (e.g., patient identities). 2. Knowledge management: HealthConcourse brokers the registration, discovery and execution of 3rd party knowledge services (e.g., clinical decision support algorithms) against available FHIR resources. Any computable algorithm encapsulated as as a microservice with a CDS-Hooks interface can be added into our plug-and-play knowledge layer. 3. Business process automation: HealthConcourse can import and run BPM+ models describing clinical practice guidelines and other clinical workflows. Our BPM+ discovery process identifies and delivers contextually aware data and decision support to the appropriate activities within in a BPM+ model. 4. Secure data syndication: HealthConcourse exposes FHIR APIs, supports bulk data transfer, participates in event driven pub/sub communications and provides data extracts for analytics. The HealthConcourse platform provides an interoperability chassis that enables the 4 primary functions and provides orchestration and cohesion for a plug-and-play framework of health-related microservices. These microservices provide beneficial capabilities including terminology services, mapping and transformation services, NLP services, identity services, analytics services, consent and privacy services, validation services, security services and others. HealthConcourse is cloud native yet containerized with OpenShift for deployment onto any modern cloud platform. HealthConcourse can be used to load COVID-19 patient data sets and test/validate COVID-19 decision support, analytics and practice guidelines. | #COVID, AI/ML/NLP, Health Analytics, Digital Health Platform, Terminology, HealthIT, API, BPM+ (BPMN DMN CMMN), CDS Hooks, Clinical Decision Support (CDS), COVID-19, CQL, FHIR, interoperability | |
| COVID-19 Interoperability Alliance | The COVID-19 Interoperability Alliance is a collaborative effort between healthcare industry stakeholders to provide a collection of value sets for clinical, demographic, and administrative concepts relating to the COVID-19 pandemic. Our objective is to provide these resources, free of charge, to anyone in the healthcare community that can leverage them to identify, understand, and monitor COVID-19 information patterns. Resources currently include: *Value sets containing COVID-19 related codes released from Standard Development Orgaizations such as SNOMED International, LOINC etc. *Value sets supporting Logica COVID FHIR IG (https://covid-19-ig.logicahealth.org/index.html) | Clinical Architecture, COVID-19, FHIR, Semantic Interoperability, Symedical, Terminology, Value Sets | |
| Data Privacy Management System | PHEMI Systems is a strategic technology provider to the largest hospital network in western Canada. PHEMI Data Privacy Manager aggregates and safeguards data from millions of lab tests weekly, province-wide - including COVID data. PHEMI’s innovative software solves the urgent need to protect AND share the healthcare data used by analysts and decision-makers at the heart of the province’s highly-effective COVID response. PHEMI provides an NSA-grade privacy, security, governance, and data management system for Microsoft Azure. Healthcare organizations use Data Privacy Manager to secure, govern, curate, and control access to sensitive private data at scale. | #COVID, Analytics, COVID-19, Data Science, Governance, Health Analytics, HIE, Information Governance, Privacy, Security | |
| Smart Flag to identify patients associated with COVID-19 symptoms | PatientPing has added a COVID-19 Flag to its product suite. With access to the flag, providers across the continuum can now identify patients associated with COVID-19 symptoms in real time, and as they present, admit, discharge or transfer to facilities or organizations anywhere across our national network. The flag supports hospitals, post-acutes, ACOs, health plans and more adhere to quarantine protocols for affected COVID-19 patients, proactively coordinate support for incoming patients and patients transitioning home, prepare for COVID-19 patients entering their facility, and assess overall population health. About PatientPing PatientPing is a Boston-based care collaboration platform that reduces the cost of healthcare and improves patient outcomes by seamlessly connecting providers to coordinate patient care. The platform enables providers to collaborate on shared patients through a comprehensive suite of solutions and allows provider organizations, health plans, governments, individuals and the organizations supporting them to leverage this real-time data to reach their shared goals of improving the efficiency of our healthcare system. Over 6,000 hospitals, post-acute-care providers, ACOs, health plans and community physicians all use PatientPing to collaborate on patient care events across the healthcare continuum. PatientPing is recognized as a High Performing Emerging Healthcare IT company by KLAS® Research. For more information, please visit www.patientping.com. | #COVID-19 Patient Monitoring, ADT Notifications, Care Coordination, COVID-19, HL7, post-acute, #acute | |
| Comprehensive COVID-19 Anaytics | KPI Ninja has rapidly deployed a comprehensive COVID-19 analytics solution to support health care organizations and medical professionals to prevent and manage the epidemic spread. Current solution includes real-time dashboards, reports, and notifications for hospital bed occupancy/management, health care utilization/ADT, risk stratification, predictive analytics, a comprehensive lab analytics solution in partnership with 4medica and continued development related to tracking of PPE, medical equipment and targeted medications (anti-malarial, etc.). | #healthcareIT, Actionable Data, Analytics, C-CDA, COVID-19, EHR, FHIR, HIE, HL7, interoperability | |
| Free COVID-19 Consumer & Physician Text and EHR Alerts, TelaRep Service- OptimizeRx | OptimizeRx Corporation is leveraging its technology platform to offer timely and authoritative information sourced directly from the Centers for Disease Control and Prevention CDC, to help physicians and the public stay up-to date about the spread of the coronavirus (COVID-19) and provide guidance on what to do if affected. OptimizeRx has integrated the CDC COVID-19 alerts into its digital health network of leading electronic health record (EHR) providers nationwide to provide healthcare professionals (HCPs) with timely information within their workflow. Getting these CDC-sourced alerts during evaluation, helps HCPs better monitor the spread of the virus and facilitate timely treatment at the point of care. OptimizeRx has also launched a free interactive text message alert program available to the general public that delivers coronavirus (COVID-19) information issued by the Centers for Disease Control and Prevention (CDC) directly to any SMS-enabled mobile device. All you have to do is text VIRUS to 55150 to subscribe to the service. These new alerts both at the point of care and via SMS texts, will help medical professionals better monitor the pandemic and facilitate timely treatment, as well as help the American public stay safe and help stop the spread of coronavirus OptimizeRx also launched a TelaRep program in April. Through the Optimize platform, life science companies can digitally communicate with over half of the healthcare providers in the U.S. – even when providers are working remotely. | #COVID, #healthcareIT, #PatientEngagementPlatform, Alerts, EHR, EHR Integration, mobile health, Nationwide Network, Primary Care | |
| COVID-19 HomeHealth Virtual Assistant | A set of Alexa skill to support, monitor and trend patients data managing COVID91 symptoms from home. | #COVID-19 Patient Monitoring, #PatientEngagementPlatform, #SymptomTracker | |
| Mobile App for Cardiac Arrest, Stroke, Sepsis Decision Support and Documentation | To assist with the increase in cardiac arrest cases linked to COVID-19, Redivus Health is offering free use of its Code Blue mobile app to any healthcare professional or organization through July 1, 2020. The Code Blue app provides real-time clinical guidance and documentation when a patient's heart or breathing stops. Redivus Health is a physician-founded software company that exists to optimize patient safety during time-critical medical emergencies such as cardiac arrest, stroke and sepsis. We believe patients deserve safe and effective care, while healthcare providers deserve better support to treat life-threatening cases. | Clinical Decision Support (CDS), COVID-19, documentation, interoperability, cardiac arrest, code blue, sepsis, stroke | |
| HealthLX - Interoperability Platform and Accelerators for Payers and Providers | HealthLX is an interoperability platform that contains accelerators for 1) FHIR enablement for Payers needing to meet the CMS Interoperability and Patient Access final rule 2) Clinical Data Sharing requirements to support Payer and Provider needs 3) C-CDA document exchange capabilities across the healthcare industry. | "Da Vinci Project”, #COVID, Behavioral Health, C-CDA, clinical quality measures, CMS, FHIR, HEDIS, HL7, US Core Data for Interoperability | 12/31/2030 |
| EMDI- ChronicMOBILE, Inc. Interoperability Pilot | Organization: ChronicMOBILE, Inc. POC: Michael Golden Pilot Goal: To help steer and leverage an open, standards-based approach to receiving prescriptions for DME (similar to pharmaceuticals). | EMDI, FHIR, interoperability, Provider-to-Provider | |
| RAREwithCOVID | There are estimated to be over 300 million people living with one or more of over 6,000 identified rare diseases around the world. On the whole, rare disease patients are at higher risk of serious illness by the new coronavirus and will also have uniqueness as therapeutics are developed. The RAREwithCOVID registry is IRB approved and allows any patient with a rare disease to report if they have tested positive to COVID-19. The project is working with many patient advocacy groups to exchange data and welcomes request to collaborate with others interested in this rare disease population. | #COVID-19, #COVID-19 Patient Monitoring, #PatientEngagementPlatform, #RAREwithCOVID | 04/08/2025 |
| EMDI- NewWave Telecom & Technologies Inc. Interoperability Pilot | Organization: NewWave Telecom & Technologies Inc. POC: Vignesh Rajan, Tech Director; Aaron Seib, Senior Vice President, Informatics Pilot Goal: NewWave is committed to improving healthcare by making it easier for providers to benefit from the emerging FHIR standards being implemented across the country. When this pilot generates subjective measures of improved services used by providers and patients that can be shared with the boarder community, we will have accomplished an important component of our justification for participation in the EMDI project. We believe that we will learn a lot from the practical experience of this project and will be able to leverage our experience for work we have done in the past- like our FHIR related activities in relation to the BB 2.0 API. Ultimately, the true measure of our work on this project will be to have an active role in supporting CMS in accomplishing the goals of the EMDI project and being an active contributor to the growth of knowledge in implementing FHIR in practical real-world environments. | C-CDA, EHR, EMDI, FHIR, interoperability | |
| CliniComp's COVID-19 monitoring, surveillance, and tracking solutions | CliniComp, Intl.'s collaboration with long-time client Dallas VA Medical Center has resulted in the development of COVID-19 monitoring, surveillance, and tracking solutions to inform pandemic outbreaks and response management in large VA patient populations. The tools provided to VA hospitals pro bono include early warning dashboards, real-time alerts, reports and summary screens that visually show patients at severe and rising risk along with positive lab results. Forty-two VA hospitals nationwide are using the solutions to protect and care for these most vulnerable patients primarily in intensive care. Solutions also can be used in the ED, med-surg unit or other hospital patient care areas. Single screen and dashboard views display real-time COVID-19 patient surveillance data of individual VA hospitals and collectively across all VA participants. | #COVID-19, #COVID-19 Patient Monitoring, #healthcareIT, #SymptomTracker, #surveillance, #veteranaffairs, #hospitals #pandemic #patientpopulation | |
| ICAREHUB EXCHANGE | iCAREHub Exchange is a cloud based HIPAA compliant platform that enables hospitals, ACOs, physicians, nurses and other authorized users, to share a patient’s medical history using CCD Exchange technology, for providing efficiency in the care coordination process; and therefore, reducing the risk of human error in every patient care event. Moreover, our company is a strategic partner for CMS Connected Care. The iCAREHub, provides notification admission/discharge/transfer of care (ENS) to the Circle of Care providers. iCAREHub forms a strategic alliance with Primary Care doctors and with all the community members, that provide for an efficient coordinating care, across the health system. The iCAREHub presents (remote patient monitoring) alerts, to all of the Circle of Care providers and the Care Coordinator/Care Manager of the patients conditions, based on patient's chronicity. All by secure email connectivity, through the physician's EMR. TeleMedicine, chat and video, right to the patient's phone and is integrated with the iCAREHub to provide video calls with patients, providing support, supplying the most updated Medical information and now, nurses/care manager, are working as an extender to the primary care physician. Plus, chat messages can be sent to the primary physician and notifying of any alerts (reducing hospital readmissions). | #COVID-19 Patient Monitoring, #PatientEngagementPlatform, #Research, #surveillance, ACO, Care Coordination, patient referrals, telehealth, telemedicine, Virtual Care | |
| COVID-19 Community Resources | If you suspect that you are infected with SARS-CoV-2, the novel coronavirus that causes COVID-19, you can use the following protocols to determine if you should be tested. These recommendations are based on guidelines provided by the Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO), and state and local health departments. The CDC has a Self-Checker tool that individuals can use to help them determine if they need to seek testing for COVID-19. Are you severely ill? You should seek testing and treatment for COVID-19 immediately if you start to experience any of the following emergency warning signs: Trouble breathing Persistent pain or pressure in the chest New confusion or inability to arouse Bluish lips or face If you have other symptoms that are severe or concerning, you should also consult a medical provider immediately. However, if you are not experiencing severe symptoms, you may not need to get tested. The questions below will help you determine the necessity of testing for COVID-19. Have you been exposed to the coronavirus? Generally, exposure to the coronavirus comes from having close contact with an infected individual. Close contact includes the following: Living with someone who is sick with COVID-19 Caring for a person who is sick with COVID-19 Being within six feet of a sick person for 10 minutes or more Being in direct contact with secretions from a sick person via kissing, sharing utensils, being coughed on, etc. Recent travel to a coronavirus hotspot Do you have symptoms of coronavirus? If any of the above criteria apply to you, pay attention to whether you start displaying any symptoms of COVID-19. Based on current data, symptoms usually emerge 2-14 days after exposure to the disease. According to the World Health Organization, COVID-19 symptoms include: Fever Dry cough Tiredness Shortness of breath Aches and pains Sore throat Other symptoms that have been reported to occur include nausea, diarrhea, runny | #COVID-19 | 04/30/2025 |
| Coronavirus Testing for the Homeless | According to the CDC, homeless individuals who have COVID-19 symptoms should alert a service provider, such as a case manager, homeless shelter staff, or other care provider in their community. These staff members can assist the individual with assessing their symptoms, isolating, and receiving testing and medical attention as needed. If a homeless individual experiencing COVID-19 symptoms does not have access to a service provider or homeless shelter, an alternative is to visit a hospital emergency room or urgent care center. Where can homeless individuals get tested for COVID-19? Criteria for diagnostic testing is determined by state and local health departments and local healthcare providers. Service providers like case managers, homeless shelter staff, or social workers can connect homeless individuals with healthcare providers to determine their eligibility for testing, and arrange a COVID-19 diagnostic test, if necessary. The federal government has established programs to help uninsured individuals, including people experiencing homelessness, get tested for COVID-19. Additionally, some cities with significant homeless populations, such as San Francisco, are holding testing events specifically for people experiencing homelessness. | #COVID-19 | 04/30/2025 |
| COVID-19 - Paying for Coronavirus Testing Resource | Can you get tested for COVID-19 for free? In certain instances, yes. On occasion, some cities and states have been offering free COVID-19 testing to all individuals, regardless of their insurance status. In some places, such as Wisconsin, free testing has been ongoing, while other areas, like Seattle, San Francisco, and Denver offered free testing temporarily following protests in those cities. To find out if free testing is available in your area, contact your state or local health department for more information. Paying for COVID-19 testing When you make an appointment for a COVID-19 test, or go to a walk-up site, talk to your healthcare provider about how much the test costs, what your insurance will cover, what out-of-pocket costs you may have to pay during your visit, and what forms of payment they accept. Generally speaking, regardless of where you are tested, you should bring your personal ID and insurance card. You can also contact your insurance provider directly if you have questions about coverage for COVID-19 testing. In most cases, your healthcare provider will bill your insurance company directly for reimbursement for the cost of the test, but clarifying this with your insurance provider can help you avoid surprise bills after your test. | #COVID-19 | 04/30/2025 |
Completed Projects
| Project Name | Project Description | Tags | Projected End Date |
|---|---|---|---|
| Data Provenance - RAIN Live Oak Health Information Exchange and Telemedicine Network | Data Provenance is focusing on EHR to EHR transmission security and is still searching for a PHR to EHR pilot site. RAIN's main goals at this point will be to develop: 1) A reliable, secure method for "signing" data elements within a variety of document formats, allowing point of origin and author identity to be identified at a granular level. 2) A system for managing and verifying trust of provenance data across a distributed network spanning large geographic regions and varied EHR vendors. 3) Policies for including Data Provenance fields without compromising existing healthcare record documents standards and specifications, ensuring compatibility with existing systems. | DIRECT, DPROV, DS4P, ONC-led, C-CDA | 09/01/2016 |
| Data Access Framework (DAF) Pilot-PopMedNet | Lincoln Peak will work with ONC and participating PCORI CDRN representatives to extend and leverage the FHIR standards developed in DAF Phase 1 and 2 for use in accessing data from multiple organizations within PopMedNet. As the architects and developers of PopMedNet, the distributed research application used to power PCORI, LPP is in unique position to assist the project team in designing and implementing DAF FHIR standards. In general, LPP uses an agile approach to software development. As such, Lincoln Peak will focus on achieving a successful end-to-end test implementation of sending queries to FHIR enabled DataMarts as quickly as possible. This may result in an iterative approach in developing the capabilities declared in the initiative and/or re-prioritizing the order we execute them. Lincoln Peak is the technology company that developed PopMedNet and hosts and supports the PCORnet and FDA Sentinel Networks. Lincoln Peak also provide support to groups that operate their own PopMedNet instances. | CDRN, DAF, FHIR, ONC-led, PCORI, PCORnet | 09/29/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - PeerPlace | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. PeerPlace is a software system that supports collaboration among organizations that deliver long-term services and supports. The strength of the PeerPlace platform is connecting multiple agencies together across a community of interest, allowing them to collaborate and share information in a secure web-based system. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Care at Hand | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Care at Hand preserves the value of consumer-centric LTSS while enabling LTSS providers to create and demonstrate value for health systems and managed care. Care at Hand is an evidence-based platform that helps predict and prevent hospitalizations using non-clinical workers. They use sophisticated statistics and predictive modeling to tap into the insight of front line workers (direct care workers, home delivered meal van drivers, etc) to ensure consumers remain in their homes rather than the acute care setting. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Meals on Wheels Of Sheboygan County Inc.(MOWSC) | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Since 1970 Meals On Wheels of Sheboygan County (MOWSC) has been an independent, non-profit agency delivering meals to the homebound, elderly, and disabled residents of Sheboygan County. They are a long-term accredited agency through Meals On Wheels Association and have 17 years worth of electronic client data and a tech support team willing and able to adapt as needed. They intend to create an internal system which meshes well with the Centers for Medicare & Medicaid Services (CMS), to optimize client services. Their staff has complete access to their electronic data system allowing them to continually update client information as needed to provide better service. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - FEi Systems | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. FEi is a leading information technology, services, and analysis company specializing in Long Term Support Services (LTSS) as well as Behavioral Health data solutions for the federal, state and local government. They also have experience implementing the health IT standards for interoperability. ONC S&I eLTSS initiative is very relevant to FEi's experience and solutions. They are committed to actively participate and contribute to support this S&I framework work group and help achieve the goals for this initiative. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Therap Services | Therap's role in the pilot is to provide technology to enable all eLTSS Plan components which include create a plan, approve/authorize plan/services, access/view/review plan and update plan. Therap Services is a National Leader in Long-Term Services and Supports (LTSS). They work with over 1780 providers (ex., ID/DD, Employment, Birth to 3, and Early Intervention) and are utilized by organizations within 49 states. They have statewide contracts in 7 states (AR, SC, NE, ND, MT, ID, & NM) as well as over 400,000 individual users (staff) and over 302,000 individual records. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Kentucky Cabinet for Health and Family Services (CHFS) | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Recipient of the Testing Experience and Functional Tools (TEFT) Planning Grant. Kentucky Cabinet for Health and Family Services (CHFS) administers programs to promote the mental and physical health of Kentuckians. They deliver and oversee Community Mental Health Centers, Area Development Districts, and private agencies who provide assessment and case management services to beneficiaries of Medicaid Waiver home and community based services (HCBS). The way their current process works is private agencies, quasi-government, and Cabinet for Health and Family Services (CHFS) assessors conduct initial screening and Level of Care assessments. Agencies work with beneficiaries/caregivers and the state to determine financial eligibility. As needed, this includes working with CHFS staff of a specific (HCBS) waiver program. Case managers work with beneficiaries/representatives to create a person-centric Plan of Care (POC). Case Managers capture case notes and direct service providers to deliver services per the Plan of Care. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Maryland Department of Health and Mental Hygiene (DHMH) | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Recipient of Testing Experience and Functional Tools (TEFT) Planning Grant. The Maryland Department of Health and Mental Hygiene (DHMH) is the State's Medicaid agency and one of the main payers for Maryland beneficiaries. The state plan for Maryland Medicaid includes providing Long-Term Services and Supports (LTSS) for Maryland beneficiaries. Maryland launched its electronic LTSS system (LTSS Maryland) using funds from the Balancing Incentive Program (BIP). LTSS currently includes the beneficiary groups of Community Options Waiver, Money Follows the Person, Community First Choice (State Plan), Community Personal Assistance Services (State Plan), Increased Community Services, and Brain Injury with Community Pathways (DD Waiver) and Medical Day Care planned for the future. They also have the In-home Supports Assurance System (ISAS) to ensure that service providers are in the beneficiaries homes caring for them when they say they are. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - State of Colorado Health Care Policy and Financing | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Colorado Department of Health Care Policy and Financing (HCPF) is a recipient of the Testing Experience and Functional Tool (TEFT) planning grant. Their team includes: HCPF, Colorado Regional Health Information Organization (CORHIO) and Quality Health Network (QHN). HCPF administers Medicaid, Child Health Plan Plus, and other health care programs for Coloradans who qualify. Colorado's health information exchange (HIE) network is on the front range connecting hospitals, labs, physicians, emergency services, behavioral health, skilled nursing, home health, hospice and QHN is the health information exchange on the western slope and is also Colorado's first HIE. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Minnesota Department of Human Services | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Recipient of Testing Experience and Functional Tools (TEFT) Planning Grant. The Minnesota Department of Human Services serves as payer for Medical Assistance (Medicaid) funded services in Minnesota. They oversee County and Managed Care Organizations who provide certified assessment and case management services to beneficiaries of MA and MA Waiver services. Currently the way their process works is that Certified Assessors conduct an MnCHOICES assessment and Counties work with the state to determine financial eligibility. Then Registered providers bill the state for services covered under MA. Minnesota DHS is in final negotiations with a Collaborative made up of County Public Health and Human Services, primary, acute, post-acute and long-term service and support providers. Further details about the Collaborative will be provided when the contract is finalized. The Collaborative has agreed to participate in piloting the eLTSS plan. Their plan is to create and prototype new means of sharing LTSS data electronically with Beneficiaries and an array of LTSS Service Providers and stakeholders, and evaluate the value of the data and methods of exchange. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Connecticut Department of Social Services Division of Health Services | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Connecticut Department of Social Services Division of Health Services is a recipient of the Testing Experience and Functional Tool (TEFT) planning grant. They focus on empowering consumers through the use of Health IT. They are comprised of staff from the CT Department of Social Services & the University of Connecticut. The team goes out into the community to gather input from consumers & advocates on how HealthIT solutions can best serve consumers. They have developed educational materials, and will offer PHR training to users. The team engages consumers & advocates in interactive dialogues, allowing them to express their views on Health IT while providing feedback on the project. They analyze consumer & advocate responses in order to better understand their concerns. CT will pilot the ability to create & share an eLTSS Plan. CT will also evaluate the utility of the established domains & subdomains. The CT team will pilot a version of User Story 2, “Sharing a Person-Centered eLTSS Plan”. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Georgia Department of Community Health | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Georgia Department of Community Health is a recipient of the Test Experience and Functional tools (TEFT) planning grant. They provide's Georgians with access to affordable, quality health care through effective planning, purchasing and oversight. They support program monitoring and improvement of all waivers, support cross-waiver program information sharing, help bridge the gap between clinical and non-clinical data and support incremental adoption by members of the ecosystem. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Kno2 | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Kno2 is cloud platform that is standards based for Interoperability using elements of Direct messaging for transport, delivery and processing of any payload including structured and unstructured information to and from any actor and system of record. The information and documents include HL7 standard formats like C-CDA and ADT as well as PDF, JPG, TIF, Systems of records can range from MU2 certified EMR to a paper based organization. All unstructured payload is transformed into C-CDA at time of origin or receipt and transported on the Surescripts HISP, which is the largest HISP and provider directory in the US. Kno2 enables interoperability for all organizations and actors that exchange clinical information and do not currently have a Direct messaging. | eLTSS | 04/30/2016 |
| SDC Pilot-UCSF (University of California San Francisco) | Initial development will be at UCSF and use Epic as the Electronic Health Record (EHR) System and I-SPY for the Clinical Trial. The proposed workflow is as follows: 1. An invitation is sent via email to the pathologist asking them to complete, within a week of surgery, the Checklist that contains the required data (pCR) for the primary endpoint (pCR) of the I-SPY 2 Trial 2. The pathologist signs on to Epic and accesses the Checklist form. 3. Epic pre-populates the Checklist form with structured data already in Epic. 4. The I-SPY eCRF (Post-Surgery Summary Form in the case of I-SPY 2) is updated. Future releases will move us toward the ultimate goal which is to create an EHR-agnostic and Therapeutic Area-agnostic that eliminates manual re-entry and minimizes or eliminates manual source data verification. | FHIR, IHE, ONC-led, SDC | 08/08/2016 |
| SDC Pilot-CAP (College of American Pathologists) | CAP will create selected forms in Phase II SDC XML format, using software-supported SDC design and XML production process. CCR will receive SDC messages using forms x,y,z form each project site (deployable in Eureka system). DCG will demonstrate a working forms manager that all parties can successfully use to request any SDC form in the project. The development of any final production-ready systems; and the collection and analysis of statistically valid data for clinical research, clinical care or public data access are out of scope for this effort. | FHIR, IHE, ONC-led, SDC | 08/01/2016 |
| Clinical Quality Framework Pilot- The American College of Cardiology | The American College of Cardiology, in collaboration with other key specialty and subspecialty societies as well as authors utilized clinical guidelines, performance measures, appropriate use criteria, and other content to improve the delivery of healthcare. The ACC Appropriate Use Criteria (AUC) for the multimodality approach to the detection and risk assessment of ischemic heart disease (Wolk MJ et al., J Am Coll Cardiol 2014;63:380–406) describes current recommendations for the selection and application of non-invasive and invasive diagnostic testing for the detection and risk assessment of stable ischemic heart disease (SIHD). Included are elements of both clinical decision support (CDS) and clinical quality measurement (CQM) that align with the pilot demonstration goals of the CQF initiative. | ACC, AUC, CDS, CQF, eCQM, SIHD | 08/27/2015 |
| Clinical Quality Framework Pilot- HHS/CDC | The goal of this pilot was to demonstrate the usability of the new specifications (Quality Improvement and Clinical Knowledge or QUICK data model, Clinical Quality Language or CQL), determine where the standards need improvement, and to provide experiential input on how the specifications will serve future implementations in Electronic Health Record systems. This pilot was focused on how QUICK and CQL can be successfully tailored to suit the needs of implementers interested in supporting clinical decision support (CDS) and clinical quality measures (CQM) for screening, treatment, and follow-up of chlamydia trachomatis infection in community settings. Additional benefits of the pilot include: - Broader visibility into the harmonized standards being developed in HL7 - Ability to leverage initiative resources - Contribution to unification of the CDS/CQM community - Recognition as an early adopter. | CDS, CQF, CQL, eCQM, HHS, QDM, QUICK | 08/27/2015 |
| Clinical Quality Framework- HLN Consulting, LLC | The Immunization Calculation Engine (ICE) project team is interested in ensuring that as the ICE software evolves it can continue to serve diverse technical environments with as much ease as possible for the adopter. The ICE service is currently either being used in Public Health and Provider settings and/or being integrated within EHRs and Immunization Information Systems (IISs). The ICE rules and request-response messages are both currently based on the Virtual Medical Record (vMR) and support a version of the HL7 Decision Support Service (DSS) specification. One goal of this pilot was to ensure that ICE is based on the latest viable CDS standards and, at minimum, can support requests from ICE clients to the ICE service based on FHIR messages that are compatible with QUICK. By doing so, the pilot demonstrated that the dataset used by a typical immunization forecaster can be properly supported by the CQF standards and that the CQF standards could be leveraged by other immunization forecasters. In short, this pilot intended to examine existing FHIR resources available for immunization forecasting, analyze how well an end-to-end FHIR request and response based on those resources align with QUICK, and demonstrate via a live system - using existing immunization forecasting rules implemented in ICE - that immunization histories can be properly evaluated and forecasted. | CDS, CQF, EHR, FHIR, HNL, ICE, QUICK, vMR | 08/27/2015 |
| Clinical Quality Framework- Motive Medical Intelligence | This quality measure, Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic (PQRS Measure #204/NQF 0068) was piloted in the Heath eDecisions (HeD) Initiative of the S&I Framework. This initial work demonstrated that an event-condition-action (ECA) rule could be represented in a standards-based format, consumed by a third-party EHR platform, and executed successfully against test patient data. The Clinical Quality Framework (CQF) pilot of the Ischemic Vascular Disease (IVD): Use of Aspirin or Another Anti-thrombotic quality measure was a natural extension to the HeD Initiative work and further demonstrated the effectiveness, portability, and utility of CDS artifacts represented in a standardized format. Motive’s primary goal is to support the development of a national standard for sharable, executable CDS artifacts and quality measures. This community effort and experience is critical to achieving outcomes-driven health care and providing clinicians with the tools they need to deliver high-quality care. In this pilot, Motive will demonstrate that a shareable ECA rule can be created, deployed, and executed in at least one third-party clinical system, such as an electronic health record (EHR), or by a cloud-based CDS service, using the CQF standard for artifact representation. | CDS, CQF, ECA, EHR | 08/27/2015 |
| Clinical Quality Framework (CQF)- Pilot: National Decision Support Company | Pilot background: HR4302 passed into law April 2014, which requires ordering physicians consult appropriate use criteria when placing orders for high tech diagnostic imaging (HTDI) exams. This pilot was designed to use the CQF Service Based Evaluation use case in order to provide a standard means for physicians to access AUC in EHR systems. This standard can be adopted as part of Meaningful Use Certification Criteria and adopted by CMS to define the mechanism to access and deploy AUC per HR 4302. Pilot Goal: Provide ordering physicians Point of Order access to Appropriate Use Criteria for Imaging orders. Appropriate Use Criteria provides feedback as to the appropriateness score for an imaging order. Each imaging order is assigned a unique decision support identifier and appropriateness score and users are presented feedback in the form a score and suggested alternate exams. This decision support data is recorded within the EHR. This data and activity is also recorded in the CDS service for Quality Measurement. The appropriateness score, structured reason for exam and associated imaging order can be used to track impact of AUC on care, identify overall ordering patterns and be incorporated into Clinical Quality Measures. The pilot also demonstrated how this data can be used in such a report and example eCQM. The pilot also demonstrated how the data generated (appropriateness score, physician behavior etc) during a service-based evaluation can be incorporated into Clinical Quality Measures through generation of reports from both the EHR and cloud based service. In the case of an EHR, appropriateness data was incorporated into an example CQM calculation and physician activity reports. In the case of a cloud based service, the pilot demonstrated how data from multiple health care providers accessing the service can be aggregated, in effect demonstrating a registry. During the pilot, user interaction within CPOE during an imaging order, selection of exam and structured indication and other data elements (eg Service Requestor), generates a query to a cloud based DSS containing National Standard Appropriate Use Criteria published by the American College of Radiology. The pilot demonstrated how an existing integration model deployed in the market can be adapted to the CQF. | CDS, CMS, CQF | 08/27/2015 |
| Clinical Quality Framework Pilot - Phentotype Execution and Modeling Architecture | Phentotype Execution and Modeling Architecture Pilot Background: The identification of patient cohorts for clinical and genomic research is a costly and time-consuming process. This bottleneck adversely affects public health by delaying research findings, and in some cases by making research costs prohibitively high. To address this issue, leveraging electronic health records (EHRs) for identifying patient cohorts has become an increasingly attractive option. With the rapidly growing adoption of EHR systems due to Meaningful Use, and linkage of EHRs to research biorepositories, evaluating the suitability of EHR data for clinical and translational research is becoming ever more important, with ramifications for genomic and observational research, clinical trials, and comparative effectiveness studies. A key component for identifying patient cohorts in the EHR is to define inclusion and exclusion criteria that algorithmically select sets of patients based on stored clinical data. This process is commonly referred to as “EHR-driven phenotyping”. Phenotypes are defined over both structured data (demographics, diagnoses, medications, lab measurements) as well as unstructured clinical text (radiology reports, encounter notes, discharge summaries). Phenotyping logic can be quite complex, and typically includes both Boolean and temporal operators applied to multiple clinical events. In general, the phenotyping algorithm development process is a multi-disciplinary team effort, including clinicians, domain experts, and informaticians, and is operationalized as database queries and software, customized to the local EHR environment. The typical way to share phenotyping algorithms across institutions is through the use of informal free text descriptions of algorithm logic, possibly augmented with graphical flowcharts and simple lists of structured codes. This is due to the lack of a widely accepted and standards-based formal information model for defining phenotyping algorithms. However, implementing a phenotyping algorithm from a free-text description is itself an error-prone and time-consuming process, due to the inherent ambiguities of free text as well as the necessity for human intermediaries to map algorithmic criteria expressed as free text to database queries and code. | CDS, CQF, CQL | 08/27/2015 |
| Clinical Quality Framework Pilot- Breast Cancer Decision Support | This project was intended to validate the use of the CQF standard for clinical decision support in oncology – namely the recommendation of treatment plans and suitable clinical trials. The current version of the Evinance CDS platform is production-level ready and supports the HL-7 Health eDecisions CDS Guidance Use Case (Use Case 2). Evinance strives to continuously support the latest CDS standards, hence the desire to pilot the use of the CQF standard for Breast Cancer CDS Guidance. For the pilot, we used the Evinance Authoring Module to define a multi-disciplinary Breast Cancer Guideline and Clinical Trial. These were published to the Evinance Decision Support Engine, which then offers CDS Guidance through a RESTful web service. The service receives patient information from the Evinance Workflow Automation Module and/or the Elekta MOSAIQ EHR in FHIR format and returns it back recommended treatment plans and/or clinical trials. Point of Contact: Chad Armstrong: [email protected] | CDS, CQF | 08/27/2015 |
| Prescription Drug Monitoring Program - Epic | Epic is responsible for developing and implementing interfaces according to national standards like HL7 and NCPDP. Their customers have thousands of interface instances live in production transmitting billions of messages per year. The goal is to conduct a successful proof of concept between Epic (EHR) and one or more PDMPs using NCPDP 10.6 test messages. The other goal is to provide feedback to the group so that an easy to implement national standard can be established for integrating EHRs and PDMPs. For this initial pilot Epic is looking to test the standard NCPDP 10.6 RxHistoryRequest/RxHistoryResponse message types with one or more PDMPs. Epic has customers nationwide so they are particularly interested in establishing a single standard that all EHR, PDMP, and pharmacy vendors would use. Epic completed the NCPDP - PDMP RTM. | NCPDP, PDMP | 12/31/2015 |
| Prescription Drug Monitoring Program - PAST | The goal of this pilot is to conduct a proof of concept for establishing a standard way to connect and retrieve PDMP data for their clients through their EHRs, using ASAP Web Services and the PMPi HUB; The other goal is to test the standards' limits for accessing data fields specific to PDMP collection (that help identify patient misuse of pain prescriptions) that may conform less well to existing clinical formats for drug histories but should be accommodated by ASAP standards. They have a client in Arizona, a specialty pain center with more than 25 prescribers in one facility, who is willing to participate in the pilot with us, using the implementation guide to connect through their Centricity EHR. They are registered users of the AZ PDMP and the PMPi HUB. PAST completed the NCPDP - PDMP RTM. Prescription Advisory System & Technology is a SaaS company making a clinical decision support tool for pain management practices that consumes PDMP and EHR data for use in presentation of summary information and informatics logic. Their installation process involves connecting to EHRs and PDMPs for data retrieval. As a SaaS company, they have a team of developers who could work on implementing the new standards in a pilot. | NCPDP, PDMP | 12/31/2015 |
| Prescription Drug Monitoring Program - NextGen | This pilot aims to create a software prototype for sending message from NextGen's EHR application to a state PDMP via a hub (or directly) using PMIX or possibly NCPDP. The goal is to provide feedback for the group. NextGen has an extensive team of software developers experienced in various health related formats including NCPDP and HL7 as well as message translation. Many of their software products continually interface with third parties. | NCPDP, PDMP | 03/31/2016 |
| Prescription Drug Monitoring Program - DrFirst | DrFirst plans to conduct a proof of concept and live deployment between our EHR partner systems and one or more PDMPs using NCPDP 10.6 test messages. DrFirst will also provide feedback to the work group on establishing a national standard for integrating EHRs and PDMPs. DrFirst, for this pilot and live integration, is looking to test (with one or more PDMPs) their standard NCPDP 10.6 RxHistoryRequest/RxHistoryResponse message as well as translate NCPDP to PMIX request and receive back PMIX &/or NCPDP response to distribute into the workflow of their hospital HIS and EMR partner systems nationwide. | NCPDP, Opioid Management, PDMP, Rx | 03/31/2016 |
| Prescription Drug Monitoring Program - QS/1 | The goal is to test and validate the ASAP web services standard. QS/1 is a pharmacy management software vendor with independent and long-term care pharmacy customers across the US. They will contact customers to find appropriate test sites. | ASAP, PDMP | 03/01/2016 |
| Prescription Drug Monitoring Program - PDX | The pilot plan is to work with Appriss and develop messaging using the ASAP Web Service standard to the point of being able to submit a request message and receive a response message while providing feedback on the Implementation Guide along the way. PDX has pharmacy customers that operate in states that require that the PDMP database be accessed and that PDMP data is reviewed before filling a prescription for a PDMP monitored medication. PDX could eventually integrate this into their applications and launch a background request whenever a monitored drug is being processed and display the results for review and appropriate actions by the pharmacy staff and to document this process. PDX completed the ASAP - PDMP RTM. | ASAP, PDMP | 03/31/2016 |
| Prescription Drug Monitoring Program - SpeedScripts | The goal of this pilot is to to help the group come to the table with a system which can be easily followed and provide feedback to the group. SpeedScripts develops a pharmacy management system utilized by independent pharmacies. They are willing to provide feedback, where needed and appropriate. | ASAP, PDMP | 03/31/2016 |
| Prescription Drug Monitoring Program - APPRISS | The goal of this pilot is to demonstrate PMP Gateway as a translation service and single access point for healthcare entities utilizing healthcare protocols to communicate to one or more PMPs connected to a network. PMP Gateway is an interface that simplifies integration of controlled substance prescription history into health IT systems. PMP Gateway’s Web Services provide health IT systems a single access point to over 26 state PMPs’ data via PMP Interconnect, thus saving the effort of doing point-to-point integrations with each state’s PDMP. | ASAP, NCPDP, PDMP | 03/31/2016 |
| Prescription Drug Monitoring Program - Arizona Board of Pharmacy | The PDMP & Health IT Integration pilots are a standards-based interoperable approach to the exchange of data between PDMPs and health IT systems in order to streamline PDMP access within clinical workflow. Pilots are underway to test PDMP and health IT interoperability using one of two potential standards (NCPDP SCRIPT or ASAP web service). The Arizona PMP is connected to the PMP interconnect hub and is currently sharing with 17 other states. As a member of this initiative, AZ is very interested in being involved in one of these pilots. They are interested in a pilot with either a EHR or Pharmacy system. They would leverage the current connectivity to the PMP interconnect hub and then via PMP Gateway translate (as needed) PMP requests and responses between the AZ PMP and the other pilot partners. They are just offering to be the state PMP partner of a pilot that will need to have an EHR or a Pharmacy System partner connecting through the PMP interconnect hub via PMP Gateway. They would of course have to review the details of any specific pilot proposal before being able to commit. | ASAP, NCPDP, PDMP | 03/31/2016 |
| Prescription Drug Monitoring Program - KY Cabinet for Health and Family Services | The PDMP & Health IT Integration pilots are a standards-based interoperable approach to the exchange of data between PDMPs and health IT systems in order to streamline PDMP access within clinical workflow. Pilots are underway to test PDMP and health IT interoperability using one of two potential standards (NCPDP SCRIPT or ASAP web service). Kentucky's PDMP is self hosted and developed. This allows us some flexibility in relation to new integration. We also have dedicated integration resources. The goal is to Establish a proven standard for integration that could be offered to additional partners in KY. Further goals would need to be determined when a potential partner was identified.KY is interested in exploring a pilot with pharmacy or EHR partner. We are not able to commit to a pilot until we would explore the goals, objectives and outcomes of a pilot with a potential EHR or pharmacy partner. | ASAP, NCPDP, PDMP | 03/31/2016 |
| Prescription Drug Monitoring Program - Virginia Prescription Monitoring Program | The PDMP & Health IT Integration pilots are a standards-based interoperable approach to the exchange of data between PDMPs and health IT systems in order to streamline PDMP access within clinical workflow. Pilots are underway to test PDMP and health IT interoperability using one of two potential standards (NCPDP SCRIPT or ASAP web service). The goal is pilot solution for PMPi Gateway connection to EHR or Pharmacy application to PMP and increase use of PMP information to inform treatment and dispensing decisions for controlled substances and drugs of concern. They are Interested in possibly piloting a solution to partner with an EHR and/or Pharmacy application via a PMPi Gateway connection. Final commitment to a pilot would have to be reviewed and approved dependent upon details of scope of the pilot and conformance with restrictions to use of Virginia PMP data. Completed the NCPDP - PDMP RTM. | ASAP, NCPDP, PDMP | 03/31/2016 |
| Prescription Drug Monitoring Program - WA State Department of Health | The WA Department of Health is already connected to a state HIE using the NCPDP standard. They need a trading partner to build a connection to the HIE to build upon the existing infrastructure. Their HIE stands ready to be involved, and has a specifications guide ready to go. The goal is to connect a trading partner's EHR to the PMP via the state HIE. Completed the NCPDP - PDMP RTM. | NCPDP, PDMP | 12/31/2015 |
| Prescription Drug Monitoring Program - Wisconsin PMP | The PDMP & Health IT Integration pilots are a standards-based interoperable approach to the exchange of data between PDMPs and health IT systems in order to streamline PDMP access within clinical workflow. Pilots are underway to test PDMP and health IT interoperability using one of two potential standards (NCPDP SCRIPT or ASAP web service). The Wisconsin Department of Safety and Professional Services (DSPS) is enthusiastic about participating in one or more pilots. DSPS operates the WI Prescription Drug Monitoring Program (WI PDMP), which is currently connected to the PMP InterConnect and shares data with 12 other states. The WI PDMP also recently connected to the HIE in Wisconsin via the PMP Gateway as part of a SAMHSA PDMP-EHR Integration Grant Project. DSPS's goals for the pilot(s) are to utilize its existing connection with the PMP Gateway to increase prescriber and pharmacist access to and use of the data maintained by the WI PDMP. Details of and approval for specific pilots will have to be approved by DSPS. | NCPDP, PDMP | 03/31/2016 |
| Prescription Drug Monitoring Program - OneHealthPort | The PDMP & Health IT Integration pilots are a standards-based interoperable approach to the exchange of data between PDMPs and health IT systems in order to streamline PDMP access within clinical workflow. Pilots are underway to test PDMP and health IT interoperability using one of two potential standards (NCPDP SCRIPT or ASAP web service). OneHealthPort is the intermediary in WA State that translated messages between NCPDP and PMIX. | NCPDP, PDMP | 03/31/2016 |
| Electronic Submission of Medical Documentation- University of Pittsburgh & NuMotion | Pilot Category: e-Clinical Template Pilot Stream: Power Mobility Device Pilot Contact: Madalyn Rogers ([email protected]), Brad Dicianno ([email protected]) University of Pittsburgh Medical Center is a provider organization with multiple physicians. They have a continuing education program teaching physicians proper documentation practices. Their EHR vendor is Epic which allows for nationwide coverage. UPMC has partnered up with NuMotion for their pilot. NuMotion is a PMD supplier group and they are currently operating in 39 states. They are working with UPMC to create orders and letters that can be sent to their shared drive. | e-Clinical Template, esMD, PMD | 04/01/2016 |
| Query Health Pilot - New York City Dept. of Health / New York State Dept. of Health | The Primary Care Information Project (PCIP) within the New York City Department of Health and Mental Hygiene (NYCDOHMH) and the New York State Department of Health (NYSDOH) used the Query Health system to investigate and allocate appropriate resources for chronic and acute disease monitoring throughout New York State. The pilot focussed on emerging chronic disease issues with diabetes, hypertension, etc. The goal was to incorporate the essential technical and operational elements from the Query Health pilot project into the statewide health information exchange architecture (SHIN-NY).The Primary Care Information Project (PCIP) within the New York City Department of Health and Mental Hygiene (NYCDOHMH) and the New York State Department of Health (NYSDOH) used the Query Health system to investigate and allocate appropriate resources for chronic and acute disease monitoring throughout New York State. | ONC-led, QH | 05/01/2012 |
| Query Health Pilot - FDA Mini-Sentinel | The Mini-Sentinel Operations Center (MSOC), on behalf of the Mini-Sentinel project team, proposed to 1) use existing Mini-Sentinel infrastructure to execute a series of queries as a worked example of the implementation and operation of an active distributed health data network, 2) adopt and implement Query Health Query Envelope standards, 3) implement a prototype of PopMedNet Version 3.0, and 4) work with at least one clinical data partner (TBD) that has an existing i2b2 installation to pilot end-to-end querying using the i2b2 HQMF adapter. These activities were intended to serve as a platform to communicate the lessons learned regarding the governance, design, and implementation of a distributed health data querying network that is consistent with the Query Health architecture, and investigate barriers and opportunities related to adopting new Query Health standards within an existing network. | ONC-led, QH | 04/26/2012 |
| Query Health Pilot - Massachusetts Dept. of Public Health | MeHI, on behalf of the MDPHnet project team, proposed to incorporate ONC Query Health Initiative standards into MDPHnet. MDPHnet was perfectly aligned with all aspects of the Query Health Initiative, including development of the operational framework for the network, governance rules, architecture of the network, network administration, and implementation of a functional distributed network to enable population based querying by the Massachusetts Department of Public Health. This effort provided important lessons learned that were directly relevant to the Query Health Initiative because MDPHnetused nearly all of the existing Query Health standards for distributed querying networks. MDPHnet is implementing a distributed querying network with several partners in Massachusetts to enable distribute population health querying by the MDPH. The project is using Version 3.0 of the PopMedNet software as the Query Health Policy Enablement Component (the same software used in the Query Health HIMSS demonstrations). | ONC-led, QH | 11/06/2012 |
| Data Segmentation for Privacy (DS4P) Pilot - VA/SAMHSA | SAMHSA and VA pilot tested open source, extensible, Access Control Service (ACS). Develop and test (within a sandbox) standards-based exchange, adjudication, and enforcement of privacy consents, as services in support of the exchange of privacy protected C32/CCDA records. Testing involved interaction between ACS clones that are each loosely coupled to an instance of an open source, MU 1 certified, EHRs clone (‘REM’). This sandbox tested all “push” or “pull” scenarios defined in the IG. | DS4P, ONC-led | 03/04/2013 |
| Data Segmentation for Privacy (DS4P) Pilot - SATVA | The SATVA DS4P Pilot Project for Ultra-Sensitive Privacy Disclosure (USPD) developed, tested, piloted standards-based interoperability for data in transit. SATVA methods function for both HIE and NwHIN Direct interoperability. The SATVA implementation demonstrated compliance with all 42 CFR Part 2 requirements as an example of a specific but extensible class approach to management of all ultra-sensitive disclosures. Electronic data exchange supported C32/CCDA records as well as non-structured payloads such as PDF. Testing demonstrated interoperability between “foreign” (e.g., different software vendors) EHRs via NHIN Direct. | DS4P, ONC-led | 02/28/2013 |
| Laboratory US Realm Pilot Project | Goals of the program are to encourage market adoption of the HL7 US Realm Laboratory Results R1 DSTU2 (LRI), Laboratory Orders R1 DSTU2 (LOI), and electronic Directory of Services R2 DSTU2 (eDOS) R2 Implementation Guides absent any other incentives or regulatory requirements to do so. Demonstrations must implement to a baseline and may optionally extend scope and complexity as defined in the technical requirements set forth in the Reference Specifications. | eDOS, Labs, LOI, LRI | 09/30/2016 |
| C-CDA Rendering Tool Challenge | The C-CDA Rendering Tool Challenge participants will develop a viewer that enables clinicians to efficiently review the patient data from C-CDA documents that is most clinically relevant to them. The viewer must be capable of rendering the data as specified by the user and allow them to quickly review the current health and needs of a patient. The viewer should provide functionality to allow a clinician to view the data so they can quickly assess the status and state of the patient efficiently. The viewer needs to be easy to use and present requested data quickly and clearly, whether through section-based view preferences (ordering), filter functions, intelligent sorting, or some other functionality. Participants may wish to consider allowing providers to not only select the data they wish to view, but also provide aids which enable effective review of repeating or reoccurring results within sections. For more information please refer to the link below. | C-CDA, CCDA, CDA, EHR, HL7 | 09/30/2016 |
| Data Access Framework (DAF) Pilot - REACHnet | The Research Action for Health Network (REACHnet), formerly known as LaCDRN, is a PCORnet CDRN managed by the Louisiana Public Health Institute. REACHnet is a centralized node collecting data from 5 data sources; data is available to PCORI in CDM (2 million + patients). REACHnet is participating as a DAF Phase 3 pilot in order to optimize ways to ingest and expose data to/from data partners using ONC’s interoperability roadmap recommendations, and more effectively expand the research capabilities of the network. REACHnet utilizes PopMedNet (used by the PCORnet community) to expose datamarts to PCORnet. If a PopMedNet FHIR enabled is available, that will be piloted by REACHnet, otherwise i2b2 will be used. REACHnet proposes to create data visualization/analytics and a query processing FHIR enabled platform, which has the ability to interact with other FHIR enabled resources and allow researchers access to data cohorts and the tools needed to analyze the cohort ready data. REACHnet will work towards considering how new data partners can more efficiently be integrated using DAF piloted solutions and consider the adoption of tools that use FHIR resources to query and allow for the analysis of data that will be adopted through this pilot. | CDRN, DAF, FHIR, ONC-led, PCORI, PCORnet | 09/30/2016 |
| Integrate Home Health Care Data to ER and Urgent Care Facilities to reduce Hospital admission | By using a combination of ADT messaging and C-CDA documentation standards, this pilot program between HealthCare Synergy and Great Lakes Health Connect goes to show that providing the information from a post acute provider to an Emergency Room or Urgent Care Facility upon admission will reduce re-hospitilization rate, by providing the ER or Urgent Care Facility with current patient data that would otherwise not be accessible. | CCDA, DIRECT, HL7, ADT | 01/01/2017 |
| HILCORP Electronic Data Exchange Network HEDIS reporting initiative | The goal of this pilot is to assist managed Medicaid and managed Medicare plans to improve patient care and improve STAR reporting. Key outcomes are: A. Improve your STAR ratings using our proven technology and process B. Increase revenues using STAR scores, RAPS and HCC score improvements. C. Healthier patient population The system collects electronic patient chart information in meaningful use formats (CCCD, CCD, CCR, etc.) from the IPA's participating provider sites using a multitude of technologies, including secure messaging and client programs with end points defined. The information collected is converted to managed care plan STAR reporting formats to help achieve the defined outcomes. | C-CDA, CCDA, CMS, eCQM | 02/29/2016 |
| Clinical Data Collection Pilot - ChartPull / BloomAPI | BloomAPI is currently running multiple pilots to help organizations pull clinical data from a diverse set of EMRs. Pilot organizations include Medicare Advantage plans, Oregon CCOs, Chronic Care Management Organizations and ACOs. The goal of the pilot is to demonstrate the cost effectiveness of using ChartPull, instead of traditional manual record collection or standard HL7 integrations. ChartPull helps organizations liberate their medical data, focused on extracting clinical data from a diverse set of EMRs. BloomAPI, the team behind ChartPull, has been building Open Source projects in the Health Care space for over 3 years. | bloomapi, C-CDA, CCDA, CDA, ChartPull, emr-crawler, FHIR, HL7, HL7 V2 | 12/01/2017 |
| C-CDA Implementation-A-Thon | HL7 is in the midst of planning a virtual C-CDA Implementation-A-Thon to be held this summer. With an end goal to make implementations as easy as possible, this information will be used to uncover inconsistencies in the C-CDA standard. Best practices for C-CDA implementations will subsequently be developed for use across the heatlhcare continuum. This event is for users and developers who work at organizations directly involved in sending and receiving CDA documents. You must have the skills to create and exchange live data during the event. Attendees will be expected to participate in the creation and exchange of live data during this event. Participants will be assigned to work on clinical scenarios related to the exchange of documents, discharge summaries and electronic referrals. To view results and more information about prior C-CDA Implementation-A-Thons, click on the link below: | C-CDA, CCDA, CDA, EHR, HL7 | 01/13/2018 |
| C-CDA R2.1 Companion Guide | Produce a new C-CDA Companion Guide to support C-CDA R2.1. The purpose of the new Companion Guide is to supplement the C-CDA R2.1 Implementation Guide to provide additional context to assist implementers and connect them to tools and resources; map the common clinical data set (CCDS) to the appropriate C-CDA locations; provide technical guidance for representing the 2015 Ed. CEHRT data requirements using the C-CDA Implementation Guide; include clinically-valid examples of C-CDA components necessary to meet 2015 Ed. CEHRT requirements; recommend an approach to implementations using the C-CDA Implementation Guide to meet the needs of clinicians and achieve ONC Certification Deliverables from this project include creating a Common Clinical Data Set (CCDS) requirements mapping spreadsheet from the 2015 certification rule to the appropriate C-CDA location; creating a Meaningful Use (MU) mapping for additional data specified for: CCD, Discharge Summary, Referral Note, and Care Plan; creating a draft version of the C-CDA R2.1 Companion Guide;make it available to the public through the HL7 Wiki; conduct a webinar to advise the industry of its availability and review its content; ballot, reconcile and publish the C-CDA R2.1 Companion Guide. The following Wiki page was created for this project: http://wiki.hl7.org/index.php?title=C-CDA_2.1_Companion_Guide_Project The published C-CDA R2.1 Companion Guide can be viewed via the link below. | C-CDA, CCDA, CDA, EHR, HL7 | 03/01/2017 |
| International Exchange of Clinical Data - HSXSEPA bidirectional C-CDA exchange with Italy & Canada | HealthShare Exchange of Southeastern PA is the regional Health Information Exchange (HIE) for the Philadelphia region. There are many internationally renowned health systems in Philadelphia with a lot international patients coming into this region for specialized care. The need for international data exchange became very real during the Papal visit of 2015 to Philadelphia and kick started a proof of concept project by exchanging clinical data with Italy using IHE standards (XCA). | C-CDA, CDA, IHE, International Exchange, XCA | 12/30/2016 |
| PHQ-9 Reporting Trial | The PHQ-9 incorporates DSM-IV depression screening. The PHQ-9 Reporting Tool is an online form for screening, monitoring and measuring the severity of depression. System stores data for reporting, interfaces to EMR and produces reporting for billing. This study incorporates screening and alerting of Patients that meet or exceed the set criteria. Patient sends alerts to EMR and/or Fax or Integration Engine. System creates HL7 based message that can be consumed or forwarded to other EMR based systems. PRIME-MD measures are also coordinated within the tool. | ADT, C-CDA, CCDA, DIRECT, FHIR, HIE, HL7 V2, OAuth2, PHQ-9, SBIRT | 12/31/2016 |
| Advancing Functional Interoperability through Standards for Health Information Management (HIM) Practices | American Health Information Management Association (AHIMA) collaborates with the Integrating the Healthcare Enterprise (IHE) to develop a collaborative informatics-based approach for translating health information management (HIM) practices into health information technology (HIT) standards. AHIMA Standards Task Force and IHE are focusing on two major efforts: 1. Standardize HIM business practices in collaboration with HIM professionals and HIT vendors 2. Guide the development and adoption of standards-based interoperable HIT solutions. | C-CDA, DAF, Functional Interoperability, Information Governance, HIM, ISO/TC215, EHR, FHIR, HIE, HL7, IHE, interoperability, MDHT, Testing | 12/31/2020 |
| EMS Interoperability Pilot - UHIN | UHIN is working with two pilot EMS sites to connect their systems to the state HIE, and via that connection to also loop in two pilot Emergency Departments (EDs). During the pilot, we will help the EMS sites query the HIE for data on current patients, and then utilize the HIE to transmit pre-hospital information to the receiving ED. | C-CDA, EHR, EMS, HIE | 07/01/2017 |
| Poison Control Interoperability Pilot | Currently, the state Poison Control center is not connected electronically to any other databases. In this pilot, we will work with Poison Control and two Emergency Departments (EDs) to transmit pre-hospital information from the Poison Control center to the receiving ED. In later phases of the project, we will also help the EDs transmit discharge information on patients referred from Poison Control back to the Poison Control database. We are also working with the Utah Department of Health (UDoH) so that they can receive a feed from Poison Control that will integrate into their environmental poisoning surveillance system. | CCDA, DOH, HIE, Poison | 07/01/2017 |
| Privacy and Security Research Scenario Initiative and Legal Analysis and Ethics Framework Development project | This project addresses how health information derived from a wide variety of data sources can be used for patient-centered outcomes research (PCOR) and comparative effectiveness research (CER), consistent with ethical principles and legal and regulatory requirements related to patient consent, privacy, and autonomy. The first phase of our project will focus on developing research data use scenarios through collaboration with PCOR researchers, patients, providers, health IT technologists, privacy experts, and legal experts. The research data use scenarios will be distilled into use cases that outline the legal, policy, and ethical requirements. The use cases will be carefully constructed to include the actors, pre-conditions, post-conditions, goals, workflow, tension points, etc. related to each issue. The second phase will focus on developing the aforementioned framework that addresses the legal and regulatory requirements and ethical principles governing the use of health information for PCOR and CER. The two phases will utilize an online project collaboration space, which will facilitate the sharing of project documents so that the work of each phase will inform the other. | Legal and ethical framework, ONC-led, Patient-Centered Outcomes Research, PCOR, policy, Privacy, Security | 09/29/2017 |
| Rhode Island Quality Institute - Sharing Health Information for Transitions (SHIFT) of Care | The primary objectives for the project are: 1) increase the number of health IT services adopted and used by providers and individuals, 2) increase the electronic exchange of information by assisting care providers and individuals with sharing health records through CurrentCare, 3) address the ability of disparate systems to securely exchange information, and 4) promote better access to their health information for individuals. The outcomes associated with these objectives will help Rhode Island achieve the Triple Aim of better health, better healthcare and lower per capita costs by engaging patients and their families; offering real-time, relevant information; increasing efficiency; and reducing errors, duplication and avoidable admissions. For the individuals and their proxies, the SHIFT project will promote the use of CurrentCare4Me to access health information. In the near future, mobile alerts will be available to inform the proxy when their loved one has been transferred between facilities. For the LTPAC, hospital and primary care physician or specialist, the adoption and use of CurrentCare will be promoted. The grant supports the integration of electronic health records (EHRs) from long-term/post-acute care (LTPAC) facilities, leading to the ability to alert primary care and other providers in the community when patients are admitted to or discharged from long-term care facilities in the state. Our Workflow Redesign Specialist is performing workflow analyses and identifying gaps at LTPACs and practices. This workflow analysis identifies opportunities to use the HIE and gain access to missing or hard to find clinical data for best patient care. We are rolling out CurrentCare4Me, the personal health record for individuals enrolled in CurrentCare and their healthcare proxy, to access and view information. As stated in the proposal, we are experiencing challenges working with LTPACs due to lack of current technology and technical expertise. | ADT, CCD, EHR, HIE, HL7, interoperability, ONC-led, Patient Portal, TOC | 07/26/2016 |
| Real-time, automated C-CDA clinical data exchange between Epic E.H.R.s and the Mississippi Division of Medicaid | In February 2016, Mississippi Division of Medicaid (DOM) implemented a real-time, automated connection, using Integrating the Healthcare Enterprise (IHE) standards, to its largest provider’s E.H.R. system to exchange clinical data patient summaries in the C-CDA format. This real-time query and exchange connection allows care providers at the University of Mississippi Medical Center (UMMC) to request C-CDA clinical data summaries of Medicaid patients from Medicaid directly from their E.H.R, and reconcile clinical data with their E.H.R. including medication lists, allergies, diagnoses and procedures. Patient summaries received from DOM are presented to the physician inside UMC’s Epic E.H.R. system, in real-time. After discharge, updated C-CDA clinical summaries are then automatically sent back to DOM, where they are ingested into the DOM Clinical Data Repository (CDR). Mississippi Medicaid believes this is the first Medicaid agency to establish a real-time, integrated, automated E.H.R. connection for C-CDA exchange with a provider. In 2019, the Division of Medicaid completed connections to 3 additional provider health systems for C-CDA query and exchange, as well as the 3 Medicaid Managed Care Organizations in Mississippi. | CCDA, EHR Integration, Epic, FHIR, HIE, IHE, Innovation, interoperability, medication reconciliation, XDS-I | 02/29/2016 |
| Cisco-UCSF Connected Health interoperability Platform | The Connected Health Interoperability Platform (CHIP) will connect digital health innovations with dispersed patient-consumer data and combine with analytics. The CHIP will consist of a digital health application market place, a secure, cloud hosted data interoperability system across EHR’s/devices/apps and API services that enable feature rich, interconnected healthcare application development. | C-CDA, FHIR, HL7 V2, OAuth2 | 09/15/2018 |
| Behavioral Health Admissions Integration | This is a collaborative effort between the Nevada Division of Public and Behavioral Health, mental health medical record vendor, Netsmart, and Nevada’s sole health information exchange called HealtHIE Nevada. The project aims to to build upon existing community efforts in information exchange to assist in filling the large gap that exists in timely data sharing related to mental health between private and public healthcare providers. Currently a disconnect exists between the physical health providers and mental health providers across the state that often means the physical health provider doesn't even realize that a mental health record exists on a patient. Participating stake holders expect to establish, at a minimum, a sharing of Admissions and Discharge information from mental health facilities through the HIE so that with proper consent, health care providers will be able to determine that a mental health event exists for the patient and follow-up accordingly. | ADT, HIE, HL7 V2, ONC, Behavioral Health | 9/1/16 |
| eConsult CCD Workaround - MU Objective 5 | There are specific challenges with the electronic exchange of health information in Los Angeles County. Notably, there remains a lack of interoperability in health information technology to exchange health information between clinical organizations and providers. This lack of interoperability makes it very challenging for our health centers to meet the Meaningful Use (MU) Health Information Exchange (HIE) Objective 5, in which providers with 100 or more referrals during the MU yearly reporting period must send a Continuity of Care Document (CCD) for 10% of their patients. Most participating health centers have an ONC Certified EHR (CEHRT) that can generate a CCD, but they have no secure means to send it since Los Angeles County lacks a HIE. In response to this challenge, the Community Clinic Association of Los Angeles County (CCALAC) developed a workaround using eConsult, a HISP enabled, secure, web-based, countywide specialty care referral system that allows primary care physicians and specialists to share health information and discuss patient care. The workaround uses the existing health center’s workflow to obtain and share patient data but meets the MU Objective 5 requirement by uploading the CCD in XML format to the eConsult system which in turn transforms the CCD into a readable format for the specialist to view. | C-CDA, CCD, MU Objective 5, CCDA, EHR, EHR Integration, Functional Interoperability, HISP, interoperability, CEHRT, Referrals | 12/31/2016 |
| Rhode Island Behavioral and Medical Information Exchange Project | Rhode Island Quality Institute will engage non-eligible providers at Butler Hospital, the state's only non-profit, free-standing psychiatric hospital, and Rhode Island’s eight community mental health organizations (CMHO) to close information gaps. The project goal is to advance patient care coordination and smooth transitions of care by extending collaboration and health IT interoperability between medical and behavioral health providers. Project objectives are to: • Interface Butler Hospital with the HIE to bring in admission, discharge and transfer notifications, lab results, and summary of care information, • Implement HIE tools and services such as the CurrentCare Viewer (online portal into the HIE that does not require an EHR), • Increase individuals’ awareness of health data exchange, • Train behavioral health care providers to incorporate health IT tools and services into their workflows, and • Disseminate learning resources and share best practices | Behavioral Health, CCD, DIRECT, HIE, HL7, interoperability | 09/09/2016 |
| CHIME $1 Million National Patient ID Challenge | The CHIME National Patient ID Challenge is a global competition aimed at incentivizing new, early-stage, and experienced innovators to accelerate the creation and adoption of a solution for ensuring 100 percent accuracy in identifying patients in the U.S. Patients want the right treatment and providers want information about the right patient to provide the right treatment. Patients also want to protect their privacy and feel secure that their identity is safe. | HIPAA, interoperability, medical errors, patient identificatioin, Patient Matching, Privacy, safety, Security | 02/19/2017 |
| Pharm2Pharm | Pharm2Pharm is a hospital pharmacist to community pharmacist care transition and care coordination model focused on medication management in high risk patients. Hawaii Health Information Exchange (HHIE) and HCS implemented the health information technology to support the Pharm2Pharm model. This includes HCS medication reconciliation module and drug therapy problem assessment module. Documents from these modules have been interfaced with the HHIE Community Health Record so that they are available for other authorized clinicians. Consulting Pharmacists also have access to the HHIE Community Health Record and Clinical Inbox which notifies them of important information such as new lab results, hospitalization, and ED visits among their patients. Consulting Pharmacists also use secure messaging to communicate with other clinicians. This project was funded by the CMS Innovation Center, Health Care Innovation Award, round 1. The project described is supported by Funding Opportunity Number CMS-1C1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies. | CMS, drug therapy problem, Hawaii, HIE, Innovation, medication management, medication reconciliation | 06/30/2016 |
| Implement KeyHIE Transform Tool in LTPAC and Home Health Settings | Work with Skilled Nursing Facilities, other Long Term Post Acute Care Facilities, and Home Health Organizations to transform data from Minimum Data Set (MDS) and Outcome and Assessment Information Set (OASIS) documents into C-CDA documents. The C-CDA documents are then sent to the Community Health Record for all users to view. This initiative will improve transitions of care, especially during unplanned visits to an Emergency Department (ED) from a LTPAC or Home Health setting, enabling ED personnel to understand the background as to why he/she was in the LTPAC or Home Health setting and the recent activity which occurred in that environment. | C-CDA, CCD, CCDA, HIE, Home Health, LTPAC, SNF, MDS, OASIS | 07/26/2017 |
| Utah Health Department HIE-ONC Interoperability Project | The Utah Department of Health (UDOH), Utah Health Information Network (UHIN), and Intermountain Healthcare (Intermountain) will jointly implement this project to expand uses of the existing state designated, secure, interoperable clinical Health Information Exchange (cHIE) to improve the care coordination for newborn hearing screening and follow-up in the state of Utah. The first use case is to send newborn hearing clinical reports from Intermountain’s EHR through the cHIE’s Direct service to deliver consolidated clinical document architecture (CCDA) messages to the Early Hearing Detection and Intervention (EHDI) Program. The second use case is to send hearing screening results and histories from EHDI’s information system through UDOH's Child Health Advanced Records Management (CHARM) integration system and the interoperability Gateway to the cHIE Standard-based Message Broker to Intermountain and other providers. | CCDA, DIRECT, EHDI, Hearing Screening, HIE, interoperability, ONC, Providers | 09/10/2016 |
| Delta Medix PC Interoperability - Phase 1 | This was the phase one of an interoperability Project to send Patient Demographics (V2 ADT & PIX) and Documents (HL7 Documents & CCDAs) from the Delta Medix NextGen EHR to the Keystone Health Information Exchange (KeyHIE), powered by Orion. Delta Medix uses KeyHIE for both a provider portal and for a patient portal (MyKeyCare). In addition to implementing NexGen's EHR Connect Interoperability Suite, they also deployed a Mirth Connect Channel to handle transmission of KeyHIE’s 3-state consent requirements (Share all Content, Do Not Share Content, Share Redacted Content). The next phase of the project will include consumption of CCDAs from KeyHIE directly into the Delta Medix NextGen EHR. | ADT, C-CDA, DIRECT, EHR Integration, Functional Interoperability, HIE - EHR, HIT Vendor, HL7 | 03/01/2016 |
| Coalition for Health IT in Communities (“CHIC”) – GaHIN | The Coalition for Health IT in Communities (“CHIC”) project leverages the Georgia Health Information Network (“GaHIN”) and its connection with the Georgia Partnership for TeleHealth (“GPT”) to close information gaps by expanding use of robust query-based health information exchange (“HIE”) to school nurses and Individuals in two rural Georgia county school systems: Appling and Atkinson. In addition, the CHIC project examines the workflow of each school-based health clinic and reviews existing processes used by school nurses during an encounter to identify opportunities to enhance these process with patient engagement strategies. These strategies are meant to (1) educate Individuals about both the use of the available patient portal and the importance of accessing one’s health information, (2) have the Individual sign-up for the patient portal during the encounter, and (3) encourage subsequent use of the electronic tool to track/manage their child’s health and securely communicate with the school-based healthcare provider. The project goal is to advance and improve upon patient coordination for 5300 school children in 10 schools. Expected outcomes include: (1) School nurses will have the ability to deliver more efficient care by gaining electronic access to timely and reliable patient health data during a patient encounter; and (2) Individuals will make more informed healthcare-related decisions resulting from their use of health IT tools and electronic access to health information. For the purpose of this project “Individuals” are defined as parents and guardians of students receiving treatment at the Appling or Atkinson school-based health clinic. | HIE, interoperability, ONC-led, Patient Engagement, Patient Portal, PHR, School-Based Health Clinic, telehealth | 09/10/2016 |
| Health Information Exchange for Emergency Medical Services | This project incorporates two critical components of the health care system into the health information exchange landscape--public health disaster response and emergency medical services (EMS). The project develops a Patient Unified Lookup System for Emergencies (PULSE) plus EMS (+EMS). Together the “PULSE +EMS” proposal establishes interoperability and exchange of clinically relevant patient information in disasters, and during daily emergency medical treatment and transport. Together, the PULSE +EMS project improves clinical decision making and transitions of care between ambulance and hospital healthcare providers, and supports longitudinal patient records. The PULSE component allows health professionals the availability of patient health information from multiple HIOs, during disasters, when patients are transported to areas or health networks outside of their normal delivery system. This project uses Integrating the Healthcare Enterprise (IHE) standards to connect health systems and HIOs to an interoperability broker that is accessed via a web portal user interface using Single Sign On capability. The portal is activated during a disaster. Healthcare professionals employed by health systems or participating with HIOs have access to patient records through their existing systems. Also, eligible professionals and other authorized disaster healthcare professionals, preregistered through the California DHV system can access the portal when at an alternate care site, or mobile field hospital. EMS provides entry, typically through 9-1-1, into the emergency medical care system and provides evaluation, treatment, and transportation of patients to a hospital emergency department, or trauma, heart attack, or stroke center. The +EMS component develops exchange between ambulances and hospitals to provide patient health information during daily emergency medical care, to include the return of clinically-relevant patient information to paramedics. | Disaster, EHR, EMS, HIE, Patient Matching | 7/27/2017 |
| Building UDI Into Longitudinal Data for Medical Device Evaluation (BUILD) | BUILD combines into one initiative 3 of the 6 projects developed by the 2015 MDEpiNet SMART Informatics Think Tank. The 3 projects leverage the unique device identifiers (UDIs) as the index for connecting data sources and moving information about devices to clinicians and researchers to enable the evaluation of device effectiveness and safety and to support innovation. The pilots are 1) Extension of UDI Implementation Pilot; 2) Medical Device Data Capture and Exchange: Leading Practices and Future Directions; and 3) Electrophysiology structured reporting Providing UDI for Leads and devices using industry Standards to Electronic Health Records and CVIS systems (ePulse). The Extension Pilot builds on the Mercy FDA demonstration whereby coronary stent UDIs were incorporated in Mercy’s electronic information systems resulting in integration of clinical and device data, coupled with creation of a database useable for surveillance and research. This process will be extended to Intermountain and Geisinger, and a distributed data network of the 3 systems will be developed with NCDR CathPCI Registry as the hub. The project includes linking with AccessGUDID at the National Library of Medicine. The Leading Practices project builds a consortium of hospital organization, manufacturer and other stakeholder leaders that will work to outline the current environment of UDI use and conceptualize innovative solutions for capture, exchange, and use of implantable device data elucidating best practices for leveraging UDI from supply chain to the point of care. The ePulse project focuses on the aggregation of data at the point of care, leveraging UDI as the information index. These granular data will be communicated to EHRs in C-CDA format. | Clinical Research, Common data elements, Coronary Artery Stents, Distributed Research Network, EHR, GUDID, interoperability, Medical Device Surveillance, Patient Registry, Unique Device Identifiers | 06/30/2019 |
| Rural Community Interoperability Project - UHIN | As part of our Interoperability for Healthier Communities grant from the ONC, UHIN- partnered with HealthInsight- is working with a rural community in Utah to increase interoperability. This includes working with the hospital to contribute ADTs into an Alerts system, so that providers in the community can receive an alert when their patients are seen at the hospital. It also includes increasing the use of population health reports, Meaningful Use 2 achievement, and helping providers interface their EHRs to the cHIE (UHIN's HIE). | Alerts, DIRECT, EHR Integration, HIE, interoperability, Rural | 07/01/2017 |
| Behavioral Health Integration Project - UHIN | As part of our Interoperability for Healthier Communities grant from the ONC, we are working with behavioral health and physical health providers to increase communication and interoperability. Specifically, we are working to increase the use of electronic referrals, looking up available information in the cHIE (UHIN's HIE), and using a Pediatric Patient Summary tool developed to help coordinate for children with special healthcare needs. | Behavioral Health, HIE, interoperability, Referrals, Pediatric Patient Summary | 07/01/2017 |
| LTPAC Project - UHIN | As part of our Interoperability for Healthier Communities grant from the ONC, this project focuses on improving the transition of care when a hospital discharges a patient into the care of an LTPAC facility. In this pilot project, a hospital system is implementing an automatic discharge summary triggered by the discharge planning. This summary will be sent directly to the LTPAC facility via IHE protocols and the cHIE (Utah's HIE). | HIE, IHE, LTPAC, Discharge, Transitions of Care | 07/01/2017 |
| Leveraging Health Information Technology (HIT) in the Outpatient Arena to Actuate Authentic Medical Home Transformation | Quality Insights of Pennsylvania first approached The Wright Center (TWC) in 2008 to participate in the 9th Scope of Work related to clinical quality measure testing for flu and pneumonia vaccination rates. During the six year journey between 2008 and 2014, TWC gained immense value through its leading engagement within the learning action networks of Quality Insights 9th and 10th Scope of Work. The technical assistance and support for this work provided by Quality Insights of Pennsylvania yielded crucial coaching for the establishment of TWC’s EHR integrated population health reporting infrastructure. This foundational Health IT outcomes reporting work dovetailed with the TWC’s intentional care delivery redesign and medical home transformation efforts as a leading practice in the PA Chronic Care Initiative. | CEHRT, Meaningful Use, PA Reach, workflow redesign | 01/01/2015 |
| EMDI- Topline Healthcare: PMD Workflow Within EMR | Pilot Category: e-Clinical Templates Pilot Stream: Powered Mobility Devices (PMD) Pilot Contact: Mark Kimmel ([email protected]), Susan Hemme ([email protected]) Topline Healthcare is an EHR Development Group that uses Codeable Language™ (EHR overlay used to prompt physicians for the appropriate evaluation/documentation). They led a CMS EMDI Pilot that focused on Power Mobility Devices (PMD). Furthermore, they are focusing on an educational component by making physicians aware of the necessity for appropriate medical documentation. Please contact Mark Kimmel ([email protected]) for more information. | Completed Pilots, e-Clinical Template, EMDI, esMD, PMD, post-acute, Provider-to-Provider | 01/25/2016 |
| Advance HIT Services Grant for Behavioral Health and LTPAC Communities - NHHIO | As part of our Advance HIT grant from the ONC, this project focuses on improving and expanding the use of Direct secure messaging to improve care coordination for patients within the Behavioral Health and Long-Term Post-Acute Care facilities in New Hampshire. Peer Learning Networks were established in each area for like-minded individuals collaborate on implementing Direct and how to expand the use. Peer Learning Networks meet monthly to collaborate and develop practical solutions to HIE and lessons learned. Each member has identified their top trading partners, all of which include their local hospitals’ ambulatory, inpatient and emergency departments. Since NHHIO has already created HIE relationships with the majority of these identified trading partners and understands the complexity of their EHR systems capabilities and connection options, The BH PLN formed a Consent Committee to address operational and technical management concerns around patient consent and the release of information (ROI) in their electronic environments to ensure compliance with state laws and HIPAA. This becomes especially important as organizations consider managing consent for 42 CFR Part 2, which deals with disclosure of substance abuse treatment, and an EHR vendor capabilities around segment data elements out of the transition of care summary that to which the patient has not provided consent. Most EHRs have not yet been able to demonstrate this functionality successfully. NHHIO works directly with ONC to leverage solutions around consent management demonstrated elsewhere in the country, like SAMHSA’s Consent2Share model and the DS4P Initiative. Regional Communities of Practice (CoP) have also been formed under this grant, in an effort to identify and mitigate gaps in care. The CoP’s were created to facilitate group discussions with multi-disciplinary practices and hospital organizations to address common interoperability issues. | Behavioral Health, CCDA, ONC-led, Peer Learning Network, SNF, Transitions of Care, DIRECT, Discharge, Education, HIE, HISP, Home Health, interoperability, LTPAC | 06/30/2017 |
| Pharmacist eCare Plan | This is a joint project between NCPDP and HL7 http://dms.ncpdp.org/index.php/ncpdp-work-groups?view=category&id=64 and is linked to this project is linked to the ONC HIP project https://www.healthit.gov/techlab/ipg/node/4/submission/1726. The next version of the C-CDA Clinical Notes Release 2.1 and FHIR Release 4 May 2019 ballot has been passed and reconciled. NCPDP and HL7 should be jointly ANSI publishing in the Fall 2019. The goal of this project is to develop an eCare Plan with enhanced medication management content based on the templates in the HL7 Implementation Guide for C-CDA Release 2.1: Consolidated CDA for Clinical Notes and FHIR R4. This care plan called “Pharmacist eCare Plan” will serve as a standardized, interoperable document for exchange of consensus-driven prioritized medication-related activities, plans and goals for an individual needing care Pharmacists work in multiple environments. The Pharmacist eCare Plan will be a dynamic plan that contains information on the patient, pharmacist and care team’s concerns and goals related to medication optimization. The care plan may also contain information related to individual health and social risks that may impact care, planned interventions, expected outcomes, and referrals to other providers or for additional services e.g., nutrition consultation or diagnostic laboratory studies. More information about the Pharmacist eCare Plan can be found at https://www.ecareplaninitiative.com/ | C-CDA, care plan, Pharmacy, SNOMED CT, CCDA, drug therapy problem, FHIR, HL7, medication management, medication reconciliation, NCPDP, Pharmacist | 05/30/2021 |
| Direct and 10A Preauthorizations - UHIN | In Utah, Skilled Nursing Facilities with Utah Medicaid patients are required to submit 10A Preauthorizations. The prior method was a paper form that was faxed in, but there were issues with this workflow. It was easy for items to get misplaced, critical fields were sometimes left blank, and it took longer for Utah Medicaid to process and track everything. In 2014, UHIN worked with Utah Medicaid and the SNF facilities to implement an electronic 10A process using Direct. A custom form was built in UHIN's Direct product, so a user could go to the 10A area and fill in the required fields for the form, attach the required documentation, and send the 10A. They can also see past 10A submissions and the status (Pending, In Process, Approved, Denied, etc.), and communicate with Utah Medicaid if they have questions. | DIRECT, SNF, Preauthorizations, 10A | 10/1/14 |
| Patient Portal-HIE Blue Button Pilot - HealthInfoNet | As part of the State Innovation Model (SIM) Testing Grants sponsored by the Centers of Medicare and Medicaid Services (CMS), HealthInfoNet partnered with Eastern Maine Health Systems to pilot providing patients with access to their statewide HIE record. The pilot site connected their current patient portal to the HIE to allow patients to download a medical record summary document from the HIE known as the “Continuity of Care Document” (CCD). | CMS, HIE, Patient Engagement, User Interface | 10/01/2015 |
| VA Interoperability with HealthInfoNet | Funded throughThe Federal Health Resources and Services Administration (HRSA) to improve the quality of health and critical healthcare services for veterans living in rural areas, through The Flex Rural Veterans Health Access Program, HealthInfoNet connected the VA Maine Healthcare System to the health information exchange. This includes the medical center located in Augusta and 11 outpatient clinics. | HIE - EHR, HRSA-led, Innovation, Transitions of Care | 10/01/2016 |
| Maine DASH Project - HealthInfoNet | HealthInfoNet has been selected by the Robert Wood Johnson Foundation DASH Program — Data Across Sectors for Health — as one of ten grantees to implement projects that improve health through multi-sector data sharing collaborations. DASH is a national program of RWJF. The Maine Data Across Sectors for Health (DASH) project will advance the participation in and use of the statewide HIE by health and social services agencies and leverage both medical and social determinant data to produce predictive analytic tools. The first and primary goal of the Maine DASH project over the 18 months of RWJF funding will be to improve outcomes (health and social) for patients suffering from chronic diseases while simultaneously reducing hospital/ED admissions and readmissions. Funds will be used to implement a pilot with the CAPs tied to established Accountable Care Goals and Governance. | Functional Interoperability, HIE, Innovation, Transportation | 06/30/2017 |
| Carolinas HealthCare System- Patient Navigation | Patient Navigation Realtime ADT feed into a Patient Navigation system built on a cloud-based CRM platform. Offers Oncology Nurse Navigators a 360-degree view of their patient cohort on a modern, graphical user interface. Nurses can filter, categorize and notate appointments and admissions for their cohort. | ADT, HL7 V2, interoperability | 01/01/2016 |
| GLHC – Patient Action Plans and the Statewide Community Patient Record | Healthcare providers across Michigan have focused resources and efforts on making patient action plans available in a statewide registry. This action assures that treatment for specific disease states remains consistent wherever the patient is treated. Great Lakes Health Connect (GLHC) in Grand Rapids, MI, developed a web-based application that allows healthcare entities to upload action plans into the registry at no cost. In 2014, GLHC, in partnership with Dr. Susan Wakefield of Forest Hills Pediatrics successfully piloted a program that has contributed over 700 Asthma Action Plans to the GLHC state-wide health information exchange registry. Planning is now underway to expand the program to additional action plans and providers across the state. | Action Plans, Asthma Action Plans, Community Record, GLHC, HIE, Michigan | 09/12/2014 |
| GLHC – Admit, Discharge and Transfer (ADT) Notifications | In Michigan, healthcare providers and payers including Medicare have placed special emphasis on reducing 30 day hospital readmissions. Primary care physicians are offered incentives to see patients within a designated timeframe following a hospital discharge. To facilitate the process, IT developers have created various methods of delivering them notifications of patient admissions, discharges, and transfers. However, these messages are typically displayed using raw HL7 code, making it difficult for providers to understand critical information.. Great Lakes Health Connect (GLHC) in Grand Rapids, MI, partnered with hospitals across the state to normalize and format this data into a consistent and easily understood PDF document. These notifications are near real-time and provide patient demographics; visit, provider, and discharge information (if applicable); as well as guarantor name, relationship and phone number (if available). As one practice manager stated, “The ADT Notification process has been an invaluable tool for our office for improving patient care coordination and our post hospital visit capture ratio.” | 30 day readmission, ADT, ADT Notifications, HIE, Michigan | 11/20/2012 |
| GLHC - Advance Care Directives and the Statewide Community Patient Record | Healthcare providers across Michigan have focused resources and efforts on educating patients on the value and benefits of making advance directive documents accessible online in a secure statewide registry. .In 2013, Great Lakes Health Connect (GLHC) in Grand Rapids, MI, partnered with Michigan healthcare entities, including Making Choices Michigan, to add advanced directives to the GLHC state-wide health information exchange registry. GLHC developed a web-based application that allows healthcare entities and attorneys to upload advance directives into the registry at no cost. | Advance Care Directives, Community Record, HIE, Michigan | 10/01/2013 |
| GLHC – Statewide Community Health Record | Healthcare providers and hospitals have struggled with obtaining patient records from other healthcare systems in a timely manner, especially real-time information during emergent situations. It is also difficult to obtain information when the patient is not forthright about where they have sought treatment. Great Lakes Health Connect (GLHC) in Grand Rapids, MI, partnered with Medicity and several acute care hospitals to provide near real-time patient information into via a statewide community health record, available to participating providers throughout Michigan. Information includes: ADT, Lab, Radiology and Transcribed Documents. | Community Record, GLHC, HIE, Michigan | 04/20/2012 |
| GLHC – Immunization Message Query and Retrieve | Thanks to the work of Great Lakes Health Connect (GLHC) in Grand Rapids, MI, pediatricians and any/all providers across the State have the option to seamlessly query the Michigan Care Improvement Registry (MCIR) for immunization history records on their patients. This can be accomplished without leaving their in-house EMR (Electronic Medical Record) system, via the VXQ (Vaccination Record Query) transaction. Such capability is especially important to pediatricians, but also to all specialties, hospitals, and allied care providers alike. Immunization query significantly reduces errors by removing separate sign-on and “fat finger” problems when data is manually entered into the State’s registry system. It also reduces the need to “poke” patients unnecessarily when they have already received an immunization, but the physician was not aware. For years, GLHC has allowed providers to submit their VXU (Vaccination Record Updates) / Immunization data electronically from their EMRs, but this new query and retrieve functionality takes immunization management for providers and patients in Michigan to the next level of interoperability. | EMR, GLHC, HIE, Michigan, Vaccination Record Query, Vaccination Record Update, VXQ, VXU | 10/22/2015 |
| GLHC – Long Term Care & Home Health Oasis & MDS Standardization | Long Term Care (LTC), Post-Acute (PAC), and Home Health (HHC) stakeholders have the need to share clinical patient data across the care continuum. The challenge that exists today is that LTC, PAC, and HHC electronic medical record systems “speak a different language” from the standard in acute and ambulatory care. Great Lakes Health Connect (GLHC) in Grand Rapids, MI has developed a scalable, repeatable process to convert the LTC Minimum Data Set (MDS) files and the HHC Outcome and Assessment Information Set (OASIS) file format to a standard that is easily consumed and stored in GLHC’s community health record (known as the Virtual Integrated Patient record or VIPR). GLHC creates HL7 Admission, Discharge, and Transfer (ADT) messages and Continuity of Care Documents (CCDs) from the LTC, PAC and HHC data. This information can then be seamlessly shared across the continuum of care. | 360X, ADT, MDS, Minimum Data Set, OASIS, Outcome and Assessment Information Set, SNF, care plan, CCD, CHR, Community Record, HL7, Home Health, Long Term Care, LTC | 06/30/2016 |
| GLHC – Result Delivery based on a patient list | Healthcare providers and hospitals have struggled with sending and receiving test results on patients when the provider is not identified at the time the order was initiated. Typically, a test result is delivered to the ordering provider, and may include other if identified in the request. This is particularly difficult for behavioral health providers who are often outside of the traditional care path, and therefore not included in these messages. Lab results are vital to behavioral health providers when prescribing medications such as psychotropic drugs. Great Lakes Health Connect (GLHC) in Grand Rapids, MI, partnered with Washtenaw County Community Mental Health Agency, the University of Michigan Health System, Medicity, and PCE Systems to provide lab test results based on the patient list for Washtenaw County CMH. | CMH, Community Mental Health, Lab Results, Medicity, Patient List, Patient Matching, Payer Gateway, PCE Systems | 06/20/2016 |
| GLHC – Radiology Imaging Enablement | Healthcare stakeholders have the need to receive radiology reports from patients’ test results, and also see the actual radiology image without the added complexity and expense of a Picture Archiving and Communication System (PACS). Great Lakes Health Connect (GLHC) in Grand Rapids, MI has developed a method for sending providers radiology reports electronically, in an easy to interpret format for seamless viewing of images without the need for a PACS system, also eliminating the burden of storing these very large images on site. This significantly reduces duplicate testing, thus reducing patients’ radiation exposure and allowing for quicker diagnosis and treatment. | GLHC, Michigan, PACS, Picture Archiving and Communication System, Radiology | 04/30/2015 |
| Kingsport, TN - DIRECT Messaging - Wellmont Health System | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local and national provider directory for distribution. | C-CDA, DIRECT | 01/01/2015 |
| "MedMij": Personal Health Environment in The Netherlands | The Dutch Patient Association is setting up a framework of requirements for PHRs for the Dutch population. The framework includes infrastructure, interoperability standards, data formats, and judicial and financial requirements that PHRs will have to comply to. The PHRs will connect to health apps and EHRs in the back-end. | FHIR, HL7, PHR | 12/31/2020 |
| Finnish national PHR | By the end of 2017 Kanta services in Finland will be extended with the new Personal Health Record functionalities. Citizens will be able to store their own health-related data such as results of online health risk tests or measurements performed at home. | FHIR, PHR | 12/31/2017 |
| NJII New Jersey Health Information Network (NJHIN) ONC Advance HIE Interoperability for Eligible Professionals and LTPACs | New Jersey Innovation Institute's (NJII) New Jersey Health Information Network (NJHIN) Shared Services Platform is the New Jersey State-designated entity to build a collection of services that enable a statewide Master Person Index (MPI) and Health Provider Directory (HPD). These services support our primary-use case, which is achieving an automated Transitions of Care (TOC) program through which the NJHIN accurately and efficiently delivers Admission, Discharge and Transfer (ADT) notifications to connected New Jersey Health Information Exchange (HIE) participants, such as Eligible Professionals (providers) and long-term and post-acute care (LTPAC) organizations. Moreover, the NJHIN facilitates connected participants’ queries to the New Jersey Immunization Registry. Additional NJHIN services include a Common Key Service (CKS) and the Active Care Relationship Service (ACRS) to help with patient matching and patient-provider attributions, respectively. | Active Care Relationship Service, ADT, interoperability, Master Person Index, ONC-led, Transitions of Care, ADT Notifications, Common Key Service, DIRECT, EHR, Health Provider Directory, HIE, HL7, Immunization Registry | 07/26/2017 |
| Kingsport, TN - Vaccine Administration Information sent to Virginia (VIIS) Immunization Registry - Wellmont Health System | Vaccine administration information is being sent to the Virginia (VIIS) immunization registry via HL7 interface. | HL7, Immunization, Immunization Registry | 01/01/2016 |
| Kingsport, TN - Syndromic Surveillance Results sent to Virginia Department of Health - Wellmont Health System | Syndromic surveillance results are sent to Virginia Department of Health via HL7 interface. | HL7, Lab Results | 1/1/16 |
| Kingsport, TN - Reportable Results sent to Virginia Department of Health - Wellmont Health System | Reportable results are being sent to the Virginia Department of Health via HL7 interface. | HL7, Lab Results | 01/01/2016 |
| Increasing Early Detection of Youth Behavioral Risk, Improving Care Delivery and Addressing Suicide in Primary Care Settings | High-profile catastrophes and humbling prevalence of suicides have prompted widespread national acknowledgement of the disturbing scope of the suicide epidemic. National, federal and professional representatives mobilized to take action by funding the development of a long-term, collaborative tragedy prevention strategy. In 2008, the Garrett Lee Smith (GLS) Youth Suicide Prevention in Primary Care program was established and awarded by the United States Substance Abuse and Mental Health Service Agency (SAMHSA) to screen and address comprehensive behavioral risks, inclusive of suicide, in primary-care venues amongst youth ages 14-24. The Wright Center engaged as a GLS Youth Suicide Prevention in Primary Care program participant concurrent with its immersion in primary care practice medical home redesign efforts through the Pennsylvania Chronic Care Initiative. The Wright Center’s ongoing practice transformation efforts converged integration of Electronic Health Record (EHR) Meaningful Use standards and Chronic Care Model guidance initially using diabetes as a population of focus to drive care delivery redesign. The team integrated Behavioral Health Screens (BHS) into workflow without a significant amount of additional (perceived or actual) staff effort. To encourage buy-in, medical assistants, resident physicians and providers at The Wright Center were educated about the GLS program and trained as BHS champions. The medical assistants led workflow integration by providing a tablet and coaching to engage each patient at their annual well visit, placing emphasis on confidentiality. Patients completed the screen privately and results were summatively assessed at the point of care, immediately available for provider review. In 2010, The Wright Center for Primary Care Mid Valley completed 1043 total BHS during young adult well visits and by 2016, had spread workflow and processes into its second program phase, effectively screening 3988 young adults. | Behavioral Risk Screens, Community Mental Health, Suicide Prevention, Transitions of Care, workflow redesign, EHR Integration, Garrett Lee Smith, Meaningful Use, Patient-Centered Outcomes Research, patient-centric, Primary Care, Public Health, Referrals | 08/17/2016 |
| RxREVU's FHIR-Enabled Prescription Decision Support Integrated within the Cerner EHR in Collaboration with Banner Health | RxREVU’s Prescription Decision Support (PDS) platform, RxCheck, provides a solution for the ONC's priority category of Comprehensive Medication Management. Along with Banner Health in Arizona, RxREVU and Banner are partnering together with the goal of optimizing and standardizing prescribing behavior at the point of care. Leveraging the emerging Fast Healthcare Interoperability Resources (FHIR) standard as the communication backbone to our solution, as well as respective resources at Banner and RxREVU, this project is focused on surfacing actionable information about a patient’s condition, therapeutic alternatives, patient formulary and price of a drug at the point-of-prescribing within EHR. Specifically, RxREVU and Banner are focusing on the following use cases: 1). Accurate prescription pricing information based on patient’s formulary including the suggestion of lower cost therapeutic alternatives. 2). Identification of patients with poor medication adherence, based on pharmacy claims. | Arizona, Banner Health, Primary Care, RxREVU, SMART, Colorado, Comprehensive Medication Management, EHR Integration, FHIR, High Impact Pilot, HIT Vendor, interoperability, ONC | 03/15/2018 |
| Supporting Closed-Loop Surgical Referrals with a SMART on FHIR Dashboard | Poor communication of pertinent patient health information between primary care and surgical providers during transitions of care is associated with a high rate of medical errors and adverse outcomes. Ensuring that health information is shared effectively among these different providers during transitions of care before and after surgery is critical to effective care coordination and closing the loop after a surgical referral is made. This project will design, implement, and evaluate a closed-loop surgical referral dashboard app, integrated with commercially available EHRs through a standards-based approach using SMART on FHIR. This referral dashboard will allow primary care and surgical providers to share a mental model of patient care, including shared goals and expectations, to support information exchange during surgical episodes of care from the time a referral is made through a patient's follow-up with primary care providers after surgery. This project is being conducted in collaboration between faculty in the Departments of Biomedical Informatics and Surgery (Division of Vascular Surgery) at the University of Utah, and informaticians at the Homer Warner Center at Intermountain Healthcare. | Care Transitions, Epic, FHIR, High Impact Pilot, Surgery | 09/15/2018 |
| High Impact Pilots (HIP): Interoperable Pharmacist Care Planning | Technology (HIT) awarded Lantana Consulting Group a High Impact Pilot (HIP) grant to develop standard care plans for pharmacist to deploy across the Community Pharmacy Enhanced Services Network (CPESN(SM))(https://www.communitycarenc.org/population-management/pharmacy/community-pharmacy-enhanced-services-network-cpesn/), a project of Community Care of North Carolina (CCNC)(https://www.communitycarenc.org/). Lantana will work with CCNC and two vendors, PioneerRx (https://www.pioneerrx.com/) and QS/1 (http://www.qs1.com/), to implement a Pharmacist Care Plan based on the generic Care Plan standard recommended in the ONC Interoperability Standards Advisory (ISA)( https://www.healthit.gov/sites/default/files/2016-interoperability-standards-advisory-final-508.pdf). In this pilot, Pharmacists will upgrade their pharmacy management systems to submit the Pharmacist Care Plans to CCNC. CCNC will receive the EHR-ready, standardized data supplied in the Pharmacist Care Plans to support their monitoring and patient coordination activities. This project will develop C-CDA templates, FHIR profiles, validating Schematron schemas, and XSLT transforms to convert between the C-CDA templates and FHIR profiles. | High Impact Pilot | 09/15/2017 |
| Behavioral Health Integration Project - Arkansas OHIT | As part of OHIT's Standard's Exploration Award from the ONC, OHIT is working with behavioral health providers serving the homeless community to increase communication and interoperability. Specifically, we are working to increase the use of electronic referrals, using HL7 and CCD exchange standards to send and receive behavioral health information to help coordinate transitions of care for the target population. | Standard Exploration Awards | 11/01/2017 |
| Leveraging the EHR to enable data collection at scale through the use of standards and technology | The use of electronic health records (EHRs) to capture structured patient data should allow those data to be reused for purposes other than direct patient care, but the current processes to develop and deploy EHR-based data collection forms are inefficient, particularly when scaled to dozens or hundreds of centers. We propose to launch externally-hosted electronic Case Report Forms (eCRFs) from within the EHR, pre-populate certain fields with standard elements that have been previously collected, and allow research study staff to complete the remaining fields and send the responses to an external data repository. We will use standards such as Retrieve Form for Data Capture (RFD) and Fast Healthcare Interoperability Resources (FHIR) to address this use case. We will partner with ImproveCareNow, a 92-center quality improvement and research network (learning network) that is focused on improving the care and outcomes of children and adolescents with inflammatory bowel disease (IBD). We will implement the workflow described above by using eCRFs from an ongoing pragmatic clinical trial involving ImproveCareNow that is being funded by the Patient-Centered Outcomes Research Institute (PCORI) and by extending ImproveCareNow’s existing informatics infrastructure to support the standards- based interfaces. | Standard Exploration Awards | 09/17/2017 |
| FHIR®-based Predictive Analytics: A Breast Cancer Pilot | FHIR®-based predictive analytics: A breast cancer pilot. Intermountain Health, Mass General Hospital and Sysbiochem are collaborating on developing services for deploying clinical predictive models using the HL7-FHIR standard. The services enable integration of family history data from EHR and predicted risk scores from the predictive models back into the EHR. Resources have been aligned with a goal of building a SMART app with the first use case of Breast Cancer. This project will serve as a testable pilot for integrating genomic and clinical data using FHIR for use by all stakeholders. | FHIR, interoperability, Standard Exploration Awards | 09/15/2017 |
| Patient Centered Data Home (PCDH) - Heartland Region | The Health Collaborative, Michiana Health Information Network, Great Lakes Health Connect, HealthLINC, Indiana Health Information Exchange, East Tennessee Health Information Network and the Kentucky Health Information Exchange are collaborating to share patient information among 7 HIE's under the leadership of Strategic HIE (SHIEC). The ONC High Impact Pilot grant has funded this pilot focused on the sharing of ADT and Clinical Summaries centered around where the patient resides. | High Impact Pilot | 09/14/2017 |
| Enhance/Upgrade the platform where C-CDA sample templates reside | Extend and modify C-CDA template samples as well as upgrade the platform where the C-CDA samples reside. Modify and enhance C-CDA samples by standardizing the sample metadata content, creating a single source for storing the samples and upgrading the samples to C-CDA R2.1. Develop a web application that provids indexing and searching the metatdata to improve C-CDA sample discoverability. | CCDA | 12/31/2016 |
| Define FHIR Repository processes | Ensure clarity about how the development of FHIR standards and stable FHIR implementation guides will occur, especially in the US realm. The project will address the need to design and implement policies and processes in the areas of specification development, maintenance and adoption of FHIR artifacts. Ensure clarity about how the development of FHIR standards and stable FHIR implementation guides will occur, especially in the US realm. The project will address the need to design and implement policies and processes in the areas of specification development, maintenance and adoption of FHIR artifacts. | FHIR | 3/31/2017 |
| Patient Unified Lookup System for Emergencies (PULSE) | When disasters occur, individuals may require medical attention from facilities and providers that do not have any previous history treating that patient, and from healthcare volunteers without access to their traditional EHR and HIE systems. Consequently, a victim's or evacuee's critical health information - medications, allergies, major illnesses, etc. - may be unavailable to disaster volunteers, emergency responders, and emergency facilities caring for them during or after a disaster. The "Patient Unified Lookup System for Emergencies" (PULSE) is being developed to allow disaster healthcare volunteers registered and authenticated through California's Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) system to retrieve health information for victims and evacuees from HIEs, hospital systems, and other sources statewide using national standards. | 07/26/2017 | |
| California Directory Services | Directory Services is a critical component of California’s strategy for statewide health information sharing among community HIEs, health systems and enterprise HIEs, and HIE service providers. In August 2016, CAHIE began development of an electronic services registry as part of Directory Services conforming to the emerging RESTful FHIR STU 3 specifications for Organization, Location, and Endpoint resources to support the Patient Unified Lookup System for Emergencies (PULSE) project. This registry will allow PULSE, as well as other qualified systems, to retrieve information about organizations, facilities, their relationships, and the means by which to exchange information with them electronically. | FHIR, healthcare directory, HIE, interoperability, provider directory | 07/26/2017 |
| CQF Breast Cancer Decision Support | This project is intended to validate the use of the CQF standard for clinical decision support in oncology � namely the recommendation of treatment plans and suitable clinical trials. The current version of the Evinance CDS platform is production-level ready and supports the HL-7 Health eDecisions CDS Guidance Use Case (Use Case 2). Evinance strives to continuously support the latest CDS standards, hence the desire to pilot the use of the CQF standard for Breast Cancer CDS Guidance. For the pilot, we will use the Evinance Authoring Module to define a multi-disciplinary Breast Cancer Guideline and Clinical Trial. These will be published to the Evinance Decision Support Engine, which will then offer CDS Guidance through a RESTful web service. The service will receive patient information from the Evinance Workflow Automation Module and/or the Elekta MOSAIQ EHR in FHIR format and return back recommended treatment plans and/or clinical trials. | CQF, CDS, Oncology, FHIR | 7/1/2015 |
| CQF Cardiology Appropriateness of Use | The American College of Cardiology, in collaboration with other key specialty and subspecialty societies, authors, clinical guidelines, performance measures, appropriate use criteria, and other content to improve the delivery of healthcare. The ACC Appropriate Use Criteria (AUC) for the multimodality approach to the detection and risk assessment of ischemic heart disease (Wolk MJ et al., J Am Coll Cardiol 2014;63:380�406) describes current recommendations for the selection and application of non-invasive and invasive diagnostic testing for the detection and risk assessment of stable ischemic heart disease (SIHD). Included are elements of both clinical decision support (CDS) and clinical quality measurement (CQM) that align with the pilot demonstration goals of the CQF initiative. | CQF, CDS, Cardiology, AUC, FHIR | 7/1/2015 |
| CQF Chlamydia Screening | The goal of this pilot is to demonstrate the�usability of the new specifications (Quality Improvement and Clinical Knowledge or QUICK data model,�Clinical Quality Language or CQL), where the standards need improvement, and to provide experiential input on how the specifications will serve future implementations in Electronic Health Record systems. This pilot will be focused on�how QUICK and CQL can be successfully tailored to suit the needs of implementers interested in supporting clinical decision support (CDS) and clinical quality measures (CQM) for screening, treatment, and follow-up of�chlamydia trachomatis�infection in community settings. | CQF, CDS, Chlamydia, FHIR | 7/1/2015 |
| CQF Immunization Decision Support Services | The pilot team intends to demonstrate in a live Immunization Calculation Engine (ICE) instance that a FHIR profile aligned with QUICK, can successfully be processed by ICE. Demonstrating that a dataset used by a typical immunization forecaster can be properly supported by the CQF standards helps ensure that CQF standards could be leveraged by other immunization forecasters. In addition, adopters may find ICE more in line with other CDS engines that they are consuming are operating. | CQF, CDS, Immunization, FHIR | 7/1/2015 |
| CQF Ischemic Vascular Disease - IVD | In this pilot, Motive will demonstrate that a shareable ECA rule can be created, deployed, and executed in at least�one third-party clinical system, such as an electronic health record (EHR), or by a cloud-based CDS service, using�the CQF standard for artifact representation. | CQF, CDS, IVD, FHIR | 7/1/2015 |
| CQF Phenotype Execution and Modeling Architecture | The proposed project will design, build and promote an open-access community infrastructure for standards-based development and sharing of phenotyping algorithms, as well as provide tools and resources for investigators, researchers and their informatics support staff to implement and execute the algorithms on native EHR data. | CQF, CDS, Phenotype, FHIR | 7/1/2015 |
| CQF Radiology Appropriateness of Use | The goal of the pilot is to provide ordering physicians Point of Order access to Appropriate Use Criteria for Imaging orders. Appropriate Use Criteria provides feedback as to the appropriateness score for an imaging order. Each imaging order is assigned a unique decision support identifier and appropriateness score and users are presented feedback in the form a score and suggested alternate exams. This decision support data is recorded within the EHR. This data and activity is also recorded in the CDS service for Quality Measurement. | CQF, CDS, Radiology, AUC, FHIR | 7/1/2015 |
| CQF CDC Opioid Management | The goal of the pilot is to provide automatable decision support artifacts based on the CDC's Opioid Management Guidelines. The artifacts will be represented using the FHIR Clinical Reasoning module and integrated with both Epic and Cerner systems. | CQF, CDS, Opioid Management, FHIR | 8/1/2017 |
| CQF DIGITizE Project | The goal of the pilot is to provide automatable decision support artifacts based on the DIGITizE Parmacogenomic Ordering Support Implementation Guide. Artifacts will be represented using the CQF format. | CQF, CDS, DIGITizE, Pharmacogenomics, FHIR | 12/31/2016 |
| CQF NCCN Oncology Order Templates Project | The goal of the project is to use the FHIR Clinical Reasoning Module to express National Comprehensive Cancer Network Chemotherapy Order Templates in a way that supports automatic ingestion and application of the templates to a specific patient in context. | CQF, CDS, Oncology, FHIR | 12/31/2018 |
| CQF Zika Virus Project | Demonstrate through the Zika use case a methodology for producing computable artifacts in support of the overall CDC All Hazards Approach. This project builds on the work already done as part of the CDC All Hazards Zika project at the September HL7 FHIR Connectathon. | CQF, CDS, Zika, FHIR | 1/31/2017 |
| Update C-CDA Value Sets | 1. Review and perform 'quality assurance' (QA) against current C-CDA value set definitions in VSAC (Value Set Authority Center) by: a. Confirming all value sets are present; b. Confirming current scope/definition of value sets; c. Confirming the dependent code systems of value sets; d. Confirming the current expansion sets of value sets; e. Creating expression based definitions for all value sets. 2. Identify the key CCDA community members that are involved in the use and maintenance of CCDA Value Set content that must be engaged in the project along with their responsibilities for value set maintenance, including gaps in support 3. Define requirements and processes for ongoing maintenance of C-CDA value sets; implement those requirements and pilot the processes for C-CDA value sets so as to establish a new baseline collection of up-to-date CCDA value sets. 4. Continue the work as defined in #3 to develop value set updates and present those changes as issues for discussion or errata to the Structured Documents Work Group (SDWG) on an ongoing basis. Collaborate with the SDWG on the resolution of these changes by hosting a wiki consensus review. 5 .Integrate VSAC with the open-source Trifolia template development tool. | C-CDA, CCDA, HL7, interoperability | 11/17/2017 |
| Sync for Genes | Genomic data sharing is critical to the Precision Medicine Initiative (PMI) and the next impetus of genetic research by a new wave of researchers. Sync for Genes will strengthen genomic data sharing, including data from next generation sequencing (NGS) laboratories, in a consistent and usable way via point-of-care applications. In January 2017, five pilot groups representing a variety of organizations covering specific facets of genomic data began leveraging and testing enhancements to the HL7 Clinical Genomics Workgroup Group suite of standards developed as part of the Sync for Genes effort. The five pilot groups and focus are: Counsyl with Intermountain Healthcare (Family Health History Genetics); Food and Drug Administration (Sequencing Quality and Regulatory Genomics); Foundation Medicine with Vanderbilt University Medical Center (Somatic/Tumor Testing); Illumina (NGS Sequencing Solutions); and National Marrow Donor Program/Be The Match (Tissue Matching) Feedback from the pilots will used by Sync for Genes to ensure the development of open source validation scripts and implementation guidance documents to support needs in the field of genomics for others to utilize. Ultimately, Sync for Genes will create a foundation for widespread use of genomic data to be shared in the All of Us Research Program and future studies. | FDA, FHIR, ONC-led, PMI, Standards, Sync For Genes, Testing, Use Case, genomics, HHS, interoperability, IPG, NGS, NIH, omics, ONC | 06/04/2017 |
| EMDI- Topline Healthcare Interoperability Pilot | Pilot Contact: Mark Kimmel ([email protected]), Susan Nussbaum ([email protected]). Pilot Goal: The outcome of the Interoperability pilot will be to show the interoperability of electronic submissions from providers-to-lab, results to providers, and electronic education to patients to support care. It is our goal to support measurable outcomes. This is the Concerted Care Group, Harwood Labs, and Topline Healthcare pilot. | EMDI, HL7, interoperability, Provider-to-Lab, Connect, HealthcareIT, Topline_Healthcare, Mark_Kimmel | 10/31/2017 |
| CDA Example Task Force | Developers and implementers love examples. HL7 launched the CDA Example Task Force in the Fall of 2013 in response to implementer requests for more examples. The task force collects implementer generated examples, certification examples, and refines them to demonstrate best practices. Examples vetted through the task force are reviewed and approved by the full Structured Documents committee. To improve discoverability, HL7 launched a search tool to help implementers search the repository of over 70 examples. The task force meets weekly and is open to new submissions. | C-CDA, CCD, CCDA, Certification, HL7, interoperability, Meaningful Use | 09/30/2018 |
| EMDI- Brightree Interoperability Pilot | Organization: Brightree POC: Nick Knowlton, VP; Gary Bartlett, Product Manager- Interoperability Pilot Goal: To enable these interoperability services in our HME/DME and Home Health & Hospice product lines for the benefit of our providers and their patients. We have been live with specific subsets of the use cases since 2016. | CMS, Completed Pilots, DME, EHR, EMDI, Epic, HHA, interoperability, post-acute, Provider-to-Provider | 01/01/2018 |
| EMDI- Hyland OnBase Interoperability Pilot | Organization: Hyland OnBase POC: Mike Hurley, Manager; William Canter, Alliance Manager; Pilot Goal: The long-term vision of Mackinac is to address the entire OnBase healthcare ecosystem including durable medical equipment (DME) suppliers, home health agencies, government agencies, manufacturer and a number of other healthcare entities. The Mackinac pilots are focused on the Electronic Medical Documentation Request (EMDR) use case. An implementation team will setup Mackinac in your test environment to allow your users to test the sending and receiving of messages/attachments via clearinghouse to participating provider organizations. | EHR, EMDI, EMR, interoperability, Provider-to-Provider | 08/01/2019 |
| Rio Grande Valley Health Information Exchange - Interoperability Technology | Forcare enables the RGV HIE to bring a county-level infrastructure solution that connects information between participating health care organizations and providers in extreme South Texas by integrating disparate systems and enabling the exchange and use of critical patient information for making care related decisions at the point of care. | FHIR, XDS, interoperability, IHE, HIE | 08/01/2019 |
| University of Kentucky HealthCare - Interoperability and Cost Savings Achieved | UK HealthCare is now able to implement a new enterprise interoperability system all while keeping the same viewers, PACS, EHR, and other technologies in place. Forcare’s interoperability platform empowered the existing EHR with the functionality they needed. Without Forcare’s involvement, there would have been a necessary replacement of existing technologies that would have taken years to fully implement. Instead, the interoperability goals were achieved at a fraction of what it would have cost for the alternative situation. | EHR Integration, FHIR, IHE, interoperability, XDS | 08/31/2019 |
| EMDI- University of Pittsburgh Interoperability Pilot | Organization: University of Pittsburgh POC: Brad Dicianno Pilot Goal: Power mobility devices (PMDs) such as power wheelchairs and scooters are crucial for mobility, self-care, employment, and leisure activities. The documentation process for insurance coverage is complex, and requires multiple stakeholders. The objective of this project was to develop an electronic submission process for medical documentation for PMDs submitted for preauthorization to a Medicare Administrative Contractor (MAC). | EMDI, interoperability, Provider-to-Provider | 08/15/2018 |
| Connectivity Improves Quality Metrics for Annual Diabetic Eye Exams | Objective: Assist health systems with meeting important quality metrics by providing their community members who continue to fax with an easy and affordable standards-based interoperability solution. Description: This particular project centers around connecting the optical community to the health system as they transition to value-based care. Patients who fit the criteria for comprehensive diabetic eye care require an annual diabetic eye exam1. Normally, these exams are performed by ophthalmologists or optometrists who are not part of the health system’s physician network and who bill claims against a vision plan rather than a health plan. The health system would receive documentation as a fax or letter asynchronous to the visit, making it difficult to track. Kno2’s interoperability platform solves this issue by bringing the data into the patient’s hospital health record at the time of service as a Direct message, driving better patient outcomes and greater visibility into care delivered outside their walls – lowering the total cost of care, while supporting the shift to alternative payment models. Combining the technology of Kno2 with the influence of a health system and a proven community outreach program, we are helping to accelerate interoperability within entire geographies by raising awareness, driving adoption and removing the historical barriers that have prevented electronic care coordination between providers. In this use case, the optometry clinic activates their Kno2 account. They can then receive referrals electronically on patients who need a diabetic eye exam. The clinic contacts the patient to schedule the exam. Results of the eye exam are consistently delivered back to the PCP via Direct message and can be incorporated directly into the patient’s electronic medical record. The PCP can determine the next course of action for the patient as well as document that the requirements for the annual exam were met to meet quality metrics. | bundled payments, DIRECT, NQF, ophthalmology, quality metrics, quality reporting, retinopathy, Value-based Care, vision, direct secure messaging, EHR, Epic, Expected Outcomes: • Improve referrals and follow-up for diabetic patients requiring an annual eye exam • Improve quality measu, eye, Health Systems, interoperability, Kno2 | 03/02/2018 |
| EMDI- Netsmart Interoperability Pilot | Organization: Netsmart POC: Andy Fosnacht Pilot Goal: Its Netsmart's expectation that through the pilot we will be able to connect HHA's to their partner hospital system(s) for the purpose of receiving/sending referrals as well as document order forms for signature, electronically. | EMDI, HHA, interoperability, Provider-to-Provider | 09/01/2019 |
| ADVault, MyDirectives.com Patient Generated Health Data Registry Project | ADVault participated in the HL7 FHIR Connectathon 14 on January 14-15, 2017. During the Connectathon, ADVault demonstrated the ability to generate unstructured, Level 2 and Level 3 CDAs for Personal Advance Care Plan Documents implementing the HL7 standards. Then, ADVault demonstrated how a combination of Direct messaging and FHIR APIs can be used to create a registry/repository for non-clinical, patient-generated health data (PGHD). In the C-CDA on FHIR and Attachments Tracks, the PGHD registry requested (communicationRequest) and received a PACP from a person (solicited communication), or received PACP information from the person (unsolicited communication). Next, a healthcare provider or payer actor requested information on the person's PACP from the PGHD registry (communicationRequest). The registry responded (solicited communication) by providing the requested information to providers and payers as consented. ADVault is now working with Document Sources and Document Consumers to collect, store and deliver PGHD into the EMR. | Advance Care Directives, C-CDA, CDA, EHR, FHIR, HIE, HL7, interoperability, Patient Portal, PHR | 01/15/2017 |
| Clinical Data Collection Pilot - ChartPull by BloomAPI | BloomAPI is currently running multiple pilots to help organizations pull clinical data from a diverse set of EMRs. Pilot organizations include Medicare Advantage plans, Oregon CCOs, Chronic Care Management Organizations and ACOs. The goal of the pilot is to demonstrate the cost effectiveness of using ChartPull, instead of traditional manual record collection or standard HL7 integrations. ChartPull helps organizations liberate their medical data, focused on extracting clinical data from a diverse set of EMRs. BloomAPI, the team behind ChartPull, has been building Open Source projects in the Health Care space for over 3 years. | C-CDA, EHR, EMDI, FHIR, HIE, HL7, IHE, interoperability | 10/02/2019 |
| EMDI- ResMed Interoperability Pilot | Organization: ResMed POC: Larissa D’Andrea, Director, Government and Regulatory Affairs; Roxie Murray, Sr. Program Manager, GoScripts Solution, Healthcare Informatics; Pilot 1: (Provider-to-Provider) Demonstrate interoperability between referral source (physician group or hospital EMR) and DME supplier through an electronic scripting platform for the delivery of DME. Pilot 2: (Oxygen eClinical Template) Demonstrate that GoScripts can verify all fields are completed per the finalized oxygen template before DME can be dispensed. Pilot Goal: Our goal for the first pilot is to integrate GoScripts with a referral source EMR to seamlessly deliver DME prescriptions to a DME supplier for digesting. After the success of the first pilot, our second goal is to demonstrate that GoScripts can comply with all Oxygen eClinical Template requirements to verify that all items are met before authorizing a DME supplier to dispense a DME. | eClinical_Template, EMDI, interoperability, Provider-to-Provider | 10/01/2018 |
| EMDI- Competech SmartCard Solutions Inc. Interoperability Pilot | Organization: Competech SmartCard Solutions Inc. POC: Mark Bushee, President; Greg Thornton, CEO; Pilot Goal: Working with CMS, Scope InfoTech, and other EMDI P2P participants, Competech will adapt, customize, and pilot its existing HSID HIT platform to facilitate and demonstrate the secure exchange and meaningful use of electronic health records for hospitals, physicians, Home Health Agency (HHA) services, Durable Medical Equipment, Prosthetic, Orthotic, & Supplies (DMEPOS), labs, comprehensive primary care networks such as CPC+, and virtual physician networks. The meaningful use goals or expected outcome(s) are to decrease the improper payment rate minimize claim appeals reduce administrative burden and costs for providers, payers and suppliers of DMEPOS and improve provider-to-provider communication. | EMDI, interoperability, Provider-to-Provider | 02/01/2019 |
| EMDI- Cognosante Interoperability Pilot | Organization: Cognosante POC: Phil Surine, Client Services; Mike Lundie, HIE Director; Pilot Goal: Cognosante desires to participate in an EMDI pilot to test the feasibility of a particular use case where a patient's medical documentation is made available to the authorized requesting entity by means of a specially designed HL7 FHIR based medical documentation viewer. We intend to demonstrate the workflow for authorization, technical feasibility of using FHIR resources to obtain the necessary data; and the ability to demonstrate the time saving obtained by not having to reproduce medical documentation for delivery to a requesting party. | EMDI, FHIR, HIE, HL7, interoperability, Provider-to-Provider | 12/31/2018 |
| Continua Design Guidelines CODE for Healthcare by PCHAlliance | The Personal Connected Health Alliance has released a set of Request for Information inviting companies innovating in the healthcare IT market to lead the development of commercial software to implement Personal Health Devices, Services, and Health Information Systems interfaces per the Continua Design Guidelines. There are several specific deliverables outlined across four RFIs: Develop a commercial ready software framework and platform to implement the Personal Health Gateway (PHG) side of the Bluetooth LE transport of IEEE 11073 compatible data across the PHD Interface as constrained in the H.811 Personal Health Devices Interface Design Guidelines. Develop a commercial ready software framework and platform to implement the PHG side of the Questionnaire & Questionnaire Response capability across the Services Interface. Develop commercial ready software services to implement the Questionnaire and Questionnaire Response capability for the Health & Fitness Service as defined in the H.812.2 Questionnaire Capability Continua Design Guidelines. Develop commercial ready software services to implement the delivery of a PHMR using XDR to a Health Information Service as defined in the H.813 Health Information System Interface Continua Design Guidelines. Documentation, tests, and test reports used during developing of the source code will be leveraged and packaged to the extent practical to facilitate regulatory approvals. The RFIs may be downloaded at https://members.pchalliance.org/document/dl/1166 | 11073, architecture, IHE, interoperability, Product Certification, C-CDA, CCD, CDA, Device Categorization, DIRECT, ehealth, EHR, FHIR | 01/01/2020 |
| Operationalizing Best Practices in Emergency Medicine | UCHealth was awarded a Proof-Of-Concept grant from the Colorado Office of Economic Development and International Trade (OEDIT), and selected RxRevu as its partner to co-develop technology that operationalizes evidence-based best practices in Emergency Medicine. Since this technology was launched at UCHealth in October of 2016, there has been marked improvement in the prescribing of first-line antibiotics and marked reduction in non-recommended antibiotics. These recommendations are condition specific and based on UCHealth's antibiogram in an effort to reduce antibiotic resistance and improve outcomes. | FHIR | 5/1/2018 |
| Optimizing Detection and Treatment of High-Risk Heart Failure Patients | RxRevu was awarded an Early Stage Capital and Retention grant from the Colorado Office of Economic Development and International Trade (OEDIT). This grant, in collaboration with UCHealth, funded a project to automatically detect when high-risk heart failure (HF) patients are not prescribed evidence-based medications, and gives healthcare providers a non-interruptive method to ensure their HF patients are taking medications proven to improve quality of life, prevent death, reduce hospitalizations, and lower healthcare costs. | FHIR | 2/28/2018 |
| Development of Mental Health Prescription Decision Support with Pharmacogenetics | Prescribing medications for mental health remains a challenge. In an effort to use unbiased biological data to improve prescribing in mental health, RxRevu partnered with the Mental Health Center of Denver and was awarded a Phase I Small Business Innovation Research grant from the National Institute of Mental Health (NIMH) to develop a software tool that converts a patient's pharmacogenetic test results into a digestible/machine readable format, and incorporates mental health provider preferences into a user interface that serves as a one-stop view in the Electronic Health Record for mental health providers to make the most up-to-date and informed decisions about what medications they select for their patients. | FHIR | 4/4/2018 |
| Implementing STEPSTools: Evidence-Based Dosage Rounding and Prescribing Heuristics in Pediatrics | RxRevu and Vanderbilt University Medical Center are collaborating to build Safety Through E-Prescribing Tools (STEPSTools), a knowledge platform designed for determining potential formulations to reach the target dosage, within the rounding tolerance specific to each pediatric medication. These formulations will then be scored and prioritized in the user interface, based on safety and efficacy. The number of tablets/administrations, volume and proximity to target dose will be taken into consideration when scoring the options. A narrative will be generated to provide documentation for the scoring and recommendations. This project is funded by a Phase I SBIR through the National Institute of Child Health and Human Development (NICHD). | FHIR | 9/4/2018 |
| Pediatric Antimicrobial Stewardship Guidelines at the Point of Care | Many aspects of antimicrobial stewardship require "boots on the ground" methods or annual updates to large instruction manuals to disseminate new evidence. RxRevu and Children's Hospital Colorado (CHCO) are collaborating to bring CHCO's pediatric antimicrobial stewardship guidelines directly to the point of prescribing, in the provider's electronic health record (EHR) workflow. Meaning institutional standards for first-line medications and appropriate dosages per infectious condition will be surfaced in an actionable manner directly in the EHR. | FHIR | 3/1/2018 |
| Sync for Genes Phase 2 Pilot - National Marrow Donor Program (NMDP) | NMDP collects molecular biomarker data such as HLA and KIR used for matching patients needing life-saving hematopoietic stem cell transplants with potential donors. NMDP currently collects these data using Histoimmunogenetic Markup Language (HML) formatted reports. This includes capturing information about the specimen tested, the lab test performed, the loci targeted, the consensus sequences found, and the alleles assigned. NMDP believes that this standards-based work will make it possible for it to achieve its vision of exchanging patient/donor immunogenetic data with consent directly with EMRs, typing labs, and other healthcare and research systems. To pilot this work, the Stanford Blood Center sent HLA genotyping data in HML format that was collected as part of the 17th International HLA & Immunogenetics Workshop. This data is converted to FHIR® format using a HML2 FHIR® tool developed and uploaded to our FHIR® server for later analysis and interpretation. | All of Us, Clinical Genomics, ONC-led, PMI, Precision Medicine, Sync For Genes, EHR, FHIR, genomics, HL7, interoperability, NGS, NIH, ONC | 03/22/2019 |
| Consumer Health Data Aggregator Challenge | The Consumer Health Data Aggregator Challenge is intended to spur the development of third-party, consumer-facing applications that use the FHIR API to help consumers aggregate their data in one place and under their control. This challenge will focus on solving the problem that many consumers have today - the ability to easily and electronically access their health data from different health care providers using a variety of different health IT systems. | FHIR | 1/11/2017 |
| Provider User-Experience Challenge | The Provider User-Experience (UX) Challenge incents the development of applications that use the FHIR API to enable innovative ways for providers to interact with patient health data. This challenge will focus on demonstrating how data made accessible to apps through APIs can positively impact providers experience with EHRs by making clinical workflows more intuitive, specific to clinical specialty, and actionable. | FHIR | 1/11/2017 |
| Health Data Provenance Challenge | As the movement of health information increases among consumers and providers, so does the need to track data provenance with each information update and/or exchange event. According to W3C, �provenance is information about entities, activities, and people involved in producing a piece of data or thing, which can be used to form assessments about its quality, reliability or trustworthiness.� The requirements for data provenance information must support the full lifecycle and lifespan of health data. Confidence in the authenticity, trustworthiness, and reliability of the health data being moved is fundamental to patient safety as well as secure health information exchange. | DPROV | 2/21/2018 |
| Secure API Server Showdown Challenge | The Office of the National Coordinator for Health Information Technology (ONC) is pleased to announce the Secure API Server Showdown Challenge, which invites interested stakeholders to build a secure, FHIR server using current industry standards, best practices, and recently issued healthcare-specific implementation guide requirements. | FHIR, API, HL7 | 6/29/2018 |
| Coordinated Registry Network (CRN) Project | ONC will be working with NLM, FDA & AHRQ to develop pilot criteria for the CRN project. This project plans to establish a strategically coordinated registry network for women’s health technologies and develop tools to facilitate collection of data within the existing and new registries through leveraging clinical care data. We anticipate that the data in these registries can be used to evaluate effectiveness & safety associated with differing treatment options; assess the effectiveness & quality of life associated with varying treatment options; provide a framework for clinical studies to be conducted within a registry such as the type of studies required to fulfill the FDA's request for post-market surveillance; and allow healthcare providers to track quality measures for quality improvements and fulfill the Centers for Medicaid and Medicare Services (CMS), Physician Quality and Reporting Systems (PQRS) and maintenance of certification requirements. | AHRQ, ASPE, post-market surveillance, PQRS, SDC, clinical quality measures, CMS, CRN, FDA, FHIR, NLM, ONC, PCOR | 09/30/2019 |
| Rural Community Full-Continuum ADT system | Two critical access hospitals in rural MN send HL7 ADT messages to integration and rules engine that then supplies ADT notifications and C-CDA (limited data sets based on setting preferences) to Indian Health Services, Public Health, County, Mental Health, LTC (2), nursing home, rural clinics (3) using direct and based on patient provider relationship. 35,000 + covered lives. SIM Funded Project. | ADT Notifications, C-CDA, Critical Access Hospitals, DIRECT, HIE, Rural | 09/30/2019 |
| Common Healthcare Data Interoperability Project | The Common Healthcare Data Interoperability Project is a collaboration between The Pew Charitable Trusts (Pew) and the Duke Clinical Research Institute (DCRI) to advance interoperability among electronic health records and registries. Working with Pew, DCRI seeks to: • identify the clinical concepts that appear frequently across multiple registries, • determine how those concepts should be best represented as standardized common data elements (CDEs), and • create an implementation guide for database developers so that registries and health information technology developers can implement the standardized CDEs with the least amount of effort. Rather than create a new data standard, this project will rely on predicate content included in the Office of the National Coordinator for Health Information Technology 2018 US Core Data for Interoperability, Health Level 7 Fast Healthcare Interoperability Resources profiles and resources, and reference the work of standards development organizations, such as LOINC and other groups that have addressed aspects of the data interoperability problem. | Clinical Registry, Common data elements, FHIR, HL7, Terminology, US Core Data for Interoperability | 11/30/2018 |
| Object Management Group (OMG) Field Guide to Shareable Clinical Pathways | Today, our ability to author, share, and comply with establish clinical best-practices is often limited, exacerbated by ambiguities in natural language and amplified as a result of having inconsistent representations. This makes it harder to share pathways among health providers, harder to implement best-practices, and harder to manage care transitions among healthcare systems as they occur in the natural course of care delivery. The objective of this project was the development of a recommended approach to facilitating this goal given the high complexity of clinical pathways. To produce the “Field Guide to Shareable Clinical Pathways”, a community-of-interest was assembled comprising experts from both the clinical domain and business process modeling technical domain. VA was the primary government sponsor of the activity, with provider participation from Intermountain Health Care and Mayo Clinic, and a host of industry participants. Key use-case work was sponsored by the American College of Obstetricians and Gynecologists (ACOG). The work took place under the auspices of the Object Management Group as an informal working community, with expectations of maturing into a formal community of practice upon successful conclusion of the effort. The project utilized the industry’s current standards modeling notations (Business Process Modeling Notation (BPMN), Case Management Modeling Notation (CMMN), and Decision Model and Notation (DMN)) to form the foundation for their recommendations while addressing the complexity of the clinical domain. The resulting Field Guide serves as a “style guide” for developing and implementing Shared Clinical Pathways that are readily sharable, using an Antenatal Care use case as an exemplar. Future work will involve developing new Shared Clinical Pathways while refining industry standards and the Field Guide’s recommendations. For more information, please contact: [email protected]. | Interoperability, VHA, OMG, Shared Clinical Pathways | 04/30/2018 |
| Health Level Seven (HL7) Cross Paradigm Implementation Guide | This Project represents a significant next step in the path toward meaningful interoperability as it relates to clear mapping of industry-exchange standards. This is an extension of the previously successful HL7 Service Oriented Architecture (SOA) Cross Paradigm Interoperability Implementation Guide (IG) for Immunization. The project team – pulling together clinicians and technical experts from VHA, SAMHSA, ONC, and CMS as part of the electronic Long Term Services and Support (eLTSS) Project – is creating artifacts to be used by federal agencies and the larger HL7 community to provide precise, unambiguous mappings between of any two different industry-exchange standards (e.g., CCDA, FHIR, HL7 v.2, and CIMI), supporting the interchange and data transformation between those expression formats. Non-industry standard formats will be considered for Use Cases in the future. This project – an expansion of the Immunization IG – will address a much broader set of Use Cases by providing more mappings across different clinical and administrative domains; further, it will also include new versions of the standards. The VHA Standards Incubator provides traceability and gap analysis reports for the Use Cases and also addresses values in the data elements for a more complete assessment of information exchange. Finally, the project team will develop and transform test messages to further substantiate the validity of the mappings. For more information, please contact: [email protected]. | CMS, eLTSS, HL7, Interoperability, ONC, VHA, SAMHSA, VHA Standards Incubator | 09/30/2019 |
| Bi-directional Direct referrals | Sutter Health created bi-directional closed loop referral workflows allowing us to send referrals and receive information back from consultants via Direct, resulting in more efficient workflows, quicker referral turnaround times, and improved patient and staff satisfaction. | Bi-directional Direct Referrals, closed loop referral workflows, Closed-Loop, DIRECT, direct secure messaging, Interoperability | 04/30/2018 |
| Automated patient summaries to the ED via Direct to optimize patient care in the ED | Reliant Medical Group (RMG) initially gave ER physicians access (Pull) to their Electronic Health Record (EHR) but found that they rarely looked up patient information. So Reliant created a process to automatically send a patient summary document (push) containing medications, allergies, problems, recent test results, etc. using Direct Interoperability to the ER’s EHR. RMG now automatically receives registration events (ADT) from all of the ERs in Central MA when a patient says their PCP is one that is on a list of RMG physicians. RMG’s EHR receives these ADTs and automatically sends a patient summary document (C-CDA, CCD) via Direct back to the ER along with the ER EHR’s medical record number so that it instantly files into the ER’s EHR. Patients are receiving higher quality, more efficient care because the ER physicians can readily see the latest medical information pushed to their own EHR. | C-CDA, CCD, DIRECT, Direct Interoperability, direct secure messaging, EHR, Interoperability | 05/01/2018 |
| Automated push event notifications and care plan updates to home health using Direct messages | Reliant Medical Group (RMG) relays event notifications received from their local hospitals by pushing Direct messages to the Home Health Agency whenever a shared patient is seen in the ED or admitted to hospital. This facilitates avoiding unnecessary home health visits when a patient has been admitted, and enables immediate home health to follow up when a patient returns home after an ED encounter. RMG has also automated a pushed CCD with visit note to the Home Health Agency whenever a shared patient is seen by the PCP or a specialist, facilitating the home health nurse to always be aware of updates to the patient’s treatment plan. | active care relationship, Care Coordination, CCD, DIRECT, Direct Interoperability, interoperability, Interoperability | 06/30/2018 |
| Acute discharge information to PCP via Direct | For patients deemed, by algorithm, to be at high risk of readmission, hospital discharge information is pushed via Direct initially to a team that attaches relevant inpatient documentation to support a more thorough transitions of care encounter. That message with multiple attachments is then pushed via Direct to the Patient’s PCP’s Direct mailbox. | Care Transitions, DIRECT, Direct Interoperability, interoperability, Interoperability, transitions of care, Transitions of Care | 05/01/2018 |
| Hospital ADT notifications to patient’s PCP’s EHR via Direct. Upon receipt, PCPs push patient information to the hospital | Circle Health/Lowell General Hospital EHR sends real-time ADT (Admit, Discharge, Transfer) notifications using Direct messaging technology to Primary Care Physicians’ EHRs (Cerner) within our community to help them better coordinate care for their patients. Upon receipt of the ADT notification the PCP sends the patient’s latest progress note via Direct to the Hospital. This arrives in a hospital pool and is attached to the patient’s chart for the patient’s hospital caregivers to review. | ADT Notifications, DIRECT, Direct Interoperability, direct secure messaging, EHR, interoperability, Interoperability, Patient Data, patient-centric, Primary Care | 05/01/2018 |
| Direct enabled closed loop referral with non-VA community specialists | In OH, the VA uses Direct Messaging with three large Ohio health systems for closed loop referrals. This has resulted in significant savings of time and staff resources for information exchange. Direct Messaging has improved care coordination for Veterans! A VA user in Ohio says with VA Direct Messaging, “that we get [health information] immediately from community providers- plus we can converse electronically if there is an issue with the medical records!” | Care Coordination, closed loop referral workflows, Closed-Loop, DIRECT, Direct Interoperability, direct secure messaging, interoperability, Interoperability | 05/01/2018 |
| Bi-directional acute-ambulatory Direct patient messages | A North Florida/South Georgia bidirectional Direct interoperability acute – ambulatory pilot between the VA and HCA organizations is now ready to be rolled out nationally. HCA sends the VA a daily census of VA admitted patients. In response the VA sends to HCA a C-CDA for these patients. On discharge HCA pushes, via Direct, a discharge C-CDA to the VA EHR to enable care management. The document also assists with VA’s payment process to community care providers, when an open consult is completed using the clinical data received via Direct Messaging. A VA user in Florida exclaimed, “I have grown to love VA Direct Messaging because as soon as the patient gets discharged, I get documents. It’s wonderful! “ | bi-directional Direct Interoperability, C-CDA, Care Coordination, DIRECT, Direct Interoperability, direct secure messaging, EHR, interoperability, Interoperability | 05/01/2018 |
| Automated event notifications improve care coordination across an entire county | In Carlton County, MN twelve healthcare organizations with seven disparate EHR systems, or none at all, use a Direct-driven event notification service. Admission, discharge and transfer notifications from two local hospitals are processed and automatically delivered via Direct to organizations providing care for their patients. Members of a person’s care team are notified simultaneously, and better care coordination begins in real-time. Direct enables secure bi-directional communication among all participants. Care Managers get the information they need to reach out more quickly to their patients, Indian Health Services gains better insight into the care needs of their community, and communication gets easier between primary and tertiary care providers. Hospitals aiming to reduce re admissions benefit by improved patient care coordination throughout the area. | bi-directional Direct Interoperability, Care Coordination, DIRECT, Direct Interoperability, direct secure messaging, EHR, interoperability, Interoperability | 07/31/2018 |
| Lower cost one-to-many connections replace point-to-point connections and improve access to information for recipients | Hershey Medical Center uses Direct to improve care coordination with organizations that have varied levels of HIT capabilities. Data from Hershey’s Laboratory Information System is securely transported to a Skilled Nursing Facility (SNF) and the nurse at a local prep school via Direct eliminating the need for expensive one-to-one lab interfaces and dramatically reducing costs. Lab results sent to the SNF are transformed, in transit, into a pdf to suit their workflow. Lab results sent to the school are transformed into a standard C-CDA format. The school’s health center receives the information automatically into their Centricity EMR. Nurses at the SNF get lab information more quickly which improves care for their patients. It’s easier for the school nurse to monitor student health issues because lab results flow directly into the EMR. | C-CDA, Care Coordination, workflow redesign, DIRECT, Direct Interoperability, direct secure messaging, EHR, EMR, HealthcareIT, interoperability, Interoperability | 07/31/2018 |
| Closed loop specialty referrals | To improve the quality and operational efficiency of specialist referrals within a major academic partner (UCSF), One Medical utilized the Direct protocol to handle outbound transmission of referral requests and inbound transmission of consultation reports, through a single Direct address. The EHR was updated to automatically include a C-CDA, selected insurance information, and insurance authorization status with outbound referrals. Referrals were sent to a dedicated address at the partner institution, UCSF. The One Medical clinical task management system was updated to automatically route inbound Direct messages containing consultation reports to the ordering providers’ task queue. The implementation of Direct message enabled both One Medical and UCSF to enhance practice efficiency and save a very large amount of administrative time spent processing faxed referrals and eliminated the need to manually route faxed consultation reports to patient charts. | C-CDA, closed loop referral workflows, Closed-Loop, DIRECT, Direct Interoperability, direct secure messaging, EHR, interoperability, Interoperability | 07/31/2018 |
| EMDI- Somnoware Healthcare Systems Interoperability Pilot | Organization: Somnoware Healthcare Systems POC: Rajul Misra, CDS Pilot Goal: Implement end-to-end integration that allows physicians to place the order for a PAP system, send relevant order details and medical information to DME companies, allow DME companies to request additional documentation, and provide the ability to sign and date the document. | EHR, EMDI, Interoperability | 09/30/2019 |
| Closing the loop with Direct messaging to support an ACO | Teams from several organizations collaborated to implement Direct messaging to support a closed loop referral process within a newly formed ACO's Connected Care Network. Connected Care members accessed care through patient centered medical homes, employers' Health for Life Clinics, and specialists and facilities within a medical neighborhood. To support this ACO relationship across multiple organizations with multiple disparate EHRs, a scalable, standards-based method to facilitate efficient referrals management was essential. | ACO, Care Coordination, Referral_Management, CCD, closed loop referral workflows, Closed-Loop, closed_loop, DIRECT, Direct Interoperability, EHR, Referrals | 09/30/2018 |
| Sync for Genes Phase 2 Pilot - Utah Newborn Screening Program (Utah NBS) | The Utah Newborn Screening (NBS) Program, a program within the Utah Department of Health, is actively seeking technology solutions for standard-based electronic data sharing with healthcare providers in real-time to ensure optimal clinical care and outcomes for newborns. Currently, the Utah NBS Program has partnered with the Utah Health Information Network (UHIN) and Intermountain Healthcare (IHC) to implement electronic newborn screening orders and results transmission by leveraging the statewide health information exchange infrastructure. The pilot consisted of a simple design that resulted in efficient, electronic transfer of genomics data. Consent is required from the parent or guardian of the infant before any data transfer will be allowed for this pilot project. In this design, IHC will leverage existing resources and expertise from Sync for Genes Phase 1 including the FHIR® API and related infrastructure to produce FHIR® requests for genomics related information. The architecture for this pilot addresses the needs of a vulnerable population. By leveraging a health information exchange, this architecture can be scaled from the pilot partner, IHC, to all providers in the state of Utah. By participating in the Sync for Genes Phase 2, we aim to develop a proof-of-concept model for standardized genomics data sharing that can be leveraged and expanded for future implementation sites. | All of Us, Clinical Genomics, ONC, ONC-led, Precision Medicine, Sync For Genes, EHR, FHIR, genomics, HL7, interoperability, NGS, NIH, PMI | 03/22/2019 |
| Sync for Genes Phase 2 Pilot - Weill Cornell Medical Center (Weill Cornell) | The guidelines around genomic testing and approved medications by cancer type are still evolving and are extremely complex. The information lies in disparate sources including EHRs, societal guidelines, insurance payors, and using EHR infrastructure with FHIR® resources, Weill Cornell is able to bridge this gap and enhance oncology care delivery. Weill Cornell uses discrete genomic results for a variety of (CDS) support scenarios including pharmacological therapy selection, research recruitment and navigating insurance and pre-authorization requirements for genomic testing. Weill Cornell used discrete genomic results, which it is already collecting, and utilized those in conjunction with discrete results available in research repositories to correlate that with diagnosis and other patient data in the EHR. These are then supplemented with data available with the external entity, Mycancergenome, for CDS and knowledge delivery purposes so that when a clinician clicks a link in the EHR genomic result report, a chart event occurs launching a web services best practice advisory (BPA) that queries the research repository for results not in the EHR. If returned ‘yes’ the BPA will show up with a link to query the repository and generate the report returning query results in the EHR for review of recommendations for therapy guidance vs. trial enrollment. | All of Us, Clinical Genomics, ONC-led, Pharmacogenomics, PMI, Precision Medicine, Sync For Genes, Clinical Decision Support (CDS), EHR, FHIR, genomics, HL7, interoperability, NGS, NIH, ONC | 03/22/2019 |
| Sync for Genes Phase 2 Pilot - Lehigh Valley Health Network (LVHN) | The primary LVHN genomics focus is to fully integrate relevant genomic sequencing results into structured data fields in the EHR, and by creating this more advanced foundation of genomic/phenotype data, enable the ability to rapidly add real-time pharmacogenomics clinical decision support to other types of care. This will support clinical orders, clinical documentation, and EHR alerts and allow LVHN to assess if various medication orders could be supported with pharmacogenomics tools accessing genomic sequencing results. LVHN also attempted to address the receipt and access to the basic genomic sequencing results (VCF, BAM, CRAM files) by creating a database / repository to hold these files and link them to the EHR as LVHN has done with clinical PACS systems. With respect to pharmacogenomics LVHN reviewed FDA data on genetic implications to develop a list of medications to include. LVHN used other factors such as cost avoidance to determine what medications would be part of the pilot. In learning how to set up the EHR LVHN determined medications should be pared with appropriate genomic test. LVHN reported that ordering physicians have skepticism on pharmacogenomics and would like to have increased education and support for providers. | All of Us, Clinical Genomics, ONC-led, Pharmacogenomics, PMI, Precision Medicine, Sync For Genes, EHR, FHIR, genomics, HL7, interoperability, NGS, NIH, ONC | 03/22/2019 |
| EMDI- BRYJ Interoperability Pilot | Organization: BRYJ Inc. POC: Mike Hurley, Vice President Pilot Goal: BRYJ Inc. is helping health plans, providers, DME suppliers, Home Health and other organizations collaborate to improve patient wellness, transparency and reduce administrative waste. | Care Planning, Collaboration, Providers, EHR, EMDI, FHIR, Home Health, Interoperability, IPG, Payer-to-Provider, Provider-to-Provider | 12/31/2019 |
| Da Vinci Documents Templates and Rules (DTR) Implementation Guide (IG) | This FHIR based Implementation Guide was developed by the Da Vinci group in coordination with the HL7 Clinical Decision Support Workgroup. It will be balloted in May 2019. This implementation guide defines a mechanism to reduce provider burden and simplify process by establishing electronic versions of administrative and clinical requirements that can become part of the providers daily workflow. An exemplar for this use case is to follow the approach taken to incorporate formulary requirements interactively into the medication selection process. Proposal includes the ability to inject payer coverage criteria into provider workflows akin to clinical decision support (CDS Hooks), to expose rules prospectively while providers are making care decisions. A limited reference implementation (RI) on a limited use case (e.g. Home Oxygen Therapy) | CDS Hooks, Coverage Requirements Discovery, Payer, SDC, SMART, US Core Data for Interoperability, CRD, Da Vinci Project, DaVinci, DaVinci Project, Documentation Templates and Coverage Rules, DTR, FHIR, HL7 | 05/31/2019 |
| Documentation Requirement Lookup Service (DRLS) Initiative | Medicare only pays for items and services when the provider’s medical record documentation indicates that all coverage and coding requirements were met. The Medicare documentation requirements appear in various locations and on separate websites causing burden to providers who must navigate the various websites to find coverage requirements, including documentation and prior authorization requirements. What is Medicare doing to streamline access to requirements? CMS is collaborating with ongoing industry efforts to streamline workflow access to coverage requirements, starting with developing a prototype Medicare Fee for Service (FFS) Documentation Requirement Lookup Service. The prototype will be made accessible to pilot participants and will be populated with 1) a list of items/services for which prior authorization is required, and 2) the documentation requirements for Oxygen and Continuous Positive Airway Pressure (CPAP) devices. DRLS is being implemented with the below Da Vinci Project Implementation Guides: Coverage Requirements Discovery (CRD) - https://build.fhir.org/ig/HL7/davinci-crd/ Documentation Templates and Rules (DTR) - https://build.fhir.org/ig/HL7/davinci-dtr/ | CDS Hooks, Coverage Requirements Discovery, SMART, US Core Data for Interoperability, CRD, Da Vinci, Documentation Templates and Coverage Rules, DTR, FHIR, HL7, Payer, SDC | 08/01/2020 |
| NLP2FHIR: A FHIR-based Clinical Data Normalization Pipeline | The next generation phenotyping of Electronic Health Record (EHR) features the identification of true patient state in an accurate and high-throughput manner. To realize this vision, there is an urgent need to improve the reproducibility and interpretability of the underlying phenotype models and algorithms through a standards-based framework. The Fast Healthcare Interoperability Resources (FHIR) standard was developed to meet a variety of clinical interoperability needs. We developed a FHIR-based clinical data normalization pipeline known as NLP2FHIR at the Mayo Clinic. The core of the pipeline is a FHIR-based common type system that is used to harmonize and standardize the outputs from a number of clinical natural language processing (NLP) tools such as cTAKES, MedXN and MedTime. In the context of secondary use of EHR data, we envision that a FHIR standard-driven data normalization pipeline would improve semantic interoperability between heterogeneous resources and tools, and enable effective exchange, integration, sharing and reuse of encoded and structured clinical narratives, along with well structured EHR data. | EHR, FHIR, NLP | 08/31/2019 |
| EMDI- eClinicalWorks Interoperability Pilot | Organization: eClinical Works POC: Ayres Fortes, Integration Engineer; Madhav Darji, Product manager Interoperability Pilot Goal: Showcase the success of the ONC’s 360x based closed-loop referral program by piloting with other vendors to achieve improved provider to provider referrals and by automating manual workflows that currently exist. | C-CDA, EHR, EMDI, FHIR, HIE, interoperability | 03/31/2020 |
| EMDI- Rotech Healthcare Inc. Interoperability Pilot | Organization: Rotech Healthcare Inc. POC: Mesha Sookdeo; Joni Moss; Pilot Goal: To promote the use of, and feedback on, the application for DME referral, qualification, and billable orders to improve efficiency and collection rates. In addition, to provide the ability to utilize healthcare industry standards to improve the secure digital exchange of healthcare information to better serve our patients and facilitate our business. | EHR, EMDI, HIE, interoperability | 07/01/2020 |
| Patient Reported Outcomes (PRO) Project | The Patient Reported Outcomes (PRO) project aims to standardize the integration (uploading and representation) of structured PRO data in EHRs and other health IT solutions to support interoperable exchange of this information. The standardization of PRO data across products can be achieved by using semantically consistent common data elements (CDE) for data capture and using standard ways to exchange the data across health IT systems. Data element and data capture standards would allow for PRO assessments to be conducted and easily shared regardless of the EHR or health IT solution being used. Two pilot sites supported the implementation and refinement of technical specifications for collecting PRO data (PROMs and PROs) in virtual setting. The pilot demonstrations lasted approximately 13 months and consisted of three (3) development sprints ranging from 12 to 24 weeks. The purpose of the pilots were to test the technical specifications within the HL7 FHIR PRO Implementation Guide (Rev 0.2, http://hl7.org/fhir/us/patient-reported-outcomes/2019May/index.html) that was developed as part of this project for collecting and sharing PROs electronically. Pilot demonstrations were to occur in a variety of settings such as a virtual environment, clinical or provider organizations using electronic health record systems and applications. | AHRQ, EHR, Structured Data Capture, EHR Integration, FHIR, HL7, Interoperability, ONC, Patient Reported Outcomes, PRO, SDC | 09/29/2019 |
| Patient Reported Outcomes (PRO) Pilot - Research Action for Health Network (REACHnet) | Research Action for Health Network (REACHnet) is a Patient-Centered Outcomes Research Institute (PCORI) funded clinical data research network (CDRN) of health systems that was awarded an opportunity to implement the HL7 FHIR PRO IG (http://hl7.org/fhir/us/patient-reported-outcomes/2019May/index.html). Pilot testing took place between April 2018 and May 2019 and consisted of three rapid-cycle development sprints that provided the following: ● Identifying gaps in the technical specifications of the PRO IG and providing suggestions for improvement ● Summarizing challenges and successes related to implementing the technical specifications ● Implementing workflow and administrative process to support testing | AHRQ, EHR, REACHnet, SDC, Structured Data Capture, EHR Integration, FHIR, HL7, Interoperability, LPHI, ONC, Patient Reported Outcomes, PRO | 05/07/2019 |
| Patient Reported Outcomes Pilot - Patient-centered SCAlable National Network for Effectiveness Research (pSCANNER) | Patient-centered SCAlable National Network for Effectiveness Research (pSCANNER) is a stakeholder-governed federated clinical data research network funded by the Patient-Centered Outcomes Research Institute (PCORI) that was awarded an opportunity to implement the HL7 FHIR PRO IG (http://hl7.org/fhir/us/patient-reported-outcomes/2019May/index.html). Pilot testing took place between April 2018 and May 2019 and consisted of three rapid-cycle development sprints that consisted of the following: ● Identifying gaps in the technical specifications of the PRO IG and providing suggestions for improvement ● Summarizing challenges and successes related to implementing the technical specifications ● Implementing workflow and administrative process to support testing | AHRQ, EHR, SDC, Structured Data Capture, USC, EHR Integration, FHIR, HL7, Interoperability, ONC, Patient Reported Outcomes, PRO, pSCANNER | 05/07/2019 |
| Enhancing the Logical Observation Identifiers Names and Codes Standard to Support U.S. Interoperability | Logical Observation Identifiers Names and Codes (LOINC®) is a universal coding system for health measurements, observations, and documents. The LOINC vocabulary standard is owned and developed by the Regenstrief Institute, Inc, and distributed worldwide at no cost under an open license. LOINC’s widespread implementation, adoption, and required use have made it a key and ubiquitous component of interoperable health IT solutions in the United States. In collaboration with the ONC and the diverse LOINC user community, our aims are to improve LOINC’s technical infrastructure, enrich LOINC’s content, and enhance tools for accessing its content, including via a FHIR-based terminology services Application Programming Interface (API). Accomplishing these objectives will advance interoperable health IT and better position LOINC to support the continued evolution of the USCDI. | API, FHIR, Interoperability, LOINC, US Core Data for Interoperability | 09/18/2023 |
| LEAP 2019 - San Diego Regional Health Information Exchange | This project is focused on Standardization and Implementation of Scalable HL7® FHIR® Consent Resource by creating a FHIR-based platform that simplifies consent management and ensures interoperable services for the following four use cases: (1) privacy consent, (2) medical treatment consent, (3) research consent, and (4) advance care directives. The research team includes individuals from Health Information Exchange (HIE) operator San Diego Health Connect and Cognitive Medical Systems, Inc., and leverages the collective strengths of these organizations to meet ONC’s research objectives by creating a common FHIR-based authorization framework capable of management and enforcement of patient consent as well as organizational and jurisdictional policies. We will also review additional privacy- and security-related standards to ensure they support the current FHIR Consent Resource. This work will build on previously successful FHIR Consent Resource demonstrations at HL7, ONC Pilots, and sponsored HIMSS Interoperability Showcase demonstrations where the SDHC Team has already addressed three of the four use cases. Following a research phase to study the standard, current implementations, and the related standards and business requirements, the team will develop a proposed set of improvements and will build APIs to enable the consent use cases which have important implications for patient-centered care, informed consent, and shared decision-making. The API will be tested with each of the LEAP use cases in live exchanges at the SDHC HIE. The SDHC Team will also build a FHIR Consent Implementation Guide (IG) including examples derived from these use cases as well as additional implementation, legal, and security concerns raised within the project testbed. The IG will come with a package of open-source prototypes and documentation that assist partners in deploying the framework as a RESTful service and address the consent workflow. | Consent, FHIR, Interoperability | 09/09/2021 |
| Leading Edge Acceleration Projects (LEAP) in Health Information Technology - FHIRedApp: An API-based patient engagement platform | The project is focused on the development of a patient engagement platform using FHIR APIs that allows the integration of mobile Apps to access patients’ clinical data while taking into consideration user-centered design principles. This platform will empower patients to gain access and give access to their health data to App developers while ensuring privacy and security of personal information. FHIRedApp seeks to enhance usability and enable the access of health opportunities for underrepresented population to better participate in their health care and research while allowing data to be shared and transferred from various sources and between patients, clinicians, and researchers. There are three phases in this project: Design, Develop and Demonstrate. - Design a patient engagement platform that is user-centered by working closely with the individuals that will ultimately use and benefit from the platform. - Develop the platform by integrating clinical data from an HIE to FHIRedApp through FHIR APIs. - Demonstrate the usability and adoption of this platform by integration of a commercially available social service referral App and a new research study coordination App. | Consent, FHIR, interoperability, ONC Funded | 08/27/2021 |
| EMDI- BlueButtonPro Interoperability Pilot | Organization: BlueButtonPro created by Darena Solutions POC: Dao Dang, President; Pawan Jindal, Founder, and CEO. Pilot Goal: Darena Solutions would like to be able to participate in the EMDI use cases that reduce the burden for payers and providers while increasing patient engagement. We have built an eco system with our BlueButtonPRO Patient App as well as our BlueButtonPRO enterprise capabilities. For use cases, we are actively working with a few clients to implement an integrated variation of EMDI use case 1, 2, and the DME eRx use case. Capturing medical information from a number of different providers to allow our client better abilities to identify and risk stratify patients to better manage care across the continuum inclusive of home health visits and related supplies. | EHR, EMDI, FHIR, HL7, interoperability, DMEeRx | 11/01/2020 |
| PULSE-COVID: the Patient Unified Lookup System for the COVID-19 Pandemic | PULSE-COVID, developed by Audacious Inquiry and an initiative of The Sequoia Project, allows verified users (e.g., public health authorities and clinical providers) to find and view electronic patient health and medication histories from across national health information exchange networks. With a simple search on PULSE-COVID, users can access and view clinical care documents including medications, allergies, diagnoses, lab results, and other relevant information to augment clinical care, identify patient comorbidities, and fill in gaps related to patient health or demographic characteristics. Users can also use PULSE-COVID to access clinical histories for patients in non-routine care settings such as quarantine centers and other alternate care sites. PULSE-COVID is an adaptation of the Patient Unified Lookup System for Emergencies (PULSE), which was deployed during the response to the California wild fires of 2017, 2018, and 2019. PULSE is currently under redesign and will be released in June of 2020 with broader functionality and nationwide scalability. | Audacious Inquiry, C-CDA, COVID-19, Disaster, EHR, Emergency Medicine, outbreak, pandemic, PULSE, Sequoia Project | 09/01/2020 |
| COVereD Digital Toolkit - Rx.Health | COVID-19 Digital Toolkit on a Unified Platform COVereD is an integrated a set of digital tools working through a platform approach through a workflow prescribed directly through EHRs. This digital toolkit enables Electronic outreach for patients and community Digital triage for patients coming in facility Telehealth for further triage and consultation Digital monitoring and dashboard to track potentially exposed, under investigation, and quarantined patients Online training and checklist for healthcare workers | Care Coordination, COVID-19, interoperability, mobile health, Value-based Care | 10/31/2020 |
| Digital Patient Engagement | Neoteric Health is an integrated SaaS suite of omnichannel telemedicine, real time scheduling, ability to document a medical encounter and an API architecture that allows integration with connected devices (heart monitors, blood pressure, etc.) and other systems of record. | Care Coordination, COVID-19, digitalhealth, patient-centric, telehealth, telemedicine | 08/31/2020 |
| Preveta: Care Coordination and Analytics | Preveta is a Care Coordination platform that empowers providers to deliver non-face to face care coordination in-line with Medicare's Chronic Care Management (CCM) requirements. With the recent COVID-19 pandemic, providers are increasingly limited in their ability to provide care in a face-face setting. While telehealth is an option, the video-accessibility requirement presents a challenge to some patients. Our platform allows care to be delivered in a non face-to-face modality, often over the phone and ensures continuity of care outside of clinic visits. Preveta's care coordination modules identify clinical and data gaps and guide the medical staff to address such gaps. Filling in these gaps often results in greater insights into disease progression and increased efficacy of population health management. Data is exchanged with bi-directional integration with the EHR. Our platform retrieves data from the EHR and pipes it into our AI engine to customize care specifically for the patient's profile and disease. Patient goals, reported outcomes, and care plans are sent back to the EHR. Additional data captured as a result of addressing clinical gaps are sent back to the EHR and allows providers to make data-driven decisions at the point of care. | Analytics, API, Patient Data, Patient Goals, Cancer Coordination, Care Coordination, COVID-19, Data, DIRECT, FHIR, HL7, interoperability | 12/31/2020 |
| Rapid COVID-19 Knowledge Transfer Social Media Dashboards for HCPs | Whether you work in the sciences, communications, or practice medicine we are are facing the same truth: the faster we can learn and disseminate what works, creative hacks, and best practices when faced with a new challenge like COVID-19, the more lives can be saved. We're releasing a new collection of dashboards that aim to provide you with the absolute latest (every hour counts) of trustworthy conversations and content as shared by virologists, infectious disease physicians, epidemiologists, immunologists, HCPs, and researchers. Learn what works in other countries, states, or individual hospitals and labs. Symplur – The Social Media Analytics Platform for Healthcare. | Analytics, NLP, NPI, Social Media | 03/01/2021 |
| Research Foundry - A Global Research and Innovation Health and COVID-19 blockchain data sharing and collaboration network | Research Foundry is a global health centric coalition of researchers, public health officials, organizations and innovators who believe that large-scale problems can only be solved collaboratively. Research Foundry provides the infrastructure and the connected community to enable this collaboration with security, traceability and compliance. The project provides a free public utility data access and sharing service that allows participants to access open data collections, securely share data with those who need that data, and to collaboratively solve the immediate challenges presented by COVID-19 and beyond. The project also provides a set of advanced tools and solutions through coalition members. | Blockchain, COVID-19, Population Health Management, Trusted Exchange Framework, Data, digitalhealth, Distributed Research Network, eHealth Exchange, HIE, identity management, International Exchange, interoperability | 03/31/2022 |
| Patient centered Medical Home (PCMH) Pilot - 86Borders/ConnectAllCare | 86Borders is currently piloting its ConnectAllCare platform in Tennessee's PCMH (Patient Centered Medical Home) Value Based Medicaid program. The ConnectAllCare platform was implemented to provide PCMH providers and their care coordinators with a single platform for disparate data aggregation, enhanced patient engagement, and the collection/application/reporting of actionable data. COVID-19: Providers are integrating a COVID-19 screening questionnaire into their daily interaction with patients. The questionnaire can be administered via phone, SMS text, MyHealth mobile app, or in-person. Workflows/action steps can be tagged to patients based on the questionnaire's result. Data/results are gathered, aggregated and reportable in real-time, enabling appropriate actions. Disparate Data Aggregation- EHR, State ADT/CareCoordinationTool Feeds, and Payer Data Enhanced Patient Engagement- Patient tailored communications based on method preference (Phone, SMS, Email, Mobile App). Actionable Data- Collection of structured actionable data on each patient allowing for administration of workflows based on the actionable data. Goal: Implement a solution that enables the PCMH to improve its PCMH and HEDIS Quality and Efficiency metrics, increase overall patient/member engagement in primary care, and activate non-engaged patient/members. | Actionable Data, ADT, PCMH, Population Health Management, Structured Data Capture, Value-based Care, APIs, Care Coordination, Communication, COVID-19, HEDIS, Medicaid, Patient Engagement, Patient Mobile Application | 06/30/2020 |
| Tombot: Robotic Emotional Support Animals for COVID-19 | Tombot makes robotic animals that transform the daily life of individuals, families and communities facing health adversities. Originally designed to meet the specific medical needs of seniors with dementia, Tombot Puppies have also been preordered for children with Autism, adults with high impact chronic pain, major depressive disorder, anxiety, bipolar disorder, and PTSD, and for long inpatient stays and arduous outpatient treatments at hospitals. Peer-reviewed studies show that robotic animals positively affect some users’ ability to cope with stress, anxiety, loneliness, depression and pain, reducing their need for psychotropic and opioid medications. Tombot is identifying prospective researchers to conduct studies on the application of Tombot Puppies for COVID-19 hospital inpatients, assisted living residents, and residents at home. | Alerts, COVID-19, Remote Patient Monitoring, Artificial Intelligence, Robotics, Hospitals, Long Term Care, Mental Health, mobile health, Pediatrics, Skilled Nursing Facilities, telehealth, Geriatrics | 03/31/2022 |
| Care Response System | (1) Publish content across the health system owned social properties to educate the public about COVID-19 (2) Monitor social conversations about COVID-19 within their community & across the health systems social properties (3) Identify & Engage directly with users across social media to answer questions & mitigate miss-information; routing high risk incidents to the COVID-19 call center if needed. The health system Social Media team also creates several Social Command Center screens to keep executives & staff around the health system up to date with the news, social media, and other current events related to COVID-19 across their community | Care Coordination, COVID-19, interoperability, patient care, Patient Data, Patient Engagement, Patient Mobile Application, patient referrals, patient-centric | 09/16/2020 |
| COVID19 Remote Patient Monitoring & Care Coordination - Expy Health | Expy Health is a remote patient monitoring platform that helps patients prepare for, and recover from surgery. Our mobile app and wearable guides patients through at-home rehabilitation while giving healthcare providers actionable insights on our web dashboard. In light of the COVID-19 pandemic, we are opening up our solution to all patients and healthcare providers in the post-acute care setting. This new initiative serves to accomplish: 1. Applying social distancing practices to care delivery by simplifying the transition from in-person care to remote patient monitoring. 2. Improved care coordination to flatten the curve and prevent overwhelming our health systems by leveraging patient data collected in the home. 3.Gather and analyze data for early detection of COVID-19. | Analytics, Care Coordination, Remote Patient Monitoring, Care Transitions, COVID-19, Patient Data, Patient Engagement, Patient Mobile Application, Patient Reported Outcomes, Population Health Management, reduce readmissions | 03/30/2021 |
| CuragoHealth.com - COVID-19 SMS/Text Screening Tool w/ Integration to EHR | CuragoHealth is currently developing a COVID-19 SMS/Text Screening tool that can be used to identify COVID-19 risk for patients. The use case is for those practices that want to screen their patients for COVID-19 and then assist with scheduling a virtual visit with their provider on our Telehealth platform or others. The screening tool is embedded into the patient's chart and/or appears as a document within the EHR. Additionally, practices can run a report detailing patients that are at medium or high risk for COVID-19. Additional desired use case: Mass texting of patients via HIEs to determine COVID-19 risk for a specific population. However, we are told there are too many legal barriers at this time in order to proceed. | COVID-19, telehealth, telemedicine, COVID19 | 04/10/2020 |
| Pulmonary Wellness Foundation Offers Free Online Pulmonary Wellness and Rehabilitation Resources | The Pulmonary Wellness Foundation was funded with the mission to serve as the most comprehensive pulmonary wellness hub, where all people with respiratory disease can come together as a community, regardless of age, geographical location and socio-economic or medical status. During these frightening times, we understand that our community needs special support and therefore we established a COVID-19 specific portfolio of resources that will be provided throughout the duration of this global health and human crisis, free of charge for everyone. We celebrate diversity and learning preferences, and created a variety of appointments in different formats: 1. Daily FACEBOOK LIVE Coronavirus updates with Dr. Noah Greenspan, DPT, CCS, EMT-B: 2:00-3:00 PM ET 2. Patient, Caregiver (and anyone else) SUPPORT GROUP: Tuesdays & Thursdays 7:00-8:30 PM ET; Saturdays at 2:00-3:30 PM ET 3. Free 6 weeks online Pulmonary Rehab Program that people living with pulmonary disease (and anyone else) can do in the home, no special equipment is needed other than access to internet. To learn more about the Foundation's free services please visit https://pulmonarywellness.org/ or contact us at [email protected] | COVID-19, patient care, Patient Engagement | 05/31/2020 |
| Public Health Adherence Project | Public health officials are in a life-and-death struggle to get the community to observe social distancing, sheltering in place, frequent hand washing, and other preventative measures that can minimize the impact of COVID-19. Public service messages are being sent out, but in spite of this, many individuals continue to ignore these guidelines, which causes the virus to be further spread, and will lead to many more people falling ill. Frame Health has the ability to tailor public health messages based on an individual’s personality. Frame Health personalized messages will increase adherence to recommended preventative measures and slow the spread of COVID-19. The Company’s technology originated at Johns Hopkins and the team includes some of healthcare’s most accomplished veterans. Frame Health is ready to quickly deploy the program in Los Angeles and can begin deployment in 1 week. An anonymous philanthropist has offered to fund the full cost of city implementations for up to 5 cities that are approved for implementation. | 30 day readmission, admission, Behavioral Health, Behavioral Risk Screens, consumer engagement, COVID-19, Health Systems, Hospitals, Patient Engagement, Population Health Management | 10/30/2020 |
| Humn Project - Open Sourced Non-Cytotoxic Sterilization Lamp Module | The goal of the Humn Project is to open source key technologies related to the betterment of humanity in times of crisis. The scope of the program related to COVID-19 focuses on integration of new-to-world lamp modules designed for rapid and complete sterilization of an area while being non-cytotoxic (human safe). By applying this effort for use in hospitals, first responders, grocery stores, public transportation, and beyond there is potential to rapidly impact the spread of COVID-19 for those in exposure's way. By providing distribution for the lamp modules themselves with instructions for housing and final embodiment ramp, The Humn Project aims at providing access to any/all need in an exponential fashion. | Antimicrobial Stewardship, CDC, COVID-19, COVID19, FDA, Health Systems, Open Source, Sterilization | 04/15/2020 |
| CoreASSIST - Digital Assistant for COVID-19 | CoreASSIST is an AI/NLP-enabled digital assistant platform created to support COVID-19 related communications to patients, members and employees. CoreASSIST serves as a resource for your users, members and call center representatives to answer ever-changing questions related to COVID-19 including coverage, testing center locations, risk assessments and telehealth options. CoreASSIST has the ability to integrate with EHRs, Care Management and Core Admin platforms through APIs or FHIR-based frameworks resulting in use cases for both payer and provider organizations. | API, Artificial Intelligence, COVID-19, COVID19, digitalhealth, EHR, FHIR, NLP, Payer, Providers | 03/03/2020 |
| CoreLAKE - An Out-Of-The-Box Data Lake Platform | CoreLAKE is an out-of-the-box data lake platform to enable healthcare organizations to realize data integrations, data interoperability, data standardization and distribution in a SMART on FHIR format, any EDI format or via an API or file. CoreLAKE has the capability to acquire data from varied sources (like DB, Files, HL7, CCD, EDI, API), ingest data in any format and map to a FHIR model without writing any additional code. The platform has an inbuilt capability to derive golden records for providers, patients and members. It also acts as a data exchange platform where data can be consumed from clinical devices and made available for clinical and decision-support systems to consume in a FHIR format. Apart from being an interoperability solution, CoreLAKE has an integrated data quality and data validation engine with hundreds of preconfigured business quality rules in order to avoid any data discrepancies and lead to wrong decisions or actions. This platform has been utilized by a number of providers to help them acquire data from varied sources like Epic (using App Orchid), Cerner hub, HIEs and individual practices, standardize to a FHIR format and make it available for analytics teams to run their models. | API, Data, S3, Spark, Sqoop, Scala, Python, AngulerJS, Postgresql, Data Quality, EHR, FHIR, HL7, interoperability, SMART, Standards, Hadoop | 03/15/2020 |
| A HIPAA Compliant, Interdisciplinary Collaboration Tool for Front-Line Clinicians: TrekIT | Created by clinicians for clinicians at Penn Medicine, TrekIT is a HIPAA compliant clinical workflow tool that was built to enable seamless team-based collaboration across every provider in every setting and requires no IT resources to deploy. To support the medical community during this time of extreme strain, we are offering TrekIT free of charge to our colleagues on the front-lines. TrekIT replaces static paper rounding, handoff & task lists that clinical teams use to create patient lists, track transfer requests, or manage their inpatient work load. It is a nimble, cloud based platform that enables any one to access it anywhere, on any device. This is particularly important now, while resources are limited. Clinicians, who are taxed at baseline with cumbersome documentation workflows, are only going to be more taxed & more at risk for burnout in the coming months. TrekIT can help. TrekIT eliminates double documentation by creating a single collaborative workspace that enables clinicians to write something once, and use it again and again. While TrekIT provides tremendous value out of the box, it can also be integrated with any EHR or HIE, helping surface critical clinical data into an intuitive, easy to access interface on any smartphone or device. In use by >5000 users at Penn, 80% of surveyed users believe TrekIT saves them time & has prevented errors. We need more of that, now more than ever. Additionally, as bed capacity is breached, there will be an increasing need to transfer patients from one facility to another or house them in temp facilities. Having an EHR agnostic tool like TrekIT will be essential in this setting. Faxed communication is simply not good enough. TrekIT is extremely intuitive and is ready to use. No IT resources are necessary from wifi to computers. Users can access TrekIT on any internet capable device, including smart phones, helping bring technology to the front lines. | clinician, Collaborative, HL7, interoperability, ONC Official Spotlight, COVID-19, COVID19, documentation, EHR, FHIR, frontline, Handoff, HIE | 12/31/2020 |
| FHIR Profile Implementation Guide (IG) | COVID-19 FHIR Profile Implementation Guide is a collaborative, iterative effort producing high-priority clinical information models, nationally standardized value sets, FHIR profiles, and other interoperability resources for vendor-neutral interoperability. Deliverables form a foundation for all platforms to interoperate and share information for the optimal care for COVID-19 patients, and will flow into ballot packages for HL7 standardization. All assets are available under free of charge under worldwide Open Source license. | Collaborative, COVID-19, EHR, FHIR, HIE, HL7, interoperability, Logica, R4 | 12/31/2021 |
| TOGETHER for PPE Readiness | The Center for Medical Interoperability (C4MI) has entered into an agreement with the National Personal Protective Technology Laboratory (NPPTL) out of the National Institute for Occupational Safety and Health (NIOSH). This work is additionally supported by NIOSH's parent agency, the Centers for Disease Control and Prevention (CDC) to develop a trusted monitoring and surveillance system for personal protective equipment (PPE). The project is a public-private partnership called TOGETHER (Trust infOrmation exchanGe to achiEve healTH rEsource Readiness) to allow for trusted data exchange developed for and by the healthcare industry. The initial application of this platform, TOGETHER for PPE Readiness, provides real-time information on PPE inventory (respirators, masks, gloves, gowns, and other protective equipment) among hospitals, health departments, emergency responders, stockpiles, and other PPE supply chain stakeholders. | COVID-19 | 06/30/2022 |
| Scanning for Interoperability: Using the FDA UDI System to Improve Implant Documentation and Recall Management | In 2013 the US FDA published a rule establishing the UDI system, intended to identify a medical device through distribution and use. Over the past six years, UDI has increasingly appeared as the unique standard, scannable identifier on millions of medical devices not only in the US but around the world. In the US, AccessGUDID, a free FDA-sponsored publicly available database, enhances the value of UDI through searchable, downloadable and API ready access to over 2.4 million records, each associated with a single device identifier on a device label. Hospitals and their health system vendors are beginning to take advantage of these public resources by developing and using IT systems that scan the UDI and pull data from AccessGUDID to better document implants and other devices as part of health information. We detail the work for a hospital implementing the application through webinar training. We show how use of scanning the UDI improves documentation of implants reducing the exposure of patients to expired and recalled products. You will see how the decision was made to use UDIs as part of their efforts to improve OR operations, and describe how UDIs are routinely being scanned and documented, and the efforts being taken to improve the UDI system. Each area lead discusses their own perspective on the impact of UDI today and opportunities for the future. | Cost Benefits of the UDI, GUDID, GUDID Data Quality, Interoperability, Promoting Interoperability Requirements, Scanning, UDI, UDI Adoption, UDI Capture, UDI Recognition | 04/30/2020 |
| COVID-19 Test Ordering and FHIR API - Health Gorilla | Health Gorilla enables a national network of community providers and digital health organizations to place COVID-19 test order and receive results electronically, available through a FHIR-based API and mobile application. Health Gorilla's Patient360 API enables providers to aggregate a patient's medical records from anywhere the patient received care, enabling the provider to get full clinical context to inform COVID-19 treatment. | API, CCDA, COVID-19, FHIR, HIE, HL7, Interoperability | 12/31/2020 |
| COVID-19 Patient Registry | To support nationwide tracking and reporting of infections/immunization, the COVID-19 Patient Registry allows cases to be managed uniquely across various agencies and organizations. Created as part of the Pandemic Response Hackathon sponsored by ONC and the American Public Health Association (APHA), the public health and immunization registry aggregates clinical data such as test results and status updates from hospitals, public health departments, labs and physician practices for reporting and tracking of the disease. Using probabilistic algorithms embedded in NextGate’s Enterprise Master Patient Index (EMPI), the registry automatically links data together based on patient demographics (i.e. address, phone number, birth date, etc.). We are seeking partners willing to collaborate as well as input from healthcare leaders on workflow requirements and relevant clinical data to be captured. A mobile version of the UI is also needed. A video tutorial of the registry is posted below: | COVID-19, interoperability, patient identificatioin, Patient Matching | 07/01/2020 |
| HIPAA-Compliant, Sign-out and Care Collaboration for COVID-19 - Listrunner | Listrunner is committed to helping clinical teams collaborate to combat COVID-19. We hear the need for easy, flexible and proven tools to meet the changing needs of teams responding to COVID-19. In order to help, we are continuing to offer our product free and want to get the word out to as many clinical teams as we can. We've created COVID-19 templates and 3 use cases at listrunnerapp.com/covid/. If you need help with your COVID-19 response, our team of engineers and designers are ready to build what we can to support you. Contact: [email protected] About Listrunner: Listrunner is built by clinicians for clinicians and is already used by thousands of clinicians every day to expedite rounding, sign-out, and patient care collaboration across teams. | burnout, COVID-19, FHIR, Handoff, HL7, Patient Handoff, Patient Handover, Patient Transfer, telehealth, workflow redesign | 12/31/2020 |
| AI COVID Web and Phone Assistant Triage - Syllable.ai | Syllable provides automated COVID-19 information and patient triage on the web and phone for healthcare providers and insurance companies. Syllable automates the dissemination of COVID-19 information from trusted sources such as the CDC and the WHO and triage patients to emergency departments, telehealth, urgent care, and testing facilities in order to alleviate communications burdens for healthcare responders and contact centers. Our COVID-19 web assistant is free and our phone assistant is provided at cost as a community service. | Artificial Intelligence, COVID-19, digitalhealth, insurance, Patient Engagement, Providers, Triage | 08/31/2020 |
| Encounter Notification Service – Alerting Providers about COVID-19 Test Results | CRISP (an HIE serving Maryland, and West Virginia and D.C. via affiliation), in partnership with Audacious Inquiry, has leveraged their existing ENS platform to deliver a new alert type to members of a patient’s care team, when a patient has had a positive or negative COVID-19 lab test. ENS is able to identify the lab values present in an HL7 Observation Result (ORU) messages and use them to trigger alerts to providers within their existing workflows. | ADT Notifications, Alerts, COVID19, EHR, HIE, HL7, Lab Results, SHIEC | 03/16/2023 |
| COVID-19 Community Interoperability and Health Information Exchange Platform Pilot | Heudia has redeployed an enhanced version of its Community Interoperability and Health Information Exchange (CIHIE) Platform called AccessMeCare™ to address community health needs resulting from COVID-19. The initial platform use case was designed to integrate ‘non-eligible’, community-based care providers into a pre-existing HIE to align medical care with the social determinants of health while encouraging vulnerable women to seek prenatal care at the right time and place. The enhanced, HIPAA compliant mobile version of AccessMeCare™ includes new functionality which enables community users to gain quick access to critical, up-to-date community-focused content relating to COVID-19, including; Testing Sites, COVID-19 Social Needs Screening, Exposure Assessments, Non-Emergent Medical Transportation, Community/School Closings, and Basic Needs/Social Services.We are recruiting fast-track pilot sites. | AI/ML/NLP, Alerts, Transportation, API, Community of Practice, COVID-19, HIE, interoperability, Social Determinants, Social Media, Transitions of Care | 12/31/2020 |
| Dock Health - HIPAA compliant task management and collaboration platform built specifically for healthcare | Dock Health is a secure platform to help healthcare teams work collaboratively on the administrative tasks of clinical care. Dock has the flexibility to work across the full spectrum of healthcare. From internal medicine and subspecialties, to mental health, dentistry, pharmacy or home health, Dock is customizable to easily fit any clinical need. Dock was born at Boston Children's Hospital and can integrate with EHRs via FHIR standards. Yet what makes Dock so easy to implement is that this connectivity is not needed, practices can simply upload patient profiles to add context to tasks. Beyond this, Dock has the ability to bring disparate groups from within and across organizations together in a shared and secure workspace. In response to COVID-19, Dock Health is offering our platform for free. We hope to help providers get prepared and coordinate their efforts to get ready and respond to this public health crisis. To help teams get started, we have distilled down many of the CDC protocols and guidelines into actionable team task lists. | Collaboration, COVID-19, workflow, FHIR, HIE - EHR, interoperability, Operations Management, project management, protocols, task management, Templates | 12/31/2020 |
| COVID-19 Contact Tracing Blockchain | The Villanova University Department of Electrical and Computer Engineering is currently developing a platform to contain COVID-19 by utilizing blockchain, Artificial Intelligence (AI), and Internet-of-Things (IoT) technologies to help medical facilities track coronavirus cases globally. The system uses a private blockchain shared among medical facilities around the world to publish coronavirus test results between doctors on a trusted, immutable ledger. IoT and AI are used to survey public spaces where high-risk gatherings can take place and trigger alerts over the blockchain. Such alerts will assist healthcare providers in making strategic, life-saving decisions of how to allocate medical staff and equipment already in short supply. | COVID-19, EHR, IoT, EMDI, FHIR, HIE, HL7, IHE, interoperability, Blockchain, AI | 12/31/2020 |
| Free and anonymous COVID-19 symptom mapping across the United States - Memora Health | Memora Health has released a text-based system that enables people to 1) get screened for risk factors related to COVID-19, 2) get a free telehealth visit if they have multiple risk factors, 3) ask common questions about COVID-19 and get automated answers based on CDC information. This service is a valuable public resource, that is free and anonymous, to enable people to get screened quickly and in a frictionless manner. This is being implemented nationwide with several health systems and government agencies to collect 1) data on which symptoms present most frequently, and 2) which zip codes are likely hotspots for outbreaks based on how many people present with risk factors. At a national scale, this would substantially facilitate a coordinated response and provide valuable insight. This will continue to scale to several millions of users over the next several weeks to help map the spread of COVID-19 and collect valuable symptomology information. | COVID-19, HIE | 05/31/2020 |
| A Series of Automatable COVID-19 Visual Guildelines | A series of microservice apps created with innovative automatable clinical guideline technology from Trisotech. Combining graphically created shareable clinical pathways with integrated clinical decision support, these microservice apps can improve precision and compliance with best practices, resulting in better implementations and quality of care. Leverages open modeling notations standards like BPMN, CMMN and DMN,combined with FHIR, CQL, and CDS Hooks . | AI, API, BPM+ (BPMN DMN CMMN), CDS Hooks, COVID-19, COVID19, CQL, FHIR, HL7, Interoperability | 03/31/2021 |
| LifePulse360: Personalized Care Coordination Platform with Coronavirus First | LifePulse360 is a care coordination platform that defines an integrated care plan and coordination of health, human services and volunteer services for key public and personal health needs. Coronavirus Extensions have been added to include agent-based screening, test scheduling, referral and home monitoring with care coordinators and safe transfer for COVID-19 patients | Care Coordination with COVID-19 Extenaion | 04/01/2020 |
| Redox "Innovators Ready to Help" COVID-19 Program | Redox supports 275+ digital health vendors integrating with 700+ healthcare organizations and across 45+ different EHR platforms. We've curated a list of vendors that have a meaningful solution around COVID-19 response, can implement with a "minimal viable integration scope" (2-3 week deployment timeline), and are waiving fees for 90 days. | COVID-19, EHR Integration, HIE, interoperability | 09/30/2020 |
| COVID-19 Alerts and Reporting Pilot - Population Health Management | 4medica®and KPI Ninja have teamed up to pilot a comprehensive lab analytics solution to support rapid treatment, prevention and spread of the COVID-19 (coronavirus) pandemic. The COVID-19 Alerts and Reporting Solution™ helps healthcare organizations and medical professionals identify and prioritize patients at higher risk of contracting severe forms of the respiratory disease. The solution also finds and tracks healthcare facility and ICU bed utilization across the U.S. | ACO, ADT, ADT Notifications, Alerts, C-CDA, COVID-19, FHIR, HIE, HL7, interoperability | 06/30/2020 |
| A EMR Message Broker Telehealth Solution | Proof of Concept (POC) for an enterprise solution of Webex powered telehealth visits from within Epic and other EMR, provider and patient apps. Patients can meet with their clinicians via a WebRTC based video call launched directly from their Epic or other EMR without the need to download any Cisco Webex software. The goal of this POC is to keep the patient that do not need to come to the hospital, on schedule for the appointment or obtain necessary medical advise/treatment. | Cloud Solution, COVID-19, EMR, Integration, interoperability, telehealth, Webex, WebRTC | 06/30/2020 |
| Equipment Track and Utilization | With the demand of Vents and Beds, we allow manufacturers and hospitals the ability to track and find equipment easily. Knowing if a device is dirty or clean, in a room or walking out the door, usage reports and alerts. Digital Medical Tech has created a platform to allow health systems to proactively track medical devices and equipment. Using Bluetooth technology, Digital Medical Tech’s real-time location system provides monitoring and management of a wide variety of medical assets, while requiring less infrastructure and shorter installation time than typical tracking solutions. | 04/01/2020 | |
| Noteworth - Programs for Mitigating the Impacts of Covid-19 | Patient program: aimed at the identification of potential infections of COVID-19, the treatment and initial screenings and longitudinal measurement of the condition through symptom tracking and outcome measurement. Flow: Screening (surveys) - engagement (telemedicine) - Follow up (Symptom tracking + education) Healthcare worker program: aimed at the detection of risk, based on exposure and symptoms presenting amongst employees and staff. Helping manage staff availability and reduce the administrative burden associated with clinical resourcing. Flow: Screening (surveys) - Scoring (categorize protocol to follow) - Monitor until reintegration (symptom tracking) | Actionable Data, Care Coordination with COVID-19 Extenaion, Care Planning, COVID-19, Patient Engagement, Patient Mobile Application, Patient Reported Outcomes, Remote Patient Monitoring | 07/31/2020 |
| A Patient facing COVID Symptom Tracker, ability to gather and share medical records and symptoms (MyLinks) | The COVID Symptom Tracker has been added to MyLinks to enable patients to easily track, graph, and share their symptoms. Patients can gather and share their medical records and device data with providers or research organizations. Patients answer specific questionnaires to meet your needs. If you are interested in working with us to receive data directly from patients, please contact us. | #COVID, #PatientEngagementPlatform, interoperability, #Research, #Symptoms, #SymptomTracker, C-CDA, COVID-19, EHR, FHIR, HL7 | 04/30/2021 |
| A HIPAA compliant software tool to efficiently transition patients to PAC providers | In response to the COVID-19 outbreak, AIDA Healthcare is offering all hospitals and PAC providers nationwide AIDA Patient Choice software AT NO COST. The AIDA software module allows hospital caseworkers to quickly and efficiently transition patients to post-acute care facilities in order to make beds available for those patients diagnosed with COVID-19 | API, Care Transitions, COVID19, Embedded UI, Epic App Orchard, FHIR, Patient Data, Patient Discharge, Software, SSO | 06/30/2020 |
| Remote Patient Monitoring and Patient Engagement Solution from Strategic Interests to Keep Patients Safe at Home | Rapidly deployed platform to enable providers and public health departments to alleviate the strain on hospitals by monitoring Covid positive and suspected coronavirus patients, and symptomatic healthcare workers at home. Each population has a monitoring plan and dashboard to stratify patients based on risk with alerts and ability to initiate video call. Patient outreach via Smartphone includes daily surveys, temperature, and video calls. The application uses Datos platform: www.strategicinterests.com/covid19 Solution was deployed in 10 days: https://www.prnewswire.com/news-releases/rochester-regional-health-deploys-datos-for-remote-monitoring-of-patients-and-staff-at-risk-of-coronavirus-301031925.html | #PatientEngagementPlatform, COVID-19, Home Health, mobile health, pandemic, Remote Patient Monitoring | 03/20/2020 |
| COVID-19 Home Monitoring and Eventing | CHiYME (Coronavirus Home Monitoring and Eventing) is designed to be the 24/7 eyes and ears for physicians monitoring suspected coronavirus patients. By providing valuable—and most importantly—relevant patient health data alerts in real-time, it can help inform clinical treatment while greatly reducing false alarms. See more information here: https://www.connetixhealth.com/coronavirus-surveillance/ This project is implemented through a partnership between Connetix Health & Health in Your Hands Announce Partnership. It uses the mCharts Personal Health Record for account management (www.mCharts.com). mCharts consolidates health records from multiple providers, generally using C-CDA documents. | C-CDA, COVID-19, health records, interoperability, mCharts, PHR | 12/31/2020 |
| COVID-19 Lab Notifications (CORHIO - Colorado HIE) | To help the Colorado healthcare community during this crisis, CORHIO stood up a new service to provide patient-matched notices of COVID-19 test results from different lab sources directly to providers. Results are available in daily reports, via HL7 feed or other methods as needed. Additionally, custom reports are available for organizations and situations when member-based routing is not appropriate. | #COVID, Care Coordination, HIE, Labs | 12/31/2020 |
| COVID-19 Lab Orders and Results to Diameter Health Mapping | Diameter Health is a widely used 3rd party application that consumes primarily CCD/CCDAs and provides automated data quality uplifting, semantic normalization and quality metric reporting for healthcare organizations. For purposes of COVID-19 tracking, lab orders and results are extremely important, but CCD/CCDA's may not be a good source for this information. Zen Healthcare IT has developed code to map HL7v2 Lab Feeds to the Diameter Health API to help support COVID-19 related projects. We are currently rolling this out for a County in Northern CA and have previously deployed HL7v2 mapping to Diameter Health for other HIEs. We want other users of Diameter Health to know that this approach can be deployed quickly to fill in any data gaps related to COVID-19 reporting needs. Zen's approach makes use of Mirth (Nextgen) Connect (open source or commercial versions) which speeds deployment. | #COVID, COVID-19, COVID19, HIE, interoperability, Lab Results | 04/03/2020 |
| Covid19 on FHIR | Covid19 on FHIR is a node/javascript package that queries FHIR servers for COVID19 related LOINC and SNOMED codes. It has been validated against HAPI servers using Synthea Covid19 module synthetic patient data. It uses all of the most common Javascript FHIR libraries available on NPM. | #COVID, FHIR, Node, Javascript, query, LOINC, SNOMED, React | 03/15/2021 |
| Covid19 Geomapping | This module geocodes FHIR Patient addresses and constructs FHIR Locations and GeoJson layers for displaying in GoogleMaps and other GIS systems. This project is intended to be used with Covid19 on FHIR. | COVID19, Javascript, Node, GIS, Geomapping, GoogleMaps, PandemicResponse | 03/15/2021 |
| Consensus Interoperability Platform - J2 Global | Consensus, offered by J2 Global, the leader in cloud fax technology, provides easy interoperability with streamlined workflows in a simple platform that keeps you connected through each patient’s continuum of care. Whether you are a small, mid-sized organization, or a large enterprise, Consensus can improve paper-based workflows, moving to cloud faxing, direct messaging, and query for patient information from CommonWell or CareQuality. Recently, Consensus launched a free Patient Record Query service during the COVID-19 Coronavirus crisis, giving front-line providers access to patient records that can include past or current conditions and treatments from a records database, as well as a community of providers. With this service, providers can prioritize high risk patients and make better decisions at the point of care. Providers can sign up for free during the current state of emergency and for a time of transition afterward. For more information, please visit https://www.consensus.com. | #COVID, C-CDA, IHE, Interoperability, Promoting Interoperability Requirements, #healthcare, #healthcareIT, COVID-19, DIRECT, EHR Integration, FHIR, HIE, HIE - EHR, HIE; EHR; Emergency Medicine; FHIR; EHR integration, HL7 | 05/01/2020 |
| b.well Connected Health Lite: Covid-19 Platform | The b.well Connected Health platform provides the healthcare eco-system with a middleware for interoperability and aggregation that works horizontally across the spectrum to consolidate a 360 view of real-time data and that works vertically to integrate point solutions to provide timely and relevant healthcare services for consumers. b.well is launching a COVID-19 solution that addresses the greatest needs of our healthcare system today including, the need to triage, provide access to virtual care, remote patient monitor, deliver timely fact-based information and allow consumers to monitor loved ones from afar. The time is now to empower people with access to their own healthcare data as we fight this global pandemic together. This digital health platform is free for 90 days and can be deployed in your brand in under 30 days. | #COVID, #PatientEngagementPlatform, Patient Engagement, Remote Patient Monitoring, #SymptomTracker, Actionable Data, consumer engagement, COVID-19, digital transformation, FHIR, HL7, interoperability | 07/31/2020 |
| Data Hub for COVID-19 | Comprehensive data hub from various sources. Includes dashboards, datasets along with API's to download and query curated datasets. | COVID-19 | 08/31/2020 |
| EMDI- El Dorado County Behavioral Health Interoperability Pilot | Organization: El Dorado County Behavioral Health POC: Angelina Larrigan, Manager of MH Programs; Jamie Samboceti, Deputy Director EDC BH; Pilot Goal: In addition to participating in the EMDI Medallie Interoperability Pilot; El Dorado County Behavioral Health would like to enhance the continuity of care and increase communication between healthcare organizations and entities. | 360X, DIRECT, EMDI, interoperability, Provider-to-Provider | 04/01/2021 |
| A FHIR-enabled COVID19 Triage and Monitoring Application | Rimidi has built and deployed a FHIR-enabled application for automated COVID-19 triage of patients with upcoming appointments or high-risk groups. Using patient, encounter, observations, provider, medications and immunization resources as well as QuestionnaireResource, this application creates a complete patient profile in FHIR of those patients at risk for COVID19, awaiting test results, or managing COVID19 at home. On-going monitoring identifies worsening symptoms, social and mental health needs for triage back to the healthcare system. | COVID-19, EHR, FHIR, interoperability | 04/03/2020 |
| Telehealth Mobile Application - Helpsy Health | Helpsy is the world’s first whole-health and virtual nurse platform for use across the entire care spectrum, providing dynamic support to patients and empowering patients and clinicians alike. The artificially intelligent Symptom management And Navigation (SAN) nurse can automatically create personalized, condition specific care plans that addresses the members physical, emotional, social, and environmental needs. Helpsy has served tens of thousands of patients from all over the world and the data generated provides insights that have never been captured or understood before. Helpsy RPM Rx (remote patient monitoring) can send a monitoring kit with thermometer, HR, oxygen saturation monitoring, etc. and enable collection of data automatically from these devices to the user's app. Additionally, the virtual nurse will engage the member 24/7 by monitoring symptoms, reminding them to monitor, answering questions, and escalating care. If a change in condition is noted, then it is automatically auto-triaged and consultation can be provided through telemedicine | #COVID, #PatientEngagementPlatform, #SymptomTracker, Artificial Intelligence, Care Coordination with COVID-19 Extenaion, Patient Mobile Application, telehealth | 08/31/2020 |
| Telehealth Mobile Platform - Helpsy Health | Helpsy is the world’s first whole-health and virtual nurse platform for use across the entire care spectrum, providing dynamic support to patients and empowering patients and clinicians alike. The artificially intelligent Symptom management And Navigation (SAN) nurse can automatically create personalized, condition specific care plans that addresses the members physical, emotional, social, and environmental needs. Helpsy has served tens of thousands of patients from all over the world and the data generated provides insights that have never been captured or understood before. Helpsy RPM Rx (remote patient monitoring) can send a monitoring kit with thermometer, HR, oxygen saturation monitoring, etc. and enable collection of data automatically from these devices to the user's app. Additionally, the virtual nurse will engage the member 24/7 by monitoring symptoms, reminding them to monitor, answering questions, and escalating care. If a change in condition is noted, then it is automatically auto-triaged and consultation can be provided through telemedicine | #COVID, #PatientEngagementPlatform, #SymptomTracker, Artificial Intelligence, Care Coordination with COVID-19 Extenaion, Patient Mobile Application, telehealth | 08/31/2020 |
| Screening, Triage, and Messaging App - SEIUS | In response to the current situation regarding COVID-19, MCI has developed an interactive prescreening tool for our SEIUS application. This module is web-based and includes access to our secure messaging system providing a simple and secure way for providers to communicate with their patients. This interactive tool includes basic customization services for practice identification, public notifications, screening questionnaires, and a HIPAA compliant private secure messaging portal dedicated to the practice. It also includes basic statistics, data analysis, and reporting. | COVID-19, Functional Interoperability, HIE; EHR; Emergency Medicine; FHIR; EHR integration | 04/02/2020 |
| Embleema COVID-19 Data Initiative for Patient Advocacy Groups | Embleema has launched a COVID-19 data platform and app to collect from Patient Advocacy Groups members data on testing, symptoms, conditions, demographics, and psychosocial impact on a longitudinal basis. Analytics along those dimensions and geography are then shared back to members and Patient Advocacy Groups. The platform is turnkey and access is free of charge. | #COVID, #COVID-19 Patient Monitoring, #SymptomTracker, FHIR | 07/07/2020 |
| Cascade Healthcare Solutions | Authorized seller of thousands of top-quality medical products, supplies and equipment at a competitive price. We have online presence that serves the needs of Assisted Living Homes, Nursing Facilities, Hospitals, Government Agencies, Schools and Military Locations across the country. Cascade Healthcare Solutions was founded on the premise of helping our customers save money and making their buying experience as smooth as possible. | #BetterGlobalHealth, #MedicationManagement | 04/30/2022 |
| PPX-TEC ‘s Mobile Enterprises is a Bridge for Connectivity | COVID19 ushers' in 'real time' need for PPX-TEC's Bridge Interoperability Solution. PPX-TEC is a mobile bridge enterprise that has a personal health record that aggregates that data being exchanged between and beyond silos. PPXTEC allows users to decide when and how to share their data B2C, B2B, and C2C exchanges. PPX-TEC is a COVID 19 mitigation solution. More accurate and faster public health data collection and interpretation of public health data is possible when IT systems are able to interact. This can help organizations answer pressing questions for both patients and providers. The COVID 19 and opioid crisis provides an excellent example of why more robust public health data is needed to understand the scope of that crisis and continue ways to more effectively address and resolve the crisis. By facilitating the sharing and interpretation of such data, interoperability allows healthcare organizations to collectively educate one another on predicting and preventing outbreaks. | #BetterGlobalHealth, #COVID, COVID-19, Digital Health Platform, HIE, Interoperability, #COVID19, #PatientEngagement Platform, #EHR, #HIE, #Interoperability, #HL7, #PatientEngagementPlatform, #FHIR, #care coordination, Actionable Data, API, Beyond HIE, bi-directional Direct Interoperability, C-CDA, Care Coordination, Care Coordination with COVID-19 Extenaion | 04/12/2021 |
| Gravity Project SDOH and COVID-19 Data Standardization | As part of the Gravity Project Housing domain work, we are currently mapping HUD Homeless Management Information System (HMIS) data to clinical activities to allow seamless data transfer. The COVID-19 crises brought a level of urgency to both this work and the work of our previous data domain, food insecurity, and we have been working hard to consider how we can leverage our knowledge to help. Part of our work is curating all conceptually aligned screening tools and intervention activities so we have a lot on hand to address current needs. | bi-directional Direct Interoperability, C-CDA, COVID19, DIRECT, EHR, FHIR, HIE, LOINC, SNOMED-CT, SDOH | 08/06/2020 |
| EMDI- El Dorado Community Health Centers Interoperability Pilot | Organization: El Dorado Community Health Centers POC: Megan DeLautre, Manager, Health Information Technology; Andrea Quintana, EMR Provider Champion; Pilot Goal: To advance secure healthcare interoperability, specifically by using 360X via Direct referral management in support of reducing provider burden, improving patient, provider and staff experiences as well as enhancing workflows and care processes. | 360X, C-CDA, DIRECT, EHR, EMDI, interoperability, Provider-to-Provider | 03/19/2021 |
| PeerNet - Research Package Evaluation Management System | Reliable web-based application promoting stakeholder engagement aligned with the goals of PAHPRA, PAHPAIA and the 21st Century Cures Act. PeerNet is a leading online peer review management tool, utilized for more than 1,100 evaluations and reviews within HHS and across federal agencies. | #COVID, #PeerReview #Evaluation #ORAU, #COVID-19 | 01/01/2021 |
| AI for Covid 19 Triage POC | Several months ago Zebra Medical Vision saw the growing Covid-19 epidemic and steered it's developers to build an AI algorithm based on a Patent on Ground Glass Opacities that was obtained in 2016. One of our hospital partners in the Northeast is helping drive what is needed for clinical outcomes. Their message/need was the following, On our Covid Floor, everyone is Covid positive, everyone is sick, has a fever, can't breath and is scared. We need to have a way of determining the severity of their condition. Zebra AI developers built an AI algorithm for detecting COVID-19 which will be ready May 1st for wide distribution. The Algorithm will detect and quantify suspected COVID-19 on standard, both contrast and non-contrast Chest CTs. The AI algorithm will output the Lung burden Volume- % affected lung volume relative to the entire lung volume, Segmentation of the suspected findings with key Images with annotations. We are doing our part to help those who are affected by Covid-19 by providing this at No cost to hospitals with Large 1,2,3rd and 4th Waves. Zebra Medical Vision began building an AI Visual deep learning algorithm based on a patent we were granted in 2016 for ground glass opacities which is a dominant imaging feature of COVID-19 pneumonia. We have added several considerations based on customer feedback to give more depth to analyze/track the severity/progression of the infection. This AI algorithm will help map the trajectory of the disease in the patient through the precision use of CT. Our Goal is to provide this Algorithm at NO COST to our partner's hospitals around the world. This includes all implementation COST. The target Hospital should be those who have a high COVID-19 population. Tech Details: for best results and minimum impact to the workflow, a HL-7 connection to the PACS to drive and flag the Worklist would be preferred but not needed. Ramp up time is a week and the POC will be available to use May 1st. Ever | #BetterGlobalHealth, #COVID-19 Patient Monitoring, Artificial Intelligence | 11/30/2020 |
| COVID-19 Care Coordination from Halo Health | Halo’s mobile communication platform integrates with EHRs to deliver COVID-19-related alerts, including notification to virtual care teams when a virtual patient is in the cue and ready to be seen, and notifications to other clinical teams when bed capacity issues arise. Halo also integrates with 3rd-party scheduling solutions to ensure that urgent messages are routed to the right person at the right time, without having to know who is covering a specific role or team at the moment. For example, Halo users can simply message the “Infectious Control Specialist On Call” or the “High-Risk Transfer Team” without having to know who is covering those roles/teams – the Halo platform automatically routes messages to the correct people at any given time using sophisticated role, team, and schedule-based logic. Schedules can be managed within the Halo platform itself or sourced from 3rd-party solutions through Halo’s integration. The Halo platform is a reliable, HIPAA-compliant, mission-critical mobile communication platform for health systems and government agencies. It unifies all communication channels (text, voice calls, alerts) in a single, easy-to-use mobile application. It serves as a scalable tool for coordination during pandemics like COVID-19 to streamline individual and team communication. Halo is an AWS cloud-based mobile and web platform and is easy to set up and use with little to no training. If a user knows how to text, the application will be intuitive. | #COVID-19, Care Coordination, Clinical Team Communication, Cloud Solution, Collaboration, Communication, EHR Integration, Interoperability, Mobile Application, Role-Based Communication, On-Call Scheduling | 12/31/2021 |
| ASSYST Hephaestus Health Data Interoperability Solution | ASSYST Hephaestus HL7® FHIR® solution framework aims to support evidence-based policymaking and data-driven decisions on social determinants of health measures. Hephaestus' solution will use Health indicator measures and data at the Congressional District level. We expect it will draw further attention to the relevance of health data interoperability, cost of care, financial data analytics, and exchange standards in measuring public health and wellness. | #EHR, #FHIR, #HL7, #Interoperability, CCDA, Financial, Health Analytics | 3/31/2021 |
| test | test | #HIE, adfdsf | 09/30/2021 |
| Integrating Standardized Data to Advance Person-Centered Planning, Outcomes, and Value Based Payment Models Project | The Missouri Department of Mental Health, Division of Developmental Disabilities in partnership with stakeholders and contractor EMI Advisors, is testing the integration of standardized health and human services data to support person-centered planning, population health management, reporting, and value-based payment among health care and home and community-based service providers for individuals with developmental disabilities. This project focuses on harmonizing data standards (e.g., Electronic Long-Term Services and Supports standard) and data exchange to support long-term services and supports use cases across providers, clients and their families. | Care Coordination, eLTSS, ONC Funded, Person-centered planning, SDOH, Social Determinants, Value-based Care, Value-based payment, FHIR, HCBS, Home and Community-Based Services, Human services, Intellectual/developmental disabilities, Interoperability, LEAP, ONC | 09/30/2022 |
COVID-19
A list of Interoperability projects for COVID-19 Novel Coronavirus Pandemic can be accessed at COVID-19 Projects.
All Projects
| Project Name | Project Description | Tags | Projected End Date |
|---|---|---|---|
| Data Provenance - RAIN Live Oak Health Information Exchange and Telemedicine Network | Data Provenance is focusing on EHR to EHR transmission security and is still searching for a PHR to EHR pilot site. RAIN's main goals at this point will be to develop: 1) A reliable, secure method for "signing" data elements within a variety of document formats, allowing point of origin and author identity to be identified at a granular level. 2) A system for managing and verifying trust of provenance data across a distributed network spanning large geographic regions and varied EHR vendors. 3) Policies for including Data Provenance fields without compromising existing healthcare record documents standards and specifications, ensuring compatibility with existing systems. | DIRECT, DPROV, DS4P, ONC-led, C-CDA | 09/01/2016 |
| Data Access Framework (DAF) Pilot-PopMedNet | Lincoln Peak will work with ONC and participating PCORI CDRN representatives to extend and leverage the FHIR standards developed in DAF Phase 1 and 2 for use in accessing data from multiple organizations within PopMedNet. As the architects and developers of PopMedNet, the distributed research application used to power PCORI, LPP is in unique position to assist the project team in designing and implementing DAF FHIR standards. In general, LPP uses an agile approach to software development. As such, Lincoln Peak will focus on achieving a successful end-to-end test implementation of sending queries to FHIR enabled DataMarts as quickly as possible. This may result in an iterative approach in developing the capabilities declared in the initiative and/or re-prioritizing the order we execute them. Lincoln Peak is the technology company that developed PopMedNet and hosts and supports the PCORnet and FDA Sentinel Networks. Lincoln Peak also provide support to groups that operate their own PopMedNet instances. | CDRN, DAF, FHIR, ONC-led, PCORI, PCORnet | 09/29/2016 |
| Argonaut Phase 2 Implementation & Testing - Developing a Web Based Client | This is a personal project to test the FHIR (http://hl7.org/fhir/index.html) and Security standards (http://fhir-docs.smarthealthit.org/argonaut-dev/authorization), that are currently being tested as part of the Argonaut Phase 2 Implementation & Testing Project (https://github.com/argonautproject/implementation-program/wiki). The project is currently developing a web based client that connects securely (via SMART OAuth2 profiles) to various FHIR servers that are being deployed by participants of the Argonaut project. Once the Argonaut phase 2 implementation is completed, the application will be deployed on the internet. The application uses Spring Boot (http://projects.spring.io/spring-boot/) and is written in Java, with AngularJS frontend. | AngularJS, FHIR, Java, OAuth2, SMART, Spring Boot | |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - PeerPlace | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. PeerPlace is a software system that supports collaboration among organizations that deliver long-term services and supports. The strength of the PeerPlace platform is connecting multiple agencies together across a community of interest, allowing them to collaborate and share information in a secure web-based system. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Care at Hand | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Care at Hand preserves the value of consumer-centric LTSS while enabling LTSS providers to create and demonstrate value for health systems and managed care. Care at Hand is an evidence-based platform that helps predict and prevent hospitalizations using non-clinical workers. They use sophisticated statistics and predictive modeling to tap into the insight of front line workers (direct care workers, home delivered meal van drivers, etc) to ensure consumers remain in their homes rather than the acute care setting. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Meals on Wheels Of Sheboygan County Inc.(MOWSC) | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Since 1970 Meals On Wheels of Sheboygan County (MOWSC) has been an independent, non-profit agency delivering meals to the homebound, elderly, and disabled residents of Sheboygan County. They are a long-term accredited agency through Meals On Wheels Association and have 17 years worth of electronic client data and a tech support team willing and able to adapt as needed. They intend to create an internal system which meshes well with the Centers for Medicare & Medicaid Services (CMS), to optimize client services. Their staff has complete access to their electronic data system allowing them to continually update client information as needed to provide better service. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - FEi Systems | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. FEi is a leading information technology, services, and analysis company specializing in Long Term Support Services (LTSS) as well as Behavioral Health data solutions for the federal, state and local government. They also have experience implementing the health IT standards for interoperability. ONC S&I eLTSS initiative is very relevant to FEi's experience and solutions. They are committed to actively participate and contribute to support this S&I framework work group and help achieve the goals for this initiative. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Therap Services | Therap's role in the pilot is to provide technology to enable all eLTSS Plan components which include create a plan, approve/authorize plan/services, access/view/review plan and update plan. Therap Services is a National Leader in Long-Term Services and Supports (LTSS). They work with over 1780 providers (ex., ID/DD, Employment, Birth to 3, and Early Intervention) and are utilized by organizations within 49 states. They have statewide contracts in 7 states (AR, SC, NE, ND, MT, ID, & NM) as well as over 400,000 individual users (staff) and over 302,000 individual records. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Kentucky Cabinet for Health and Family Services (CHFS) | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Recipient of the Testing Experience and Functional Tools (TEFT) Planning Grant. Kentucky Cabinet for Health and Family Services (CHFS) administers programs to promote the mental and physical health of Kentuckians. They deliver and oversee Community Mental Health Centers, Area Development Districts, and private agencies who provide assessment and case management services to beneficiaries of Medicaid Waiver home and community based services (HCBS). The way their current process works is private agencies, quasi-government, and Cabinet for Health and Family Services (CHFS) assessors conduct initial screening and Level of Care assessments. Agencies work with beneficiaries/caregivers and the state to determine financial eligibility. As needed, this includes working with CHFS staff of a specific (HCBS) waiver program. Case managers work with beneficiaries/representatives to create a person-centric Plan of Care (POC). Case Managers capture case notes and direct service providers to deliver services per the Plan of Care. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Maryland Department of Health and Mental Hygiene (DHMH) | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Recipient of Testing Experience and Functional Tools (TEFT) Planning Grant. The Maryland Department of Health and Mental Hygiene (DHMH) is the State's Medicaid agency and one of the main payers for Maryland beneficiaries. The state plan for Maryland Medicaid includes providing Long-Term Services and Supports (LTSS) for Maryland beneficiaries. Maryland launched its electronic LTSS system (LTSS Maryland) using funds from the Balancing Incentive Program (BIP). LTSS currently includes the beneficiary groups of Community Options Waiver, Money Follows the Person, Community First Choice (State Plan), Community Personal Assistance Services (State Plan), Increased Community Services, and Brain Injury with Community Pathways (DD Waiver) and Medical Day Care planned for the future. They also have the In-home Supports Assurance System (ISAS) to ensure that service providers are in the beneficiaries homes caring for them when they say they are. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - State of Colorado Health Care Policy and Financing | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Colorado Department of Health Care Policy and Financing (HCPF) is a recipient of the Testing Experience and Functional Tool (TEFT) planning grant. Their team includes: HCPF, Colorado Regional Health Information Organization (CORHIO) and Quality Health Network (QHN). HCPF administers Medicaid, Child Health Plan Plus, and other health care programs for Coloradans who qualify. Colorado's health information exchange (HIE) network is on the front range connecting hospitals, labs, physicians, emergency services, behavioral health, skilled nursing, home health, hospice and QHN is the health information exchange on the western slope and is also Colorado's first HIE. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Minnesota Department of Human Services | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Recipient of Testing Experience and Functional Tools (TEFT) Planning Grant. The Minnesota Department of Human Services serves as payer for Medical Assistance (Medicaid) funded services in Minnesota. They oversee County and Managed Care Organizations who provide certified assessment and case management services to beneficiaries of MA and MA Waiver services. Currently the way their process works is that Certified Assessors conduct an MnCHOICES assessment and Counties work with the state to determine financial eligibility. Then Registered providers bill the state for services covered under MA. Minnesota DHS is in final negotiations with a Collaborative made up of County Public Health and Human Services, primary, acute, post-acute and long-term service and support providers. Further details about the Collaborative will be provided when the contract is finalized. The Collaborative has agreed to participate in piloting the eLTSS plan. Their plan is to create and prototype new means of sharing LTSS data electronically with Beneficiaries and an array of LTSS Service Providers and stakeholders, and evaluate the value of the data and methods of exchange. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Connecticut Department of Social Services Division of Health Services | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Connecticut Department of Social Services Division of Health Services is a recipient of the Testing Experience and Functional Tool (TEFT) planning grant. They focus on empowering consumers through the use of Health IT. They are comprised of staff from the CT Department of Social Services & the University of Connecticut. The team goes out into the community to gather input from consumers & advocates on how HealthIT solutions can best serve consumers. They have developed educational materials, and will offer PHR training to users. The team engages consumers & advocates in interactive dialogues, allowing them to express their views on Health IT while providing feedback on the project. They analyze consumer & advocate responses in order to better understand their concerns. CT will pilot the ability to create & share an eLTSS Plan. CT will also evaluate the utility of the established domains & subdomains. The CT team will pilot a version of User Story 2, “Sharing a Person-Centered eLTSS Plan”. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Georgia Department of Community Health | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Georgia Department of Community Health is a recipient of the Test Experience and Functional tools (TEFT) planning grant. They provide's Georgians with access to affordable, quality health care through effective planning, purchasing and oversight. They support program monitoring and improvement of all waivers, support cross-waiver program information sharing, help bridge the gap between clinical and non-clinical data and support incremental adoption by members of the ecosystem. | eLTSS | 04/30/2016 |
| Electronic Long-Term Services and Supports (eLTSS) Pilot - Kno2 | The eLTSS (Electronic Long-Term Services and Supports) pilots will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Kno2 is cloud platform that is standards based for Interoperability using elements of Direct messaging for transport, delivery and processing of any payload including structured and unstructured information to and from any actor and system of record. The information and documents include HL7 standard formats like C-CDA and ADT as well as PDF, JPG, TIF, Systems of records can range from MU2 certified EMR to a paper based organization. All unstructured payload is transformed into C-CDA at time of origin or receipt and transported on the Surescripts HISP, which is the largest HISP and provider directory in the US. Kno2 enables interoperability for all organizations and actors that exchange clinical information and do not currently have a Direct messaging. | eLTSS | 04/30/2016 |
| SDC Pilot-UCSF (University of California San Francisco) | Initial development will be at UCSF and use Epic as the Electronic Health Record (EHR) System and I-SPY for the Clinical Trial. The proposed workflow is as follows: 1. An invitation is sent via email to the pathologist asking them to complete, within a week of surgery, the Checklist that contains the required data (pCR) for the primary endpoint (pCR) of the I-SPY 2 Trial 2. The pathologist signs on to Epic and accesses the Checklist form. 3. Epic pre-populates the Checklist form with structured data already in Epic. 4. The I-SPY eCRF (Post-Surgery Summary Form in the case of I-SPY 2) is updated. Future releases will move us toward the ultimate goal which is to create an EHR-agnostic and Therapeutic Area-agnostic that eliminates manual re-entry and minimizes or eliminates manual source data verification. | FHIR, IHE, ONC-led, SDC | 08/08/2016 |
| SDC Pilot-CAP (College of American Pathologists) | CAP will create selected forms in Phase II SDC XML format, using software-supported SDC design and XML production process. CCR will receive SDC messages using forms x,y,z form each project site (deployable in Eureka system). DCG will demonstrate a working forms manager that all parties can successfully use to request any SDC form in the project. The development of any final production-ready systems; and the collection and analysis of statistically valid data for clinical research, clinical care or public data access are out of scope for this effort. | FHIR, IHE, ONC-led, SDC | 08/01/2016 |
| Clinical Quality Framework Pilot- The American College of Cardiology | The American College of Cardiology, in collaboration with other key specialty and subspecialty societies as well as authors utilized clinical guidelines, performance measures, appropriate use criteria, and other content to improve the delivery of healthcare. The ACC Appropriate Use Criteria (AUC) for the multimodality approach to the detection and risk assessment of ischemic heart disease (Wolk MJ et al., J Am Coll Cardiol 2014;63:380–406) describes current recommendations for the selection and application of non-invasive and invasive diagnostic testing for the detection and risk assessment of stable ischemic heart disease (SIHD). Included are elements of both clinical decision support (CDS) and clinical quality measurement (CQM) that align with the pilot demonstration goals of the CQF initiative. | ACC, AUC, CDS, CQF, eCQM, SIHD | 08/27/2015 |
| Clinical Quality Framework Pilot- HHS/CDC | The goal of this pilot was to demonstrate the usability of the new specifications (Quality Improvement and Clinical Knowledge or QUICK data model, Clinical Quality Language or CQL), determine where the standards need improvement, and to provide experiential input on how the specifications will serve future implementations in Electronic Health Record systems. This pilot was focused on how QUICK and CQL can be successfully tailored to suit the needs of implementers interested in supporting clinical decision support (CDS) and clinical quality measures (CQM) for screening, treatment, and follow-up of chlamydia trachomatis infection in community settings. Additional benefits of the pilot include: - Broader visibility into the harmonized standards being developed in HL7 - Ability to leverage initiative resources - Contribution to unification of the CDS/CQM community - Recognition as an early adopter. | CDS, CQF, CQL, eCQM, HHS, QDM, QUICK | 08/27/2015 |
| Clinical Quality Framework- HLN Consulting, LLC | The Immunization Calculation Engine (ICE) project team is interested in ensuring that as the ICE software evolves it can continue to serve diverse technical environments with as much ease as possible for the adopter. The ICE service is currently either being used in Public Health and Provider settings and/or being integrated within EHRs and Immunization Information Systems (IISs). The ICE rules and request-response messages are both currently based on the Virtual Medical Record (vMR) and support a version of the HL7 Decision Support Service (DSS) specification. One goal of this pilot was to ensure that ICE is based on the latest viable CDS standards and, at minimum, can support requests from ICE clients to the ICE service based on FHIR messages that are compatible with QUICK. By doing so, the pilot demonstrated that the dataset used by a typical immunization forecaster can be properly supported by the CQF standards and that the CQF standards could be leveraged by other immunization forecasters. In short, this pilot intended to examine existing FHIR resources available for immunization forecasting, analyze how well an end-to-end FHIR request and response based on those resources align with QUICK, and demonstrate via a live system - using existing immunization forecasting rules implemented in ICE - that immunization histories can be properly evaluated and forecasted. | CDS, CQF, EHR, FHIR, HNL, ICE, QUICK, vMR | 08/27/2015 |
| Clinical Quality Framework- Motive Medical Intelligence | This quality measure, Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic (PQRS Measure #204/NQF 0068) was piloted in the Heath eDecisions (HeD) Initiative of the S&I Framework. This initial work demonstrated that an event-condition-action (ECA) rule could be represented in a standards-based format, consumed by a third-party EHR platform, and executed successfully against test patient data. The Clinical Quality Framework (CQF) pilot of the Ischemic Vascular Disease (IVD): Use of Aspirin or Another Anti-thrombotic quality measure was a natural extension to the HeD Initiative work and further demonstrated the effectiveness, portability, and utility of CDS artifacts represented in a standardized format. Motive’s primary goal is to support the development of a national standard for sharable, executable CDS artifacts and quality measures. This community effort and experience is critical to achieving outcomes-driven health care and providing clinicians with the tools they need to deliver high-quality care. In this pilot, Motive will demonstrate that a shareable ECA rule can be created, deployed, and executed in at least one third-party clinical system, such as an electronic health record (EHR), or by a cloud-based CDS service, using the CQF standard for artifact representation. | CDS, CQF, ECA, EHR | 08/27/2015 |
| Clinical Quality Framework (CQF)- Pilot: National Decision Support Company | Pilot background: HR4302 passed into law April 2014, which requires ordering physicians consult appropriate use criteria when placing orders for high tech diagnostic imaging (HTDI) exams. This pilot was designed to use the CQF Service Based Evaluation use case in order to provide a standard means for physicians to access AUC in EHR systems. This standard can be adopted as part of Meaningful Use Certification Criteria and adopted by CMS to define the mechanism to access and deploy AUC per HR 4302. Pilot Goal: Provide ordering physicians Point of Order access to Appropriate Use Criteria for Imaging orders. Appropriate Use Criteria provides feedback as to the appropriateness score for an imaging order. Each imaging order is assigned a unique decision support identifier and appropriateness score and users are presented feedback in the form a score and suggested alternate exams. This decision support data is recorded within the EHR. This data and activity is also recorded in the CDS service for Quality Measurement. The appropriateness score, structured reason for exam and associated imaging order can be used to track impact of AUC on care, identify overall ordering patterns and be incorporated into Clinical Quality Measures. The pilot also demonstrated how this data can be used in such a report and example eCQM. The pilot also demonstrated how the data generated (appropriateness score, physician behavior etc) during a service-based evaluation can be incorporated into Clinical Quality Measures through generation of reports from both the EHR and cloud based service. In the case of an EHR, appropriateness data was incorporated into an example CQM calculation and physician activity reports. In the case of a cloud based service, the pilot demonstrated how data from multiple health care providers accessing the service can be aggregated, in effect demonstrating a registry. During the pilot, user interaction within CPOE during an imaging order, selection of exam and structured indication and other data elements (eg Service Requestor), generates a query to a cloud based DSS containing National Standard Appropriate Use Criteria published by the American College of Radiology. The pilot demonstrated how an existing integration model deployed in the market can be adapted to the CQF. | CDS, CMS, CQF | 08/27/2015 |
| Clinical Quality Framework Pilot - Phentotype Execution and Modeling Architecture | Phentotype Execution and Modeling Architecture Pilot Background: The identification of patient cohorts for clinical and genomic research is a costly and time-consuming process. This bottleneck adversely affects public health by delaying research findings, and in some cases by making research costs prohibitively high. To address this issue, leveraging electronic health records (EHRs) for identifying patient cohorts has become an increasingly attractive option. With the rapidly growing adoption of EHR systems due to Meaningful Use, and linkage of EHRs to research biorepositories, evaluating the suitability of EHR data for clinical and translational research is becoming ever more important, with ramifications for genomic and observational research, clinical trials, and comparative effectiveness studies. A key component for identifying patient cohorts in the EHR is to define inclusion and exclusion criteria that algorithmically select sets of patients based on stored clinical data. This process is commonly referred to as “EHR-driven phenotyping”. Phenotypes are defined over both structured data (demographics, diagnoses, medications, lab measurements) as well as unstructured clinical text (radiology reports, encounter notes, discharge summaries). Phenotyping logic can be quite complex, and typically includes both Boolean and temporal operators applied to multiple clinical events. In general, the phenotyping algorithm development process is a multi-disciplinary team effort, including clinicians, domain experts, and informaticians, and is operationalized as database queries and software, customized to the local EHR environment. The typical way to share phenotyping algorithms across institutions is through the use of informal free text descriptions of algorithm logic, possibly augmented with graphical flowcharts and simple lists of structured codes. This is due to the lack of a widely accepted and standards-based formal information model for defining phenotyping algorithms. However, implementing a phenotyping algorithm from a free-text description is itself an error-prone and time-consuming process, due to the inherent ambiguities of free text as well as the necessity for human intermediaries to map algorithmic criteria expressed as free text to database queries and code. | CDS, CQF, CQL | 08/27/2015 |
| Clinical Quality Framework Pilot- Breast Cancer Decision Support | This project was intended to validate the use of the CQF standard for clinical decision support in oncology – namely the recommendation of treatment plans and suitable clinical trials. The current version of the Evinance CDS platform is production-level ready and supports the HL-7 Health eDecisions CDS Guidance Use Case (Use Case 2). Evinance strives to continuously support the latest CDS standards, hence the desire to pilot the use of the CQF standard for Breast Cancer CDS Guidance. For the pilot, we used the Evinance Authoring Module to define a multi-disciplinary Breast Cancer Guideline and Clinical Trial. These were published to the Evinance Decision Support Engine, which then offers CDS Guidance through a RESTful web service. The service receives patient information from the Evinance Workflow Automation Module and/or the Elekta MOSAIQ EHR in FHIR format and returns it back recommended treatment plans and/or clinical trials. Point of Contact: Chad Armstrong: [email protected] | CDS, CQF | 08/27/2015 |
| Prescription Drug Monitoring Program - Epic | Epic is responsible for developing and implementing interfaces according to national standards like HL7 and NCPDP. Their customers have thousands of interface instances live in production transmitting billions of messages per year. The goal is to conduct a successful proof of concept between Epic (EHR) and one or more PDMPs using NCPDP 10.6 test messages. The other goal is to provide feedback to the group so that an easy to implement national standard can be established for integrating EHRs and PDMPs. For this initial pilot Epic is looking to test the standard NCPDP 10.6 RxHistoryRequest/RxHistoryResponse message types with one or more PDMPs. Epic has customers nationwide so they are particularly interested in establishing a single standard that all EHR, PDMP, and pharmacy vendors would use. Epic completed the NCPDP - PDMP RTM. | NCPDP, PDMP | 12/31/2015 |
| Prescription Drug Monitoring Program - PAST | The goal of this pilot is to conduct a proof of concept for establishing a standard way to connect and retrieve PDMP data for their clients through their EHRs, using ASAP Web Services and the PMPi HUB; The other goal is to test the standards' limits for accessing data fields specific to PDMP collection (that help identify patient misuse of pain prescriptions) that may conform less well to existing clinical formats for drug histories but should be accommodated by ASAP standards. They have a client in Arizona, a specialty pain center with more than 25 prescribers in one facility, who is willing to participate in the pilot with us, using the implementation guide to connect through their Centricity EHR. They are registered users of the AZ PDMP and the PMPi HUB. PAST completed the NCPDP - PDMP RTM. Prescription Advisory System & Technology is a SaaS company making a clinical decision support tool for pain management practices that consumes PDMP and EHR data for use in presentation of summary information and informatics logic. Their installation process involves connecting to EHRs and PDMPs for data retrieval. As a SaaS company, they have a team of developers who could work on implementing the new standards in a pilot. | NCPDP, PDMP | 12/31/2015 |
| Prescription Drug Monitoring Program - NextGen | This pilot aims to create a software prototype for sending message from NextGen's EHR application to a state PDMP via a hub (or directly) using PMIX or possibly NCPDP. The goal is to provide feedback for the group. NextGen has an extensive team of software developers experienced in various health related formats including NCPDP and HL7 as well as message translation. Many of their software products continually interface with third parties. | NCPDP, PDMP | 03/31/2016 |
| Prescription Drug Monitoring Program - DrFirst | DrFirst plans to conduct a proof of concept and live deployment between our EHR partner systems and one or more PDMPs using NCPDP 10.6 test messages. DrFirst will also provide feedback to the work group on establishing a national standard for integrating EHRs and PDMPs. DrFirst, for this pilot and live integration, is looking to test (with one or more PDMPs) their standard NCPDP 10.6 RxHistoryRequest/RxHistoryResponse message as well as translate NCPDP to PMIX request and receive back PMIX &/or NCPDP response to distribute into the workflow of their hospital HIS and EMR partner systems nationwide. | NCPDP, Opioid Management, PDMP, Rx | 03/31/2016 |
| Prescription Drug Monitoring Program - QS/1 | The goal is to test and validate the ASAP web services standard. QS/1 is a pharmacy management software vendor with independent and long-term care pharmacy customers across the US. They will contact customers to find appropriate test sites. | ASAP, PDMP | 03/01/2016 |
| Prescription Drug Monitoring Program - PDX | The pilot plan is to work with Appriss and develop messaging using the ASAP Web Service standard to the point of being able to submit a request message and receive a response message while providing feedback on the Implementation Guide along the way. PDX has pharmacy customers that operate in states that require that the PDMP database be accessed and that PDMP data is reviewed before filling a prescription for a PDMP monitored medication. PDX could eventually integrate this into their applications and launch a background request whenever a monitored drug is being processed and display the results for review and appropriate actions by the pharmacy staff and to document this process. PDX completed the ASAP - PDMP RTM. | ASAP, PDMP | 03/31/2016 |
| Prescription Drug Monitoring Program - SpeedScripts | The goal of this pilot is to to help the group come to the table with a system which can be easily followed and provide feedback to the group. SpeedScripts develops a pharmacy management system utilized by independent pharmacies. They are willing to provide feedback, where needed and appropriate. | ASAP, PDMP | 03/31/2016 |
| Prescription Drug Monitoring Program - APPRISS | The goal of this pilot is to demonstrate PMP Gateway as a translation service and single access point for healthcare entities utilizing healthcare protocols to communicate to one or more PMPs connected to a network. PMP Gateway is an interface that simplifies integration of controlled substance prescription history into health IT systems. PMP Gateway’s Web Services provide health IT systems a single access point to over 26 state PMPs’ data via PMP Interconnect, thus saving the effort of doing point-to-point integrations with each state’s PDMP. | ASAP, NCPDP, PDMP | 03/31/2016 |
| Prescription Drug Monitoring Program - Arizona Board of Pharmacy | The PDMP & Health IT Integration pilots are a standards-based interoperable approach to the exchange of data between PDMPs and health IT systems in order to streamline PDMP access within clinical workflow. Pilots are underway to test PDMP and health IT interoperability using one of two potential standards (NCPDP SCRIPT or ASAP web service). The Arizona PMP is connected to the PMP interconnect hub and is currently sharing with 17 other states. As a member of this initiative, AZ is very interested in being involved in one of these pilots. They are interested in a pilot with either a EHR or Pharmacy system. They would leverage the current connectivity to the PMP interconnect hub and then via PMP Gateway translate (as needed) PMP requests and responses between the AZ PMP and the other pilot partners. They are just offering to be the state PMP partner of a pilot that will need to have an EHR or a Pharmacy System partner connecting through the PMP interconnect hub via PMP Gateway. They would of course have to review the details of any specific pilot proposal before being able to commit. | ASAP, NCPDP, PDMP | 03/31/2016 |
| Prescription Drug Monitoring Program - KY Cabinet for Health and Family Services | The PDMP & Health IT Integration pilots are a standards-based interoperable approach to the exchange of data between PDMPs and health IT systems in order to streamline PDMP access within clinical workflow. Pilots are underway to test PDMP and health IT interoperability using one of two potential standards (NCPDP SCRIPT or ASAP web service). Kentucky's PDMP is self hosted and developed. This allows us some flexibility in relation to new integration. We also have dedicated integration resources. The goal is to Establish a proven standard for integration that could be offered to additional partners in KY. Further goals would need to be determined when a potential partner was identified.KY is interested in exploring a pilot with pharmacy or EHR partner. We are not able to commit to a pilot until we would explore the goals, objectives and outcomes of a pilot with a potential EHR or pharmacy partner. | ASAP, NCPDP, PDMP | 03/31/2016 |
| Prescription Drug Monitoring Program - Virginia Prescription Monitoring Program | The PDMP & Health IT Integration pilots are a standards-based interoperable approach to the exchange of data between PDMPs and health IT systems in order to streamline PDMP access within clinical workflow. Pilots are underway to test PDMP and health IT interoperability using one of two potential standards (NCPDP SCRIPT or ASAP web service). The goal is pilot solution for PMPi Gateway connection to EHR or Pharmacy application to PMP and increase use of PMP information to inform treatment and dispensing decisions for controlled substances and drugs of concern. They are Interested in possibly piloting a solution to partner with an EHR and/or Pharmacy application via a PMPi Gateway connection. Final commitment to a pilot would have to be reviewed and approved dependent upon details of scope of the pilot and conformance with restrictions to use of Virginia PMP data. Completed the NCPDP - PDMP RTM. | ASAP, NCPDP, PDMP | 03/31/2016 |
| Prescription Drug Monitoring Program - WA State Department of Health | The WA Department of Health is already connected to a state HIE using the NCPDP standard. They need a trading partner to build a connection to the HIE to build upon the existing infrastructure. Their HIE stands ready to be involved, and has a specifications guide ready to go. The goal is to connect a trading partner's EHR to the PMP via the state HIE. Completed the NCPDP - PDMP RTM. | NCPDP, PDMP | 12/31/2015 |
| Prescription Drug Monitoring Program - Wisconsin PMP | The PDMP & Health IT Integration pilots are a standards-based interoperable approach to the exchange of data between PDMPs and health IT systems in order to streamline PDMP access within clinical workflow. Pilots are underway to test PDMP and health IT interoperability using one of two potential standards (NCPDP SCRIPT or ASAP web service). The Wisconsin Department of Safety and Professional Services (DSPS) is enthusiastic about participating in one or more pilots. DSPS operates the WI Prescription Drug Monitoring Program (WI PDMP), which is currently connected to the PMP InterConnect and shares data with 12 other states. The WI PDMP also recently connected to the HIE in Wisconsin via the PMP Gateway as part of a SAMHSA PDMP-EHR Integration Grant Project. DSPS's goals for the pilot(s) are to utilize its existing connection with the PMP Gateway to increase prescriber and pharmacist access to and use of the data maintained by the WI PDMP. Details of and approval for specific pilots will have to be approved by DSPS. | NCPDP, PDMP | 03/31/2016 |
| Prescription Drug Monitoring Program - OneHealthPort | The PDMP & Health IT Integration pilots are a standards-based interoperable approach to the exchange of data between PDMPs and health IT systems in order to streamline PDMP access within clinical workflow. Pilots are underway to test PDMP and health IT interoperability using one of two potential standards (NCPDP SCRIPT or ASAP web service). OneHealthPort is the intermediary in WA State that translated messages between NCPDP and PMIX. | NCPDP, PDMP | 03/31/2016 |
| Electronic Submission of Medical Documentation- University of Pittsburgh & NuMotion | Pilot Category: e-Clinical Template Pilot Stream: Power Mobility Device Pilot Contact: Madalyn Rogers ([email protected]), Brad Dicianno ([email protected]) University of Pittsburgh Medical Center is a provider organization with multiple physicians. They have a continuing education program teaching physicians proper documentation practices. Their EHR vendor is Epic which allows for nationwide coverage. UPMC has partnered up with NuMotion for their pilot. NuMotion is a PMD supplier group and they are currently operating in 39 states. They are working with UPMC to create orders and letters that can be sent to their shared drive. | e-Clinical Template, esMD, PMD | 04/01/2016 |
| Query Health Pilot - New York City Dept. of Health / New York State Dept. of Health | The Primary Care Information Project (PCIP) within the New York City Department of Health and Mental Hygiene (NYCDOHMH) and the New York State Department of Health (NYSDOH) used the Query Health system to investigate and allocate appropriate resources for chronic and acute disease monitoring throughout New York State. The pilot focussed on emerging chronic disease issues with diabetes, hypertension, etc. The goal was to incorporate the essential technical and operational elements from the Query Health pilot project into the statewide health information exchange architecture (SHIN-NY).The Primary Care Information Project (PCIP) within the New York City Department of Health and Mental Hygiene (NYCDOHMH) and the New York State Department of Health (NYSDOH) used the Query Health system to investigate and allocate appropriate resources for chronic and acute disease monitoring throughout New York State. | ONC-led, QH | 05/01/2012 |
| Query Health Pilot - FDA Mini-Sentinel | The Mini-Sentinel Operations Center (MSOC), on behalf of the Mini-Sentinel project team, proposed to 1) use existing Mini-Sentinel infrastructure to execute a series of queries as a worked example of the implementation and operation of an active distributed health data network, 2) adopt and implement Query Health Query Envelope standards, 3) implement a prototype of PopMedNet Version 3.0, and 4) work with at least one clinical data partner (TBD) that has an existing i2b2 installation to pilot end-to-end querying using the i2b2 HQMF adapter. These activities were intended to serve as a platform to communicate the lessons learned regarding the governance, design, and implementation of a distributed health data querying network that is consistent with the Query Health architecture, and investigate barriers and opportunities related to adopting new Query Health standards within an existing network. | ONC-led, QH | 04/26/2012 |
| Query Health Pilot - Massachusetts Dept. of Public Health | MeHI, on behalf of the MDPHnet project team, proposed to incorporate ONC Query Health Initiative standards into MDPHnet. MDPHnet was perfectly aligned with all aspects of the Query Health Initiative, including development of the operational framework for the network, governance rules, architecture of the network, network administration, and implementation of a functional distributed network to enable population based querying by the Massachusetts Department of Public Health. This effort provided important lessons learned that were directly relevant to the Query Health Initiative because MDPHnetused nearly all of the existing Query Health standards for distributed querying networks. MDPHnet is implementing a distributed querying network with several partners in Massachusetts to enable distribute population health querying by the MDPH. The project is using Version 3.0 of the PopMedNet software as the Query Health Policy Enablement Component (the same software used in the Query Health HIMSS demonstrations). | ONC-led, QH | 11/06/2012 |
| Data Segmentation for Privacy (DS4P) Pilot - VA/SAMHSA | SAMHSA and VA pilot tested open source, extensible, Access Control Service (ACS). Develop and test (within a sandbox) standards-based exchange, adjudication, and enforcement of privacy consents, as services in support of the exchange of privacy protected C32/CCDA records. Testing involved interaction between ACS clones that are each loosely coupled to an instance of an open source, MU 1 certified, EHRs clone (‘REM’). This sandbox tested all “push” or “pull” scenarios defined in the IG. | DS4P, ONC-led | 03/04/2013 |
| Data Segmentation for Privacy (DS4P) Pilot - SATVA | The SATVA DS4P Pilot Project for Ultra-Sensitive Privacy Disclosure (USPD) developed, tested, piloted standards-based interoperability for data in transit. SATVA methods function for both HIE and NwHIN Direct interoperability. The SATVA implementation demonstrated compliance with all 42 CFR Part 2 requirements as an example of a specific but extensible class approach to management of all ultra-sensitive disclosures. Electronic data exchange supported C32/CCDA records as well as non-structured payloads such as PDF. Testing demonstrated interoperability between “foreign” (e.g., different software vendors) EHRs via NHIN Direct. | DS4P, ONC-led | 02/28/2013 |
| Laboratory US Realm Pilot Project | Goals of the program are to encourage market adoption of the HL7 US Realm Laboratory Results R1 DSTU2 (LRI), Laboratory Orders R1 DSTU2 (LOI), and electronic Directory of Services R2 DSTU2 (eDOS) R2 Implementation Guides absent any other incentives or regulatory requirements to do so. Demonstrations must implement to a baseline and may optionally extend scope and complexity as defined in the technical requirements set forth in the Reference Specifications. | eDOS, Labs, LOI, LRI | 09/30/2016 |
| C-CDA Rendering Tool Challenge | The C-CDA Rendering Tool Challenge participants will develop a viewer that enables clinicians to efficiently review the patient data from C-CDA documents that is most clinically relevant to them. The viewer must be capable of rendering the data as specified by the user and allow them to quickly review the current health and needs of a patient. The viewer should provide functionality to allow a clinician to view the data so they can quickly assess the status and state of the patient efficiently. The viewer needs to be easy to use and present requested data quickly and clearly, whether through section-based view preferences (ordering), filter functions, intelligent sorting, or some other functionality. Participants may wish to consider allowing providers to not only select the data they wish to view, but also provide aids which enable effective review of repeating or reoccurring results within sections. For more information please refer to the link below. | C-CDA, CCDA, CDA, EHR, HL7 | 09/30/2016 |
| Data Access Framework (DAF) Pilot - REACHnet | The Research Action for Health Network (REACHnet), formerly known as LaCDRN, is a PCORnet CDRN managed by the Louisiana Public Health Institute. REACHnet is a centralized node collecting data from 5 data sources; data is available to PCORI in CDM (2 million + patients). REACHnet is participating as a DAF Phase 3 pilot in order to optimize ways to ingest and expose data to/from data partners using ONC’s interoperability roadmap recommendations, and more effectively expand the research capabilities of the network. REACHnet utilizes PopMedNet (used by the PCORnet community) to expose datamarts to PCORnet. If a PopMedNet FHIR enabled is available, that will be piloted by REACHnet, otherwise i2b2 will be used. REACHnet proposes to create data visualization/analytics and a query processing FHIR enabled platform, which has the ability to interact with other FHIR enabled resources and allow researchers access to data cohorts and the tools needed to analyze the cohort ready data. REACHnet will work towards considering how new data partners can more efficiently be integrated using DAF piloted solutions and consider the adoption of tools that use FHIR resources to query and allow for the analysis of data that will be adopted through this pilot. | CDRN, DAF, FHIR, ONC-led, PCORI, PCORnet | 09/30/2016 |
| Integrate Home Health Care Data to ER and Urgent Care Facilities to reduce Hospital admission | By using a combination of ADT messaging and C-CDA documentation standards, this pilot program between HealthCare Synergy and Great Lakes Health Connect goes to show that providing the information from a post acute provider to an Emergency Room or Urgent Care Facility upon admission will reduce re-hospitilization rate, by providing the ER or Urgent Care Facility with current patient data that would otherwise not be accessible. | CCDA, DIRECT, HL7, ADT | 01/01/2017 |
| SMART Health IT | SMART Health IT is an open, standards based technology platform that enables innovators to create apps that seamlessly and securely run across the healthcare system. Using an electronic health record (EHR) system or data warehouse that supports the SMART standard, patients, doctors, and healthcare practitioners can draw on this library of apps to improve clinical care, research, and public health. | CCDA, FHIR, OAuth2, SMART | 12/31/9999 |
| HILCORP Electronic Data Exchange Network HEDIS reporting initiative | The goal of this pilot is to assist managed Medicaid and managed Medicare plans to improve patient care and improve STAR reporting. Key outcomes are: A. Improve your STAR ratings using our proven technology and process B. Increase revenues using STAR scores, RAPS and HCC score improvements. C. Healthier patient population The system collects electronic patient chart information in meaningful use formats (CCCD, CCD, CCR, etc.) from the IPA's participating provider sites using a multitude of technologies, including secure messaging and client programs with end points defined. The information collected is converted to managed care plan STAR reporting formats to help achieve the defined outcomes. | C-CDA, CCDA, CMS, eCQM | 02/29/2016 |
| Clinical Data Collection Pilot - ChartPull / BloomAPI | BloomAPI is currently running multiple pilots to help organizations pull clinical data from a diverse set of EMRs. Pilot organizations include Medicare Advantage plans, Oregon CCOs, Chronic Care Management Organizations and ACOs. The goal of the pilot is to demonstrate the cost effectiveness of using ChartPull, instead of traditional manual record collection or standard HL7 integrations. ChartPull helps organizations liberate their medical data, focused on extracting clinical data from a diverse set of EMRs. BloomAPI, the team behind ChartPull, has been building Open Source projects in the Health Care space for over 3 years. | bloomapi, C-CDA, CCDA, CDA, ChartPull, emr-crawler, FHIR, HL7, HL7 V2 | 12/01/2017 |
| C-CDA Implementation-A-Thon | HL7 is in the midst of planning a virtual C-CDA Implementation-A-Thon to be held this summer. With an end goal to make implementations as easy as possible, this information will be used to uncover inconsistencies in the C-CDA standard. Best practices for C-CDA implementations will subsequently be developed for use across the heatlhcare continuum. This event is for users and developers who work at organizations directly involved in sending and receiving CDA documents. You must have the skills to create and exchange live data during the event. Attendees will be expected to participate in the creation and exchange of live data during this event. Participants will be assigned to work on clinical scenarios related to the exchange of documents, discharge summaries and electronic referrals. To view results and more information about prior C-CDA Implementation-A-Thons, click on the link below: | C-CDA, CCDA, CDA, EHR, HL7 | 01/13/2018 |
| C-CDA R2.1 Companion Guide | Produce a new C-CDA Companion Guide to support C-CDA R2.1. The purpose of the new Companion Guide is to supplement the C-CDA R2.1 Implementation Guide to provide additional context to assist implementers and connect them to tools and resources; map the common clinical data set (CCDS) to the appropriate C-CDA locations; provide technical guidance for representing the 2015 Ed. CEHRT data requirements using the C-CDA Implementation Guide; include clinically-valid examples of C-CDA components necessary to meet 2015 Ed. CEHRT requirements; recommend an approach to implementations using the C-CDA Implementation Guide to meet the needs of clinicians and achieve ONC Certification Deliverables from this project include creating a Common Clinical Data Set (CCDS) requirements mapping spreadsheet from the 2015 certification rule to the appropriate C-CDA location; creating a Meaningful Use (MU) mapping for additional data specified for: CCD, Discharge Summary, Referral Note, and Care Plan; creating a draft version of the C-CDA R2.1 Companion Guide;make it available to the public through the HL7 Wiki; conduct a webinar to advise the industry of its availability and review its content; ballot, reconcile and publish the C-CDA R2.1 Companion Guide. The following Wiki page was created for this project: http://wiki.hl7.org/index.php?title=C-CDA_2.1_Companion_Guide_Project The published C-CDA R2.1 Companion Guide can be viewed via the link below. | C-CDA, CCDA, CDA, EHR, HL7 | 03/01/2017 |
| eHealth Exchange Testing Program | AEGIS currently provides the Developers Integration Lab (DIL) to the Sequoia Project (formerly Healtheway) to support a number of testing programs. The DIL is a cloud based globally accessible Test Platform which support Test-Driven-Development (TDD) Interoperability and Conformance testing; with a focus to provide self-service bi-directional exchange based message testing platform. A few of the unique features include a full CA support (so free certificates issues to everyone testing), both happy path and negative testing. Support for NwHIN/NHIN PD, QD, and RD; along with ACP and Security. More than 1,350 Test Cases avaiable with a significant number of dynamic rules (assertions). | IHE, eHEX | |
| HHS Office of Population Affairs (HHS/OPA) IHE QRPH Family Planning Profile | AEGIS currently provides the Developers Integration Lab (DIL) to HHS/OPA to support their IHE QRPH testing program. The DIL is a cloud based globally accessible Test Platform which support Test-Driven-Development (TDD) Interoperability and Conformance testing; with a focus to provide self-service bi-directional IHE exchange based message testing platform. A few of the unique features include a full CA support (so free certificates issues to everyone testing), both happy path and negative testing. Support for IHE QRPH Family Planning (FP) Profile. Test Cases avaiable to support implementation and quality assurance. The DIL was featured at the 2015 IHE Connectathon - where six (6) testing organizations successfully demonstrated interoperability of the FP specification/standard. | C-CDA, IHE, QRPH | |
| CDC Send Immunization History (HL7 Version 2.5.1, I.G. Release 1.4) | AEGIS partnered with HL7 to provide the Developers Integration Lab (DIL) to the HL7 community to support the Send Immunization History Use Cases 1,8,9 by referencing requirements indicated in the HL7 International 2.5.1 Standard, the HL7 Version 2.5.1 Implementation Guide: Immunization Messaging (Release 1.4) and the Addendum to HL7 Version 2.5.1 Implementation Guide for Immunization Messaging: Conformance Clarification for EHR Certification of Immunization Messaging, VXU Messages V04, HL7 Version 2.5.1 | HL7 V2 | |
| HL7 FHIR Conformance and Interoperability Test Platform | AEGIS currently provides Touchstone to the HL7 FHIR Implementer community. Touchstone is a next-generation natural-language processor (NLP) based cloud accessible Test Platform which advances Test-Driven-Development (TDD) Interoperability and Conformance testing; with a focus to provide self-service bi-directional multi-actor exchange based message testing platform. A few of the unique features include native processing for the HL7 FHIR Test Script Resource. With more than twelve FHIR Resources currently supporting and growing daily. Touchstone support crowd-source test case development, where organizations, programs or associated groups will be able to define their own test cases. Groups include HL7 Argonauts, HSPC, and HL7 FHIR implementations along with support for the HL7 FHIR Connectathon. | DAF, FHIR, HL7 | |
| AEGIS WildFHIR Client and Server | AEGIS reference implementation of Health Level Seven (HL7) Fast Healthcare Interoperability Resources (FHIR) is code named WildFHIR. WildFHIR supports Argonaut, DAF, and many other FHIR Resources. AEGIS uses this RI to ensure the Touchstone Test Script Resources are correctly implemented and that each Test Cases is 100% Quality Assurance Tested, both from the Client side and Server Side. | DAF, FHIR, HL7 | |
| Semantic Interoperability Framework (SIF) | SIF is composed of several Open Source components including Model Driven Health Tools (MDHT), Model Driven Message Interoperability (MDMI) and a runtime named the Information Exchange Hub (IExHub). The design environment uses MDHT which imports CDA and FHIR Templates and MDMI which manages a Referent Index containing meta data associated with business data elements. The business data elements are mapped to the templates imported with MDHT. Source data from an EHR or HIE for example is then mapped to the Referent Index business data elements completing the design process. The map from the source data to the Referent Index is then used by the IExHub to consume and create HL7 CDA or FHIR or V2 documents, resources or segments. | C-CDA, CDA, FHIR, HL7 V2, IExHub, MDHT, MDMI, SIF | |
| Crucible: A FHIR Testing Tool | Crucible is a comprehensive, open source, FHIR testing tool designed to help ensure the accurate implementation of FHIR. Crucible provides an efficient and automated testing framework with over 2000 tests to ensure FHIR implementations are consistent and interoperable. Crucible testing covers all the core FHIR resources, major API operations, Argonaut security definitions, and DAF profiles. The Crucible source code is available on Github, and community contributions are encouraged. | DAF, FHIR, HL7, OAuth2, Testing | |
| Direct Project | Direct Project is a consensus-based community of stakeholders that develops specifications for a secure, scalable, standards-based way to establish universal health addressing and transport for participants (including providers, laboratories, hospitals, pharmacies and patients) to send encrypted health information directly to trusted recipients over the Internet. To assist implementers of these specifications, Direct Project also hosts the development of open-source, referenceable software implementations. | DIRECT | |
| PatientPing: Real-Time ADT Notifications | Real-time notifications when patients gets admitted or discharged anywhere. We also help the point-of-care receive highly actionable information on the patient's full care team. Join our rapidly growing care coordination community by providing your ADT feeds and/or your patient roster. PatientPing is backed by Google. | ADT, AngularJS, CMS, FHIR, HL7, HL7 V2 | |
| International Exchange of Clinical Data - HSXSEPA bidirectional C-CDA exchange with Italy & Canada | HealthShare Exchange of Southeastern PA is the regional Health Information Exchange (HIE) for the Philadelphia region. There are many internationally renowned health systems in Philadelphia with a lot international patients coming into this region for specialized care. The need for international data exchange became very real during the Papal visit of 2015 to Philadelphia and kick started a proof of concept project by exchanging clinical data with Italy using IHE standards (XCA). | C-CDA, CDA, IHE, International Exchange, XCA | 12/30/2016 |
| ConnectEHR Transition of Care and DIRECT – Dynamic Health IT | ConnectEHR is flexible, modularly-certified software designed to provide ONC certification modules and maximize interoperability within the framework of an existing EHR. Two primary pathways for interoperability in this project are DIRECT protocol and Transition of Care (TOC) document support. Through DIRECT, ConnectEHR provides an authenticated, encrypted means of sending clinical documents, with batch send capability and connectivity to multiple DIRECT HISPs. We have developed both Patient Portal and administrative user interfaces that allow users to monitor message status. We completed development on XDS.b Cross-Enterprise Document Sharing at the beginning of February and are now in the process of expanding integration of the UI screens with more HISPs and support for DIRECT Edge protocols. A major goal of this project has been to make sending a TOC C-CDA as easy as a few clicks. TOC recipients who may not have a DIRECT address are still able to view/download TOC documents. TOCs – and other health information – should have the ease and feel of webmail, with all attendant back-end security necessitated by exchanges of sensitive data. | Certification, DIRECT, HISP, ONC, Patient Portal, Portal, TOC, User Interface | |
| PHQ-9 Reporting Trial | The PHQ-9 incorporates DSM-IV depression screening. The PHQ-9 Reporting Tool is an online form for screening, monitoring and measuring the severity of depression. System stores data for reporting, interfaces to EMR and produces reporting for billing. This study incorporates screening and alerting of Patients that meet or exceed the set criteria. Patient sends alerts to EMR and/or Fax or Integration Engine. System creates HL7 based message that can be consumed or forwarded to other EMR based systems. PRIME-MD measures are also coordinated within the tool. | ADT, C-CDA, CCDA, DIRECT, FHIR, HIE, HL7 V2, OAuth2, PHQ-9, SBIRT | 12/31/2016 |
| HSX Interoperability Testing Process-Enabling Meaningful Exchange in the SEPA region | HealthShare Exchange of Southeastern PA is the regional Health Information Exchange (HIE) for the Philadelphia region. HSX provides Direct Secure Messaging and Provider Directory Services to the providers in the SEPA region to facilitate the meaningful exchange of CCD/As and ToCs. With over 27 EHR systems participating in the HIE, HSX has experienced many issues related to interoperability. To address these challenges, HSX implemented an interoperability testing process as part of onboarding new entities to the HIE. This process assesses the capability of member EHR systems to send, receive, view and import CCDs from disparate systems. | C-CDA, CCDA, CDA, DIRECT, interoperability | |
| HIETexas | The Texas Health Services Authority (THSA) was created as a public-private partnership by the Texas Legislature in 2007, and is charged with serving as a catalyst for the development of a seamless electronic health information exchange infrastructure for the state of Texas. The THSA fulfills this through the creation of HIETexas, a network of local HIEs and connections to state and federal data sources that allows a patient's health information to follow them wherever they go. HIETexas offers several services, including a record locator service, security, patient consent management (in development), in-state connectivity, and out-of-state connectivity via a gateway to the eHealth Exchange. HIETexas is a member of both Carequality and CommonWell as a voice on behalf of Texas local HIEs to see how these networks can work together to meet the needs of patients in Texas. | HIE | |
| Advancing Functional Interoperability through Standards for Health Information Management (HIM) Practices | American Health Information Management Association (AHIMA) collaborates with the Integrating the Healthcare Enterprise (IHE) to develop a collaborative informatics-based approach for translating health information management (HIM) practices into health information technology (HIT) standards. AHIMA Standards Task Force and IHE are focusing on two major efforts: 1. Standardize HIM business practices in collaboration with HIM professionals and HIT vendors 2. Guide the development and adoption of standards-based interoperable HIT solutions. | C-CDA, DAF, Functional Interoperability, Information Governance, HIM, ISO/TC215, EHR, FHIR, HIE, HL7, IHE, interoperability, MDHT, Testing | 12/31/2020 |
| EMS Interoperability Pilot - UHIN | UHIN is working with two pilot EMS sites to connect their systems to the state HIE, and via that connection to also loop in two pilot Emergency Departments (EDs). During the pilot, we will help the EMS sites query the HIE for data on current patients, and then utilize the HIE to transmit pre-hospital information to the receiving ED. | C-CDA, EHR, EMS, HIE | 07/01/2017 |
| Poison Control Interoperability Pilot | Currently, the state Poison Control center is not connected electronically to any other databases. In this pilot, we will work with Poison Control and two Emergency Departments (EDs) to transmit pre-hospital information from the Poison Control center to the receiving ED. In later phases of the project, we will also help the EDs transmit discharge information on patients referred from Poison Control back to the Poison Control database. We are also working with the Utah Department of Health (UDoH) so that they can receive a feed from Poison Control that will integrate into their environmental poisoning surveillance system. | CCDA, DOH, HIE, Poison | 07/01/2017 |
| 360X-C | 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 | 360X, C-CDA, ONC-led, Provider Burden Reduction, DIRECT, EMDI, Enhanced Patient Transitions of Care, HIE, HL7, IHE, IHE approved standard, interoperability | NA |
| Allscripts Developer Program (ADP) | The Allscripts Developer Program (ADP) enables third-parties to build integrations quickly that enhance Allscripts electronic health record and population health solutions. Our open platform facilitates modern bi-directional application programming interfaces (APIs) including FHIR APIs that are transforming healthcare delivery. Developers can create a free account at developer.allscripts.com to learn how our program works, explore sandboxes, sample code, documentation and gain access to resources. Allscripts also offers free monthly workshops and discussion forums to assist partners and clients with their integrations. | EHR, FHIR, Functional Interoperability, HIT Vendor, Innovation, interoperability, Open API, Patient Portal | |
| Glendale, Arizona - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Phoenix, AZ - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Gilbert, AZ - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Chandler, AZ - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Bakersfield, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| San Francisco, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Santa Maria, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| San Luis Obispo, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Arroyo Grande, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Merced, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Henderson, NV - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Las Vegas, NV - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Mt. Shasta, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Redding, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Red Bluff, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Sacramento, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Folsom, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Carmichael, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Grass Valley, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Woodland, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Redwood City, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Santa Cruz, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Los Angeles, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Glendale, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Northridge, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| San Bernardino, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Long Beach, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Stockton, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| San Andreas, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Camarillo, CA - Clinical Results Delivery - Dignity Health | This project is an on-going effort in establishing uni-directional connectivity between Dignity Health's Enterprise Health Information Exchange and Community Provider offices. We delivery clinical information to these providers such as ADT, Lab Results, Radiology Interpretations and other Transcribed Reports. | EHR, HIE, HL7 | |
| Glendale, Arizona - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Phoenix, AZ - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Gilbert, AZ - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Chandler, AZ - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Bakersfield , CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| San Francisco, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Santa Maria, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| San Luis Obispo, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Arroyo Grande, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Merced, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Henderson, NV - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Las Vegas, NV - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Mt. Shasta, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Redding, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Red Bluff, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Sacramento, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Folsom, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Carmichael, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Grass Valley, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Woodland, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Redwood City, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Santa Cruz, CA- Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Los Angeles, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Glendale, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Northridge, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| San Bernardino, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Long Beach, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Stockton, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| San Andreas, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Camarillo, CA - Query-Based Exchange - Dignity Health | The Query-Based Exchange project will allow for seamless access to federated data sources at the point of care. Content is/will be made available from our local repository as well as connections we have established through the eHealth Exchange. To support this effort, we are leveraging technology from our Acute EHR vendor that utilize the latest National Standards / IHE Profiles. | C-CDA, EHR, HIE, IHE | |
| Glendale, Arizona - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Phoenix, AZ - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Gilbert, AZ - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Chandler, AZ - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Bakersfield , CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| San Francisco, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Santa Maria, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| San Luis Obispo, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Arroyo Grande, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Merced, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Henderson, NV - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Las Vegas, NV - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Mt. Shasta, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Redding, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Red Bluff, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Sacramento, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Folsom, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Carmichael, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Grass Valley, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Woodland, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Redwood City, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Santa Cruz, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Los Angeles, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Glendale, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Northridge, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| San Bernardino, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Long Beach, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Stockton, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| San Andreas, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Camarillo, CA - DIRECT Messaging - Dignity Health | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local provider directory for distribution. | C-CDA, DIRECT, EHR, HIE | |
| Glendale, AZ - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Phoenix, AZ - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Privacy and Security Research Scenario Initiative and Legal Analysis and Ethics Framework Development project | This project addresses how health information derived from a wide variety of data sources can be used for patient-centered outcomes research (PCOR) and comparative effectiveness research (CER), consistent with ethical principles and legal and regulatory requirements related to patient consent, privacy, and autonomy. The first phase of our project will focus on developing research data use scenarios through collaboration with PCOR researchers, patients, providers, health IT technologists, privacy experts, and legal experts. The research data use scenarios will be distilled into use cases that outline the legal, policy, and ethical requirements. The use cases will be carefully constructed to include the actors, pre-conditions, post-conditions, goals, workflow, tension points, etc. related to each issue. The second phase will focus on developing the aforementioned framework that addresses the legal and regulatory requirements and ethical principles governing the use of health information for PCOR and CER. The two phases will utilize an online project collaboration space, which will facilitate the sharing of project documents so that the work of each phase will inform the other. | Legal and ethical framework, ONC-led, Patient-Centered Outcomes Research, PCOR, policy, Privacy, Security | 09/29/2017 |
| Gilbert, AZ - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Chandler, AZ - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Bakersfield , CA - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| San Francisco, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Santa Maria, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| San Luis Obispo, CA - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Arroyo Grande, CA - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Merced, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Henderson, NV - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Las Vegas, NV - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Mt. Shasta, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Redding, CA - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Red Bluff, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Sacramento, CA - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Folsom, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Carmichael, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Grass Valley, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Woodland, CA - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Redwood City, CA - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Santa Cruz, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Los Angeles, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Glendale, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Northridge, CA - ADT Alerts -Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| San Bernardino, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Long Beach, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Stockton, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| San Andreas, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Camarillo, CA - ADT Alerts - Dignity Health | This project is an on-going effort to sign-up providers and enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent via a variety of modalities; either directly in their EHR, via email (notice, no PHI) or as a text to their mobile device (notice, no PHI). | EHR, HIE, HL7 | |
| Glendale, AZ - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Phoenix, AZ - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Gilbert, AZ - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Chandler, AZ - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Bakersfield , CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| San Francisco, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Santa Maria, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| San Luis Obispo, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Arroyo Grande, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Merced, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Henderson, NV - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Las Vegas, NV - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Mt. Shasta, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Redding, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Red Bluff, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Sacramento, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Folsom, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Carmichael, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Grass Valley, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Woodland, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Redwood City, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Santa Cruz, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Los Angeles, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Glendale, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Northridge, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| San Bernardino, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Long Beach, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Stockton, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| San Andreas, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Camarillo, CA - State / Regional HIE Participation - Dignity Health | This project is an effort to establish bi-directional connectivity between the predominant State / Regional Health Information Exchanges. Encouraging access to our clinical content through existing established connections, like the eHealth Exchange. See our Query-Based Exchange Project description for more detail. | C-CDA, EHR, HIE, HL7, IHE | |
| Carequality Interoperability Framework | Carequality is a multi-stakeholder initiative that maintains and operates a trusted exchange framework and common agreement governing health information exchange between and among health information networks on a nationwide scale. The Carequality Interoperability Framework is a trusted exchange framework that consists of a common trust agreement, policy requirements, technical specifications, and governance processes that together make it possible for healthcare to replicate the success other industries have achieved in breaking down barriers between many networks, programs, and platforms. The Carequality Interoperability Framework is supported by Carequality Inc., an independent non-profit organization. | C-CDA, Carequality, Trusted Exchange Framework, HIN, Push Notifications, Imaging, Common Legal Agreement, FHIR, Governance, HIE, IHE, interoperability, Network of Networks, Sequoia Project | |
| The Sequoia Project Interoperability Testing | The Sequoia Project interoperability testing program is focused on real-world testing necessary to establish interoperable exchange of clinical data among stakeholder in a secure way. It currently includes transport, security, and content testing. The rigorous testing program was initially developed to test conformance for health data sharing standards for on-boarding to the eHealth Exchange network. The program includes Participant Validation, which is specifically designed for applicants that are seeking to on-board to the eHealth Exchange or for existing eHealth Exchange participants seeking to retest their system due to a major system upgrade or change to their technology. The program also includes Product Testing. Significant benefits exist to Participants using a validated system, including reduced or eliminated testing fees. | Content, eHealth Exchange, Testing, Transport, Validation, US Core Data for Interoperability, HIE, HL7, IHE, Imaging, interoperability, Product Certification, Security, Sequoia Project | |
| RSNA Image Share Validation Program | The Radiological Society of North America (RSNA) and The Sequoia Project manage the Image Share Validation Program, a medical image sharing testing program that validates compliance of imaging systems with standards for sharing medical images and reports. The program is ideal for vendors of imaging systems such as Reporting Systems, RIS and PACS that wish to enable those systems to connect to networks for sharing images with providers and patients or vendors of health information exchange systems that wish to enhance their systems to exchange medical images and reports. Standards used include IHE XDS-I and XCA-I, among others. | DICOM, IHE, Imaging, interoperability, PHR, RSNA, Sequoia Project, Testing, XCA-I, XDS-I | |
| The Sequoia Project Clinical Content Interoperability Testing | The Sequoia Project is focused on helping solve the national imperative of clinical document (C-CDA) content interoperability improvements in terms of test cases, procedures, and tooling. The publicly-available content testing documentation details the testing methodology and scenarios that are required for interoperability testing and exchange of content documents between eHealth Exchange participants. | C-CDA, CCD, eHealth Exchange, HIE, HL7, interoperability, Sequoia Project, Testing, Content | |
| FHIR-Based Healthcare Provider Directory | The Sequoia Project has launched a FHIR-based provider directory that is leveraged by eHealth Exchange and Carequality. As FHIR becomes more deployed across the industry, we will be ready to leverage the standard in other ways as well. Organizations that are interested in participating should contact [email protected]. | Argonaut, Carequality, FHIR, HL7, interoperability, Sequoia Project | |
| The Sequoia Project | The Sequoia Project is a neutral, stakeholder-driven, public-private collaborative whose sole mission is advancing secure, trusted, interoperable health data sharing across the U.S. We support multiple, independently-governed initiatives, such as the eHealth Exchange, the largest data sharing network of its kind in the US, and Carequality, which facilitates consensus on a standardized, national-level interoperability framework to link all data sharing networks from across the entire healthcare ecosystem. The eHealth Exchange network and Carequality are now independent non-profit organizations. The RSNA Image Share Validation Program is an interoperability testing program to enable seamless sharing of medical images. In 2019, Interoperability Matters is a new cooperative of private sector and government stakeholders convening to prioritize and solve discrete barriers to exchange, such as information blocking. The Sequoia Project also champions interoperability, building upon the successes across industry and government and working proactively to identify and systematically address known impediments to interoperability, such as patient matching. The Sequoia Project and its initiatives implement federally-recognized and national interoperability standards throughout our work. We firmly believe in the importance of interoperability standards and advocate for open approaches to interoperability that are built upon standards that work nationwide. In addition, The Sequoia Project, in conjunction with HL7's Argonaut Project, is pioneering implementation of FHIR via its initiatives, such as a FHIR-based provider directory work. | C-CDA, Carequality, Patient Matching, policy, Public-Private Collaborative, RSNA, Sequoia Project, Testing, information blocking, eHealth Exchange, FHIR, Governance, HIE, HL7, IHE, Imaging, interoperability | |
| Cross-Organizational Patient Matching Work Group | The Sequoia Project is a neutral, stakeholder-driven, public-private collaborative that convenes industry and government to work proactively to identify and systematically address known impediments to interoperability, such as patient matching. The Sequoia Project's Framework for Cross-Organizational Patient Matching Work Group was designed to shed light on, define, document, and operationalize specific improvements in patient matching across organizational boundaries. In 2018, this workgroup updated and published a white paper on this topic, including a detailed case study of how one organization increased their patient matching rates (across organizations) from 10% to over 95%, using existing technologies. The white paper also includes a proposed maturity model, and specific implementation guidance. This new paper is free for the public to use and leverage in their organizations. Ultimately, the matching rules in this paper will likely be employed as pass/fail testing criteria for The Sequoia Project testing program, and potentially healthcare data sharing networks as well. | interoperability, Patient Matching, Sequoia Project, Testing, HIE | |
| eHealth Exchange | The eHealth Exchange is a rapidly growing health information network of exchange of public and private sector partners who securely share clinical information over the Internet across the US, using a standardized approach. By leveraging a common set of standards, legal agreement and governance, eHealth Exchange participants are able to securely share health information with each other, without additional customization and one-off legal agreements. Initially, the eHealth Exchange was incubated within The Office of the National Coordinator for Health Information Technology, part of the US Department of Health and Human Services, before transitioning management to The Sequoia Project, an independent 501c3 dedicated to addressing interoperability issues, in 2012. In 2018, the health information network became a separate non-profit organization. Since then, the eHealth Exchange has become its own non-profit corporation and more than quadrupled in size to become the nation's largest public-private health information network of its kind, supporting 120 million patients across: - 50 states - 4 federal agencies (DoD, VA, HHS including CMS, and SSA) - 75%+ of US hospitals - 70,000+ medical groups - 3,400+ dialysis centers - 8,300+ pharmacies - 61 regional and state health information exchanges | C-CDA, CMS, Nationwide Network, PDMP, policy, Sequoia Project, SSA, Testing, VHA, HIN, DIRECT, DoD, eHealth Exchange, FHIR, HIE, HL7, IHE, interoperability | |
| Rhode Island Quality Institute - Sharing Health Information for Transitions (SHIFT) of Care | The primary objectives for the project are: 1) increase the number of health IT services adopted and used by providers and individuals, 2) increase the electronic exchange of information by assisting care providers and individuals with sharing health records through CurrentCare, 3) address the ability of disparate systems to securely exchange information, and 4) promote better access to their health information for individuals. The outcomes associated with these objectives will help Rhode Island achieve the Triple Aim of better health, better healthcare and lower per capita costs by engaging patients and their families; offering real-time, relevant information; increasing efficiency; and reducing errors, duplication and avoidable admissions. For the individuals and their proxies, the SHIFT project will promote the use of CurrentCare4Me to access health information. In the near future, mobile alerts will be available to inform the proxy when their loved one has been transferred between facilities. For the LTPAC, hospital and primary care physician or specialist, the adoption and use of CurrentCare will be promoted. The grant supports the integration of electronic health records (EHRs) from long-term/post-acute care (LTPAC) facilities, leading to the ability to alert primary care and other providers in the community when patients are admitted to or discharged from long-term care facilities in the state. Our Workflow Redesign Specialist is performing workflow analyses and identifying gaps at LTPACs and practices. This workflow analysis identifies opportunities to use the HIE and gain access to missing or hard to find clinical data for best patient care. We are rolling out CurrentCare4Me, the personal health record for individuals enrolled in CurrentCare and their healthcare proxy, to access and view information. As stated in the proposal, we are experiencing challenges working with LTPACs due to lack of current technology and technical expertise. | ADT, CCD, EHR, HIE, HL7, interoperability, ONC-led, Patient Portal, TOC | 07/26/2016 |
| Real-time, automated C-CDA clinical data exchange between Epic E.H.R.s and the Mississippi Division of Medicaid | In February 2016, Mississippi Division of Medicaid (DOM) implemented a real-time, automated connection, using Integrating the Healthcare Enterprise (IHE) standards, to its largest provider’s E.H.R. system to exchange clinical data patient summaries in the C-CDA format. This real-time query and exchange connection allows care providers at the University of Mississippi Medical Center (UMMC) to request C-CDA clinical data summaries of Medicaid patients from Medicaid directly from their E.H.R, and reconcile clinical data with their E.H.R. including medication lists, allergies, diagnoses and procedures. Patient summaries received from DOM are presented to the physician inside UMC’s Epic E.H.R. system, in real-time. After discharge, updated C-CDA clinical summaries are then automatically sent back to DOM, where they are ingested into the DOM Clinical Data Repository (CDR). Mississippi Medicaid believes this is the first Medicaid agency to establish a real-time, integrated, automated E.H.R. connection for C-CDA exchange with a provider. In 2019, the Division of Medicaid completed connections to 3 additional provider health systems for C-CDA query and exchange, as well as the 3 Medicaid Managed Care Organizations in Mississippi. | CCDA, EHR Integration, Epic, FHIR, HIE, IHE, Innovation, interoperability, medication reconciliation, XDS-I | 02/29/2016 |
| Cisco-UCSF Connected Health interoperability Platform | The Connected Health Interoperability Platform (CHIP) will connect digital health innovations with dispersed patient-consumer data and combine with analytics. The CHIP will consist of a digital health application market place, a secure, cloud hosted data interoperability system across EHR’s/devices/apps and API services that enable feature rich, interconnected healthcare application development. | C-CDA, FHIR, HL7 V2, OAuth2 | 09/15/2018 |
| Behavioral Health Admissions Integration | This is a collaborative effort between the Nevada Division of Public and Behavioral Health, mental health medical record vendor, Netsmart, and Nevada’s sole health information exchange called HealtHIE Nevada. The project aims to to build upon existing community efforts in information exchange to assist in filling the large gap that exists in timely data sharing related to mental health between private and public healthcare providers. Currently a disconnect exists between the physical health providers and mental health providers across the state that often means the physical health provider doesn't even realize that a mental health record exists on a patient. Participating stake holders expect to establish, at a minimum, a sharing of Admissions and Discharge information from mental health facilities through the HIE so that with proper consent, health care providers will be able to determine that a mental health event exists for the patient and follow-up accordingly. | ADT, HIE, HL7 V2, ONC, Behavioral Health | 9/1/16 |
| Total Interoperability Today, with MedKaz® | Major New Development MedKaz® recently announced a groundbreaking new record-sharing capability, called Targeted Record Sharing or TRS, that enables a patient to share her records from one provider with other providers who treat her for the same illness. This new capability ensures that care providers are aware, on an ongoing basis and without having to see their patients, of the care their patients are receiving from other care providers, and makes it possible for each provider treating the same patient to deliver better, coordinated, lower-cost care. It also is the first step in the dramatic expansion of MedKaz from a record-sharing application to a record-sharing communication platform that soon will enable patients to securely share their records with anyone they choose – such as parents, children, care givers, researchers — anywhere in the world, much as they exchange emails today! | EHR, EMR, patient-centric, personal health records, PHR, FHIR, Functional Interoperability, HIT Vendor, Innovation, interoperability, Nationwide Network, Open API, Patient Portal | |
| NCQA eMeasure Certification | NCQA's eMeasure Certification (eMC) program is designed for organizations that develop, license, and sell quality-measure reporting software that calculates electronic clinical quality measures (eCQMs) using electronic health record (EHR) data. eCQMs allow organizations to track and monitor the quality of care delivered by providers who use EHRs. The eMC program tests and validates the integrity of the software code that produces the eCQM results. Certifying measures contained in your software demonstrates to existing and prospective customers that the coded measures meet current NCQA standards, improves the accuracy of reporting measures and produces more reliable and comparable results. | CCD, Certification, eCQM, Product Certification, QRDA | |
| eConsult CCD Workaround - MU Objective 5 | There are specific challenges with the electronic exchange of health information in Los Angeles County. Notably, there remains a lack of interoperability in health information technology to exchange health information between clinical organizations and providers. This lack of interoperability makes it very challenging for our health centers to meet the Meaningful Use (MU) Health Information Exchange (HIE) Objective 5, in which providers with 100 or more referrals during the MU yearly reporting period must send a Continuity of Care Document (CCD) for 10% of their patients. Most participating health centers have an ONC Certified EHR (CEHRT) that can generate a CCD, but they have no secure means to send it since Los Angeles County lacks a HIE. In response to this challenge, the Community Clinic Association of Los Angeles County (CCALAC) developed a workaround using eConsult, a HISP enabled, secure, web-based, countywide specialty care referral system that allows primary care physicians and specialists to share health information and discuss patient care. The workaround uses the existing health center’s workflow to obtain and share patient data but meets the MU Objective 5 requirement by uploading the CCD in XML format to the eConsult system which in turn transforms the CCD into a readable format for the specialist to view. | C-CDA, CCD, MU Objective 5, CCDA, EHR, EHR Integration, Functional Interoperability, HISP, interoperability, CEHRT, Referrals | 12/31/2016 |
| Rhode Island Behavioral and Medical Information Exchange Project | Rhode Island Quality Institute will engage non-eligible providers at Butler Hospital, the state's only non-profit, free-standing psychiatric hospital, and Rhode Island’s eight community mental health organizations (CMHO) to close information gaps. The project goal is to advance patient care coordination and smooth transitions of care by extending collaboration and health IT interoperability between medical and behavioral health providers. Project objectives are to: • Interface Butler Hospital with the HIE to bring in admission, discharge and transfer notifications, lab results, and summary of care information, • Implement HIE tools and services such as the CurrentCare Viewer (online portal into the HIE that does not require an EHR), • Increase individuals’ awareness of health data exchange, • Train behavioral health care providers to incorporate health IT tools and services into their workflows, and • Disseminate learning resources and share best practices | Behavioral Health, CCD, DIRECT, HIE, HL7, interoperability | 09/09/2016 |
| CHIME $1 Million National Patient ID Challenge | The CHIME National Patient ID Challenge is a global competition aimed at incentivizing new, early-stage, and experienced innovators to accelerate the creation and adoption of a solution for ensuring 100 percent accuracy in identifying patients in the U.S. Patients want the right treatment and providers want information about the right patient to provide the right treatment. Patients also want to protect their privacy and feel secure that their identity is safe. | HIPAA, interoperability, medical errors, patient identificatioin, Patient Matching, Privacy, safety, Security | 02/19/2017 |
| Pharm2Pharm | Pharm2Pharm is a hospital pharmacist to community pharmacist care transition and care coordination model focused on medication management in high risk patients. Hawaii Health Information Exchange (HHIE) and HCS implemented the health information technology to support the Pharm2Pharm model. This includes HCS medication reconciliation module and drug therapy problem assessment module. Documents from these modules have been interfaced with the HHIE Community Health Record so that they are available for other authorized clinicians. Consulting Pharmacists also have access to the HHIE Community Health Record and Clinical Inbox which notifies them of important information such as new lab results, hospitalization, and ED visits among their patients. Consulting Pharmacists also use secure messaging to communicate with other clinicians. This project was funded by the CMS Innovation Center, Health Care Innovation Award, round 1. The project described is supported by Funding Opportunity Number CMS-1C1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies. | CMS, drug therapy problem, Hawaii, HIE, Innovation, medication management, medication reconciliation | 06/30/2016 |
| OpenHIE (OHIE) | The OpenHIE community supports interoperability by creating a reusable architectural framework that introduces a service oriented approach, maximally leverages health information standards, enables flexible implementation by country partners, and supports interchangeability of individual components. | eHealth Exchange, FHIR, HIE, IHE, architecture | |
| Arkansas OHIT - ADT Alerts | The Arkansas Office of Health Information Technology (OHIT) implements the State Health Alliance for Records Exchange (SHARE), the statewide health information exchange (HIE). SHARE is a secure, electronic system that allows authorized health care providers, health services professionals and public health authorities in Arkansas to exchange accurate patient medical information in real time. OHIT is working with health care providers regardless of payer as well as the Arkansas Medicaid providers in an on-going effort to enable ADT Alerts for Admissions, Discharges or Emergency Room visits to be sent from referring hospitals either directly into the Medicaid provider's EHR or via secure messaging. | HIE - EHR | |
| Implement KeyHIE Transform Tool in LTPAC and Home Health Settings | Work with Skilled Nursing Facilities, other Long Term Post Acute Care Facilities, and Home Health Organizations to transform data from Minimum Data Set (MDS) and Outcome and Assessment Information Set (OASIS) documents into C-CDA documents. The C-CDA documents are then sent to the Community Health Record for all users to view. This initiative will improve transitions of care, especially during unplanned visits to an Emergency Department (ED) from a LTPAC or Home Health setting, enabling ED personnel to understand the background as to why he/she was in the LTPAC or Home Health setting and the recent activity which occurred in that environment. | C-CDA, CCD, CCDA, HIE, Home Health, LTPAC, SNF, MDS, OASIS | 07/26/2017 |
| Utah Health Department HIE-ONC Interoperability Project | The Utah Department of Health (UDOH), Utah Health Information Network (UHIN), and Intermountain Healthcare (Intermountain) will jointly implement this project to expand uses of the existing state designated, secure, interoperable clinical Health Information Exchange (cHIE) to improve the care coordination for newborn hearing screening and follow-up in the state of Utah. The first use case is to send newborn hearing clinical reports from Intermountain’s EHR through the cHIE’s Direct service to deliver consolidated clinical document architecture (CCDA) messages to the Early Hearing Detection and Intervention (EHDI) Program. The second use case is to send hearing screening results and histories from EHDI’s information system through UDOH's Child Health Advanced Records Management (CHARM) integration system and the interoperability Gateway to the cHIE Standard-based Message Broker to Intermountain and other providers. | CCDA, DIRECT, EHDI, Hearing Screening, HIE, interoperability, ONC, Providers | 09/10/2016 |
| Surescripts National Record Locator Service (NRLS) | Powered by Surescripts’ nationwide network, National Record Locator Service (NRLS) gives providers a fast and easy way to obtain historical patient visit locations and retrieve clinical records, regardless of geography or EHR system. Today, the service includes 140 million patients and almost 2 billion, and growing, interactions between those patients and members of their care team. Surescripts NRLS is currently running an Early Adopter program and will be generally available later this year. | IHE, Nationwide Network, Record Locator Service, HIE, interoperability | |
| Delta Medix PC Interoperability - Phase 1 | This was the phase one of an interoperability Project to send Patient Demographics (V2 ADT & PIX) and Documents (HL7 Documents & CCDAs) from the Delta Medix NextGen EHR to the Keystone Health Information Exchange (KeyHIE), powered by Orion. Delta Medix uses KeyHIE for both a provider portal and for a patient portal (MyKeyCare). In addition to implementing NexGen's EHR Connect Interoperability Suite, they also deployed a Mirth Connect Channel to handle transmission of KeyHIE’s 3-state consent requirements (Share all Content, Do Not Share Content, Share Redacted Content). The next phase of the project will include consumption of CCDAs from KeyHIE directly into the Delta Medix NextGen EHR. | ADT, C-CDA, DIRECT, EHR Integration, Functional Interoperability, HIE - EHR, HIT Vendor, HL7 | 03/01/2016 |
| Managing behavioral health and substance abuse patients in an HIE | KHIN has been sharing behavioral health and substance abuse treatment information among its member organizations using a process approved by the National Council of Community Mental Health Centers and reviewed by SAMHSA. KHIN identifies which members have patients that meet the 42 CFR Part 2 regulations and should have their data restricted and under what circumstances a patients’ data can be disclosed due to patient consent or life threatening emergency. KHIN and its members work together to develop a clear understanding of 42 C.F.R Part 2 in order to manage patients’ identifiable health information related to substance abuse treatment. Understanding this regulation is needed to protect patients, KHIN and its members. | Behavioral Health, HIE, interoperability, substance abuse patients | |
| MyKsHealth eRecords Statewide Patient Portal | A MyKSHealth eRecords personal health record (PHR) is a smart way to manage your medical information: It's all in one place online – giving you one location to keep records on everything from medications and allergies to previous illnesses and injuries – any time you need them. MyKSHealth eRecords personal health record (PHR) is sponsored by Kansas Health Information Network (KHIN). No matter what records system your doctors use, you can update, organize and access your eRecords using any computer, tablet or smartphone. What's more, you can securely share your medical information with health care providers you trust. Doing so gives your doctors an accurate and complete picture of your health while reducing medical errors and duplicate tests. Instead of sitting in a doctor's office, struggling to recall your medications or the date of your daughter's tonsillectomy, let MyKSHealth eRecords serve as your medical memory. This service can help you and your doctors work together to improve your family's health and wellness. Through MyKSHealth eRecords you can access and print a certified copy of your State of Kansas Immunization record needed to register children in school. MyKSHealth eRecords is a convenient and collaborative tool that supports secure communication between you and any medical provider. | HIE, Patient Portal | |
| Coalition for Health IT in Communities (“CHIC”) – GaHIN | The Coalition for Health IT in Communities (“CHIC”) project leverages the Georgia Health Information Network (“GaHIN”) and its connection with the Georgia Partnership for TeleHealth (“GPT”) to close information gaps by expanding use of robust query-based health information exchange (“HIE”) to school nurses and Individuals in two rural Georgia county school systems: Appling and Atkinson. In addition, the CHIC project examines the workflow of each school-based health clinic and reviews existing processes used by school nurses during an encounter to identify opportunities to enhance these process with patient engagement strategies. These strategies are meant to (1) educate Individuals about both the use of the available patient portal and the importance of accessing one’s health information, (2) have the Individual sign-up for the patient portal during the encounter, and (3) encourage subsequent use of the electronic tool to track/manage their child’s health and securely communicate with the school-based healthcare provider. The project goal is to advance and improve upon patient coordination for 5300 school children in 10 schools. Expected outcomes include: (1) School nurses will have the ability to deliver more efficient care by gaining electronic access to timely and reliable patient health data during a patient encounter; and (2) Individuals will make more informed healthcare-related decisions resulting from their use of health IT tools and electronic access to health information. For the purpose of this project “Individuals” are defined as parents and guardians of students receiving treatment at the Appling or Atkinson school-based health clinic. | HIE, interoperability, ONC-led, Patient Engagement, Patient Portal, PHR, School-Based Health Clinic, telehealth | 09/10/2016 |
| Health Information Exchange for Emergency Medical Services | This project incorporates two critical components of the health care system into the health information exchange landscape--public health disaster response and emergency medical services (EMS). The project develops a Patient Unified Lookup System for Emergencies (PULSE) plus EMS (+EMS). Together the “PULSE +EMS” proposal establishes interoperability and exchange of clinically relevant patient information in disasters, and during daily emergency medical treatment and transport. Together, the PULSE +EMS project improves clinical decision making and transitions of care between ambulance and hospital healthcare providers, and supports longitudinal patient records. The PULSE component allows health professionals the availability of patient health information from multiple HIOs, during disasters, when patients are transported to areas or health networks outside of their normal delivery system. This project uses Integrating the Healthcare Enterprise (IHE) standards to connect health systems and HIOs to an interoperability broker that is accessed via a web portal user interface using Single Sign On capability. The portal is activated during a disaster. Healthcare professionals employed by health systems or participating with HIOs have access to patient records through their existing systems. Also, eligible professionals and other authorized disaster healthcare professionals, preregistered through the California DHV system can access the portal when at an alternate care site, or mobile field hospital. EMS provides entry, typically through 9-1-1, into the emergency medical care system and provides evaluation, treatment, and transportation of patients to a hospital emergency department, or trauma, heart attack, or stroke center. The +EMS component develops exchange between ambulances and hospitals to provide patient health information during daily emergency medical care, to include the return of clinically-relevant patient information to paramedics. | Disaster, EHR, EMS, HIE, Patient Matching | 7/27/2017 |
| Learning UDI Community | The AHRMM Learning UDI Community (LUC) is an industry collaborative effort designed to address issues impacting the implementation and use of unique device identifiers by developing a common understanding and approach to UDI adoption. At 280 plus members, the (LUC) brings together representatives from many of the major healthcare sectors with the focus on identifying issues impacting UDI adoption across the healthcare field, and developing solutions through the formation of cross-functional work groups made up of subject matter experts and stakeholders. The findings and recommendations of the work groups are designed to benefit the healthcare field by providing a more consistent, consensus-based processes to support UDI adoption and are shared through the Learning UDI Repository. Providing public access to this shared knowledge base will increase the likelihood of success in accelerating UDI adoption practices and utilization. The Learning UDI Community Steering Committee is not an advisory committee to the U.S. FDA. For more information regarding the community and it's work groups please visit us at www.ahrmm.org/luc or email Mike Schiller at [email protected]. | AHRMM, Catalog Number, Low Unit of Measure, LUC, ROI for the UDI, Scanning, UDI, UDI Adoption, UDI Capture, UDI Recognition, Unit of Use, work groups, Clinically Relevant Size, Cost Benefits of the UDI, Device Categorization, GUDID Data Quality, HCTP, High Risk Implants, Human Cellular Tissue Products, Learning UDI Community | |
| Medical Shop Software | Improve your clinical performance and quality control with our pharmacy management software. Hcue provide complete pharmacy management system from sales to inventory details. | EHR, EMR, medication management, Public Health, hCue, Pharmacy, Software | 05/31/2026 |
| MDEpiNet Registry Assessment of Peripheral Interventional Devices (RAPID) | RAPID emerged from the Predictable And SuStainable Implementation Of National (PASSION) Registries for Cardiovascular Devices program of Medical Device Epidemiology Network (MDEpiNet), a public-private partnership supported by U.S. FDA funding to advance the nation’s approaches to the evaluation of medical devices. It is one project in a series initiated to advance and support an interoperable flow of data & information across electronic health information systems with the intent to create a total product lifecycle (TPLC) approach to evaluate the medical device ecosystem. RAPID is focused on devices for peripheral vascular intervention as an archetype of the envisioned TPLC ecosystem. A core minimum set of data elements related to the care & treatment of patients with peripheral arterial disease are being developed for use with data elements from the Global Unique Device Identification Database (GUDID) database to create a structured dataset that supports pre- & post-market assessment, quality improvement, & safety surveillance of peripheral interventional devices (Phase I). Subsequent phases will validate the data elements’ potential for implementation in various healthcare information systems such that structured, interoperable data is collected at the point of care & is available for use by patient registries, clinical research & medical device evaluation initiatives. Additionally, the RAPID data elements will inform the development of a global case report form & data collection instruments needed in the interim. This work facilitates peripheral arterial device development, addresses regulatory needs, & creates efficiencies that will reduce overall time & costs & support quality improvement efforts across the medical device lifecycle. Participants include representatives of specialty societies, device manufacturers, electronic health information systems vendors, US FDA & other federal partners as well as international device registries & regulators. | Clinical Research, Common data elements, EHR, GUDID, interoperability, Medical Device Surveillance, PAD, Patient Registry, Unique Device Identifiers | |
| Building UDI Into Longitudinal Data for Medical Device Evaluation (BUILD) | BUILD combines into one initiative 3 of the 6 projects developed by the 2015 MDEpiNet SMART Informatics Think Tank. The 3 projects leverage the unique device identifiers (UDIs) as the index for connecting data sources and moving information about devices to clinicians and researchers to enable the evaluation of device effectiveness and safety and to support innovation. The pilots are 1) Extension of UDI Implementation Pilot; 2) Medical Device Data Capture and Exchange: Leading Practices and Future Directions; and 3) Electrophysiology structured reporting Providing UDI for Leads and devices using industry Standards to Electronic Health Records and CVIS systems (ePulse). The Extension Pilot builds on the Mercy FDA demonstration whereby coronary stent UDIs were incorporated in Mercy’s electronic information systems resulting in integration of clinical and device data, coupled with creation of a database useable for surveillance and research. This process will be extended to Intermountain and Geisinger, and a distributed data network of the 3 systems will be developed with NCDR CathPCI Registry as the hub. The project includes linking with AccessGUDID at the National Library of Medicine. The Leading Practices project builds a consortium of hospital organization, manufacturer and other stakeholder leaders that will work to outline the current environment of UDI use and conceptualize innovative solutions for capture, exchange, and use of implantable device data elucidating best practices for leveraging UDI from supply chain to the point of care. The ePulse project focuses on the aggregation of data at the point of care, leveraging UDI as the information index. These granular data will be communicated to EHRs in C-CDA format. | Clinical Research, Common data elements, Coronary Artery Stents, Distributed Research Network, EHR, GUDID, interoperability, Medical Device Surveillance, Patient Registry, Unique Device Identifiers | 06/30/2019 |
| Rural Community Interoperability Project - UHIN | As part of our Interoperability for Healthier Communities grant from the ONC, UHIN- partnered with HealthInsight- is working with a rural community in Utah to increase interoperability. This includes working with the hospital to contribute ADTs into an Alerts system, so that providers in the community can receive an alert when their patients are seen at the hospital. It also includes increasing the use of population health reports, Meaningful Use 2 achievement, and helping providers interface their EHRs to the cHIE (UHIN's HIE). | Alerts, DIRECT, EHR Integration, HIE, interoperability, Rural | 07/01/2017 |
| Behavioral Health Integration Project - UHIN | As part of our Interoperability for Healthier Communities grant from the ONC, we are working with behavioral health and physical health providers to increase communication and interoperability. Specifically, we are working to increase the use of electronic referrals, looking up available information in the cHIE (UHIN's HIE), and using a Pediatric Patient Summary tool developed to help coordinate for children with special healthcare needs. | Behavioral Health, HIE, interoperability, Referrals, Pediatric Patient Summary | 07/01/2017 |
| LTPAC Project - UHIN | As part of our Interoperability for Healthier Communities grant from the ONC, this project focuses on improving the transition of care when a hospital discharges a patient into the care of an LTPAC facility. In this pilot project, a hospital system is implementing an automatic discharge summary triggered by the discharge planning. This summary will be sent directly to the LTPAC facility via IHE protocols and the cHIE (Utah's HIE). | HIE, IHE, LTPAC, Discharge, Transitions of Care | 07/01/2017 |
| Public Health Immunization Data Exchange | Description: Immunization information systems (IIS) are confidential, population-based, computerized databases that record all immunization doses administered by participating providers to persons residing within a given geopolitical area. ONC launched the Public Health Immunization Cross-jurisdictional Pilot Project to address the need to share immunization records from IIS to IIS across jurisdictional boundaries. By creating a transport hub, participating pilot sites are able to exchange immunization data across jurisdictional boundaries through the centralized hub via a SOAP Web Service utilizing adopted and approved standards for IIS interoperability. The Hub enables providers the ability to request a patient’s record from another immunization registry and retrieve that data across jurisdictional boundaries. The consumer also has the option to export data in a format that they may use as proof of immunization, eliminating the need for a visit to a provider’s office. The Centers for Disease Control and Prevention (CDC)/ National Center for Immunization provides funding for this project an Inter-Agency Agreement with the Office of the National Coordinator of Health IT. Currently the District of Columbia, Louisiana, Maryland, Mississippi ,Oregon, Washington, West Virginia and are currently participating. | EHR, EHR Integration, HL7, HL7 V2, Immunization, interoperability, Public Health | |
| Leveraging Health Information Technology (HIT) in the Outpatient Arena to Actuate Authentic Medical Home Transformation | Quality Insights of Pennsylvania first approached The Wright Center (TWC) in 2008 to participate in the 9th Scope of Work related to clinical quality measure testing for flu and pneumonia vaccination rates. During the six year journey between 2008 and 2014, TWC gained immense value through its leading engagement within the learning action networks of Quality Insights 9th and 10th Scope of Work. The technical assistance and support for this work provided by Quality Insights of Pennsylvania yielded crucial coaching for the establishment of TWC’s EHR integrated population health reporting infrastructure. This foundational Health IT outcomes reporting work dovetailed with the TWC’s intentional care delivery redesign and medical home transformation efforts as a leading practice in the PA Chronic Care Initiative. | CEHRT, Meaningful Use, PA Reach, workflow redesign | 01/01/2015 |
| DirectTrust | The Framework prescribes the technical, legal, security, and identity policies and practices that all members of the community agree to follow. In addition to the Framework, DirectTrust has partnered with EHNAC to put in place a program of Accreditation and Audit that transparently verifies the adherence of all DirectTrust service providers and their customers to the Framework’s criteria. Federation of trust relationships allows the entire network to operate and grow at scale, without the need for individual one-off negotiations or costly legal contracting between exchange partners. 1) >1.1 million Direct addresses in use 2) > 67 million Direct transactions since the organization's inception 3) > 52,000 health care organizations served by DirectTrust accredited health information service providers (HISPs) POC: David Kibbe Email: [email protected] | DIRECT, EHR, esMD, FHIR, HIE, HISP, interoperability, Network of Networks, provider directory, Trusted Exchange Framework | |
| EMDI- Topline Healthcare: PMD Workflow Within EMR | Pilot Category: e-Clinical Templates Pilot Stream: Powered Mobility Devices (PMD) Pilot Contact: Mark Kimmel ([email protected]), Susan Hemme ([email protected]) Topline Healthcare is an EHR Development Group that uses Codeable Language™ (EHR overlay used to prompt physicians for the appropriate evaluation/documentation). They led a CMS EMDI Pilot that focused on Power Mobility Devices (PMD). Furthermore, they are focusing on an educational component by making physicians aware of the necessity for appropriate medical documentation. Please contact Mark Kimmel ([email protected]) for more information. | Completed Pilots, e-Clinical Template, EMDI, esMD, PMD, post-acute, Provider-to-Provider | 01/25/2016 |
| NATE's Blue Button for Consumers (NBB4C) | NATE's Blue Button for Consumers (NBB4C) Trust Bundle is open to all consumer-facing applications (CFAs) that utilize Direct to securely transport Protected Health Information between the consumer's Providers and Payers that support Direct and the CFA selected by the consumer. The NBB4C Trust Bundle helps relying parties to identify CFAs that meet or exceed criteria considered to be the most important characteristics of a trustworthy steward of consumer health information, while still enabling patients to benefit from the value of having access to their health information. | CEHRT, Clinical Research, NATE, DIRECT, HISP, Patient Engagement, Patient Portal, Patient Registry, personal health records, PHR, Portal | |
| CIHIE Advanced LTPAC | Transforming MDS reports to CCDs | LTPAC, ONC-led | |
| FHIR Enabled Open Source Terminology Service | Apelon, Inc. is adding FHIR terminology services to its open source Distributed Terminology System (DTS), a full-featured terminology management platform. DTS has a rich set of features for authoring and maintaining local vocabularies and accessing externally mandated standards including SNOMED CT, LOINC, ICD-10-CM, RxNorm and many more. The FHIR access layer provides a modular architecture for users to share FHIR compliant vocabulary resources (CodeSystem, ValueSet, ConceptMap). This is an active project that is helping to shape the evolving FHIR Terminology Service specification. A demo server is publically available and we encourage all participants interested in validating or translating data to utilize the service and contact us with any questions. | FHIR, HL7, interoperability, Open-Source, Terminology | |
| Advance HIT Services Grant for Behavioral Health and LTPAC Communities - NHHIO | As part of our Advance HIT grant from the ONC, this project focuses on improving and expanding the use of Direct secure messaging to improve care coordination for patients within the Behavioral Health and Long-Term Post-Acute Care facilities in New Hampshire. Peer Learning Networks were established in each area for like-minded individuals collaborate on implementing Direct and how to expand the use. Peer Learning Networks meet monthly to collaborate and develop practical solutions to HIE and lessons learned. Each member has identified their top trading partners, all of which include their local hospitals’ ambulatory, inpatient and emergency departments. Since NHHIO has already created HIE relationships with the majority of these identified trading partners and understands the complexity of their EHR systems capabilities and connection options, The BH PLN formed a Consent Committee to address operational and technical management concerns around patient consent and the release of information (ROI) in their electronic environments to ensure compliance with state laws and HIPAA. This becomes especially important as organizations consider managing consent for 42 CFR Part 2, which deals with disclosure of substance abuse treatment, and an EHR vendor capabilities around segment data elements out of the transition of care summary that to which the patient has not provided consent. Most EHRs have not yet been able to demonstrate this functionality successfully. NHHIO works directly with ONC to leverage solutions around consent management demonstrated elsewhere in the country, like SAMHSA’s Consent2Share model and the DS4P Initiative. Regional Communities of Practice (CoP) have also been formed under this grant, in an effort to identify and mitigate gaps in care. The CoP’s were created to facilitate group discussions with multi-disciplinary practices and hospital organizations to address common interoperability issues. | Behavioral Health, CCDA, ONC-led, Peer Learning Network, SNF, Transitions of Care, DIRECT, Discharge, Education, HIE, HISP, Home Health, interoperability, LTPAC | 06/30/2017 |
| Pharmacist eCare Plan | This is a joint project between NCPDP and HL7 http://dms.ncpdp.org/index.php/ncpdp-work-groups?view=category&id=64 and is linked to this project is linked to the ONC HIP project https://www.healthit.gov/techlab/ipg/node/4/submission/1726. The next version of the C-CDA Clinical Notes Release 2.1 and FHIR Release 4 May 2019 ballot has been passed and reconciled. NCPDP and HL7 should be jointly ANSI publishing in the Fall 2019. The goal of this project is to develop an eCare Plan with enhanced medication management content based on the templates in the HL7 Implementation Guide for C-CDA Release 2.1: Consolidated CDA for Clinical Notes and FHIR R4. This care plan called “Pharmacist eCare Plan” will serve as a standardized, interoperable document for exchange of consensus-driven prioritized medication-related activities, plans and goals for an individual needing care Pharmacists work in multiple environments. The Pharmacist eCare Plan will be a dynamic plan that contains information on the patient, pharmacist and care team’s concerns and goals related to medication optimization. The care plan may also contain information related to individual health and social risks that may impact care, planned interventions, expected outcomes, and referrals to other providers or for additional services e.g., nutrition consultation or diagnostic laboratory studies. More information about the Pharmacist eCare Plan can be found at https://www.ecareplaninitiative.com/ | C-CDA, care plan, Pharmacy, SNOMED CT, CCDA, drug therapy problem, FHIR, HL7, medication management, medication reconciliation, NCPDP, Pharmacist | 05/30/2021 |
| Direct and 10A Preauthorizations - UHIN | In Utah, Skilled Nursing Facilities with Utah Medicaid patients are required to submit 10A Preauthorizations. The prior method was a paper form that was faxed in, but there were issues with this workflow. It was easy for items to get misplaced, critical fields were sometimes left blank, and it took longer for Utah Medicaid to process and track everything. In 2014, UHIN worked with Utah Medicaid and the SNF facilities to implement an electronic 10A process using Direct. A custom form was built in UHIN's Direct product, so a user could go to the 10A area and fill in the required fields for the form, attach the required documentation, and send the 10A. They can also see past 10A submissions and the status (Pending, In Process, Approved, Denied, etc.), and communicate with Utah Medicaid if they have questions. | DIRECT, SNF, Preauthorizations, 10A | 10/1/14 |
| Pre-OAuth Entity Trust (POET) | Pre-OAuth Entity Trust (POET) is a specifically formatted JWT designed to allow parties to make assertions about an application (e.g. it meets some criteria such as a Good Housekeeping Seal of Approval). POET provides a technical standard for 3rd party application endorsement that is intended to be displayed to the end user within the application authorization dialogue within an OAuth2 flow. The JWT's payload is based on RFC7591 (https://tools.ietf.org/html/rfc7591). | FHIR, OAuth2 | |
| Patient Portal-HIE Blue Button Pilot - HealthInfoNet | As part of the State Innovation Model (SIM) Testing Grants sponsored by the Centers of Medicare and Medicaid Services (CMS), HealthInfoNet partnered with Eastern Maine Health Systems to pilot providing patients with access to their statewide HIE record. The pilot site connected their current patient portal to the HIE to allow patients to download a medical record summary document from the HIE known as the “Continuity of Care Document” (CCD). | CMS, HIE, Patient Engagement, User Interface | 10/01/2015 |
| VA Interoperability with HealthInfoNet | Funded throughThe Federal Health Resources and Services Administration (HRSA) to improve the quality of health and critical healthcare services for veterans living in rural areas, through The Flex Rural Veterans Health Access Program, HealthInfoNet connected the VA Maine Healthcare System to the health information exchange. This includes the medical center located in Augusta and 11 outpatient clinics. | HIE - EHR, HRSA-led, Innovation, Transitions of Care | 10/01/2016 |
| Maine DASH Project - HealthInfoNet | HealthInfoNet has been selected by the Robert Wood Johnson Foundation DASH Program — Data Across Sectors for Health — as one of ten grantees to implement projects that improve health through multi-sector data sharing collaborations. DASH is a national program of RWJF. The Maine Data Across Sectors for Health (DASH) project will advance the participation in and use of the statewide HIE by health and social services agencies and leverage both medical and social determinant data to produce predictive analytic tools. The first and primary goal of the Maine DASH project over the 18 months of RWJF funding will be to improve outcomes (health and social) for patients suffering from chronic diseases while simultaneously reducing hospital/ED admissions and readmissions. Funds will be used to implement a pilot with the CAPs tied to established Accountable Care Goals and Governance. | Functional Interoperability, HIE, Innovation, Transportation | 06/30/2017 |
| HealthInfoNet - Maine's statewide health information exchange | In addition to HIE, HealthInfoNet also provides a number of value added services including assisting providers with meaningful use attestation, single sign on to the state prescription monitoring program, public health reporting, event of care notifications, and population analytics and reporting services. HealthInfoNet also provides tools to support the needs of Accountable Care Organizations such as member aggregation services and predictive modeling solutions. We are connected to all hospitals in Maine, over 450 ambulatory care locations and the Veterans Administration. | Alerts, Behavioral Health, HIE, Meaningful Use, Patient Matching, Sequoia Project | |
| HealthInfoNet/HBI Analytics and Reporting Platform | HealthInfoNet’s reporting and analytics service uses real-time clinical data from the HIE to help providers drive quality and cost improvements, manage risk and population health, and inform operational decision making. It includes Hospital Performance, Volume and Market Share, Population Risk, 30-Day Readmission Risk, and Variation Management. Findings have been published in International Journal of Medical Informatics, Journal of Medical Internet Research, and PLOS One. | HIE | |
| Behavioral Health Integration - HealthInfoNet | In 2012, HealthInfoNet was awarded a one-year contract with SAMHSA to bring together a stakeholder group to develop the technical and educational tools needed to implement a new opt-in policy for sensitive data. The first behavioral health organizations were connected to the HIE on a view-only basis in 2013. Through the SIM Grant, HealthInfoNet is in the process of connecting 20 behavioral health facilities to the HIE. | 42 CFR Part 2, Behavioral Health, HIE, Innovation, medication management | |
| MaineCare Notification Project – HealthInfoNet | MaineCare Notification Project – HealthInfoNet replaced faxes with automated secure email notifications to MaineCare (the State's Medicaid Program) and participating provider care managers when MaineCare patients are admitted to Emergency Departments and Inpatient Settings. The new electronic process using the HIE created a more efficient workflow for both the hospital and MaineCare staff while supporting MaineCare member’s best possible care. This is a SIM project | Alerts, HIE | |
| MaineCare Clinical Dashboard – HealthInfoNet | MaineCare Clinical Dashboard – HealthInfoNet provides a “Clinical Dashboard” to MaineCare (the State's Medicaid Program) using their member’s information available in the Health Information Exchange (HIE). The goal is to make the HIE clinical data available to MaineCare as a payer to support program and policy development related to population health efforts. Supporting MaineCare population health initiatives by providing a clinical dashboard of member risk and health care utilization captured in the HIE. This work includes integrating MaineCare claims and medication data in the HIE and Analytics tools. This is a SIM Project. | CMS, HIE | |
| National Clinical Terminology Service (NCTS) | The Australian National Clinical Terminology Service (NCTS) is a national infrastructure project providing technical specification, application services, and national infrastructure to simplify use and adoption of clinical terminology products in Australia. All specifications and services are based on open standards such HL7 Fast Healthcare Interoperability Resources (FHIR), IHTSDO SNOMED CT, and Regentrief Inc's LOINC. | FHIR, HL7, interoperability, Terminology, IHTSDO SNOMED LOINC IETF ATOM | |
| PatientGen - synthetic, realistic patient data for use in interoperability testing | Michigan's PatientGen is a FHIR-compatible test data generator that produces “fake people” who have realistic patient histories with clinically relevant patient encounters. In today’s healthcare environment there is a critical shortage of good test data. This shortage is so severe that organizations create their own test data or worse, test with live data – someone’s protected health information – creating security and privacy risks. Testing with real health data is, of course, very dangerous. Therefore, there is a significant need for realistic patient data that does not pose any risks of disclosure and can be safely used for system testing, interoperability testing, and other purposes. PatientGen has created thousands of SimPatients that are highly configurable, including such detailed data points as name, address, gender, race, religion, PCP, practice, specialist, etc. PatientGen also breaks down different risk factors from diet, exercise, alcohol, smoking, drug use and promiscuity. | FHIR, HIE, interoperability, Michigan, MiHIN, patientgen, realistic, Synthetic | |
| FHIR HAPI Test Server | This is the home for the FHIR test server operated by Michigan Health Information Network Shared Services. This server is entirely built using HAPI-FHIR, a 100% open-source Java implementation of the FHIR specification. If you are a Java developer, you can use the HAPI-FHIR client (hapi-fhir-cli) to access this server and the web pages it displays will coach you with client code snippets to guide your exploration. The resources on this server were generated by MiHIN's PatientGen, a Monte Carlo test data generator that produces realistic patient histories involving clinically relevant patient encounters. The generator models a simulated health care network of Providers, Practices, Hospitals, Specialty and Provider Organizations. A large population of Patients experience weekly incidence and mortality risks for many important medical conditions and procedures. Since all of the resources are produced using random methods, this database contains no PHI and may be freely accessed. | FHIR, HIE, interoperability, Open Source, Testing, Michigan, MiHIN | |
| FHIR APIs for Health Provider Directory and Consumer Directory | Document defining RESTful FHIR APIs that can be used to Create and Update Providers and Organizations within Michigan's Statewide Health Provider Directory (HPD). This interface adopts the terminology and semantics of a subset of the HL7 Fast Healthcare Interoperability Resources (FHIR) standard. References to particular resources defined by the FHIR standard and adopted by this API are included in the document. This document also defines a RESTful API that can be used create and update information about Consumers within the Statewide Consumer Directory (SCD). | APIs, Consumer Directory, MiHIN, FHIR, Health Provider Directory, HIE, HPD, interoperability, RESTful, SCD, Michigan | |
| Use Case Factory for Standard Creation of Health Information Sharing Use Cases | The Use Case Factory is a lean-manufacturing-oriented approach to build health information Use Cases, providing a standard, scalable approach for capturing ideas, identifying priorities and developing the technical and legal framework required to share health information among approved participants. Through the Use Case Factory, Michigan has created a road map to prioritize where to convene stakeholders and focus resources, what kinds of Use Cases need to be developed, what technical capabilities are needed internally and with partners, and how best to pilot and release new Use Cases. This lean-driven, continuous process improvement approach to developing Use Case data-sharing widgets brings a clarity of focus to the process that has yielded increased efficiency as we move from our initial group of priority Use Cases to a wider release of Use Cases across a variety of segments and disciplines. | HIE, interoperability, Use Case, Use Case Factory, Michigan, MiHIN | |
| Carolinas HealthCare System- Patient Navigation | Patient Navigation Realtime ADT feed into a Patient Navigation system built on a cloud-based CRM platform. Offers Oncology Nurse Navigators a 360-degree view of their patient cohort on a modern, graphical user interface. Nurses can filter, categorize and notate appointments and admissions for their cohort. | ADT, HL7 V2, interoperability | 01/01/2016 |
| Carolinas HealthCare System-LInK | LINK Creating a data repository with bi-directional feeds to facilitate Molecular Data Tumor Board and point of care decision support. The Link system combines genomic data (bam, vcf, and summary pdf), Clinical Trials (API), Oncology Pathways (FHIR), with EMR data (ETL), in order to contextualize the patient’s treatment. | APIs, EHR, FHIR, interoperability | |
| GLHC – Patient Action Plans and the Statewide Community Patient Record | Healthcare providers across Michigan have focused resources and efforts on making patient action plans available in a statewide registry. This action assures that treatment for specific disease states remains consistent wherever the patient is treated. Great Lakes Health Connect (GLHC) in Grand Rapids, MI, developed a web-based application that allows healthcare entities to upload action plans into the registry at no cost. In 2014, GLHC, in partnership with Dr. Susan Wakefield of Forest Hills Pediatrics successfully piloted a program that has contributed over 700 Asthma Action Plans to the GLHC state-wide health information exchange registry. Planning is now underway to expand the program to additional action plans and providers across the state. | Action Plans, Asthma Action Plans, Community Record, GLHC, HIE, Michigan | 09/12/2014 |
| GLHC – Admit, Discharge and Transfer (ADT) Notifications | In Michigan, healthcare providers and payers including Medicare have placed special emphasis on reducing 30 day hospital readmissions. Primary care physicians are offered incentives to see patients within a designated timeframe following a hospital discharge. To facilitate the process, IT developers have created various methods of delivering them notifications of patient admissions, discharges, and transfers. However, these messages are typically displayed using raw HL7 code, making it difficult for providers to understand critical information.. Great Lakes Health Connect (GLHC) in Grand Rapids, MI, partnered with hospitals across the state to normalize and format this data into a consistent and easily understood PDF document. These notifications are near real-time and provide patient demographics; visit, provider, and discharge information (if applicable); as well as guarantor name, relationship and phone number (if available). As one practice manager stated, “The ADT Notification process has been an invaluable tool for our office for improving patient care coordination and our post hospital visit capture ratio.” | 30 day readmission, ADT, ADT Notifications, HIE, Michigan | 11/20/2012 |
| GLHC - Advance Care Directives and the Statewide Community Patient Record | Healthcare providers across Michigan have focused resources and efforts on educating patients on the value and benefits of making advance directive documents accessible online in a secure statewide registry. .In 2013, Great Lakes Health Connect (GLHC) in Grand Rapids, MI, partnered with Michigan healthcare entities, including Making Choices Michigan, to add advanced directives to the GLHC state-wide health information exchange registry. GLHC developed a web-based application that allows healthcare entities and attorneys to upload advance directives into the registry at no cost. | Advance Care Directives, Community Record, HIE, Michigan | 10/01/2013 |
| GLHC – Statewide Community Health Record | Healthcare providers and hospitals have struggled with obtaining patient records from other healthcare systems in a timely manner, especially real-time information during emergent situations. It is also difficult to obtain information when the patient is not forthright about where they have sought treatment. Great Lakes Health Connect (GLHC) in Grand Rapids, MI, partnered with Medicity and several acute care hospitals to provide near real-time patient information into via a statewide community health record, available to participating providers throughout Michigan. Information includes: ADT, Lab, Radiology and Transcribed Documents. | Community Record, GLHC, HIE, Michigan | 04/20/2012 |
| GLHC – Complex Care Guides and the Statewide Community Patient Record | Healthcare providers across Michigan have focused resources and efforts on making patient care plans available via a statewide registry. This assures that treatment for complex care patients remains consistent wherever it is received. In response, Great Lakes Health Connect (GLHC) in Grand Rapids, MI, has developed a web-based application for healthcare entities to upload action plans at no cost. In 2013, GLHC partnered with Spectrum Health, Metro Health Hospital, Mercy Health, and other provider organizations in Kent County, to add Community Care Guides to the GLHC statewide health information exchange registry. The participating organizations continue to meet monthly to discuss complex cases and develop care guides. Many complex patients’ diagnoses include behavioral health or chemical dependency issues. They are unfortunately unable to upload documents to the repository at this time, due to existing State and federal regulations that prohibit the sharing of this information. | care plan, Community Record, Complex Care, Complex Care Guide, Michigan | |
| GLHC – Immunization Message Query and Retrieve | Thanks to the work of Great Lakes Health Connect (GLHC) in Grand Rapids, MI, pediatricians and any/all providers across the State have the option to seamlessly query the Michigan Care Improvement Registry (MCIR) for immunization history records on their patients. This can be accomplished without leaving their in-house EMR (Electronic Medical Record) system, via the VXQ (Vaccination Record Query) transaction. Such capability is especially important to pediatricians, but also to all specialties, hospitals, and allied care providers alike. Immunization query significantly reduces errors by removing separate sign-on and “fat finger” problems when data is manually entered into the State’s registry system. It also reduces the need to “poke” patients unnecessarily when they have already received an immunization, but the physician was not aware. For years, GLHC has allowed providers to submit their VXU (Vaccination Record Updates) / Immunization data electronically from their EMRs, but this new query and retrieve functionality takes immunization management for providers and patients in Michigan to the next level of interoperability. | EMR, GLHC, HIE, Michigan, Vaccination Record Query, Vaccination Record Update, VXQ, VXU | 10/22/2015 |
| GLHC – Long Term Care & Home Health Oasis & MDS Standardization | Long Term Care (LTC), Post-Acute (PAC), and Home Health (HHC) stakeholders have the need to share clinical patient data across the care continuum. The challenge that exists today is that LTC, PAC, and HHC electronic medical record systems “speak a different language” from the standard in acute and ambulatory care. Great Lakes Health Connect (GLHC) in Grand Rapids, MI has developed a scalable, repeatable process to convert the LTC Minimum Data Set (MDS) files and the HHC Outcome and Assessment Information Set (OASIS) file format to a standard that is easily consumed and stored in GLHC’s community health record (known as the Virtual Integrated Patient record or VIPR). GLHC creates HL7 Admission, Discharge, and Transfer (ADT) messages and Continuity of Care Documents (CCDs) from the LTC, PAC and HHC data. This information can then be seamlessly shared across the continuum of care. | 360X, ADT, MDS, Minimum Data Set, OASIS, Outcome and Assessment Information Set, SNF, care plan, CCD, CHR, Community Record, HL7, Home Health, Long Term Care, LTC | 06/30/2016 |
| GLHC – Result Delivery based on a patient list | Healthcare providers and hospitals have struggled with sending and receiving test results on patients when the provider is not identified at the time the order was initiated. Typically, a test result is delivered to the ordering provider, and may include other if identified in the request. This is particularly difficult for behavioral health providers who are often outside of the traditional care path, and therefore not included in these messages. Lab results are vital to behavioral health providers when prescribing medications such as psychotropic drugs. Great Lakes Health Connect (GLHC) in Grand Rapids, MI, partnered with Washtenaw County Community Mental Health Agency, the University of Michigan Health System, Medicity, and PCE Systems to provide lab test results based on the patient list for Washtenaw County CMH. | CMH, Community Mental Health, Lab Results, Medicity, Patient List, Patient Matching, Payer Gateway, PCE Systems | 06/20/2016 |
| GLHC – Radiology Imaging Enablement | Healthcare stakeholders have the need to receive radiology reports from patients’ test results, and also see the actual radiology image without the added complexity and expense of a Picture Archiving and Communication System (PACS). Great Lakes Health Connect (GLHC) in Grand Rapids, MI has developed a method for sending providers radiology reports electronically, in an easy to interpret format for seamless viewing of images without the need for a PACS system, also eliminating the burden of storing these very large images on site. This significantly reduces duplicate testing, thus reducing patients’ radiation exposure and allowing for quicker diagnosis and treatment. | GLHC, Michigan, PACS, Picture Archiving and Communication System, Radiology | 04/30/2015 |
| SHRINE | More than 60 health institutions participate in SHRINE "Shared Health Research Information NEtwork". SHRINE enables population scale query and analysis of patient demographics, ICD diagnoses, RxNorm medications with NDF-RT drug classifications, and LOINC lab tests. In total, more than 30 thousand (30k) clinical concepts can be used to select patient cohorts and analyze population health. | Clinical Research, Distributed Research Network | |
| Kingsport, TN - DIRECT Messaging - Wellmont Health System | The DIRECT Messaging project is/will support transitions of care and allow for standard content (C-CDA) to be sent to a receiving destination utilizing DIRECT messaging. The process of sending has been automated and matched to a local and national provider directory for distribution. | C-CDA, DIRECT | 01/01/2015 |
| "MedMij": Personal Health Environment in The Netherlands | The Dutch Patient Association is setting up a framework of requirements for PHRs for the Dutch population. The framework includes infrastructure, interoperability standards, data formats, and judicial and financial requirements that PHRs will have to comply to. The PHRs will connect to health apps and EHRs in the back-end. | FHIR, HL7, PHR | 12/31/2020 |
| Finnish national PHR | By the end of 2017 Kanta services in Finland will be extended with the new Personal Health Record functionalities. Citizens will be able to store their own health-related data such as results of online health risk tests or measurements performed at home. | FHIR, PHR | 12/31/2017 |
| NJII New Jersey Health Information Network (NJHIN) ONC Advance HIE Interoperability for Eligible Professionals and LTPACs | New Jersey Innovation Institute's (NJII) New Jersey Health Information Network (NJHIN) Shared Services Platform is the New Jersey State-designated entity to build a collection of services that enable a statewide Master Person Index (MPI) and Health Provider Directory (HPD). These services support our primary-use case, which is achieving an automated Transitions of Care (TOC) program through which the NJHIN accurately and efficiently delivers Admission, Discharge and Transfer (ADT) notifications to connected New Jersey Health Information Exchange (HIE) participants, such as Eligible Professionals (providers) and long-term and post-acute care (LTPAC) organizations. Moreover, the NJHIN facilitates connected participants’ queries to the New Jersey Immunization Registry. Additional NJHIN services include a Common Key Service (CKS) and the Active Care Relationship Service (ACRS) to help with patient matching and patient-provider attributions, respectively. | Active Care Relationship Service, ADT, interoperability, Master Person Index, ONC-led, Transitions of Care, ADT Notifications, Common Key Service, DIRECT, EHR, Health Provider Directory, HIE, HL7, Immunization Registry | 07/26/2017 |
| Kingsport, TN - Vaccine Administration Information sent to Virginia (VIIS) Immunization Registry - Wellmont Health System | Vaccine administration information is being sent to the Virginia (VIIS) immunization registry via HL7 interface. | HL7, Immunization, Immunization Registry | 01/01/2016 |
| Kingsport, TN - Vaccine Administration Information sent to Tennessee (TennIIS) Immunization Registry - Wellmont Health System | Vaccine administration information is planned to be sent to the Tennessee (TennIIS) immunization registry via HL7 interface once project completed. | HL7, Immunization, Immunization Registry | |
| Kingsport, TN - Syndromic Surveillance Results sent to Virginia Department of Health - Wellmont Health System | Syndromic surveillance results are sent to Virginia Department of Health via HL7 interface. | HL7, Lab Results | 1/1/16 |
| Kingsport, TN - Reportable Results sent to Virginia Department of Health - Wellmont Health System | Reportable results are being sent to the Virginia Department of Health via HL7 interface. | HL7, Lab Results | 01/01/2016 |
| VA FHIR Transition Working Group (FTWG) | The Veterans Affairs (VA) FHIR Transition Working Group (FTWG) is established by the VA, OI&T, Enterprise Program Management Office (EPMO), Intake & Analysis of Alternatives Team to serve as the principal coordination body for the VA’s transition to the FHIR Standard. The FTWG is a key vehicle for collaborative participation across the VA. Its membership includes full “participation by” and “coordination between” VA’s program, business and technology stakeholders. The responsibilities of the VA FTWG are as follows: 1. Ensure the FHIR Standard properly aligns with VA Enterprise Business and Technical Requirements, Goals, and Objectives, which is necessary to justify its use within the VA Information Environment. 2. Ensure the FHIR Standard aligns with established Federal & VA Policies/Directives and Mandates. 3. Identify, approve and oversee all prototype efforts required to analyze the FHIR Standard’s Suitability for the VA Information Environment. 4. Ensure that all analysis results and decisions made regarding the use of the FHIR Standard within the VA Information Environment are communicated across the VA Enterprise, and all concerns, issues and risks are collected and addressed/adjudicated. 5. Establish “One Voice” on VA’s use of the FHIR Standard for Bi-directional Communications with official HL7 FHIR Working Groups and with VA’s Partners, such as DoD and third party healthcare providers. 6. Oversee the development of all required VA mandates, policies/directives regarding the Transition to the FHIR Standard. 7. Oversee the VA Enterprise planning and management of the FHIR Transition. 8. Oversee the proper hand-off of the standard’s management in the field to the appropriate VA organizations for sustainment. | FHIR, Functional Interoperability, IHE | |
| Increasing Early Detection of Youth Behavioral Risk, Improving Care Delivery and Addressing Suicide in Primary Care Settings | High-profile catastrophes and humbling prevalence of suicides have prompted widespread national acknowledgement of the disturbing scope of the suicide epidemic. National, federal and professional representatives mobilized to take action by funding the development of a long-term, collaborative tragedy prevention strategy. In 2008, the Garrett Lee Smith (GLS) Youth Suicide Prevention in Primary Care program was established and awarded by the United States Substance Abuse and Mental Health Service Agency (SAMHSA) to screen and address comprehensive behavioral risks, inclusive of suicide, in primary-care venues amongst youth ages 14-24. The Wright Center engaged as a GLS Youth Suicide Prevention in Primary Care program participant concurrent with its immersion in primary care practice medical home redesign efforts through the Pennsylvania Chronic Care Initiative. The Wright Center’s ongoing practice transformation efforts converged integration of Electronic Health Record (EHR) Meaningful Use standards and Chronic Care Model guidance initially using diabetes as a population of focus to drive care delivery redesign. The team integrated Behavioral Health Screens (BHS) into workflow without a significant amount of additional (perceived or actual) staff effort. To encourage buy-in, medical assistants, resident physicians and providers at The Wright Center were educated about the GLS program and trained as BHS champions. The medical assistants led workflow integration by providing a tablet and coaching to engage each patient at their annual well visit, placing emphasis on confidentiality. Patients completed the screen privately and results were summatively assessed at the point of care, immediately available for provider review. In 2010, The Wright Center for Primary Care Mid Valley completed 1043 total BHS during young adult well visits and by 2016, had spread workflow and processes into its second program phase, effectively screening 3988 young adults. | Behavioral Risk Screens, Community Mental Health, Suicide Prevention, Transitions of Care, workflow redesign, EHR Integration, Garrett Lee Smith, Meaningful Use, Patient-Centered Outcomes Research, patient-centric, Primary Care, Public Health, Referrals | 08/17/2016 |
| Oregon Provider Directory | The Oregon Health Authority (OHA) is implementing a resource for accurate, trusted provider data called the Oregon Provider Directory (OPD). The OPD will enable health care entities, including providers, hospitals, payers, Medicaid Coordinated Care Organizations, to find and connect with other providers, improve efficiencies in managing provider data, and support provider data analytics. It will not be consumer-facing. Data from existing, trusted data sources, including data from providers and clinics will feed the OPD. Source data will be cleaned, matched, and merged to create a single master record also called the “golden record.” Types of data that can be found in the OPD will include provider names, practice locations, and contact information (including health information exchange addresses). The OPD will also leverage national or federally recognized standards (e.g. FHIR), which opens the door for an interoperable solution. The project includes design, development, implementation, and maintenance of the technical solution, data validation and data management. MiHIN is the solution vendor and OneHealthPort provides single sign-on and identity verification services. An incremental implementation approach, driven by stakeholder-endorsed use cases, will be applied to ensure success. Implementation began in fall 2019. | APIs, Data Matching, Data Quality, Data Stewardship, FHIR, Health Provider Directory, HIE, HPD, provider directory, System Integrator | |
| NKDEP Chronic Kidney Disease Electronic Care Plan | The Chronic Kidney Disease (CKD) Care Plan Working Group aims to address the challenges with longitudinal transfer of CKD patient data by developing an electronic care plan template for CKD that is consistent with the certification criteria detailed by the Office of the National Coordinator of Health Information Technology and will enable patients and their clinicians to record, change, access, create and receive key patient information and goals. The care plan will use HL7 Consolidated Clinical Document Architecture (C-CDA) and existing regional health information exchanges to facilitate longitudinal transfer of key patient data among both the patient and his/her providers and across settings. | C-CDA, care plan, SNOMED-CT, LOINC, IETF, ATOM, Chronic Kidney Disease, CPT, ICD-10, EHR, EHR Integration, HIE, HL7, interoperability, ONC, Patient Portal, work groups | |
| RxREVU's FHIR-Enabled Prescription Decision Support Integrated within the Cerner EHR in Collaboration with Banner Health | RxREVU’s Prescription Decision Support (PDS) platform, RxCheck, provides a solution for the ONC's priority category of Comprehensive Medication Management. Along with Banner Health in Arizona, RxREVU and Banner are partnering together with the goal of optimizing and standardizing prescribing behavior at the point of care. Leveraging the emerging Fast Healthcare Interoperability Resources (FHIR) standard as the communication backbone to our solution, as well as respective resources at Banner and RxREVU, this project is focused on surfacing actionable information about a patient’s condition, therapeutic alternatives, patient formulary and price of a drug at the point-of-prescribing within EHR. Specifically, RxREVU and Banner are focusing on the following use cases: 1). Accurate prescription pricing information based on patient’s formulary including the suggestion of lower cost therapeutic alternatives. 2). Identification of patients with poor medication adherence, based on pharmacy claims. | Arizona, Banner Health, Primary Care, RxREVU, SMART, Colorado, Comprehensive Medication Management, EHR Integration, FHIR, High Impact Pilot, HIT Vendor, interoperability, ONC | 03/15/2018 |
| Clinical Quality Measurement Reporting and Repository (CQMRR) - MiHIN | The Michigan Department of Health and Human Services (MDHHS) is charged with receiving and managing Clinical Quality Measures (CQMs) as part of the Meaningful Use (MU) Stage 2 requirements established by the Centers for Medicare and Medicaid Services. MDHHS and MiHIN have developed the CQMRR service to enable any Medicaid-Eligible Providers, Hospitals and Critical Access Hospitals to submit clinical quality measures to MDHHS for State Medicaid MU Stage 2 attestation credit. The CQMRR service receives, validates, stores and transmits these CQMs to the state, and provides reporting tools to allow trend analysis on quality measures that have been submitted. | Michigan, cqms, ecqms, clinical quality measures, quality reporting, interoperability | |
| Identity Exchange Hub - MiHIN | In collaboration with the State of Michigan, MiHIN has created an Identity Exchange Hub (IEH) that federates trusted identities across organizations. The IEH provides identity authentication technologies and legal framework to allow federated, trusted identities to be easily distributed, maintained, exchanged and utilized across multiple healthcare organizations, systems and services. | Michigan, single sign-on, federated identities, interoperability | |
| Statewide Consumer Directory (SCD) - MiHIN | The statewide consumer directory is designed to allow consumers (starting with Medicaid beneficiaries) to manage their health care information and how that information is shared. The SCD allows Medicaid beneficiaries and other consumers to identify their care team, define where their electronic health information is stored, specify how and where to share their health data, and indicate their preferences for consent. The SCD also gives healthcare providers a centralized service to find a patient�s care team, locate critical patient documents, identify where to send patient information and recognize patient consent designations. | Michigan, consumer engagement, consumer directory, interoperability | |
| Transitions of Care Service - MiHIN | The Transitions of Care service gives healthcare providers and care teams early warnings for critical patient health events. The service provides clinical alerts, including medication reconciliation messages, to any provider who has declared an Active Care Relationship with a patient when that patient is admitted, discharged or transferred by a participating hospital or acute care facility, allowing care teams to proactively address patient care following discharge. More than 97% of admissions statewide in Michigan are currently reported through this service. | Michigan, transitions of care, interoperability, adt, admission, discharge, transfer | |
| Active Care Relationship Service (ACRS) - MiHIN | The Active Care Relationship Service (ACRS) enables organizations to identify patient-provider attributions (called active care relationships) associating a particular patient with health providers at that organization. For health providers, an �active care relationship� indicates a patient has been seen by a health provider within the past 24 months, or is considered part of the health providers� active patient population they are responsible for managing. For payers, an active care relationship indicates a patient is an eligible member of a health plan. These attributions are used to accurately route transitions of care and other notifications for a patient to all members of their care team. | Michigan | |
| Prove My ID - MiHIN | Proving patient and provider identities to enable accurate exchange of health information is rapidly rising to the top of critical-path issues facing the health information technology sector. �Identity proofing� in the past typically has meant visiting a notary public with documents that prove your identity. To do this usually meant time spent travelling to a notary�s office, and time lost from normal daily activities. Remote identity proofing is a dependable, legal way to prove identity without having to drive to a notary�s office. MiHIN�s Prove My ID service allows consumers and healthcare professionals to conveniently, quickly prove their identities for the purpose of obtaining a trusted digital identity, which can in turn be used to acquire a Direct Secure Messaging account, or to access federated systems. | Michigan | |
| Medical Information Direct Gateway (MIDIGATE) - MiHIN | MIDIGATE is Software as a Service designed to streamline and organize the routing, processing and exchange of health information by providing a common process to accept incoming health information messages (such as CCD attachments sent via Direct messages), isolate the messages/attachments, and route them through the MiHIN Enterprise Architecture to their destination(s) in appropriate and acceptable formats. MIDIGATE leverages emerging Health Information Exchange (HIE) capabilities to give public health agencies, HIE organizations, and health plans access to accurate, structured data straight from providers, allowing for better care coordination, easier analysis, streamlined population management, and ultimately stronger support for quality incentives and higher quality ratings. | Michigan, direct secure messaging, interoperability | |
| Single Sign-On - MiHIN | This Use Case allows organizations to use either trusted identities of their own provision or MILogin trusted identities from the State of Michigan. This allows users to use Single Sign-On (SSO) across multiple healthcare services. As a result, users within the organization can maintain a single login ID and password (i.e. a trusted identity) which can access all services available through the Identity Exchange Platform based on the permissions given to them by the organization. Enabling SSO in healthcare requires a very solid �trust framework� where identities are thoroughly verified before allowing use of that identity across multiple systems. This SSO Use Case provides a trust framework and identity authentication technologies that allow trusted identities to be easily shared, distributed, maintained, exchanged and used across multiple healthcare systems, organizations, and services to enable widespread, secure Single Sign-On. | Michigan, single sign-on, federated identities, interoperability | |
| Common Key Service - MiHIN | The Common Key Service (CKS) use case provides a consistent and reliable way to match patients with their electronic health information across multiple organizations, applications, and services. One of the most important goals of sharing patient information electronically is helping doctors build complete, current pictures of their patients using health information from multiple sources. These sources can include other doctors or specialists, hospitals, clinics, pharmacies, skilled nursing facilities and any other healthcare setting where care is provided. Enabling doctors to gather the details to build these complete patient pictures requires accurate �patient-matching� to make sure electronic health information from outside sources is attached to the correct patient. These patient-matching challenges can cause higher healthcare costs and lower care quality in many ways. When a patient�s health information is shared among doctors who use different systems, a lot of effort is needed to find and evaluate variations and identify the correct patient in each health information system. Errors can and do occur, meaning the wrong information can be matched to a patient. | Michigan, common key service, patient matching, master person index, interoperability | |
| Health Provider Directory - MiHIN | MiHIN has developed a comprehensive provider directory that contains the necessary information to allow providers to securely communicate and exchange patient information, and that allows a level of�Provider Relationship Management� (PRM)�previously unavailable with existing solutions. In addition to providers, the MiHIN directory contains other caregivers that patients will likely encounter when seeking treatment, such as nurses, lab technicians, office staff, and care coordinators. This ensures that people who should have access to patient information can get it, as allowed by the patient. The directory also contains each provider�s preference for document formats to ensure seamless integration between offices. | Michigan, directory, interoperability, hpd, provider directory, electronic service information | |
| Supporting Closed-Loop Surgical Referrals with a SMART on FHIR Dashboard | Poor communication of pertinent patient health information between primary care and surgical providers during transitions of care is associated with a high rate of medical errors and adverse outcomes. Ensuring that health information is shared effectively among these different providers during transitions of care before and after surgery is critical to effective care coordination and closing the loop after a surgical referral is made. This project will design, implement, and evaluate a closed-loop surgical referral dashboard app, integrated with commercially available EHRs through a standards-based approach using SMART on FHIR. This referral dashboard will allow primary care and surgical providers to share a mental model of patient care, including shared goals and expectations, to support information exchange during surgical episodes of care from the time a referral is made through a patient's follow-up with primary care providers after surgery. This project is being conducted in collaboration between faculty in the Departments of Biomedical Informatics and Surgery (Division of Vascular Surgery) at the University of Utah, and informaticians at the Homer Warner Center at Intermountain Healthcare. | Care Transitions, Epic, FHIR, High Impact Pilot, Surgery | 09/15/2018 |
| High Impact Pilots (HIP): Interoperable Pharmacist Care Planning | Technology (HIT) awarded Lantana Consulting Group a High Impact Pilot (HIP) grant to develop standard care plans for pharmacist to deploy across the Community Pharmacy Enhanced Services Network (CPESN(SM))(https://www.communitycarenc.org/population-management/pharmacy/community-pharmacy-enhanced-services-network-cpesn/), a project of Community Care of North Carolina (CCNC)(https://www.communitycarenc.org/). Lantana will work with CCNC and two vendors, PioneerRx (https://www.pioneerrx.com/) and QS/1 (http://www.qs1.com/), to implement a Pharmacist Care Plan based on the generic Care Plan standard recommended in the ONC Interoperability Standards Advisory (ISA)( https://www.healthit.gov/sites/default/files/2016-interoperability-standards-advisory-final-508.pdf). In this pilot, Pharmacists will upgrade their pharmacy management systems to submit the Pharmacist Care Plans to CCNC. CCNC will receive the EHR-ready, standardized data supplied in the Pharmacist Care Plans to support their monitoring and patient coordination activities. This project will develop C-CDA templates, FHIR profiles, validating Schematron schemas, and XSLT transforms to convert between the C-CDA templates and FHIR profiles. | High Impact Pilot | 09/15/2017 |
| Behavioral Health Integration Project - Arkansas OHIT | As part of OHIT's Standard's Exploration Award from the ONC, OHIT is working with behavioral health providers serving the homeless community to increase communication and interoperability. Specifically, we are working to increase the use of electronic referrals, using HL7 and CCD exchange standards to send and receive behavioral health information to help coordinate transitions of care for the target population. | Standard Exploration Awards | 11/01/2017 |
| Leveraging the EHR to enable data collection at scale through the use of standards and technology | The use of electronic health records (EHRs) to capture structured patient data should allow those data to be reused for purposes other than direct patient care, but the current processes to develop and deploy EHR-based data collection forms are inefficient, particularly when scaled to dozens or hundreds of centers. We propose to launch externally-hosted electronic Case Report Forms (eCRFs) from within the EHR, pre-populate certain fields with standard elements that have been previously collected, and allow research study staff to complete the remaining fields and send the responses to an external data repository. We will use standards such as Retrieve Form for Data Capture (RFD) and Fast Healthcare Interoperability Resources (FHIR) to address this use case. We will partner with ImproveCareNow, a 92-center quality improvement and research network (learning network) that is focused on improving the care and outcomes of children and adolescents with inflammatory bowel disease (IBD). We will implement the workflow described above by using eCRFs from an ongoing pragmatic clinical trial involving ImproveCareNow that is being funded by the Patient-Centered Outcomes Research Institute (PCORI) and by extending ImproveCareNow’s existing informatics infrastructure to support the standards- based interfaces. | Standard Exploration Awards | 09/17/2017 |
| FHIR®-based Predictive Analytics: A Breast Cancer Pilot | FHIR®-based predictive analytics: A breast cancer pilot. Intermountain Health, Mass General Hospital and Sysbiochem are collaborating on developing services for deploying clinical predictive models using the HL7-FHIR standard. The services enable integration of family history data from EHR and predicted risk scores from the predictive models back into the EHR. Resources have been aligned with a goal of building a SMART app with the first use case of Breast Cancer. This project will serve as a testable pilot for integrating genomic and clinical data using FHIR for use by all stakeholders. | FHIR, interoperability, Standard Exploration Awards | 09/15/2017 |
| Patient Centered Data Home (PCDH) - Heartland Region | The Health Collaborative, Michiana Health Information Network, Great Lakes Health Connect, HealthLINC, Indiana Health Information Exchange, East Tennessee Health Information Network and the Kentucky Health Information Exchange are collaborating to share patient information among 7 HIE's under the leadership of Strategic HIE (SHIEC). The ONC High Impact Pilot grant has funded this pilot focused on the sharing of ADT and Clinical Summaries centered around where the patient resides. | High Impact Pilot | 09/14/2017 |
| Enhance/Upgrade the platform where C-CDA sample templates reside | Extend and modify C-CDA template samples as well as upgrade the platform where the C-CDA samples reside. Modify and enhance C-CDA samples by standardizing the sample metadata content, creating a single source for storing the samples and upgrading the samples to C-CDA R2.1. Develop a web application that provids indexing and searching the metatdata to improve C-CDA sample discoverability. | CCDA | 12/31/2016 |
| Define FHIR Repository processes | Ensure clarity about how the development of FHIR standards and stable FHIR implementation guides will occur, especially in the US realm. The project will address the need to design and implement policies and processes in the areas of specification development, maintenance and adoption of FHIR artifacts. Ensure clarity about how the development of FHIR standards and stable FHIR implementation guides will occur, especially in the US realm. The project will address the need to design and implement policies and processes in the areas of specification development, maintenance and adoption of FHIR artifacts. | FHIR | 3/31/2017 |
| AEGIS Touchstone : FHIR Testing Platform | AEGIS Cloud based Testing Platform Touchstone features multi-version support for HL7 FHIR leveraging Natural Language Processing (NLP) for FHIR Test Script Resources. Touchstone tests both from the Client and Server Side. Along with Conformance and Interoperability- and provides a starburst matrix illustrating percentage of Conformance/Compatibility to the specification. | FHIR | |
| Patient Unified Lookup System for Emergencies (PULSE) | When disasters occur, individuals may require medical attention from facilities and providers that do not have any previous history treating that patient, and from healthcare volunteers without access to their traditional EHR and HIE systems. Consequently, a victim's or evacuee's critical health information - medications, allergies, major illnesses, etc. - may be unavailable to disaster volunteers, emergency responders, and emergency facilities caring for them during or after a disaster. The "Patient Unified Lookup System for Emergencies" (PULSE) is being developed to allow disaster healthcare volunteers registered and authenticated through California's Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) system to retrieve health information for victims and evacuees from HIEs, hospital systems, and other sources statewide using national standards. | 07/26/2017 | |
| California Directory Services | Directory Services is a critical component of California’s strategy for statewide health information sharing among community HIEs, health systems and enterprise HIEs, and HIE service providers. In August 2016, CAHIE began development of an electronic services registry as part of Directory Services conforming to the emerging RESTful FHIR STU 3 specifications for Organization, Location, and Endpoint resources to support the Patient Unified Lookup System for Emergencies (PULSE) project. This registry will allow PULSE, as well as other qualified systems, to retrieve information about organizations, facilities, their relationships, and the means by which to exchange information with them electronically. | FHIR, healthcare directory, HIE, interoperability, provider directory | 07/26/2017 |
| Collaborative Health Record - Elation Health | The Collaborative Health Record (CHR) is an interoperability tool that helps providers caring for mutual patients to seamlessly share up-to-date patient information in real time. Using C-CDA standards and proprietary Elation technology as a vehicle for data mobility, patient information flows between all members of a Care Team, providing both on-demand access to clinical data and automatic updates following a new encounter. In combination with the Elation Health EHR, this information becomes increasingly actionable at the point of care — all with the intent to promote more informed clinical decision making and reduce fragmented patient information spread across the system. Currently the project is in beta in the Hawaii community with plans to expand across the US in 2017. | Care Coordination, CCDA, EHR, HIE, interoperability | |
| CQF Breast Cancer Decision Support | This project is intended to validate the use of the CQF standard for clinical decision support in oncology � namely the recommendation of treatment plans and suitable clinical trials. The current version of the Evinance CDS platform is production-level ready and supports the HL-7 Health eDecisions CDS Guidance Use Case (Use Case 2). Evinance strives to continuously support the latest CDS standards, hence the desire to pilot the use of the CQF standard for Breast Cancer CDS Guidance. For the pilot, we will use the Evinance Authoring Module to define a multi-disciplinary Breast Cancer Guideline and Clinical Trial. These will be published to the Evinance Decision Support Engine, which will then offer CDS Guidance through a RESTful web service. The service will receive patient information from the Evinance Workflow Automation Module and/or the Elekta MOSAIQ EHR in FHIR format and return back recommended treatment plans and/or clinical trials. | CQF, CDS, Oncology, FHIR | 7/1/2015 |
| CQF Cardiology Appropriateness of Use | The American College of Cardiology, in collaboration with other key specialty and subspecialty societies, authors, clinical guidelines, performance measures, appropriate use criteria, and other content to improve the delivery of healthcare. The ACC Appropriate Use Criteria (AUC) for the multimodality approach to the detection and risk assessment of ischemic heart disease (Wolk MJ et al., J Am Coll Cardiol 2014;63:380�406) describes current recommendations for the selection and application of non-invasive and invasive diagnostic testing for the detection and risk assessment of stable ischemic heart disease (SIHD). Included are elements of both clinical decision support (CDS) and clinical quality measurement (CQM) that align with the pilot demonstration goals of the CQF initiative. | CQF, CDS, Cardiology, AUC, FHIR | 7/1/2015 |
| CQF Chlamydia Screening | The goal of this pilot is to demonstrate the�usability of the new specifications (Quality Improvement and Clinical Knowledge or QUICK data model,�Clinical Quality Language or CQL), where the standards need improvement, and to provide experiential input on how the specifications will serve future implementations in Electronic Health Record systems. This pilot will be focused on�how QUICK and CQL can be successfully tailored to suit the needs of implementers interested in supporting clinical decision support (CDS) and clinical quality measures (CQM) for screening, treatment, and follow-up of�chlamydia trachomatis�infection in community settings. | CQF, CDS, Chlamydia, FHIR | 7/1/2015 |
| CQF Immunization Decision Support Services | The pilot team intends to demonstrate in a live Immunization Calculation Engine (ICE) instance that a FHIR profile aligned with QUICK, can successfully be processed by ICE. Demonstrating that a dataset used by a typical immunization forecaster can be properly supported by the CQF standards helps ensure that CQF standards could be leveraged by other immunization forecasters. In addition, adopters may find ICE more in line with other CDS engines that they are consuming are operating. | CQF, CDS, Immunization, FHIR | 7/1/2015 |
| CQF Ischemic Vascular Disease - IVD | In this pilot, Motive will demonstrate that a shareable ECA rule can be created, deployed, and executed in at least�one third-party clinical system, such as an electronic health record (EHR), or by a cloud-based CDS service, using�the CQF standard for artifact representation. | CQF, CDS, IVD, FHIR | 7/1/2015 |
| CQF Phenotype Execution and Modeling Architecture | The proposed project will design, build and promote an open-access community infrastructure for standards-based development and sharing of phenotyping algorithms, as well as provide tools and resources for investigators, researchers and their informatics support staff to implement and execute the algorithms on native EHR data. | CQF, CDS, Phenotype, FHIR | 7/1/2015 |
| CQF Radiology Appropriateness of Use | The goal of the pilot is to provide ordering physicians Point of Order access to Appropriate Use Criteria for Imaging orders. Appropriate Use Criteria provides feedback as to the appropriateness score for an imaging order. Each imaging order is assigned a unique decision support identifier and appropriateness score and users are presented feedback in the form a score and suggested alternate exams. This decision support data is recorded within the EHR. This data and activity is also recorded in the CDS service for Quality Measurement. | CQF, CDS, Radiology, AUC, FHIR | 7/1/2015 |
| CQF CDC Opioid Management | The goal of the pilot is to provide automatable decision support artifacts based on the CDC's Opioid Management Guidelines. The artifacts will be represented using the FHIR Clinical Reasoning module and integrated with both Epic and Cerner systems. | CQF, CDS, Opioid Management, FHIR | 8/1/2017 |
| CQF DIGITizE Project | The goal of the pilot is to provide automatable decision support artifacts based on the DIGITizE Parmacogenomic Ordering Support Implementation Guide. Artifacts will be represented using the CQF format. | CQF, CDS, DIGITizE, Pharmacogenomics, FHIR | 12/31/2016 |
| CQF NCCN Oncology Order Templates Project | The goal of the project is to use the FHIR Clinical Reasoning Module to express National Comprehensive Cancer Network Chemotherapy Order Templates in a way that supports automatic ingestion and application of the templates to a specific patient in context. | CQF, CDS, Oncology, FHIR | 12/31/2018 |
| CQF Zika Virus Project | Demonstrate through the Zika use case a methodology for producing computable artifacts in support of the overall CDC All Hazards Approach. This project builds on the work already done as part of the CDC All Hazards Zika project at the September HL7 FHIR Connectathon. | CQF, CDS, Zika, FHIR | 1/31/2017 |
| Update C-CDA Value Sets | 1. Review and perform 'quality assurance' (QA) against current C-CDA value set definitions in VSAC (Value Set Authority Center) by: a. Confirming all value sets are present; b. Confirming current scope/definition of value sets; c. Confirming the dependent code systems of value sets; d. Confirming the current expansion sets of value sets; e. Creating expression based definitions for all value sets. 2. Identify the key CCDA community members that are involved in the use and maintenance of CCDA Value Set content that must be engaged in the project along with their responsibilities for value set maintenance, including gaps in support 3. Define requirements and processes for ongoing maintenance of C-CDA value sets; implement those requirements and pilot the processes for C-CDA value sets so as to establish a new baseline collection of up-to-date CCDA value sets. 4. Continue the work as defined in #3 to develop value set updates and present those changes as issues for discussion or errata to the Structured Documents Work Group (SDWG) on an ongoing basis. Collaborate with the SDWG on the resolution of these changes by hosting a wiki consensus review. 5 .Integrate VSAC with the open-source Trifolia template development tool. | C-CDA, CCDA, HL7, interoperability | 11/17/2017 |
| Sync for Genes | Genomic data sharing is critical to the Precision Medicine Initiative (PMI) and the next impetus of genetic research by a new wave of researchers. Sync for Genes will strengthen genomic data sharing, including data from next generation sequencing (NGS) laboratories, in a consistent and usable way via point-of-care applications. In January 2017, five pilot groups representing a variety of organizations covering specific facets of genomic data began leveraging and testing enhancements to the HL7 Clinical Genomics Workgroup Group suite of standards developed as part of the Sync for Genes effort. The five pilot groups and focus are: Counsyl with Intermountain Healthcare (Family Health History Genetics); Food and Drug Administration (Sequencing Quality and Regulatory Genomics); Foundation Medicine with Vanderbilt University Medical Center (Somatic/Tumor Testing); Illumina (NGS Sequencing Solutions); and National Marrow Donor Program/Be The Match (Tissue Matching) Feedback from the pilots will used by Sync for Genes to ensure the development of open source validation scripts and implementation guidance documents to support needs in the field of genomics for others to utilize. Ultimately, Sync for Genes will create a foundation for widespread use of genomic data to be shared in the All of Us Research Program and future studies. | FDA, FHIR, ONC-led, PMI, Standards, Sync For Genes, Testing, Use Case, genomics, HHS, interoperability, IPG, NGS, NIH, omics, ONC | 06/04/2017 |
| EMDI- Topline Healthcare Interoperability Pilot | Pilot Contact: Mark Kimmel ([email protected]), Susan Nussbaum ([email protected]). Pilot Goal: The outcome of the Interoperability pilot will be to show the interoperability of electronic submissions from providers-to-lab, results to providers, and electronic education to patients to support care. It is our goal to support measurable outcomes. This is the Concerted Care Group, Harwood Labs, and Topline Healthcare pilot. | EMDI, HL7, interoperability, Provider-to-Lab, Connect, HealthcareIT, Topline_Healthcare, Mark_Kimmel | 10/31/2017 |
| EMDI- Medforce Technologies Interoperability Pilot | Organization: Medforce Technologies POC: Nathan Apter Phone: 845-426-0459 Pilot Goal: Our goal is to facilitate the efficiency, security, and effectiveness of documentation transmission between hospitals and DME/HHA/Lab providers. With the three use cases already identified (order, documentation request, signature request) as well as others that may be uncovered, we strive to develop technologies that will help healthcare providers streamline their processes, reduce costs and improve patient care. | EMDI, HIH, HISP, Provider-to-Provider | |
| EMDI- Health Aid Of Ohio Interoperability Pilot | Organization: Health Aid Of Ohio POC: Jennifer Sylvester Phone: 216-252-3900 Pilot Goal: As the contracted DME Provider for Metro Health Hospital we would like to improve the ordering process within the EPIC system. This will improve patient care and decrease the documentation burden for our referral sources. | EMDI, HHA, Provider-to-Provider | |
| CDA Example Task Force | Developers and implementers love examples. HL7 launched the CDA Example Task Force in the Fall of 2013 in response to implementer requests for more examples. The task force collects implementer generated examples, certification examples, and refines them to demonstrate best practices. Examples vetted through the task force are reviewed and approved by the full Structured Documents committee. To improve discoverability, HL7 launched a search tool to help implementers search the repository of over 70 examples. The task force meets weekly and is open to new submissions. | C-CDA, CCD, CCDA, Certification, HL7, interoperability, Meaningful Use | 09/30/2018 |
| EMDI- ABILITY Network Interoperability Pilot | Organization: ABILITY Network POC: Jennifer Crandall (Product Manager, Clinical Applications), Soo Hyun Choi (Product Manager) Pilot Goal: ABILITY is dedicated to helping our customers solve the problem of document exchange between providers. This pilot needs volunteers from both sides of the document exchange use cases between HHA and Hospitals. ABILITY will represent the HHA customer and we will be paired with (facilitated/assisted by CMS) another vendor representing the hospital customer. ABILITY recognizes a successful outcome will require a willing and able vendor partner to represent the hospital customer/data so we can work to be able to exchange documents indicated in the defined use cases. Once we have paired with such a partner, we expect to solve the three EMDI HHA pilot use cases designed to promote provider-to-provider communications in a healthcare environment. | EHR, EMDI, interoperability, Provider-to-Provider | |
| EMDI- Encompass Home Health Interoperability Pilot | Organization: Encompass Home Health POC: Kasey Morgan, Scott Beard Pilot Goal: To automate the interoperablity critical information for patient records by implementing the EMDI Implementation guide and conducting the EMDI use cases for HHA. | EMDI, HHA, interoperability, Provider-to-Provider | |
| EMDI- Medical Service Company Interoperability Pilot | Organization: Medical Service Company POC: Judy Bunn, Compliance Manager/AAHC Reg Council Chair; Michael McGill ,VP IT/Business Development; Pilot Goal: To be able to help test EMDI use for intake and communication between ordering referral and provider to attain compliance with payer rules. | EMDI, interoperability, Provider-to-Provider | |
| EMDI- Brightree Interoperability Pilot | Organization: Brightree POC: Nick Knowlton, VP; Gary Bartlett, Product Manager- Interoperability Pilot Goal: To enable these interoperability services in our HME/DME and Home Health & Hospice product lines for the benefit of our providers and their patients. We have been live with specific subsets of the use cases since 2016. | CMS, Completed Pilots, DME, EHR, EMDI, Epic, HHA, interoperability, post-acute, Provider-to-Provider | 01/01/2018 |
| EMDI- Main Street Medical Interoperability Pilot | Organization: Main Street Medical POC: Casey Bateman, Manager; Joel Johnson, MD; Pilot Goal: Evidence based guidelines to be utilized in claim adjudication. Automate pre-claim audits. Decrease CMS administrative expenses. Change medicare compliance integration of clinical data for coordination of care and claim management. | EMDI, interoperability, Provider-to-Lab | |
| EMDI- South Coast Radiologist Interoperability Pilot | Organization: South Coast Medical POC: Patricia Shapiro, MD, Owner/Medical Director; David Esth, MD, Owner; Pilot Goal: Evidence based guidelines to be utilized in claim adjudication. Automate pre-claim audits. Decrease CMS administrative expenses. Change medicare compliance integration of clinical data for coordination of care and claim management. | EMDI, interoperability, Provider-to-Lab | |
| EMDI- Southeastern Pathology Associates Interoperability Pilot | Organization: Southeastern Pathology Associates POC: Barham Cook, COO; Pat Godbey, CEO Lab; Pilot Goal: Evidence based guidelines to be utilized in claim adjudication. Automate pre-claim audits. Decrease CMS administrative expenses. Change medicare compliance integration of clinical data for coordination of care and claim management. | EMDI, interoperability, Provider-to-Lab | |
| EMDI- Advantage Dermatology Interoperability Pilot | Organization: Advantage Dermatology POC: Oliver Perez, MD, CEO; Betly Paulin, COO; Pilot Goal: Evidence based guidelines to be utilized in claim adjudication. Automate pre-claim audits. Decrease CMS administrative expenses. Change medicare compliance integration of clinical data for coordination of care and claim management. | EMDI, interoperability, Provider-to-Lab | |
| EMDI- Radiology Tracker Interoperability Pilot | Organization: Radiology Tracker POC: Sidney Smith, MD, CEO; Pilot Goal: Evidence based guidelines to be utilized in claim adjudication. Automate pre-claim audits. Decrease CMS administrative expenses. Change medicare compliance integration of clinical data for coordination of care and claim management. | EMDI, interoperability, Provider-to-Lab | |
| EMDI- Pathology Tracker Interoperability Pilot | Organization: Pathology Tracker POC: Sidney Smith, MD, CEO; Pilot Goal: Evidence based guidelines to be utilized in claim adjudication. Automate pre-claim audits. Decrease CMS administrative expenses. Change medicare compliance integration of clinical data for coordination of care and claim management. | EMDI, interoperability, Provider-to-Lab | |
| EMDI- Encite, Inc. Interoperability Pilot | Organization: Encite, Inc. POC: Ed Horner, CEO; Donald Stewart, CTO; Pilot Goal: Evidence based guidelines to be utilized in claim adjudication. Automate pre-claim audits. Decrease CMS administrative expenses. Change medicare compliance integration of clinical data for coordination of care and claim management. | EMDI, interoperability, Provider-to-Lab | |
| EMDI- Hyland OnBase Interoperability Pilot | Organization: Hyland OnBase POC: Mike Hurley, Manager; William Canter, Alliance Manager; Pilot Goal: The long-term vision of Mackinac is to address the entire OnBase healthcare ecosystem including durable medical equipment (DME) suppliers, home health agencies, government agencies, manufacturer and a number of other healthcare entities. The Mackinac pilots are focused on the Electronic Medical Documentation Request (EMDR) use case. An implementation team will setup Mackinac in your test environment to allow your users to test the sending and receiving of messages/attachments via clearinghouse to participating provider organizations. | EHR, EMDI, EMR, interoperability, Provider-to-Provider | 08/01/2019 |
| EMDI- Almost Family Inc. Interoperability Pilot | Organization: Almost Family Inc. POC: Robert Cornell, Chief Information Officer; Perry Pruett, VP of IT; Pilot Goal: We hope to partner with our EMR vendor, Homecare Homebase, and some hospitals to validate the use cases using HL7's FHIR framework. | EMDI, interoperability, Provider-to-Provider, Providers | |
| EMDI- Suncoast RHIO Interoperability Pilot | Organization: Suncoast RHIO POC: Louis Galterio, President/PM/PI; Christopher Sullivan, VP; Pilot Goal: This activity supports the well documented goals of HHS and the medical community to insure connectivity within the Gap Continuum is achieved when electronic means are available and is in line with regulation advancement. | DME, EMDI, HHA, interoperability, Provider-to-Provider | |
| Rio Grande Valley Health Information Exchange - Interoperability Technology | Forcare enables the RGV HIE to bring a county-level infrastructure solution that connects information between participating health care organizations and providers in extreme South Texas by integrating disparate systems and enabling the exchange and use of critical patient information for making care related decisions at the point of care. | FHIR, XDS, interoperability, IHE, HIE | 08/01/2019 |
| University of Kentucky HealthCare - Interoperability and Cost Savings Achieved | UK HealthCare is now able to implement a new enterprise interoperability system all while keeping the same viewers, PACS, EHR, and other technologies in place. Forcare’s interoperability platform empowered the existing EHR with the functionality they needed. Without Forcare’s involvement, there would have been a necessary replacement of existing technologies that would have taken years to fully implement. Instead, the interoperability goals were achieved at a fraction of what it would have cost for the alternative situation. | EHR Integration, FHIR, IHE, interoperability, XDS | 08/31/2019 |
| EMDI- University of Pittsburgh Interoperability Pilot | Organization: University of Pittsburgh POC: Brad Dicianno Pilot Goal: Power mobility devices (PMDs) such as power wheelchairs and scooters are crucial for mobility, self-care, employment, and leisure activities. The documentation process for insurance coverage is complex, and requires multiple stakeholders. The objective of this project was to develop an electronic submission process for medical documentation for PMDs submitted for preauthorization to a Medicare Administrative Contractor (MAC). | EMDI, interoperability, Provider-to-Provider | 08/15/2018 |
| Connectivity Improves Quality Metrics for Annual Diabetic Eye Exams | Objective: Assist health systems with meeting important quality metrics by providing their community members who continue to fax with an easy and affordable standards-based interoperability solution. Description: This particular project centers around connecting the optical community to the health system as they transition to value-based care. Patients who fit the criteria for comprehensive diabetic eye care require an annual diabetic eye exam1. Normally, these exams are performed by ophthalmologists or optometrists who are not part of the health system’s physician network and who bill claims against a vision plan rather than a health plan. The health system would receive documentation as a fax or letter asynchronous to the visit, making it difficult to track. Kno2’s interoperability platform solves this issue by bringing the data into the patient’s hospital health record at the time of service as a Direct message, driving better patient outcomes and greater visibility into care delivered outside their walls – lowering the total cost of care, while supporting the shift to alternative payment models. Combining the technology of Kno2 with the influence of a health system and a proven community outreach program, we are helping to accelerate interoperability within entire geographies by raising awareness, driving adoption and removing the historical barriers that have prevented electronic care coordination between providers. In this use case, the optometry clinic activates their Kno2 account. They can then receive referrals electronically on patients who need a diabetic eye exam. The clinic contacts the patient to schedule the exam. Results of the eye exam are consistently delivered back to the PCP via Direct message and can be incorporated directly into the patient’s electronic medical record. The PCP can determine the next course of action for the patient as well as document that the requirements for the annual exam were met to meet quality metrics. | bundled payments, DIRECT, NQF, ophthalmology, quality metrics, quality reporting, retinopathy, Value-based Care, vision, direct secure messaging, EHR, Epic, Expected Outcomes: • Improve referrals and follow-up for diabetic patients requiring an annual eye exam • Improve quality measu, eye, Health Systems, interoperability, Kno2 | 03/02/2018 |
| Reduce Skilled Nursing Facility Readmissions | Objective: Assist health systems to reduce readmission rates in bundled payment arrangements by providing community-wide SNFs who continue to fax with an easy & affordable standards-based interoperability solution. Description: A longstanding barrier to broad connectivity has been the awareness of interoperability and EMR capabilities of external providers, particularly in post-acute setting –skilled nursing, assisted living, behavior health, therapies and others. Health systems, HIEs & large physician groups are challenged to meet interoperability measures as they transition to value based care. Without interoperability, they struggle to gain visibility to care delivered outside their four walls –which is necessary to meet MU & ACI measures under MIPS/MACRA, but also for the greater goal of improving care coordination with these valued partners –resulting in better patient outcomes while they shift to alternate payment models. Kno2.iQ™ is a data-driven service offered to health systems & providers to quickly drive connectivity & interoperability adoption throughout a community using referral patterns as the driver. Kno2.iQ collects, analyzes & reports on data from many different sources, including CMS, to quickly identify the best connection option available between providers in a given geography or health referral region. This particular project centers around connecting skilled nursing facilities (SNF) to the health system. It streamlines referrals and helps patients move out of the hospital (ie the most expensive venue of care) to the appropriate venue in a more timely & efficient way. It also gives doctors at the hospital (who are ultimately responsible for the cost & quality of care) a direct line of sight into what is occurring at the SNF. By streamlining the flow of information bidirectionally, they can coordinate care more effectively, shortening the length of stay & reducing readmission rates while ensuring patients are managed appropriately. | ACO, bundled payments, post-acute, reduce readmissions, Skilled Nursing Facilities, SNF, Value-based Care, DIRECT, direct secure messaging, EHR, Health Systems, interoperability, Kno2, Kno2.iQ, narrow networks | |
| EMS Connectivity | Objective: Drive interoperability between the hospital and EMS agencies throughout the patient’s transport and hospital stay – impacting the quality of care, patient safety and outcomes reporting. Description: Every year, approximately 30M patient transports take place in the US. Historically, when patients are transported to the hospital by EMS agencies, acute care information is typically shared verbally with the ED, while in non-acute cases, documentation is often sent via fax within 24 hours of patient delivery to meet Joint Commission requirements. This process creates an additional burden on both sides, as ePCR information must be printed and faxed by the EMS agency and later entered into the hospital’s EHR. Additionally, EMS agencies spend time tracking down patient’s name and health insurance carrier so that they can get reimbursed. In this use case, Kno2 creates the connectivity between the EMS agency and the hospital. Through our platform, Kno2’s integrated EMS EMR partners can: • Broadcast query by EMS crew to providers surrounding patients home for most recent meds, allergies, problem list, recently performed procedures, etc. – (Carequality, Commonwell, P2P HIE) –allowing them to provide safer care during transport • Transition of care from EMS crew to the hosp staff – (Direct message with C-CDA) • Complete prehospital report from EMS agency to hosp HIM/compliance staff – After they deliver the patient to the ED, EMS agencies prepare and send the ePCR to complete the record of care and meet regulatory requirements (Direct message, HL7, MDM, IHE) • Outcomes data - Upon discharge, the hosp can provide the patient treatment and outcomes data within a C-CDA and deliver it via Direct message, or the EMS agency can query for outcomes, confirming accuracy of treatment to ensure ongoing improved quality of care – (Direct message with C-CDA, Carequality, Commonwell) • Payer information - EMS agency can query for pymt info & submit for timely reimbursement | C-CDA, Carequality, interoperability, Kno2, MDM, CommonWell, DIRECT, direct secure messaging, EHR, EMS, HL7, Hospitals, IHE | |
| Kno2 Developer Program | Kno2’s cloud-based interoperability platform aggregates all forms of standards-based exchange into a single solution, accessible through a simple set of APIs. Vendors can integrate within days, removing the burden of months of development time, money and resources. As a result, healthcare providers can become interoperable and exchange patient documents electronically across all of healthcare's major networks simply by registering online and completing the security steps to obtain their own Kno2 account. Virtually any healthcare technology platform or provider then positioned for better care coordination and patient outcomes by making the sharing of documents easy, cost-effective and secure. | APIs, Carequality, RESTful, cloud-fax, CommonWell, DIRECT, directory, e-fax, IHE, Kno2, query | |
| EMDI- Professional Pathology Services Interoperability Pilot | Organization: Professional Pathology Services POC: Paul Guerry, Managment Committee; Pilot Goal: Evidence based guidelines to be utilized in claim adjudication. Automate pre-claim audits. Decrease CMS administrative expenses. Change medicare compliance integration of clinical data for coordination of care and claim management. | EMDI, interoperability, Provider-to-Lab | |
| EMDI- Netsmart Interoperability Pilot | Organization: Netsmart POC: Andy Fosnacht Pilot Goal: Its Netsmart's expectation that through the pilot we will be able to connect HHA's to their partner hospital system(s) for the purpose of receiving/sending referrals as well as document order forms for signature, electronically. | EMDI, HHA, interoperability, Provider-to-Provider | 09/01/2019 |
| ADVault, MyDirectives.com Patient Generated Health Data Registry Project | ADVault participated in the HL7 FHIR Connectathon 14 on January 14-15, 2017. During the Connectathon, ADVault demonstrated the ability to generate unstructured, Level 2 and Level 3 CDAs for Personal Advance Care Plan Documents implementing the HL7 standards. Then, ADVault demonstrated how a combination of Direct messaging and FHIR APIs can be used to create a registry/repository for non-clinical, patient-generated health data (PGHD). In the C-CDA on FHIR and Attachments Tracks, the PGHD registry requested (communicationRequest) and received a PACP from a person (solicited communication), or received PACP information from the person (unsolicited communication). Next, a healthcare provider or payer actor requested information on the person's PACP from the PGHD registry (communicationRequest). The registry responded (solicited communication) by providing the requested information to providers and payers as consented. ADVault is now working with Document Sources and Document Consumers to collect, store and deliver PGHD into the EMR. | Advance Care Directives, C-CDA, CDA, EHR, FHIR, HIE, HL7, interoperability, Patient Portal, PHR | 01/15/2017 |
| Clinical Data Collection Pilot - ChartPull by BloomAPI | BloomAPI is currently running multiple pilots to help organizations pull clinical data from a diverse set of EMRs. Pilot organizations include Medicare Advantage plans, Oregon CCOs, Chronic Care Management Organizations and ACOs. The goal of the pilot is to demonstrate the cost effectiveness of using ChartPull, instead of traditional manual record collection or standard HL7 integrations. ChartPull helps organizations liberate their medical data, focused on extracting clinical data from a diverse set of EMRs. BloomAPI, the team behind ChartPull, has been building Open Source projects in the Health Care space for over 3 years. | C-CDA, EHR, EMDI, FHIR, HIE, HL7, IHE, interoperability | 10/02/2019 |
| EMDI- ResMed Interoperability Pilot | Organization: ResMed POC: Larissa D’Andrea, Director, Government and Regulatory Affairs; Roxie Murray, Sr. Program Manager, GoScripts Solution, Healthcare Informatics; Pilot 1: (Provider-to-Provider) Demonstrate interoperability between referral source (physician group or hospital EMR) and DME supplier through an electronic scripting platform for the delivery of DME. Pilot 2: (Oxygen eClinical Template) Demonstrate that GoScripts can verify all fields are completed per the finalized oxygen template before DME can be dispensed. Pilot Goal: Our goal for the first pilot is to integrate GoScripts with a referral source EMR to seamlessly deliver DME prescriptions to a DME supplier for digesting. After the success of the first pilot, our second goal is to demonstrate that GoScripts can comply with all Oxygen eClinical Template requirements to verify that all items are met before authorizing a DME supplier to dispense a DME. | eClinical_Template, EMDI, interoperability, Provider-to-Provider | 10/01/2018 |
| EMDI- Competech SmartCard Solutions Inc. Interoperability Pilot | Organization: Competech SmartCard Solutions Inc. POC: Mark Bushee, President; Greg Thornton, CEO; Pilot Goal: Working with CMS, Scope InfoTech, and other EMDI P2P participants, Competech will adapt, customize, and pilot its existing HSID HIT platform to facilitate and demonstrate the secure exchange and meaningful use of electronic health records for hospitals, physicians, Home Health Agency (HHA) services, Durable Medical Equipment, Prosthetic, Orthotic, & Supplies (DMEPOS), labs, comprehensive primary care networks such as CPC+, and virtual physician networks. The meaningful use goals or expected outcome(s) are to decrease the improper payment rate minimize claim appeals reduce administrative burden and costs for providers, payers and suppliers of DMEPOS and improve provider-to-provider communication. | EMDI, interoperability, Provider-to-Provider | 02/01/2019 |
| EMDI- Cognosante Interoperability Pilot | Organization: Cognosante POC: Phil Surine, Client Services; Mike Lundie, HIE Director; Pilot Goal: Cognosante desires to participate in an EMDI pilot to test the feasibility of a particular use case where a patient's medical documentation is made available to the authorized requesting entity by means of a specially designed HL7 FHIR based medical documentation viewer. We intend to demonstrate the workflow for authorization, technical feasibility of using FHIR resources to obtain the necessary data; and the ability to demonstrate the time saving obtained by not having to reproduce medical documentation for delivery to a requesting party. | EMDI, FHIR, HIE, HL7, interoperability, Provider-to-Provider | 12/31/2018 |
| FHIR based terminology server at NewYork-Presbyterian Hospital, NY, NY | NewYork-Presbyterian Hospital has a robust terminology service that maintains clinical concepts in a large semantic data network. Active since the 1980s, the terminology repository originated at Columbia as the Medical Entities Dictionary (“the MED”), and is one of the first distinct terminology systems to be integrated with an EHR. Historically, terminology from the MED is served via C programs that provide direct shared memory access or via a web browser. In this proof-of-concept project, we provide FHIR capabilities to the MED to allow FHIR based queries for code translations. | FHIR, interoperability, Standards, Terminology, Vocabulary | |
| Continua Design Guidelines CODE for Healthcare by PCHAlliance | The Personal Connected Health Alliance has released a set of Request for Information inviting companies innovating in the healthcare IT market to lead the development of commercial software to implement Personal Health Devices, Services, and Health Information Systems interfaces per the Continua Design Guidelines. There are several specific deliverables outlined across four RFIs: Develop a commercial ready software framework and platform to implement the Personal Health Gateway (PHG) side of the Bluetooth LE transport of IEEE 11073 compatible data across the PHD Interface as constrained in the H.811 Personal Health Devices Interface Design Guidelines. Develop a commercial ready software framework and platform to implement the PHG side of the Questionnaire & Questionnaire Response capability across the Services Interface. Develop commercial ready software services to implement the Questionnaire and Questionnaire Response capability for the Health & Fitness Service as defined in the H.812.2 Questionnaire Capability Continua Design Guidelines. Develop commercial ready software services to implement the delivery of a PHMR using XDR to a Health Information Service as defined in the H.813 Health Information System Interface Continua Design Guidelines. Documentation, tests, and test reports used during developing of the source code will be leveraged and packaged to the extent practical to facilitate regulatory approvals. The RFIs may be downloaded at https://members.pchalliance.org/document/dl/1166 | 11073, architecture, IHE, interoperability, Product Certification, C-CDA, CCD, CDA, Device Categorization, DIRECT, ehealth, EHR, FHIR | 01/01/2020 |
| CDA Viewer - Medical Record Rendering Application and Server | This application was initially based on the winning entry of the HL7/ONC C-CDA Rendering Tool Challenge (see https://github.com/brynlewis/C-CDA_Viewer). That tool has been further developed and implements extended CDA viewing functionality, allowing easy viewing, analysis and editing of CDA files. We are interested in collaborations and requests for further feature development. Features include: Personal privacy and security. Multiple document loading. Structure and Validation reporting of a batch or single document. Patient feedback collection. Review functionality. Quality assurance checking: The machine readable (XML) version of the document can be viewed and easily compared to the narrative text. Document details including author are immediately accessible. Provenance and authorship assessment. Visual indicators of Section linking. Access Logging. As well as being a standalone desktop application, the Viewer can installed as a server to allow integration with third party systems via a http request.. | C-CDA, CCDA, CDA, HL7 | |
| EzVac: Immunization Forecasts using FHIR at the NewYork-Presbyterian Hospital | In the 1990s, NewYork-Presbyterian Hospital began developing a comprehensive, standards-based immunization information system. The system, known as EzVac, contains a large repository of immunization history and has been operational since 1998. It uses HL7 Version 2 messaging and communicates with multiple EHRs affiliated with NewYork-Presbyterian hospital as well as with the NY City Immunization Registry. In this proof-of-concept project, our goal is to provide clinical decision support on vaccine forecasting via FHIR services. Additionally, we are extending our implementation to provide FHIR based queries for immunization within our institution. | EHR, FHIR, Immunization, Immunization Registry, interoperability | |
| Western Collaborative Patient-Centered Data Home | 5 states connected to be able to let the data follow the patient where they are. | Arizona, Colorado, HIE, Idaho, interoperability, Nationwide Network, Nebraska, Nevada, SHIEC, Utah | |
| Operationalizing Best Practices in Emergency Medicine | UCHealth was awarded a Proof-Of-Concept grant from the Colorado Office of Economic Development and International Trade (OEDIT), and selected RxRevu as its partner to co-develop technology that operationalizes evidence-based best practices in Emergency Medicine. Since this technology was launched at UCHealth in October of 2016, there has been marked improvement in the prescribing of first-line antibiotics and marked reduction in non-recommended antibiotics. These recommendations are condition specific and based on UCHealth's antibiogram in an effort to reduce antibiotic resistance and improve outcomes. | FHIR | 5/1/2018 |
| Optimizing Detection and Treatment of High-Risk Heart Failure Patients | RxRevu was awarded an Early Stage Capital and Retention grant from the Colorado Office of Economic Development and International Trade (OEDIT). This grant, in collaboration with UCHealth, funded a project to automatically detect when high-risk heart failure (HF) patients are not prescribed evidence-based medications, and gives healthcare providers a non-interruptive method to ensure their HF patients are taking medications proven to improve quality of life, prevent death, reduce hospitalizations, and lower healthcare costs. | FHIR | 2/28/2018 |
| Development of Mental Health Prescription Decision Support with Pharmacogenetics | Prescribing medications for mental health remains a challenge. In an effort to use unbiased biological data to improve prescribing in mental health, RxRevu partnered with the Mental Health Center of Denver and was awarded a Phase I Small Business Innovation Research grant from the National Institute of Mental Health (NIMH) to develop a software tool that converts a patient's pharmacogenetic test results into a digestible/machine readable format, and incorporates mental health provider preferences into a user interface that serves as a one-stop view in the Electronic Health Record for mental health providers to make the most up-to-date and informed decisions about what medications they select for their patients. | FHIR | 4/4/2018 |
| Implementing STEPSTools: Evidence-Based Dosage Rounding and Prescribing Heuristics in Pediatrics | RxRevu and Vanderbilt University Medical Center are collaborating to build Safety Through E-Prescribing Tools (STEPSTools), a knowledge platform designed for determining potential formulations to reach the target dosage, within the rounding tolerance specific to each pediatric medication. These formulations will then be scored and prioritized in the user interface, based on safety and efficacy. The number of tablets/administrations, volume and proximity to target dose will be taken into consideration when scoring the options. A narrative will be generated to provide documentation for the scoring and recommendations. This project is funded by a Phase I SBIR through the National Institute of Child Health and Human Development (NICHD). | FHIR | 9/4/2018 |
| Pediatric Antimicrobial Stewardship Guidelines at the Point of Care | Many aspects of antimicrobial stewardship require "boots on the ground" methods or annual updates to large instruction manuals to disseminate new evidence. RxRevu and Children's Hospital Colorado (CHCO) are collaborating to bring CHCO's pediatric antimicrobial stewardship guidelines directly to the point of prescribing, in the provider's electronic health record (EHR) workflow. Meaning institutional standards for first-line medications and appropriate dosages per infectious condition will be surfaced in an actionable manner directly in the EHR. | FHIR | 3/1/2018 |
| Sync for Genes Phase 2 Pilot - National Marrow Donor Program (NMDP) | NMDP collects molecular biomarker data such as HLA and KIR used for matching patients needing life-saving hematopoietic stem cell transplants with potential donors. NMDP currently collects these data using Histoimmunogenetic Markup Language (HML) formatted reports. This includes capturing information about the specimen tested, the lab test performed, the loci targeted, the consensus sequences found, and the alleles assigned. NMDP believes that this standards-based work will make it possible for it to achieve its vision of exchanging patient/donor immunogenetic data with consent directly with EMRs, typing labs, and other healthcare and research systems. To pilot this work, the Stanford Blood Center sent HLA genotyping data in HML format that was collected as part of the 17th International HLA & Immunogenetics Workshop. This data is converted to FHIR® format using a HML2 FHIR® tool developed and uploaded to our FHIR® server for later analysis and interpretation. | All of Us, Clinical Genomics, ONC-led, PMI, Precision Medicine, Sync For Genes, EHR, FHIR, genomics, HL7, interoperability, NGS, NIH, ONC | 03/22/2019 |
| Edge Testing Tool (ETT) | The Edge Testing Tool is a collection of testing utilities created to validate the requirements of the ONC 2014 and 2015 Edition Health IT Certification Program. The Edge Testing Tool was originally designed to test only network "Edge" capabilities, but over time assumed HISP and other transport testing abilities, along with C-CDA and content validation utilities. The Edge Testing Tool software is open source and available for download. | ETT, ONC | |
| Standards Implementation & Testing Environment (SITE) | The Standards Implementation & Testing Environment (SITE) is a centralized collection of testing tools and resources designed to assist health IT developers and health IT users fully evaluate specific technical standards and maximize the potential of their health IT implementations. SITE is organized in a collection of sandboxes that provide test tools, sample data, collaboration resources, and useful links. | SITE | |
| Consumer Health Data Aggregator Challenge | The Consumer Health Data Aggregator Challenge is intended to spur the development of third-party, consumer-facing applications that use the FHIR API to help consumers aggregate their data in one place and under their control. This challenge will focus on solving the problem that many consumers have today - the ability to easily and electronically access their health data from different health care providers using a variety of different health IT systems. | FHIR | 1/11/2017 |
| Provider User-Experience Challenge | The Provider User-Experience (UX) Challenge incents the development of applications that use the FHIR API to enable innovative ways for providers to interact with patient health data. This challenge will focus on demonstrating how data made accessible to apps through APIs can positively impact providers experience with EHRs by making clinical workflows more intuitive, specific to clinical specialty, and actionable. | FHIR | 1/11/2017 |
| Health Data Provenance Challenge | As the movement of health information increases among consumers and providers, so does the need to track data provenance with each information update and/or exchange event. According to W3C, �provenance is information about entities, activities, and people involved in producing a piece of data or thing, which can be used to form assessments about its quality, reliability or trustworthiness.� The requirements for data provenance information must support the full lifecycle and lifespan of health data. Confidence in the authenticity, trustworthiness, and reliability of the health data being moved is fundamental to patient safety as well as secure health information exchange. | DPROV | 2/21/2018 |
| Secure API Server Showdown Challenge | The Office of the National Coordinator for Health Information Technology (ONC) is pleased to announce the Secure API Server Showdown Challenge, which invites interested stakeholders to build a secure, FHIR server using current industry standards, best practices, and recently issued healthcare-specific implementation guide requirements. | FHIR, API, HL7 | 6/29/2018 |
| Interoperability Standards Advisory (ISA) | The Interoperability Standards Advisory (ISA) process represents the model by which the Office of the National Coordinator for Health Information Technology (ONC) will coordinate the identification, assessment, and public awareness of interoperability standards and implementation specifications that can be used by the healthcare industry to address specific interoperability needs including, but not limited to, interoperability for clinical, public health, and research purposes. ONC encourages all stakeholders to implement and use the standards and implementation specifications identified in the ISA as applicable to the specific interoperability needs they seek to address. Furthermore, ONC encourages further pilot testing and industry experience to be sought with respect to standards and implementation specifications identified as “emerging” in the ISA. | C-CDA, DIRECT, SDC, NCPDP, e-Rx, LOINC, SNOMED, EHR, FHIR, HIE, HL7, IHE, interoperability, ONC, ONC-led | |
| Interoperability Standards Measurement Framework | The purpose is to finalize the strategy to measure the adoption and use of key and emerging standards and relevant implementation specifications. | Interoperability, ONC, ONC-led | |
| Coordinated Registry Network (CRN) Project | ONC will be working with NLM, FDA & AHRQ to develop pilot criteria for the CRN project. This project plans to establish a strategically coordinated registry network for women’s health technologies and develop tools to facilitate collection of data within the existing and new registries through leveraging clinical care data. We anticipate that the data in these registries can be used to evaluate effectiveness & safety associated with differing treatment options; assess the effectiveness & quality of life associated with varying treatment options; provide a framework for clinical studies to be conducted within a registry such as the type of studies required to fulfill the FDA's request for post-market surveillance; and allow healthcare providers to track quality measures for quality improvements and fulfill the Centers for Medicaid and Medicare Services (CMS), Physician Quality and Reporting Systems (PQRS) and maintenance of certification requirements. | AHRQ, ASPE, post-market surveillance, PQRS, SDC, clinical quality measures, CMS, CRN, FDA, FHIR, NLM, ONC, PCOR | 09/30/2019 |
| AMA Integrated Health Model Initiative (IHMI) | The Integrated Health Model Initiative (IHMI) is a collaborative effort across health care and technology stakeholders. IHMI supports a continuous learning environment to enable interoperable technology solutions and care models that evolve with real-world use and feedback. IHMI uses the best available science to incorporate essential data elements around function, state and patient goals. IHMI features a digital platform for: 1) collaborative communities around costly and burdensome areas; 2) a physician-led validation process to review clinical applicability; and 3) a data model for semantic interoperability. Project Manager: [email protected] | Collaboration, Community, LOINC, Patient Goals, Semantic Interoperability, SNOMED, Terminology, Data Model, EHR, FHIR, HL7, ICD-10, IHMI, Innovation, Interoperability | |
| Distributed Data Sharing Hyperledger (DDASH) | DDASH is an open-source protocol for information exchange across blockchain networks. Our goals are to eliminate barriers to information exchange within and among organizations and to build open economies around health information. DDASH allows Ethereum applications to run securely and inexpensively on private Ethereum networks while enabling their integration with the main Ethereum network. The result is a mechanism for health information exchange via transfer of information and value among the main Ethereum network and private Ethereum networks. | Blockchain, Ethereum, HIE, interoperability | |
| MyLinks - 1st Place winner of ONC Consumer Health Data Aggregator Challenge | MyLinks uses FHIR standards to allow patients to pull, aggregate, and share their information. Patients are able to share their records with others, improving personal and family care management. MyLinks has been able to connect to multiple EHRs in both sandbox, test, and production environments. We are currently helping several EHR vendors and health organizations with their production FHIR testing and happy to help any others that need a live partner. | C-CDA, Care Coordination, HL7, interoperability, Patient-Centered Outcomes Research, PHR, Promoting Interoperability Requirements, MU, Care Transitions, CCD, Clinical Research, consumer engagement, DIRECT, Distributed Research Network, EHR Integration, FHIR | |
| Moxe Health - Clinical Data Sharing - Substrate | Complete clinical records move freely between health systems and payers in a controlled, HIPAA-compliant manner. Moxe's EMR-agnostic platform, Substrate leverages HL7/FHIR standards and vendor specific tools to create normalized, machine-readable health records that go beyond CCDs to meet standards for use in risk adjustment and HEDIS. Substrate automatically enforces health system-defined data release restrictions to ensure that only the right people have access. Learn more about Moxe’s network at www.MoxeHealth.com. | ADT Notifications, Beyond HIE, CCD, CCDA, EHR Integration, FHIR, HL7, IHE, Nationwide Network, quality reporting | |
| Moxe Health - Bi-directional EMR Integration - Convergence | Convergence replaces the paper and portals that payers traditionally use to send data to clinicians. Convergence is a bi-directional application for sharing insights that is embedded directly within the EMR. As insurers identify information needed for HEDIS or risk adjustment, they can send this data—and all relevant context—through Convergence,so that clinicians can review and act on the data without interrupting their workflow. The application uses single-sign-on to minimize effort needed from clinicians. This implementation of Convergence focuses on HCC capture for Medicare Advantage risk adjustment. As our health plan partner identifies undocumented conditions, these insights and supporting evidence are shown to clinicians who can provide the update needed to close the gap in documentation. Learn more about Moxe’s network at www.MoxeHealth.com | Alerts, Care Coordination, clinical quality measures, EHR Integration, FHIR, HL7, IHE, Risk Adjustment | |
| Rural Community Full-Continuum ADT system | Two critical access hospitals in rural MN send HL7 ADT messages to integration and rules engine that then supplies ADT notifications and C-CDA (limited data sets based on setting preferences) to Indian Health Services, Public Health, County, Mental Health, LTC (2), nursing home, rural clinics (3) using direct and based on patient provider relationship. 35,000 + covered lives. SIM Funded Project. | ADT Notifications, C-CDA, Critical Access Hospitals, DIRECT, HIE, Rural | 09/30/2019 |
| "FHIR Activity Definition": Zynx Health Developer Program | The Zynx Health Developer Program offers FHIR®-enabled APIs to connect third-party applications, devices, and other innovative healthcare technologies with Zynx solutions. Consuming our API-based content can help third-party solution developers and providers enhance the delivery of patient care through better care coordination and better awareness and adherence to evidence-based standards. | API, FHIR, SMART | 05/31/2028 |
| Common Healthcare Data Interoperability Project | The Common Healthcare Data Interoperability Project is a collaboration between The Pew Charitable Trusts (Pew) and the Duke Clinical Research Institute (DCRI) to advance interoperability among electronic health records and registries. Working with Pew, DCRI seeks to: • identify the clinical concepts that appear frequently across multiple registries, • determine how those concepts should be best represented as standardized common data elements (CDEs), and • create an implementation guide for database developers so that registries and health information technology developers can implement the standardized CDEs with the least amount of effort. Rather than create a new data standard, this project will rely on predicate content included in the Office of the National Coordinator for Health Information Technology 2018 US Core Data for Interoperability, Health Level 7 Fast Healthcare Interoperability Resources profiles and resources, and reference the work of standards development organizations, such as LOINC and other groups that have addressed aspects of the data interoperability problem. | Clinical Registry, Common data elements, FHIR, HL7, Terminology, US Core Data for Interoperability | 11/30/2018 |
| Interoperability for Health Info. Systems - HL7, FHIR, CCDA, PHM, CCM, Quality Measures | As part of our Advance HIT experience coming from the ONC certifications, this project focuses on improving and expanding the use of Data to improve the Quality of Care and streamline the process of information sharing. Inclination of the ecosystem towards Value Based Care has led to new solutions to improve the Health of a Population by analyzing past data. We have been working on this project to make sure the population across states are getting the quality of services that they expect. | C-CDA, EHR, FHIR, HIE, HL7, IHE, interoperability, Population Health Management, Care Coordination | |
| Digital Certificates to Scale Cross-Organizational use of FHIR | This project leverages trusted digital certificates to help scale the use of FHIR through reusable individual-, organizational-, or app-level credentials that can be leveraged to rapidly scale secure FHIR-based exchange. UDAP Profiles also include extensions to OAuth 2.0 and OpenID Connect. Join the UDAP Google Group here: https://groups.google.com/forum/#!forum/udap-discuss or contact [email protected] for more information or if you would like to explore use of these credentials in a FHIR client application, FHIR server, or Identity Service, or to cross-test trusted endpoints as a UDAP collaborator. The client app registration and authentication/authorization use cases enabled through UDAP profiles are regularly tested at HL7 FHIR connectathons and in the interim between those events; see this track description for more information: https://confluence.hl7.org/display/FHIR/2020-05+Cross+Organization+Application+Access See the last 15 minutes of this ONC webinar for a presentation covering the project, and some screen shots of UDAP profiles in action: https://www.youtube.com/watch?v=8wpYVQDvYJI&t=6384s | COVID-19, Digital Certificates, Security, Trusted Exchange Framework, UDAP, FHIR, HIT Vendor, Identity, Interoperability, OAuth, OIDC, Open API, PKI | |
| Fluidity Health: A Collaborative Patient-Centric Care Delivery Network | We represent a major breakthrough in care coordination, communication facilitation combined with high volume data exchange. We bring together in a HIPAA compliant, standards-based manner, everyone involved in a patient’s circle of care, doctors, nurses, therapists, hospitals, administrators, caregivers, family members, and friends. We allow them to communicate with each other, and through collaboration, monitor and follow care plans, manage tasks, and deliver quality care. Our cross-platform application (web, iOS, Android) interoperates between sundry health system networks and, by pulling and pushing data from various sources, creates a patient health record, where every data element can be evaluated and analyzed. Our system currently is integrated with instances of VistA, Cerner, HSPC, and an open source EMR. We look forward to expanding our resources by continuing to integrate with other EMR systems. We are currently preparing to start a 60-90 day pilot with the VA. | Care Coordination, care plan, Value-based Care, Care Planning, consumer engagement, EHR Integration, FHIR, HIPAA, Home Health, Interoperability, telehealth | |
| PULSE - Patient Unified Lookup System for Emergencies | When disaster strikes and families are relocated to shelters in their community or even further afield, prescription refills and other healthcare needs become more challenging. The Sequoia Project, in support of the Centers for Medicare & Medicaid Services (CMS), is developing a nationwide deployment plan for the health IT disaster response platform known as the Patient Unified Lookup System for Emergencies (PULSE). The Patient Unified Lookup System for Emergencies (PULSE) is a nationwide health IT disaster response platform that can be deployed at the city, county, or state level to authenticate disaster healthcare volunteer providers. PULSE allows disaster workers to query and view patient documents from all connected healthcare organizations. Sequoia also formed an advisory council to inform PULSE's progress. | Disaster, Emergency, EMS, HIE, interoperability, Public-Private Collaborative, Sequoia Project | |
| Object Management Group (OMG) Field Guide to Shareable Clinical Pathways | Today, our ability to author, share, and comply with establish clinical best-practices is often limited, exacerbated by ambiguities in natural language and amplified as a result of having inconsistent representations. This makes it harder to share pathways among health providers, harder to implement best-practices, and harder to manage care transitions among healthcare systems as they occur in the natural course of care delivery. The objective of this project was the development of a recommended approach to facilitating this goal given the high complexity of clinical pathways. To produce the “Field Guide to Shareable Clinical Pathways”, a community-of-interest was assembled comprising experts from both the clinical domain and business process modeling technical domain. VA was the primary government sponsor of the activity, with provider participation from Intermountain Health Care and Mayo Clinic, and a host of industry participants. Key use-case work was sponsored by the American College of Obstetricians and Gynecologists (ACOG). The work took place under the auspices of the Object Management Group as an informal working community, with expectations of maturing into a formal community of practice upon successful conclusion of the effort. The project utilized the industry’s current standards modeling notations (Business Process Modeling Notation (BPMN), Case Management Modeling Notation (CMMN), and Decision Model and Notation (DMN)) to form the foundation for their recommendations while addressing the complexity of the clinical domain. The resulting Field Guide serves as a “style guide” for developing and implementing Shared Clinical Pathways that are readily sharable, using an Antenatal Care use case as an exemplar. Future work will involve developing new Shared Clinical Pathways while refining industry standards and the Field Guide’s recommendations. For more information, please contact: [email protected]. | Interoperability, VHA, OMG, Shared Clinical Pathways | 04/30/2018 |
| Health Level Seven (HL7) Cross Paradigm Implementation Guide | This Project represents a significant next step in the path toward meaningful interoperability as it relates to clear mapping of industry-exchange standards. This is an extension of the previously successful HL7 Service Oriented Architecture (SOA) Cross Paradigm Interoperability Implementation Guide (IG) for Immunization. The project team – pulling together clinicians and technical experts from VHA, SAMHSA, ONC, and CMS as part of the electronic Long Term Services and Support (eLTSS) Project – is creating artifacts to be used by federal agencies and the larger HL7 community to provide precise, unambiguous mappings between of any two different industry-exchange standards (e.g., CCDA, FHIR, HL7 v.2, and CIMI), supporting the interchange and data transformation between those expression formats. Non-industry standard formats will be considered for Use Cases in the future. This project – an expansion of the Immunization IG – will address a much broader set of Use Cases by providing more mappings across different clinical and administrative domains; further, it will also include new versions of the standards. The VHA Standards Incubator provides traceability and gap analysis reports for the Use Cases and also addresses values in the data elements for a more complete assessment of information exchange. Finally, the project team will develop and transform test messages to further substantiate the validity of the mappings. For more information, please contact: [email protected]. | CMS, eLTSS, HL7, Interoperability, ONC, VHA, SAMHSA, VHA Standards Incubator | 09/30/2019 |
| 1upHealth - FHIR API Platform and EHR Connectivity | 1upHealth helps patients, providers and app developers get electronic health data in minutes. Clinical data is connected from over 200 health systems and wearable devices across the US. Using our application platform, developers are able to build connected HIPAA compliant apps in days. Patients can connect health data from hundreds of facilities and share medical data. Providers and researchers can view that shared data in the 1upHealth EMR integrated application. | C-CDA, EHR, FHIR, HIE, HL7, interoperability | |
| "Dynamic FHIR API" | The Dynamic FHIR API allows health IT applications to make read-only data requests for patient health information. The API request process encompasses all data elements in ONC’s Common Clinical Data Set and meets §170.315(g)(7), §170.315(g)(8) and §170.315(g)(9) measures under 2015 Edition ONC Certification. The API allows requests for “all” patient data, irrespective of dates/category, and also “by specific data category,” for specified date range and/or data section. The API is designed to be lightweight and accessible by patient mobile and web applications with robust security that does not impede interoperability. This includes the use of HIPAA-compliant OAuth 2.0, unique identification of patients by Token and the availability of data on receipt of a version 2.1 CCDA. The API renders FHIR® resources (in XML and JSON) on demand directly from a CCDA repository. FHIR is a set of clinical interoperability resources under the umbrella of HL7 and is based on common web standards. We chose FHIR because it combines the domain-specific features developed over many years through the HL7 standards organization with leading-edge e-commerce and security authorization protocols used by industry leaders. Through this project, we also made available a FHIR Client Test Application, which enables patient account activation and provides a GUI display of each data category and a method for downloading a full patient CCDA package. | API, C-CDA, FHIR, HL7, interoperability, XML | |
| Bi-directional Direct referrals | Sutter Health created bi-directional closed loop referral workflows allowing us to send referrals and receive information back from consultants via Direct, resulting in more efficient workflows, quicker referral turnaround times, and improved patient and staff satisfaction. | Bi-directional Direct Referrals, closed loop referral workflows, Closed-Loop, DIRECT, direct secure messaging, Interoperability | 04/30/2018 |
| Automated patient summaries to the ED via Direct to optimize patient care in the ED | Reliant Medical Group (RMG) initially gave ER physicians access (Pull) to their Electronic Health Record (EHR) but found that they rarely looked up patient information. So Reliant created a process to automatically send a patient summary document (push) containing medications, allergies, problems, recent test results, etc. using Direct Interoperability to the ER’s EHR. RMG now automatically receives registration events (ADT) from all of the ERs in Central MA when a patient says their PCP is one that is on a list of RMG physicians. RMG’s EHR receives these ADTs and automatically sends a patient summary document (C-CDA, CCD) via Direct back to the ER along with the ER EHR’s medical record number so that it instantly files into the ER’s EHR. Patients are receiving higher quality, more efficient care because the ER physicians can readily see the latest medical information pushed to their own EHR. | C-CDA, CCD, DIRECT, Direct Interoperability, direct secure messaging, EHR, Interoperability | 05/01/2018 |
| Automated push event notifications and care plan updates to home health using Direct messages | Reliant Medical Group (RMG) relays event notifications received from their local hospitals by pushing Direct messages to the Home Health Agency whenever a shared patient is seen in the ED or admitted to hospital. This facilitates avoiding unnecessary home health visits when a patient has been admitted, and enables immediate home health to follow up when a patient returns home after an ED encounter. RMG has also automated a pushed CCD with visit note to the Home Health Agency whenever a shared patient is seen by the PCP or a specialist, facilitating the home health nurse to always be aware of updates to the patient’s treatment plan. | active care relationship, Care Coordination, CCD, DIRECT, Direct Interoperability, interoperability, Interoperability | 06/30/2018 |
| Acute discharge information to PCP via Direct | For patients deemed, by algorithm, to be at high risk of readmission, hospital discharge information is pushed via Direct initially to a team that attaches relevant inpatient documentation to support a more thorough transitions of care encounter. That message with multiple attachments is then pushed via Direct to the Patient’s PCP’s Direct mailbox. | Care Transitions, DIRECT, Direct Interoperability, interoperability, Interoperability, transitions of care, Transitions of Care | 05/01/2018 |
| Hospital ADT notifications to patient’s PCP’s EHR via Direct. Upon receipt, PCPs push patient information to the hospital | Circle Health/Lowell General Hospital EHR sends real-time ADT (Admit, Discharge, Transfer) notifications using Direct messaging technology to Primary Care Physicians’ EHRs (Cerner) within our community to help them better coordinate care for their patients. Upon receipt of the ADT notification the PCP sends the patient’s latest progress note via Direct to the Hospital. This arrives in a hospital pool and is attached to the patient’s chart for the patient’s hospital caregivers to review. | ADT Notifications, DIRECT, Direct Interoperability, direct secure messaging, EHR, interoperability, Interoperability, Patient Data, patient-centric, Primary Care | 05/01/2018 |
| Direct enabled closed loop referral with non-VA community specialists | In OH, the VA uses Direct Messaging with three large Ohio health systems for closed loop referrals. This has resulted in significant savings of time and staff resources for information exchange. Direct Messaging has improved care coordination for Veterans! A VA user in Ohio says with VA Direct Messaging, “that we get [health information] immediately from community providers- plus we can converse electronically if there is an issue with the medical records!” | Care Coordination, closed loop referral workflows, Closed-Loop, DIRECT, Direct Interoperability, direct secure messaging, interoperability, Interoperability | 05/01/2018 |
| Bi-directional acute-ambulatory Direct patient messages | A North Florida/South Georgia bidirectional Direct interoperability acute – ambulatory pilot between the VA and HCA organizations is now ready to be rolled out nationally. HCA sends the VA a daily census of VA admitted patients. In response the VA sends to HCA a C-CDA for these patients. On discharge HCA pushes, via Direct, a discharge C-CDA to the VA EHR to enable care management. The document also assists with VA’s payment process to community care providers, when an open consult is completed using the clinical data received via Direct Messaging. A VA user in Florida exclaimed, “I have grown to love VA Direct Messaging because as soon as the patient gets discharged, I get documents. It’s wonderful! “ | bi-directional Direct Interoperability, C-CDA, Care Coordination, DIRECT, Direct Interoperability, direct secure messaging, EHR, interoperability, Interoperability | 05/01/2018 |
| Automated event notifications improve care coordination across an entire county | In Carlton County, MN twelve healthcare organizations with seven disparate EHR systems, or none at all, use a Direct-driven event notification service. Admission, discharge and transfer notifications from two local hospitals are processed and automatically delivered via Direct to organizations providing care for their patients. Members of a person’s care team are notified simultaneously, and better care coordination begins in real-time. Direct enables secure bi-directional communication among all participants. Care Managers get the information they need to reach out more quickly to their patients, Indian Health Services gains better insight into the care needs of their community, and communication gets easier between primary and tertiary care providers. Hospitals aiming to reduce re admissions benefit by improved patient care coordination throughout the area. | bi-directional Direct Interoperability, Care Coordination, DIRECT, Direct Interoperability, direct secure messaging, EHR, interoperability, Interoperability | 07/31/2018 |
| Lower cost one-to-many connections replace point-to-point connections and improve access to information for recipients | Hershey Medical Center uses Direct to improve care coordination with organizations that have varied levels of HIT capabilities. Data from Hershey’s Laboratory Information System is securely transported to a Skilled Nursing Facility (SNF) and the nurse at a local prep school via Direct eliminating the need for expensive one-to-one lab interfaces and dramatically reducing costs. Lab results sent to the SNF are transformed, in transit, into a pdf to suit their workflow. Lab results sent to the school are transformed into a standard C-CDA format. The school’s health center receives the information automatically into their Centricity EMR. Nurses at the SNF get lab information more quickly which improves care for their patients. It’s easier for the school nurse to monitor student health issues because lab results flow directly into the EMR. | C-CDA, Care Coordination, workflow redesign, DIRECT, Direct Interoperability, direct secure messaging, EHR, EMR, HealthcareIT, interoperability, Interoperability | 07/31/2018 |
| Closed loop specialty referrals | To improve the quality and operational efficiency of specialist referrals within a major academic partner (UCSF), One Medical utilized the Direct protocol to handle outbound transmission of referral requests and inbound transmission of consultation reports, through a single Direct address. The EHR was updated to automatically include a C-CDA, selected insurance information, and insurance authorization status with outbound referrals. Referrals were sent to a dedicated address at the partner institution, UCSF. The One Medical clinical task management system was updated to automatically route inbound Direct messages containing consultation reports to the ordering providers’ task queue. The implementation of Direct message enabled both One Medical and UCSF to enhance practice efficiency and save a very large amount of administrative time spent processing faxed referrals and eliminated the need to manually route faxed consultation reports to patient charts. | C-CDA, closed loop referral workflows, Closed-Loop, DIRECT, Direct Interoperability, direct secure messaging, EHR, interoperability, Interoperability | 07/31/2018 |
| eHealth Exchange Interoperability Pilot | Organization: eHealth Exchange POC: Jay Nakashima, Executive Director; Eric Heflin, CTO; Pilot Goal: The eHealth Exchange interoperability pilot would like to complete an EMDI pilot to identify interoperable solutions to the second EMDI Use Case: Additional Documentation Request and to improve healthcare information sharing. | ||
| EMDI- MedAllies Direct Interoperability Pilot | Organization: MedAllies POC: Holly Miller, MD; Pilot Goal: MedAllies is participating in the EMDI project to advance secure Direct interoperability in support of reducing provider and staff burden through the ability for systems to track orders to completion, i.e. “closing the loop”. Specifically, to use Direct interoperability to ensure closed loop patient referrals, from PCPs to specialists and back, thereby automating referral tracking, enhancing clinical workflows and patient care processes. | 360X, closed_loop, DIRECT, EMDI, interoperability, Provider-to-Provider, Referral_Management | |
| Da Vinci Data Exchange for Quality Measures (DEQM) Implementation Guide including Gaps in Care Reporting | This Fast Healthcare Interoperability Resources (FHIR) based Implementation Guide (IG) was developed by the DaVinci Project in coordination with the HL7 Clinical Quality Information (CQI) Workgroup. The DEQM IG was presented for HL7 May ballot. The purpose of this guide is to allow for using FHIR for exchanging data to support quality measures as well as for submitting/requesting Individual Measure Reports (QRDA Category 1) and Summary Measure Reports (QRDA Category 3). The latest ballot added Gaps in Care Reporting Examples include Colorectal Cancer, Venous Thromboembolism Prophylaxis and Medication Reconciliation Post Discharge. | clinical quality measures, Da Vinci Project, DaVinci, DaVinci Project, FHIR, HL7, quality metrics, quality reporting, gaps in care, gaps in care reporting | |
| Da Vinci Coverage Requirement Discovery (CRD) Implementation Guide | This FHIR based Implementation Guide was developed by the DaVinci group in coordination with HL7 Financial Management Workgroup. It was balloted in September and comments are being reviewed. This implementation guide defines a mechanism for insurance payers to share coverage requirements with EHRs and other clinical systems at the time decisions around treatment are being made. This ensures that clinicians and administrative staff can make informed decisions and can meet the requirements of the insurance coverage the patient has. | CDS Hooks, Coverage Requirements, Da Vinci Project, DaVinci, DaVinci Project, FHIR, HL7, Payer | |
| EMDI- Somnoware Healthcare Systems Interoperability Pilot | Organization: Somnoware Healthcare Systems POC: Rajul Misra, CDS Pilot Goal: Implement end-to-end integration that allows physicians to place the order for a PAP system, send relevant order details and medical information to DME companies, allow DME companies to request additional documentation, and provide the ability to sign and date the document. | EHR, EMDI, Interoperability | 09/30/2019 |
| Georgia Tech: Asthma Control Tracker | Asthma guidelines suggest having a patient’s asthma control evaluated regularly. This application is a working prototype used to ask patients a series of questions appropriate to their age group, evaluate their current control of their asthma across the domains of risk and impairment, and provide recommended action steps for treatment based on EPR-3 asthma guidelines. This information is then stored to a FHIR server. Epidemics is a web application. It is typically run at a care provider’s office and would be integrated with an EHR (Electronic Health Record) application. The provider would select the patient and work with the patient to answer a set of relevant questions and submit the responses to a computer server which would analyze and present to the provider treatment recommendations, which can be modified by the provider. The application is designed to be highly interoperable with the use of Fast Interoperability Health Resources (FHIR) standards. | Ashma, FHIR | |
| Georgia Tech: Chart Review and Annotator | A tool to explore patient and cohort-level data for chart review incorporating structured and unstructured sources. This examples uses MIMIC dataset. | FHIR | |
| Georgia Tech: Clinical Decison Support for Pediatric mTBI | To guide care providers through diagnosis and initial management of mild traumatic brain injury (mTBI), this web-based clinical decision support application assists in collecting indicators of the severity of the injury. It then applies evidence based guidelines to produce a recommended course of action. As the care provider enters data about the patient’s injury, the application uses the information to provide graphical and textual output. All user interaction with the web application is private to the web browser session. Nothing entered on any page is transmitted externally, or stored locally outside of the web browser’s own storage for the session. | CDS, FHIR | |
| Georgia Tech: Epidemics – Asthma Control | Asthma guidelines suggest having a patient’s asthma control evaluated regularly. This application is a working prototype used to ask patients a series of questions appropriate to their age group, evaluate their current control of their asthma across the domains of risk and impairment, and provide recommended action steps for treatment based on EPR-3 asthma guidelines. This information is then stored to a FHIR server. | FHIR | |
| Georgia Tech: fareRx – Drug Price Comparison | A variety of drug discount program are available in all states in USA. For a consumer who wants to pay out of pocket, these are an essential for savings. However, the discount these program offer may differ for each medication. Some of them may in addition offer coupons and the discounts may vary amongst different pharmacies. A consumer may have to go to different sites to find the best deals. A single website, where a consumer can compare prices across all discount cards can be very beneficial. This application is powered by the GoodRx API. | FHIR | |
| Georgia Tech: HART on FHIR | This is a system to provide the user a way to track heart rate anomalies. This tool was created to integrate personal heart rate monitors products like watch, cellphone, fitbit, etc. with webserver in an easy use interface. We are pleased to provide you this tool in being proactive in your health. Please understand this tool is only to complement a doctor or clinician analysis. | FHIR | |
| Georgia Tech: Healthy Heart | Healthy Heart is our web application developed for patients to easily monitor and improve their cardiovascular health. There are two main components this application provides: cardiovascular risk assessment, and health counseling. Former component relies on assessment of patients’ frammingham risk score using EHR retrieved from FHIR server. An observation page displays FHIR resources retrieved for the authenticated patient. The patient may edit this record to recompute a more accurate risk assessment. Our application tracks patients’ risk score assessment over a period of time so that patients may visualize changes in cardiovascular health. The counseling component allows patients’ to compute their Body Mass Index (BMI). Our application utilizes this BMI to suggest appropriate diet and exercise plans to help patients reduce their risk of cardiovascular diseases. | FHIR | |
| Georgia Tech: Identification of Patients Requiring Statin Therapy | The US Preventive Services Task Force recommends that adults without a history of cardiovascular disease (CVD) use a low- to moderate-dose statin for the prevention of cardiovascular events and mortality when certain conditions are met. Every day, providers see many patients who each have different existing conditions, and providers may be focused on those current conditions/illnesses. Prevention can be easily overlooked. By leveraging CDS Hooks and FHIR, we can automatically check conditions upon chart opening and provide the physician with an indication that a patient would or would not benefit from Statin use. This takes the burden off the physician and greatly benefits the patient. | API, Cardiology, care plan, CDS, CDS Hooks, FHIR, medication management, Providers | |
| Georgia Tech: Labor Tracker | Obese women (BMI >= 30 kg/m^2) are at elevated risk for cesarean delivery, with rates up to 5 times higher than normal weight women. Cesarean deliveries are most often indicated for obese women because of abnormally slow labor progression, a complication known as labor dystocia. In clinical practice, expectations of labor progress are not individualized by degree of maternal obesity, but instead are standardized based on the average rate of cervical dilation among healthy-weight women (about 1cm/hour). As a result, obese women are at increased risk of cesarean delivery simply because they do not proceed through labor as expected by the nurses and doctors who provide their intrapartum care. This project involves the development of a tool, the Labor Tracker, that would allow clinicians caring for obese women during labor to view a woman’s cervical dilation progress on a graph that represents normal and abnormally slow labor progression according to that woman’s BMI. Although information about cervical dilation among women with different degrees of obesity is available from large, multi-site studies, this data is not typical ly used by clinicians to guide their care of obese women. The Labor Tracker would, for the first time, provide easy access to BMI-individualized labor progression tracking for clinicians at the bedside. | FHIR | |
| Georgia Tech: Livermore – 3D Liver Modeling | This application presents 3D models of liver diseases for patient education. | FHIR | |
| Georgia Tech: Managed Weight Loss System | An essential component of a weigh loss management system is tracking the calories burned and calories consumed. The app we built has the functionality to track and record multiple observations. | FHIR | |
| Georgia Tech: Medication Reconciliation | Medication reconciliation is the process of identifying the most accurate list of all medications that the patient is taking, including name, dosage, frequency, and route, by comparing the medical record to an external list of medications obtained from a patient, hospital, or other provider. | FHIR | |
| Georgia Tech: Medicines in the Media | Explore associations between medication prescribing and relevant information in news and social media. | ||
| Georgia Tech: Mild Traumatic Brain Injury in Pediatric Patients | Developed an interface that provides clinical decision support informed by evidence-based guidelines for the diagnosis and management of mild traumatic brain injuries. | 10A, FHIR | |
| Georgia Tech: Modified Early Warning System | The system is a proof of concept to help EMS keep track of actions taken while transporting the patient. The system, Deus Ex Machina, seeks to solve these two problems: 1) data isolation to transport agencies 2) little to no means of communicating with the facilities as to the actions taken during transport. The system address the first pain point by having a shared FHIR server. While limited due to the PoC nature, this brings common benefits of FHIR as well as a means by which the agencies can share patient information. It also allows the extension of the system into Regional Health Information Organisations (Health Care IT News, 2011) via FHIR federation. Such a feature would allow a patient search across the nation provided enough RINO join. The system address the second pain point by allowing the driver to either complete the drop off and print a report or use FHIR interactivity to directly push the patient information to the facility. Finally, the PoC only implements the driver view of the data. It does not implement dispatching capabilities. This means that while the front end polls the back end for a transport update, there is presently no user available GUI to push the data. | FHIR | |
| Georgia Tech: Planet Health – Predictive Model for Mortality | PlanetHealth offers a healthcare system to utilize electronic health records of patients for analytic. PlanetHealth’s algorithm is to provide clinical environment to detect high risk health complications. Thus the system can be used to monitor with the intention to improve the patient conditions. | FHIR | |
| Georgia Tech: Prescription drug monitoring program | The HealthMatrix Prescription drug monitoring program (PDMP) Dashboard can be used to display the various Metrics for a Particular Prescriber as well as the relation of such Metrics to other Specialty and State wide metrics for the Utah state. The Dashboard derives the various metrics and other data from the Utah state Controlled Substance Database. Additional details will be discussed in the remaining sections of this document. | FHIR, HealthcareIT, IPG, Opioid Management, PDMP | |
| Georgia Tech: Prescription Pricer | The Consolidates and Compares Prices on Different Discount Drug Programs. A desktop web application where a user can compare drug prices among the major three pharmacies (Walmart, CVS, Walgreen) along GoodRx discount program. User can use this app either by signing in or not signing in. Once signing up with FHIR ID , users can also get access to their medical history stored in the FHIR server to get the information of their prescribed drugs. Besides, user can view their personal information and search history. This document guides a user through the necessary steps to find the drug prices and get access to the account once signing up. | FHIR | |
| Closing the loop with Direct messaging to support an ACO | Teams from several organizations collaborated to implement Direct messaging to support a closed loop referral process within a newly formed ACO's Connected Care Network. Connected Care members accessed care through patient centered medical homes, employers' Health for Life Clinics, and specialists and facilities within a medical neighborhood. To support this ACO relationship across multiple organizations with multiple disparate EHRs, a scalable, standards-based method to facilitate efficient referrals management was essential. | ACO, Care Coordination, Referral_Management, CCD, closed loop referral workflows, Closed-Loop, closed_loop, DIRECT, Direct Interoperability, EHR, Referrals | 09/30/2018 |
| Title: Airene C. Church Vuitton's Role in MU. And "Red Light on Road/Street Poles on Highway Untill Candle Lights Blew. | EVENT(S) START YEAR 2018. For: Doctor Mr. Railey William Conant Church And Ms. Airene Vuittion Also Known as Airene F. T. (Conant Church). www.open.gov www.cia.gov I Do, We both will. | C-CDA | 12/24/2028 |
| EMDI- MedWare, Inc Interoperability Pilot | Organization: Medware, Inc POC:Victor Vaysman, CEO; Hannah Cyktich, Account Representative; Pilot Goal: Through this pilot project, we hope to foster additional methods of communication between participating providers utilizing FHIR, thereby improving clinical and administrative outcomes. Further, participating in EMDI’s Pilot Program offers an opportunity to bolster the healthcare industry’s interoperability between organizations across various settings – hospitals, primary care, home health, DME, and more. | DME, EMDI, FHIR, HHA, interoperability, Labs, Provider-to-Provider | |
| EMDI- MedSide Healthcare Interoperability Pilot | Organization: MedSide Healthcare POC:Julia Korabelnikova, Director of Operations; Beatrice Coulombe, Home Health Administrator; Pilot Goal: Through this project, we hope to foster communication between our home health agency and ordering physicians, thereby improving clinical outcomes for our shared patients. Further, we found this project offers and opportunity to streamline administrative processes to avoid unnecessary frustration surrounding the completion of documentation. | DME, EMDI, FHIR, HHA, interoperability, Labs, Provider-to-Provider | |
| Pop Health on FLAT FHIR: A SMART Approach to Universal Healthcare Reporting | We catalyze an ecosystem for accessing and analyzing, without special effort, data on whole populations rather than one patient at a time. We have made real progress toward this vision, working with HL7 and ONC, to define the population health analog to the SMART API—the FHIR Bulk Data Export API. The output is “Flat FHIR,” an easily consumable flat file. Currently, a provider using EHR data to meet reporting requirements on population-level quality or cost measures requires a customized and prohibitively complex process to extract, transform, and load data into a separate analytic engine. Our vision is seamless data exchange, via an API, between provider organizations and third parties. We propose a use case of exchange of EHR and claims data and derivative metrics between a provider and a payor. Toward this end, we design, develop, and test a substitutable population health analytics app, SMART-PopHealth, which enables a payor to access permitted data and metrics on covered populations, directly through the API. We test it in a real-world Accountable Care Organization. | FHIR, Population Health Management, quality reporting, SMART | |
| Sync for Genes Phase 2 Pilot - Utah Newborn Screening Program (Utah NBS) | The Utah Newborn Screening (NBS) Program, a program within the Utah Department of Health, is actively seeking technology solutions for standard-based electronic data sharing with healthcare providers in real-time to ensure optimal clinical care and outcomes for newborns. Currently, the Utah NBS Program has partnered with the Utah Health Information Network (UHIN) and Intermountain Healthcare (IHC) to implement electronic newborn screening orders and results transmission by leveraging the statewide health information exchange infrastructure. The pilot consisted of a simple design that resulted in efficient, electronic transfer of genomics data. Consent is required from the parent or guardian of the infant before any data transfer will be allowed for this pilot project. In this design, IHC will leverage existing resources and expertise from Sync for Genes Phase 1 including the FHIR® API and related infrastructure to produce FHIR® requests for genomics related information. The architecture for this pilot addresses the needs of a vulnerable population. By leveraging a health information exchange, this architecture can be scaled from the pilot partner, IHC, to all providers in the state of Utah. By participating in the Sync for Genes Phase 2, we aim to develop a proof-of-concept model for standardized genomics data sharing that can be leveraged and expanded for future implementation sites. | All of Us, Clinical Genomics, ONC, ONC-led, Precision Medicine, Sync For Genes, EHR, FHIR, genomics, HL7, interoperability, NGS, NIH, PMI | 03/22/2019 |
| Sync for Genes Phase 2 Pilot - Weill Cornell Medical Center (Weill Cornell) | The guidelines around genomic testing and approved medications by cancer type are still evolving and are extremely complex. The information lies in disparate sources including EHRs, societal guidelines, insurance payors, and using EHR infrastructure with FHIR® resources, Weill Cornell is able to bridge this gap and enhance oncology care delivery. Weill Cornell uses discrete genomic results for a variety of (CDS) support scenarios including pharmacological therapy selection, research recruitment and navigating insurance and pre-authorization requirements for genomic testing. Weill Cornell used discrete genomic results, which it is already collecting, and utilized those in conjunction with discrete results available in research repositories to correlate that with diagnosis and other patient data in the EHR. These are then supplemented with data available with the external entity, Mycancergenome, for CDS and knowledge delivery purposes so that when a clinician clicks a link in the EHR genomic result report, a chart event occurs launching a web services best practice advisory (BPA) that queries the research repository for results not in the EHR. If returned ‘yes’ the BPA will show up with a link to query the repository and generate the report returning query results in the EHR for review of recommendations for therapy guidance vs. trial enrollment. | All of Us, Clinical Genomics, ONC-led, Pharmacogenomics, PMI, Precision Medicine, Sync For Genes, Clinical Decision Support (CDS), EHR, FHIR, genomics, HL7, interoperability, NGS, NIH, ONC | 03/22/2019 |
| Sync for Genes Phase 2 Pilot - Lehigh Valley Health Network (LVHN) | The primary LVHN genomics focus is to fully integrate relevant genomic sequencing results into structured data fields in the EHR, and by creating this more advanced foundation of genomic/phenotype data, enable the ability to rapidly add real-time pharmacogenomics clinical decision support to other types of care. This will support clinical orders, clinical documentation, and EHR alerts and allow LVHN to assess if various medication orders could be supported with pharmacogenomics tools accessing genomic sequencing results. LVHN also attempted to address the receipt and access to the basic genomic sequencing results (VCF, BAM, CRAM files) by creating a database / repository to hold these files and link them to the EHR as LVHN has done with clinical PACS systems. With respect to pharmacogenomics LVHN reviewed FDA data on genetic implications to develop a list of medications to include. LVHN used other factors such as cost avoidance to determine what medications would be part of the pilot. In learning how to set up the EHR LVHN determined medications should be pared with appropriate genomic test. LVHN reported that ordering physicians have skepticism on pharmacogenomics and would like to have increased education and support for providers. | All of Us, Clinical Genomics, ONC-led, Pharmacogenomics, PMI, Precision Medicine, Sync For Genes, EHR, FHIR, genomics, HL7, interoperability, NGS, NIH, ONC | 03/22/2019 |
| EMDI- BRYJ Interoperability Pilot | Organization: BRYJ Inc. POC: Mike Hurley, Vice President Pilot Goal: BRYJ Inc. is helping health plans, providers, DME suppliers, Home Health and other organizations collaborate to improve patient wellness, transparency and reduce administrative waste. | Care Planning, Collaboration, Providers, EHR, EMDI, FHIR, Home Health, Interoperability, IPG, Payer-to-Provider, Provider-to-Provider | 12/31/2019 |
| Da Vinci Documents Templates and Rules (DTR) Implementation Guide (IG) | This FHIR based Implementation Guide was developed by the Da Vinci group in coordination with the HL7 Clinical Decision Support Workgroup. It will be balloted in May 2019. This implementation guide defines a mechanism to reduce provider burden and simplify process by establishing electronic versions of administrative and clinical requirements that can become part of the providers daily workflow. An exemplar for this use case is to follow the approach taken to incorporate formulary requirements interactively into the medication selection process. Proposal includes the ability to inject payer coverage criteria into provider workflows akin to clinical decision support (CDS Hooks), to expose rules prospectively while providers are making care decisions. A limited reference implementation (RI) on a limited use case (e.g. Home Oxygen Therapy) | CDS Hooks, Coverage Requirements Discovery, Payer, SDC, SMART, US Core Data for Interoperability, CRD, Da Vinci Project, DaVinci, DaVinci Project, Documentation Templates and Coverage Rules, DTR, FHIR, HL7 | 05/31/2019 |
| EMDI- eHealth Exchange Interoperability Pilot | Organization: eHealth Exchange POC: Jay Nakashima, Executive Director; Eric Heflin, CTO; Pilot Goal: The eHealth Exchange interoperability pilot would like to complete an EMDI pilot to identify interoperable solutions to the second EMDI Use Case: Additional Documentation Request and to improve healthcare information sharing. | EMDI, FHIR, HL7, interoperability, Provider-to-Provider | |
| Da Vinci Payer Data Exchange (PDex) Implementation Guide | This FHIR based Implementation Guide was developed by the DaVinci Project in coordination with the HL7 Financial Management Workgroup. It is being prepared for an early ballot in September 2019 where comments are being reviewed. The purpose of this guide is to support two scenarios: 1) To allow a provider to request a health history (via CDS-Hooks) from a payer/health plan that returns clinical information derived from claims and other sources and presents them using FHIR US Core Profiles. 2) To support patient-mediated Payer-to-Payer exchange of a member’s health history. Mentioned by CMS: https://www.cms.gov/Regulations-and-Guidance/Guidance/Interoperability/index | ||
| Da Vinci Clinical Data Exchange (CDex) Implementation Guide | The Clinical Data exchange (CDex) is part of the larger Da Vinci use case for Health Record exchange (HRex). The scope of the CDex project is to defined combinations of exchange methods (push, pull, subscribe, CDS Hooks, ), specific payloads (Documents, Bundles, and Individual Resources), search criteria, conformance, provenance, and other relevant requirements to support specific exchanges of clinical information between provider and other providers and/or payers. The goal is to identify, document and constrain very specific patterns of exchange so that providers and payers can reliably exchange information for patient care (including coordination of care), risk adjustment, quality reporting, identifying that requested services are necessary and appropriate (e.g. should be covered by the payer) and other uses that may be documented as part of this effort. Clinical data payloads will include C-CDA, C-CDA on FHIR, compositions, bundles, specific resources, and bulk data exchange. This list is intended to be illustrative and not prescriptive. | Oncology | |
| Documentation Requirement Lookup Service (DRLS) Initiative | Medicare only pays for items and services when the provider’s medical record documentation indicates that all coverage and coding requirements were met. The Medicare documentation requirements appear in various locations and on separate websites causing burden to providers who must navigate the various websites to find coverage requirements, including documentation and prior authorization requirements. What is Medicare doing to streamline access to requirements? CMS is collaborating with ongoing industry efforts to streamline workflow access to coverage requirements, starting with developing a prototype Medicare Fee for Service (FFS) Documentation Requirement Lookup Service. The prototype will be made accessible to pilot participants and will be populated with 1) a list of items/services for which prior authorization is required, and 2) the documentation requirements for Oxygen and Continuous Positive Airway Pressure (CPAP) devices. DRLS is being implemented with the below Da Vinci Project Implementation Guides: Coverage Requirements Discovery (CRD) - https://build.fhir.org/ig/HL7/davinci-crd/ Documentation Templates and Rules (DTR) - https://build.fhir.org/ig/HL7/davinci-dtr/ | CDS Hooks, Coverage Requirements Discovery, SMART, US Core Data for Interoperability, CRD, Da Vinci, Documentation Templates and Coverage Rules, DTR, FHIR, HL7, Payer, SDC | 08/01/2020 |
| Integration of health information exchange (HIE) data with the Cerner electronic health record (EHR) | Our software application (the "App") integrates selected information from the Indiana Health Information Exchange's clinical data repository—the Indiana Network for Patient Care (INPC)—with the Cerner EHR system at Indiana University Health (IUH) Methodist. The App allows clinicians in the emergency department at IUH Methodist to view health information about their patients from outside of the IUH system. The App is currently implemented for the conditions of chest pain, abdominal pain, arrhythmia, dyspnea, pregnancy, back/flank pain, and weakness/dizziness/headache. The App is integrated with the Cerner EHR in such a way that most users do not realize they are interacting with an external application. A basic demonstration of the App (limited to the chief complaint of chest pain) is available at https://gallery.smarthealthit.org/app/chest-pain-application. The App is supported by a collaboration among the Regenstrief Institute (informatics research), the Indiana Health Information Exchange (health information exchange), and IU Health (clinical care). | EHR, EHR Integration, Emergency Medicine, FHIR, HIE | |
| NLP2FHIR: A FHIR-based Clinical Data Normalization Pipeline | The next generation phenotyping of Electronic Health Record (EHR) features the identification of true patient state in an accurate and high-throughput manner. To realize this vision, there is an urgent need to improve the reproducibility and interpretability of the underlying phenotype models and algorithms through a standards-based framework. The Fast Healthcare Interoperability Resources (FHIR) standard was developed to meet a variety of clinical interoperability needs. We developed a FHIR-based clinical data normalization pipeline known as NLP2FHIR at the Mayo Clinic. The core of the pipeline is a FHIR-based common type system that is used to harmonize and standardize the outputs from a number of clinical natural language processing (NLP) tools such as cTAKES, MedXN and MedTime. In the context of secondary use of EHR data, we envision that a FHIR standard-driven data normalization pipeline would improve semantic interoperability between heterogeneous resources and tools, and enable effective exchange, integration, sharing and reuse of encoded and structured clinical narratives, along with well structured EHR data. | EHR, FHIR, NLP | 08/31/2019 |
| Referral loop closure and EMR/EHR Interoperability | HealthViewX has executed credible projects with healthcare facilities (Imaging Centers, FQHC’s, Specialty clinics, & Large Hospitals) across the USA to reduce care fragmentation & to improve the quality of referrals & transitions through our patient referral solution. Features: Streamlines referral workflow, Referral insights, & analytics, secure referral communication, Patient coordination framework, Automated insurance pre-authorization, Specialist smart search, Referral timeline view, & communication, Scheduler integration. Benefits: Increased operational efficiency, improved completion rates/referral loop closure, better care coordination, & patient outcomes, increased revenue. Interoperability, streamlined referral workflows, patient referrals, referral loop closure, secure messaging, referral completion rates, care coordination, increased revenue, referral dashboard & analytics, scheduler integration, specialist smart search, meaningful use, EHR/EMR integration, transitions of care | ACO, Bi-directional Direct Referrals, Hospitals, interoperability, patient care, Patient Engagement, patient referrals, Referrals, Referral_Management, Care Coordination, Carequality, closed loop referral workflows, community clinics, Enterprise Hospitals, Expected Outcomes: • Improve referrals and follow-up for diabetic patients requiring an annual eye exam • Improve quality measu, FQHC, Health Systems | |
| EMDI- eClinicalWorks Interoperability Pilot | Organization: eClinical Works POC: Ayres Fortes, Integration Engineer; Madhav Darji, Product manager Interoperability Pilot Goal: Showcase the success of the ONC’s 360x based closed-loop referral program by piloting with other vendors to achieve improved provider to provider referrals and by automating manual workflows that currently exist. | C-CDA, EHR, EMDI, FHIR, HIE, interoperability | 03/31/2020 |
| EMDI- Rotech Healthcare Inc. Interoperability Pilot | Organization: Rotech Healthcare Inc. POC: Mesha Sookdeo; Joni Moss; Pilot Goal: To promote the use of, and feedback on, the application for DME referral, qualification, and billable orders to improve efficiency and collection rates. In addition, to provide the ability to utilize healthcare industry standards to improve the secure digital exchange of healthcare information to better serve our patients and facilitate our business. | EHR, EMDI, HIE, interoperability | 07/01/2020 |
| EMDI- Electromed Inc. Interoperability Pilot | Organization: Electromed Inc. POC: Kathryn Thompson, Vice President Reimbursement; Stephanie LaBelle; Pilot Goal: Electromed would like to allow for ease of their providers in getting their medical documentation without having to fax for billing purposes and meeting appropriate billing criteria. | DME, EMDI, interoperability, DMEPOS | |
| Redox Integration Platform and Interoperability Network | Redox provides a scalable integration platform and interoperability network that simplifies the way healthcare organizations and innovative technology companies exchange data. Provider organizations and technology vendors connect once and authorize the data they send and receive across the most extensive interoperable network in healthcare. Learn more at www.redoxengine.com. | API, DIRECT, Direct Interoperability, EHR Integration, FHIR, HIE, HL7, interoperability, Interoperability, Payer | |
| Patient Reported Outcomes (PRO) Project | The Patient Reported Outcomes (PRO) project aims to standardize the integration (uploading and representation) of structured PRO data in EHRs and other health IT solutions to support interoperable exchange of this information. The standardization of PRO data across products can be achieved by using semantically consistent common data elements (CDE) for data capture and using standard ways to exchange the data across health IT systems. Data element and data capture standards would allow for PRO assessments to be conducted and easily shared regardless of the EHR or health IT solution being used. Two pilot sites supported the implementation and refinement of technical specifications for collecting PRO data (PROMs and PROs) in virtual setting. The pilot demonstrations lasted approximately 13 months and consisted of three (3) development sprints ranging from 12 to 24 weeks. The purpose of the pilots were to test the technical specifications within the HL7 FHIR PRO Implementation Guide (Rev 0.2, http://hl7.org/fhir/us/patient-reported-outcomes/2019May/index.html) that was developed as part of this project for collecting and sharing PROs electronically. Pilot demonstrations were to occur in a variety of settings such as a virtual environment, clinical or provider organizations using electronic health record systems and applications. | AHRQ, EHR, Structured Data Capture, EHR Integration, FHIR, HL7, Interoperability, ONC, Patient Reported Outcomes, PRO, SDC | 09/29/2019 |
| iNavigator | The iNavigator platform allows for the discovery of interoperability solutions, use cases, case studies, vendors, standards, regulations and more. iNavigator offers a curated index, a single place to discover information, assets, and even APIs. It allows the user to get detailed information on a healthcare technology, or even to understand how a local HIE can meet the needs of the community. It prevents the time and cost associated with cross-referencing multiple resources and trying to interpret different information and options. iNavigator is allowing for the discovery of information across interoperability stakeholders: medical societies, HIEs, academia, vendors, service providers, non-profits/industry alliances, payers, accreditation agencies, etc. Each industry segment is composed of a large number of companies, each contributing to interoperability. iNavigator will provide the interoperability bridge and incentives to make that information discoverable. | APIs, curated index, discover, HIE, interoperability, Service Catalog, Use Case Catalog | |
| Patient Reported Outcomes (PRO) Pilot - Research Action for Health Network (REACHnet) | Research Action for Health Network (REACHnet) is a Patient-Centered Outcomes Research Institute (PCORI) funded clinical data research network (CDRN) of health systems that was awarded an opportunity to implement the HL7 FHIR PRO IG (http://hl7.org/fhir/us/patient-reported-outcomes/2019May/index.html). Pilot testing took place between April 2018 and May 2019 and consisted of three rapid-cycle development sprints that provided the following: ● Identifying gaps in the technical specifications of the PRO IG and providing suggestions for improvement ● Summarizing challenges and successes related to implementing the technical specifications ● Implementing workflow and administrative process to support testing | AHRQ, EHR, REACHnet, SDC, Structured Data Capture, EHR Integration, FHIR, HL7, Interoperability, LPHI, ONC, Patient Reported Outcomes, PRO | 05/07/2019 |
| Patient Reported Outcomes Pilot - Patient-centered SCAlable National Network for Effectiveness Research (pSCANNER) | Patient-centered SCAlable National Network for Effectiveness Research (pSCANNER) is a stakeholder-governed federated clinical data research network funded by the Patient-Centered Outcomes Research Institute (PCORI) that was awarded an opportunity to implement the HL7 FHIR PRO IG (http://hl7.org/fhir/us/patient-reported-outcomes/2019May/index.html). Pilot testing took place between April 2018 and May 2019 and consisted of three rapid-cycle development sprints that consisted of the following: ● Identifying gaps in the technical specifications of the PRO IG and providing suggestions for improvement ● Summarizing challenges and successes related to implementing the technical specifications ● Implementing workflow and administrative process to support testing | AHRQ, EHR, SDC, Structured Data Capture, USC, EHR Integration, FHIR, HL7, Interoperability, ONC, Patient Reported Outcomes, PRO, pSCANNER | 05/07/2019 |
| Veradigm 30 Day Medication Reconciliation Post Discharge (MRP) use case via Da Vinci project | Veradigm is currently developing a Data Exchange for Quality Metrics (DEQM) initiative for 30 Day Medication Reconciliation Post Discharge (MRP) based on the Da Vinci Use case implementation guide and industry standards. They are partnering with a national health plan in support of HEDIS reporting requirements. The Veradigm MRP use case will enable health plans to access quality measures data required by HEDIS for medication reconciliations completed within 30 days of patient hospital discharge. FHIR allows capture of relevant codes from provider EHRs for verification of completion. Veradigm intends to expand to additional quality measures per Da Vinci project development of implementation guides and reference architectures. | EHR, FHIR, HL7, "Da Vinci Project”, DEQM, MRP, HEDIS, Veradigm, Value-based Care, Quality Measures | |
| eLTSS FHIR Reference Implementation Guide - Altarum Institute | The eLTSS (Electronic Long-Term Services and Supports) initiative is a CMS-ONC partnership. Pilots in the initiative will facilitate the development of basic elements for eventual inclusion in electronic standards. These standards will enable the creation, exchange and re-use of interoperable service plans by beneficiaries, community-based long-term services and supports providers, payers, health care providers and the individuals they serve. Altarum Institute is a nonprofit research and consulting organization that creates and implements solutions to advance health among vulnerable and publicly insured populations. Altarum Institute developed an eLTSS FHIR reference implementation guide to provide a testing ground for applications to request eLTSS compliant data or to validate eLTSS compliant FHIR bundles. | Altarum Institute, API, HL7, Interoperability, JSON, ONC, Service Plan, VONK, XML, Altarum, Care Coordination, care plan, CMS, EHR, eLTSS, FHIR, HAPI, HIE | |
| Enhancing the Logical Observation Identifiers Names and Codes Standard to Support U.S. Interoperability | Logical Observation Identifiers Names and Codes (LOINC®) is a universal coding system for health measurements, observations, and documents. The LOINC vocabulary standard is owned and developed by the Regenstrief Institute, Inc, and distributed worldwide at no cost under an open license. LOINC’s widespread implementation, adoption, and required use have made it a key and ubiquitous component of interoperable health IT solutions in the United States. In collaboration with the ONC and the diverse LOINC user community, our aims are to improve LOINC’s technical infrastructure, enrich LOINC’s content, and enhance tools for accessing its content, including via a FHIR-based terminology services Application Programming Interface (API). Accomplishing these objectives will advance interoperable health IT and better position LOINC to support the continued evolution of the USCDI. | API, FHIR, Interoperability, LOINC, US Core Data for Interoperability | 09/18/2023 |
| LEAP 2019 - San Diego Regional Health Information Exchange | This project is focused on Standardization and Implementation of Scalable HL7® FHIR® Consent Resource by creating a FHIR-based platform that simplifies consent management and ensures interoperable services for the following four use cases: (1) privacy consent, (2) medical treatment consent, (3) research consent, and (4) advance care directives. The research team includes individuals from Health Information Exchange (HIE) operator San Diego Health Connect and Cognitive Medical Systems, Inc., and leverages the collective strengths of these organizations to meet ONC’s research objectives by creating a common FHIR-based authorization framework capable of management and enforcement of patient consent as well as organizational and jurisdictional policies. We will also review additional privacy- and security-related standards to ensure they support the current FHIR Consent Resource. This work will build on previously successful FHIR Consent Resource demonstrations at HL7, ONC Pilots, and sponsored HIMSS Interoperability Showcase demonstrations where the SDHC Team has already addressed three of the four use cases. Following a research phase to study the standard, current implementations, and the related standards and business requirements, the team will develop a proposed set of improvements and will build APIs to enable the consent use cases which have important implications for patient-centered care, informed consent, and shared decision-making. The API will be tested with each of the LEAP use cases in live exchanges at the SDHC HIE. The SDHC Team will also build a FHIR Consent Implementation Guide (IG) including examples derived from these use cases as well as additional implementation, legal, and security concerns raised within the project testbed. The IG will come with a package of open-source prototypes and documentation that assist partners in deploying the framework as a RESTful service and address the consent workflow. | Consent, FHIR, Interoperability | 09/09/2021 |
| Leading Edge Acceleration Projects (LEAP) in Health Information Technology - FHIRedApp: An API-based patient engagement platform | The project is focused on the development of a patient engagement platform using FHIR APIs that allows the integration of mobile Apps to access patients’ clinical data while taking into consideration user-centered design principles. This platform will empower patients to gain access and give access to their health data to App developers while ensuring privacy and security of personal information. FHIRedApp seeks to enhance usability and enable the access of health opportunities for underrepresented population to better participate in their health care and research while allowing data to be shared and transferred from various sources and between patients, clinicians, and researchers. There are three phases in this project: Design, Develop and Demonstrate. - Design a patient engagement platform that is user-centered by working closely with the individuals that will ultimately use and benefit from the platform. - Develop the platform by integrating clinical data from an HIE to FHIRedApp through FHIR APIs. - Demonstrate the usability and adoption of this platform by integration of a commercially available social service referral App and a new research study coordination App. | Consent, FHIR, interoperability, ONC Funded | 08/27/2021 |
| EMDI- BlueButtonPro Interoperability Pilot | Organization: BlueButtonPro created by Darena Solutions POC: Dao Dang, President; Pawan Jindal, Founder, and CEO. Pilot Goal: Darena Solutions would like to be able to participate in the EMDI use cases that reduce the burden for payers and providers while increasing patient engagement. We have built an eco system with our BlueButtonPRO Patient App as well as our BlueButtonPRO enterprise capabilities. For use cases, we are actively working with a few clients to implement an integrated variation of EMDI use case 1, 2, and the DME eRx use case. Capturing medical information from a number of different providers to allow our client better abilities to identify and risk stratify patients to better manage care across the continuum inclusive of home health visits and related supplies. | EHR, EMDI, FHIR, HL7, interoperability, DMEeRx | 11/01/2020 |
| Da Vinci Notifications | The Notification Implementation Guide will support the real-time unsolicited exchange of notificationss that impact patient care and value based or risk based services. The first scenario that will be defined is to represent admissions and discharges events to support the CMS proposed rule requirement. This represents an unsolicited notification Note that Argonaut is doing work on Subscription which would allow for a Solicited Notification | admission, Admit, Notifications, Push Notifications, Value-based Care, ADT Notifications, DaVinci, DaVinci Project, Discharge, EHR, FHIR, FHIR Messaging, HL7 | |
| DaVinci Prior Authorization Support (PAS) | Define FHIR based services to enable provider, at point of service, to request authorization (including all necessary clinical information to support the request) and receive immediate authorization. | Da Vinci Project, FHIR, HL7, Prior Authorizations, Provider-to-Payer, Value-based Care | |
| Da Vinci Payer Data Exchange Formulary (PDEX Formulary) | This FHIR based Implementation Guide was developed by the Da Vinci Project in coordination with the HL7 Financial Management Workgroup. This guide defines a FHIR interface to a health insurer's drug formulary information for patients/consumers. A drug formulary is a list of brand-name and generic prescription drugs a health insurer agrees to pay for, at least partially, as part of health insurance coverage. Drug formularies are developed based on the efficacy, safety and cost of drugs. The primary use cases for this FHIR interface enable consumers/patients to understand the costs and alternatives for drugs that have been prescribed, and to compare their drug costs across different insurance plans. Noted by CMS: https://www.cms.gov/Regulations-and-Guidance/Guidance/Interoperability/index | Da Vinci Project, FHIR, Formulary, HL7, Payer-to-Provider | |
| Da Vinci Payer Data Exchange(PDex) Plan Net Directory | This FHIR based Implementation Guide was developed by the Da Vinci Project in coordination with the HL7 Financial Management Workgroup. This guide covers the requirements and profiles required to enable health plans to publish Healthcare and Pharmacy network information to members via API. Noted by CMS: https://www.cms.gov/Regulations-and-Guidance/Guidance/Interoperability/index | Da Vinci Project, directory, FHIR, Health Provider Directory, HL7, Payer-to-Provider, provider directory | |
| Da Vinci Payer Coverage Decision Exchange | This FHIR based Implementation Guide was developed by the Da Vinci Project in coordination with the HL7 Financial Management Workgroup. This guide defines the exchange of specific coverage/treatment decisions from one payer to another payer to allow for continued coverage of specific treatments without needing to repeat the review and authorization process. The decisions may be based on commercial guidelines that can be uniquely referenced or based on specific payer rules (if and when available and defined in a structured, rules-based manner, without a proprietary payer's evaluation process). This guides supports the exchange of the supporting documentation used to validate the necessity for coverage of specific treatments This work builds on the Payer Data Exchange (PDex) Implementation Guide to define patient driven/authorized exchange methods to meet the anticipated requirements for coverage portability. | Da Vinci Project, FHIR, HL7, Payer, Payer-to-Payer | |
| Da Vinci Risk Based Contract Member Identification | This FHIR based Implementation Guide was developed by the Da Vinci Project in coordination with the HL7 Financial Management Workgroup. The goal of this guide is to enable Payers and Providers to exchange information that identifies members of a patient population associated with a particular risk-based contract. Can be used in conjunction with DEQM IG Gaps in Care Operation http://hl7.org/fhir/us/davinci-deqm/history.html | attribution, Da Vinci Project, EHR, FHIR, HL7, Payer, Payer-to-Provider, Providers | |
| MI Health Link Care Plan C-CDA - Altarum Institute | Michigan was selected by CMS as one of fifteen states to be awarded a contract for the development of an integrated care plan for individuals who are dually eligible for Medicare and Medicaid. The goal of the demonstration is to improve quality and access to care by more effectively aligning the two programs and bridging the divide between the physical health, long term care, and behavioral health systems. Altarum Institute is a nonprofit research and consulting organization that creates and implements solutions to advance health among vulnerable and publicly insured populations. Altarum developed a care plan consolidated-clinical document architecture (C-CDA) supplemental implementation guide, a complimentary CDA rendering App for care teams to customize the view of the care plan, and a C-CDA validator tool automating conformance checking. | Altarum, C-CDA, ONC, Service Plan, XML, Altarum Institute, Care Coordination, care plan, CMS, EHR, HIE, HL7, interoperability, Michigan | |
| The SANER Project | The Situation Awareness for Novel Epidemic Response Project a.k.a, the SANER Project was launched by Audacious Inquiry in response to concerns from public health departments, health information exchanges supporting public health, and inquiries from public health officials at the regional, state and Federal level in the US. It is the technical part of a multi-pronged effort to develop a workable, quickly deployable, national approach for situational awareness. The initial short-term goals of this are three fold: * Quickly develop a specification that will support communication of essential situation awareness data for consumption by public health. * Test the ability of systems to use this specification. * Pilot test systems implementing the specification in real world settings. Longer term goals include evolving this specification as a balloted HL7 FHIR Implementation Guide, and further adapting, testing, and piloting it to meet the growing needs of public health as the current crisis evolves. But at the outset, this is not a standards development project. Rather it is a software development project that is looking to deploy a solution rapidly in the midst of a crisis. | BEDS, COVID-19, UTILIZATION, Ventilators | |
| Hospital and healthcare resource surge surveillance system | Collective Medical, Juvare and PatientPing have developed a program to help federal and statewide agencies understand hospital bed availability and resource trends to more effectively provide and coordinate a response. This system can be used to support the management of the COVID-19 pandemic immediately, but has been designed to support responses to future pandemics and natural disasters. The system includes an interactive analytics dashboard using hospital-sourced quantitative and qualitative information coupled with real-time information from the majority (approximately >85% of acute care volume) of hospitals to provide aggregated views at the national, statewide, regional and individual facility level. Beginning with a baseline near real-time bed availability, we leverage this real-time encounter information to visually provide ongoing real-time insight into the following metrics: total number of available beds (by unit); hospital admissions; hospital discharges; average IP LOS; average ED LOS; hospitals on diversion; number of diagnoses of interest; staff/supply shortages. All metrics can be trended over time and can be displayed at the national, statewide, regional or individual facility level. Epidemiologic transmission models suggest that voluntary quarantine, social distancing, and closure of public services and many private businesses serve to flatten the infection curve. Front and center is concern for the overburdening of our finite healthcare resources if they are overwhelmed by a preponderance of simultaneously infected and acutely symptomatic patients. The nationwide hospital and healthcare resource surge surveillance system will permit adaptive interventions. Expected outcomes include: Reduced mortality and morbidity rate for COVID-19 (and future pandemics) patients; reduced mortality rate for non-COVID-19 patients presenting to overwhelmed hospitals; reduced unnecessary economic burden; enhanced resource management; reduced provider strain. | ADT, Carequality, US Core Data for Interoperability, CDA, CommonWell, COVID-19, FHIR Messaging, HITRUST; DTSU, HL7 V2, ICD-10, LOINC | |
| PULSE-COVID: the Patient Unified Lookup System for the COVID-19 Pandemic | PULSE-COVID, developed by Audacious Inquiry and an initiative of The Sequoia Project, allows verified users (e.g., public health authorities and clinical providers) to find and view electronic patient health and medication histories from across national health information exchange networks. With a simple search on PULSE-COVID, users can access and view clinical care documents including medications, allergies, diagnoses, lab results, and other relevant information to augment clinical care, identify patient comorbidities, and fill in gaps related to patient health or demographic characteristics. Users can also use PULSE-COVID to access clinical histories for patients in non-routine care settings such as quarantine centers and other alternate care sites. PULSE-COVID is an adaptation of the Patient Unified Lookup System for Emergencies (PULSE), which was deployed during the response to the California wild fires of 2017, 2018, and 2019. PULSE is currently under redesign and will be released in June of 2020 with broader functionality and nationwide scalability. | Audacious Inquiry, C-CDA, COVID-19, Disaster, EHR, Emergency Medicine, outbreak, pandemic, PULSE, Sequoia Project | 09/01/2020 |
| COVereD Digital Toolkit - Rx.Health | COVID-19 Digital Toolkit on a Unified Platform COVereD is an integrated a set of digital tools working through a platform approach through a workflow prescribed directly through EHRs. This digital toolkit enables Electronic outreach for patients and community Digital triage for patients coming in facility Telehealth for further triage and consultation Digital monitoring and dashboard to track potentially exposed, under investigation, and quarantined patients Online training and checklist for healthcare workers | Care Coordination, COVID-19, interoperability, mobile health, Value-based Care | 10/31/2020 |
| Rene Health - Comprehensive travel insurance, telemedicine and wellness | Rene is an AI-powered app designed to keeps travelers safe and healthy on their journeys by providing tailored travel insurance, wellness programs and telemedicine services, allowing users to seamlessly access medical services around the globe. | APIs, COVID-19, insurance, telehealth | |
| Family Proud | Family Proud is a software solution that connects patients and caretakers with a community and resources critical for their care, all on one easy-to-use, secure, platform. Back end analytics and data that allow for increased patient and family engagement, custom reports on resource alignment, population health metrics and recommendations. | Care Coordination, Communication, Community, consumer engagement, COVID-19, Patient Engagement, Population Health Management | |
| Video Nudges for Covid19 Self-Care MotiSpark | MotiSpark is currently working with providers to define and distribute essential information and mental health support for patients and their families coping with Covid19 through SMS-based video nudges in English and Spanish. The short-format videos are accessible on any mobile device and provide easy-to-understand instructions that help answer basic self-care questions to pre-empt unnecessary calls to providers. The platform also invites patients to set-up personalized coping plans through a delightful, motivational experience that has shown success in helping Chronic Care Management patients in multiple states. In addition, providers can upload one set of video greeting that can be dynamically inserted into nudges that go to all of their patients. See https://www.motispark.com/programs and www.motispark.com/seniors | Community Mental Health, COVID-19, Education, Mental Health, Patient Engagement, reduce readmissions, video | |
| Digital Patient Engagement | Neoteric Health is an integrated SaaS suite of omnichannel telemedicine, real time scheduling, ability to document a medical encounter and an API architecture that allows integration with connected devices (heart monitors, blood pressure, etc.) and other systems of record. | Care Coordination, COVID-19, digitalhealth, patient-centric, telehealth, telemedicine | 08/31/2020 |
| Preveta: Care Coordination and Analytics | Preveta is a Care Coordination platform that empowers providers to deliver non-face to face care coordination in-line with Medicare's Chronic Care Management (CCM) requirements. With the recent COVID-19 pandemic, providers are increasingly limited in their ability to provide care in a face-face setting. While telehealth is an option, the video-accessibility requirement presents a challenge to some patients. Our platform allows care to be delivered in a non face-to-face modality, often over the phone and ensures continuity of care outside of clinic visits. Preveta's care coordination modules identify clinical and data gaps and guide the medical staff to address such gaps. Filling in these gaps often results in greater insights into disease progression and increased efficacy of population health management. Data is exchanged with bi-directional integration with the EHR. Our platform retrieves data from the EHR and pipes it into our AI engine to customize care specifically for the patient's profile and disease. Patient goals, reported outcomes, and care plans are sent back to the EHR. Additional data captured as a result of addressing clinical gaps are sent back to the EHR and allows providers to make data-driven decisions at the point of care. | Analytics, API, Patient Data, Patient Goals, Cancer Coordination, Care Coordination, COVID-19, Data, DIRECT, FHIR, HL7, interoperability | 12/31/2020 |
| Rapid COVID-19 Knowledge Transfer Social Media Dashboards for HCPs | Whether you work in the sciences, communications, or practice medicine we are are facing the same truth: the faster we can learn and disseminate what works, creative hacks, and best practices when faced with a new challenge like COVID-19, the more lives can be saved. We're releasing a new collection of dashboards that aim to provide you with the absolute latest (every hour counts) of trustworthy conversations and content as shared by virologists, infectious disease physicians, epidemiologists, immunologists, HCPs, and researchers. Learn what works in other countries, states, or individual hospitals and labs. Symplur – The Social Media Analytics Platform for Healthcare. | Analytics, NLP, NPI, Social Media | 03/01/2021 |
| Research Foundry - A Global Research and Innovation Health and COVID-19 blockchain data sharing and collaboration network | Research Foundry is a global health centric coalition of researchers, public health officials, organizations and innovators who believe that large-scale problems can only be solved collaboratively. Research Foundry provides the infrastructure and the connected community to enable this collaboration with security, traceability and compliance. The project provides a free public utility data access and sharing service that allows participants to access open data collections, securely share data with those who need that data, and to collaboratively solve the immediate challenges presented by COVID-19 and beyond. The project also provides a set of advanced tools and solutions through coalition members. | Blockchain, COVID-19, Population Health Management, Trusted Exchange Framework, Data, digitalhealth, Distributed Research Network, eHealth Exchange, HIE, identity management, International Exchange, interoperability | 03/31/2022 |
| Patient centered Medical Home (PCMH) Pilot - 86Borders/ConnectAllCare | 86Borders is currently piloting its ConnectAllCare platform in Tennessee's PCMH (Patient Centered Medical Home) Value Based Medicaid program. The ConnectAllCare platform was implemented to provide PCMH providers and their care coordinators with a single platform for disparate data aggregation, enhanced patient engagement, and the collection/application/reporting of actionable data. COVID-19: Providers are integrating a COVID-19 screening questionnaire into their daily interaction with patients. The questionnaire can be administered via phone, SMS text, MyHealth mobile app, or in-person. Workflows/action steps can be tagged to patients based on the questionnaire's result. Data/results are gathered, aggregated and reportable in real-time, enabling appropriate actions. Disparate Data Aggregation- EHR, State ADT/CareCoordinationTool Feeds, and Payer Data Enhanced Patient Engagement- Patient tailored communications based on method preference (Phone, SMS, Email, Mobile App). Actionable Data- Collection of structured actionable data on each patient allowing for administration of workflows based on the actionable data. Goal: Implement a solution that enables the PCMH to improve its PCMH and HEDIS Quality and Efficiency metrics, increase overall patient/member engagement in primary care, and activate non-engaged patient/members. | Actionable Data, ADT, PCMH, Population Health Management, Structured Data Capture, Value-based Care, APIs, Care Coordination, Communication, COVID-19, HEDIS, Medicaid, Patient Engagement, Patient Mobile Application | 06/30/2020 |
| JOY MD™ Publishes Online Directory of Telemedicine Providers | JOY MD™ has published an online directory of telemedicine platforms that provide consumers an option to see a doctor online in order to help alleviate the volume our current healthcare facilities are seeing during COVID-19. Some platforms are also offering free self-assessments for Coronavirus (COVID-19) as will as low cost options to see a doctor online. | COVID-19, telehealth, telemedicine | |
| Tombot: Robotic Emotional Support Animals for COVID-19 | Tombot makes robotic animals that transform the daily life of individuals, families and communities facing health adversities. Originally designed to meet the specific medical needs of seniors with dementia, Tombot Puppies have also been preordered for children with Autism, adults with high impact chronic pain, major depressive disorder, anxiety, bipolar disorder, and PTSD, and for long inpatient stays and arduous outpatient treatments at hospitals. Peer-reviewed studies show that robotic animals positively affect some users’ ability to cope with stress, anxiety, loneliness, depression and pain, reducing their need for psychotropic and opioid medications. Tombot is identifying prospective researchers to conduct studies on the application of Tombot Puppies for COVID-19 hospital inpatients, assisted living residents, and residents at home. | Alerts, COVID-19, Remote Patient Monitoring, Artificial Intelligence, Robotics, Hospitals, Long Term Care, Mental Health, mobile health, Pediatrics, Skilled Nursing Facilities, telehealth, Geriatrics | 03/31/2022 |
| Replete® - Take Control of Your Health Today | Replete® doctor patient communication platform includes direct messaging between the doctor and patient, virtual triage, virtual appointment scheduling, telehealth visits, broadcast messaging to whole patient populations etc. Replete® patient app includes pre-screening questionnaire for patients to fill, helping their providers to triage patients based on risk. Our offering is completely free. Let’s work together to flatten the curve of COVID19. | Active Care Relationship Service, Artificial Intelligence, CommonWell, COVID-19, HIE; EHR; Emergency Medicine; FHIR; EHR integration, patient care, Patient Data, Patient Engagement, telehealth, telemedicine | |
| Care Response System | (1) Publish content across the health system owned social properties to educate the public about COVID-19 (2) Monitor social conversations about COVID-19 within their community & across the health systems social properties (3) Identify & Engage directly with users across social media to answer questions & mitigate miss-information; routing high risk incidents to the COVID-19 call center if needed. The health system Social Media team also creates several Social Command Center screens to keep executives & staff around the health system up to date with the news, social media, and other current events related to COVID-19 across their community | Care Coordination, COVID-19, interoperability, patient care, Patient Data, Patient Engagement, Patient Mobile Application, patient referrals, patient-centric | 09/16/2020 |
| COVID19 Remote Patient Monitoring & Care Coordination - Expy Health | Expy Health is a remote patient monitoring platform that helps patients prepare for, and recover from surgery. Our mobile app and wearable guides patients through at-home rehabilitation while giving healthcare providers actionable insights on our web dashboard. In light of the COVID-19 pandemic, we are opening up our solution to all patients and healthcare providers in the post-acute care setting. This new initiative serves to accomplish: 1. Applying social distancing practices to care delivery by simplifying the transition from in-person care to remote patient monitoring. 2. Improved care coordination to flatten the curve and prevent overwhelming our health systems by leveraging patient data collected in the home. 3.Gather and analyze data for early detection of COVID-19. | Analytics, Care Coordination, Remote Patient Monitoring, Care Transitions, COVID-19, Patient Data, Patient Engagement, Patient Mobile Application, Patient Reported Outcomes, Population Health Management, reduce readmissions | 03/30/2021 |
| CuragoHealth.com - COVID-19 SMS/Text Screening Tool w/ Integration to EHR | CuragoHealth is currently developing a COVID-19 SMS/Text Screening tool that can be used to identify COVID-19 risk for patients. The use case is for those practices that want to screen their patients for COVID-19 and then assist with scheduling a virtual visit with their provider on our Telehealth platform or others. The screening tool is embedded into the patient's chart and/or appears as a document within the EHR. Additionally, practices can run a report detailing patients that are at medium or high risk for COVID-19. Additional desired use case: Mass texting of patients via HIEs to determine COVID-19 risk for a specific population. However, we are told there are too many legal barriers at this time in order to proceed. | COVID-19, telehealth, telemedicine, COVID19 | 04/10/2020 |
| Hardwiring Transitions of Care: Leverage AI to Predict COVIC19 Patient Outcomes | "Failed hand-offs are a longstanding, common problem in health care” (The Joint Commission, Sentinel Event Alert, Issue 58, September 2017) and arise primarily due to communication failures between healthcare workers. Given that healthcare workers at the front lines of COVID19 are bearing disproportionate burden - higher proportion of nurses and physicians are experiencing symptoms of depression, anxiety, insomnia, and distress (https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2763229), the chances of patient handoff failures are higher during this pandemic. We are working with hospitals to hard wire patient handoffs, transfers, rounding between nurses and doctors. Our software solution, Caringly, integrates with hospital EMR - ingests patient clinical data as HL7 messages, transforms them into FHIR and runs our proprietary Rules Engine to prioritize data for information exchange between the handoff sender and the handoff receiver. Caringly hardwires the patient handoff process making it resilient to potential points of failure arising from mental health status of the sender and receiver or distractions. Our Rues Engine algorithms employ AI based tools to anticipate outcomes and safety events in COVID19 patients before they occur and alert nurses and physicians. | Analytics, API, Patient Discharge, Patient Handoff, Patient Handover, Patient Report, Patient Rounding, Patient Transfer, Rounding, Transitions of Care, Caringly, Artificial Intelligence, EHR, EHR Integration, FHIR, HAPI, HL7, Interoperability, Machine Learning | |
| Pulmonary Wellness Foundation Offers Free Online Pulmonary Wellness and Rehabilitation Resources | The Pulmonary Wellness Foundation was funded with the mission to serve as the most comprehensive pulmonary wellness hub, where all people with respiratory disease can come together as a community, regardless of age, geographical location and socio-economic or medical status. During these frightening times, we understand that our community needs special support and therefore we established a COVID-19 specific portfolio of resources that will be provided throughout the duration of this global health and human crisis, free of charge for everyone. We celebrate diversity and learning preferences, and created a variety of appointments in different formats: 1. Daily FACEBOOK LIVE Coronavirus updates with Dr. Noah Greenspan, DPT, CCS, EMT-B: 2:00-3:00 PM ET 2. Patient, Caregiver (and anyone else) SUPPORT GROUP: Tuesdays & Thursdays 7:00-8:30 PM ET; Saturdays at 2:00-3:30 PM ET 3. Free 6 weeks online Pulmonary Rehab Program that people living with pulmonary disease (and anyone else) can do in the home, no special equipment is needed other than access to internet. To learn more about the Foundation's free services please visit https://pulmonarywellness.org/ or contact us at [email protected] | COVID-19, patient care, Patient Engagement | 05/31/2020 |
| Navimize COVID-19 Solutions | Navimize now offers the following solutions: 1.QUEUE MANAGEMENT FOR DRIVE-THROUGH TESTING: Provides crowd control at test sites by automating queues and real-time texting to patients when to arrive at testing site. 2.WAITING ROOM SOCIAL DISTANCING: Eliminates waiting room crowding by notifying patients of exact arrival time so they can go straight to an exam room. 3. COVID-19 TRIAGE*: Cuts down on need for phone based or in person triage by using an automated decision tree for COVID-19 symptoms. *in beta | Clinical Decision Support (CDS), COVID-19, Patient Engagement, workflow redesign | |
| Public Health Adherence Project | Public health officials are in a life-and-death struggle to get the community to observe social distancing, sheltering in place, frequent hand washing, and other preventative measures that can minimize the impact of COVID-19. Public service messages are being sent out, but in spite of this, many individuals continue to ignore these guidelines, which causes the virus to be further spread, and will lead to many more people falling ill. Frame Health has the ability to tailor public health messages based on an individual’s personality. Frame Health personalized messages will increase adherence to recommended preventative measures and slow the spread of COVID-19. The Company’s technology originated at Johns Hopkins and the team includes some of healthcare’s most accomplished veterans. Frame Health is ready to quickly deploy the program in Los Angeles and can begin deployment in 1 week. An anonymous philanthropist has offered to fund the full cost of city implementations for up to 5 cities that are approved for implementation. | 30 day readmission, admission, Behavioral Health, Behavioral Risk Screens, consumer engagement, COVID-19, Health Systems, Hospitals, Patient Engagement, Population Health Management | 10/30/2020 |
| Humn Project - Open Sourced Non-Cytotoxic Sterilization Lamp Module | The goal of the Humn Project is to open source key technologies related to the betterment of humanity in times of crisis. The scope of the program related to COVID-19 focuses on integration of new-to-world lamp modules designed for rapid and complete sterilization of an area while being non-cytotoxic (human safe). By applying this effort for use in hospitals, first responders, grocery stores, public transportation, and beyond there is potential to rapidly impact the spread of COVID-19 for those in exposure's way. By providing distribution for the lamp modules themselves with instructions for housing and final embodiment ramp, The Humn Project aims at providing access to any/all need in an exponential fashion. | Antimicrobial Stewardship, CDC, COVID-19, COVID19, FDA, Health Systems, Open Source, Sterilization | 04/15/2020 |
| CoreASSIST - Digital Assistant for COVID-19 | CoreASSIST is an AI/NLP-enabled digital assistant platform created to support COVID-19 related communications to patients, members and employees. CoreASSIST serves as a resource for your users, members and call center representatives to answer ever-changing questions related to COVID-19 including coverage, testing center locations, risk assessments and telehealth options. CoreASSIST has the ability to integrate with EHRs, Care Management and Core Admin platforms through APIs or FHIR-based frameworks resulting in use cases for both payer and provider organizations. | API, Artificial Intelligence, COVID-19, COVID19, digitalhealth, EHR, FHIR, NLP, Payer, Providers | 03/03/2020 |
| CoreLAKE - An Out-Of-The-Box Data Lake Platform | CoreLAKE is an out-of-the-box data lake platform to enable healthcare organizations to realize data integrations, data interoperability, data standardization and distribution in a SMART on FHIR format, any EDI format or via an API or file. CoreLAKE has the capability to acquire data from varied sources (like DB, Files, HL7, CCD, EDI, API), ingest data in any format and map to a FHIR model without writing any additional code. The platform has an inbuilt capability to derive golden records for providers, patients and members. It also acts as a data exchange platform where data can be consumed from clinical devices and made available for clinical and decision-support systems to consume in a FHIR format. Apart from being an interoperability solution, CoreLAKE has an integrated data quality and data validation engine with hundreds of preconfigured business quality rules in order to avoid any data discrepancies and lead to wrong decisions or actions. This platform has been utilized by a number of providers to help them acquire data from varied sources like Epic (using App Orchid), Cerner hub, HIEs and individual practices, standardize to a FHIR format and make it available for analytics teams to run their models. | API, Data, S3, Spark, Sqoop, Scala, Python, AngulerJS, Postgresql, Data Quality, EHR, FHIR, HL7, interoperability, SMART, Standards, Hadoop | 03/15/2020 |
| A HIPAA Compliant, Interdisciplinary Collaboration Tool for Front-Line Clinicians: TrekIT | Created by clinicians for clinicians at Penn Medicine, TrekIT is a HIPAA compliant clinical workflow tool that was built to enable seamless team-based collaboration across every provider in every setting and requires no IT resources to deploy. To support the medical community during this time of extreme strain, we are offering TrekIT free of charge to our colleagues on the front-lines. TrekIT replaces static paper rounding, handoff & task lists that clinical teams use to create patient lists, track transfer requests, or manage their inpatient work load. It is a nimble, cloud based platform that enables any one to access it anywhere, on any device. This is particularly important now, while resources are limited. Clinicians, who are taxed at baseline with cumbersome documentation workflows, are only going to be more taxed & more at risk for burnout in the coming months. TrekIT can help. TrekIT eliminates double documentation by creating a single collaborative workspace that enables clinicians to write something once, and use it again and again. While TrekIT provides tremendous value out of the box, it can also be integrated with any EHR or HIE, helping surface critical clinical data into an intuitive, easy to access interface on any smartphone or device. In use by >5000 users at Penn, 80% of surveyed users believe TrekIT saves them time & has prevented errors. We need more of that, now more than ever. Additionally, as bed capacity is breached, there will be an increasing need to transfer patients from one facility to another or house them in temp facilities. Having an EHR agnostic tool like TrekIT will be essential in this setting. Faxed communication is simply not good enough. TrekIT is extremely intuitive and is ready to use. No IT resources are necessary from wifi to computers. Users can access TrekIT on any internet capable device, including smart phones, helping bring technology to the front lines. | clinician, Collaborative, HL7, interoperability, ONC Official Spotlight, COVID-19, COVID19, documentation, EHR, FHIR, frontline, Handoff, HIE | 12/31/2020 |
| FHIR Profile Implementation Guide (IG) | COVID-19 FHIR Profile Implementation Guide is a collaborative, iterative effort producing high-priority clinical information models, nationally standardized value sets, FHIR profiles, and other interoperability resources for vendor-neutral interoperability. Deliverables form a foundation for all platforms to interoperate and share information for the optimal care for COVID-19 patients, and will flow into ballot packages for HL7 standardization. All assets are available under free of charge under worldwide Open Source license. | Collaborative, COVID-19, EHR, FHIR, HIE, HL7, interoperability, Logica, R4 | 12/31/2021 |
| STANFORD - MAPPING COVID-19 RESULTS (on-going project) | Stanford has begun to use Care Everywhere - Happy Together advanced mapping tools to map relevant external COVID-19 Lab Results across the country. The advanced mapping allows for organizations to identify covid-19 external results positive or negative within their native system to trigger Clinical Decision Support tools, Patient Banner Flags, Registry Metrics and other tools like Results Review with the Epic EHR. | COVID-19, EHR, Lab Results | |
| COVID-19 Knowledge Accelerator | COVID-19 Knowledge Accelerator is a identifying research results related to COVID-19 in humans and clinical outcomes (the evidence to inform prediction and intervention decisions), expressing the evidence and statistics in a FHIR-based standard for computable expression, and facilitating the collaboration of systematic reviewers to more quickly identify, evaluate and synthesize evidence to inform management of COVID-19 related healthcare decisions. | Clinical Research, COVID-19, FHIR, Patient-Centered Outcomes Research, evidence-based medicine, EBM, systematic review, statistics, prediction | |
| eHealth Exchange connects to PULSE-COVID | The eHealth Exchange, the nationwide health information network, has on-boarded PULSE-COVID, an adaptation of Patient Unified Lookup System for Emergencies (PULSE) for public health and clinician access. PULSE is a health IT disaster response platform, which was deployed during the response to the California wild fires of 2017, 2018, and 2019. Developed by Audacious Inquiry and an initiative of The Sequoia Project, the modified PULSE-COVID allows verified users (e.g., public health authorities and clinical providers) to find and view electronic patient health and medication histories from across the eHealth Exchange network, which includes more than 60 regional and state health information exchanges and 75 percent of all hospitals in the U.S. With a simple search on PULSE-COVID, users can access and view clinical care documents including medications, allergies, diagnoses, lab results, and other relevant information to augment clinical care, identify patient comorbidities, and fill in gaps related to patient health or demographic characteristics. Users can also use PULSE-COVID to access clinical histories for patients in non-routine care settings such as quarantine centers and other alternate care sites. | COVID-19, eHealth Exchange, Nationwide Network, Public Health, PULSE, Sequoia Project | |
| eHealth Exchange: electronic Case Reporting (eCR) Use Case | The eHealth Exchange, the nationwide health information network, supports electronic case reporting, such as COVID-19, for its network participants. This enables automated generation and transmission of case reports to public health agencies. | COVID-19, eHealth Exchange, Nationwide Network, Public Health, Use Case, Case Reporting | |
| OneRecord | Meet OneRecord! The only consumer-facing application that enables the user to access and aggregate their medical records and healthcare data via a combination of IHE XCA/XCPD and FHIR transactions through secure, standards-based APIs. OneRecord is the ONLY consumer application live on CareQuality and Commonwell Networks and is actively working with stakeholders within the Networks to develop a plan for COVID. OneRecord is connected to Epic, Cerner, Meditech, eCW, Athena, CPSI/Evident, Medhost, and more vendors via FHIR APIs. Enable OneRecord today to help fight COVID 19 through consumer - consented exchange. | Carequality, CCDA, CommonWell, Consent, COVID-19, FHIR, HIPAA, HL7, IHE, Patient Engagement | |
| TOGETHER for PPE Readiness | The Center for Medical Interoperability (C4MI) has entered into an agreement with the National Personal Protective Technology Laboratory (NPPTL) out of the National Institute for Occupational Safety and Health (NIOSH). This work is additionally supported by NIOSH's parent agency, the Centers for Disease Control and Prevention (CDC) to develop a trusted monitoring and surveillance system for personal protective equipment (PPE). The project is a public-private partnership called TOGETHER (Trust infOrmation exchanGe to achiEve healTH rEsource Readiness) to allow for trusted data exchange developed for and by the healthcare industry. The initial application of this platform, TOGETHER for PPE Readiness, provides real-time information on PPE inventory (respirators, masks, gloves, gowns, and other protective equipment) among hospitals, health departments, emergency responders, stockpiles, and other PPE supply chain stakeholders. | COVID-19 | 06/30/2022 |
| COVID Notifications for Public Health Tracking and Tracing | Description Public Health departments across the country have aggressively sought to both track utilization as well as obtain the clinical history of known COVID-19 patients. Using Ai’s ENS®, the Louisiana Hospital Association has worked closely with the Louisiana Department of Health to upload panels of known COVID-19 patients and have begun a series of alerts and reports to perform a number of critical activities to stem the outbreak - Understand Healthcare Utilization once diagnosed o ER visits, IP Admission and Discharge events o Active Census – Daily report of currently admitted patients - Disease Investigation and Clinical Case Augmentation o 90-day utilization history, including Admission and Discharge Diagnoses o Contact Tracing Investigations o Epidemiological Assessments | COVID-19, HIE, HL7, interoperability | |
| Scanning for Interoperability: Using the FDA UDI System to Improve Implant Documentation and Recall Management | In 2013 the US FDA published a rule establishing the UDI system, intended to identify a medical device through distribution and use. Over the past six years, UDI has increasingly appeared as the unique standard, scannable identifier on millions of medical devices not only in the US but around the world. In the US, AccessGUDID, a free FDA-sponsored publicly available database, enhances the value of UDI through searchable, downloadable and API ready access to over 2.4 million records, each associated with a single device identifier on a device label. Hospitals and their health system vendors are beginning to take advantage of these public resources by developing and using IT systems that scan the UDI and pull data from AccessGUDID to better document implants and other devices as part of health information. We detail the work for a hospital implementing the application through webinar training. We show how use of scanning the UDI improves documentation of implants reducing the exposure of patients to expired and recalled products. You will see how the decision was made to use UDIs as part of their efforts to improve OR operations, and describe how UDIs are routinely being scanned and documented, and the efforts being taken to improve the UDI system. Each area lead discusses their own perspective on the impact of UDI today and opportunities for the future. | Cost Benefits of the UDI, GUDID, GUDID Data Quality, Interoperability, Promoting Interoperability Requirements, Scanning, UDI, UDI Adoption, UDI Capture, UDI Recognition | 04/30/2020 |
| COVID-19 Test Ordering and FHIR API - Health Gorilla | Health Gorilla enables a national network of community providers and digital health organizations to place COVID-19 test order and receive results electronically, available through a FHIR-based API and mobile application. Health Gorilla's Patient360 API enables providers to aggregate a patient's medical records from anywhere the patient received care, enabling the provider to get full clinical context to inform COVID-19 treatment. | API, CCDA, COVID-19, FHIR, HIE, HL7, Interoperability | 12/31/2020 |
| COVID-19 Patient Registry | To support nationwide tracking and reporting of infections/immunization, the COVID-19 Patient Registry allows cases to be managed uniquely across various agencies and organizations. Created as part of the Pandemic Response Hackathon sponsored by ONC and the American Public Health Association (APHA), the public health and immunization registry aggregates clinical data such as test results and status updates from hospitals, public health departments, labs and physician practices for reporting and tracking of the disease. Using probabilistic algorithms embedded in NextGate’s Enterprise Master Patient Index (EMPI), the registry automatically links data together based on patient demographics (i.e. address, phone number, birth date, etc.). We are seeking partners willing to collaborate as well as input from healthcare leaders on workflow requirements and relevant clinical data to be captured. A mobile version of the UI is also needed. A video tutorial of the registry is posted below: | COVID-19, interoperability, patient identificatioin, Patient Matching | 07/01/2020 |
| HIPAA-Compliant, Sign-out and Care Collaboration for COVID-19 - Listrunner | Listrunner is committed to helping clinical teams collaborate to combat COVID-19. We hear the need for easy, flexible and proven tools to meet the changing needs of teams responding to COVID-19. In order to help, we are continuing to offer our product free and want to get the word out to as many clinical teams as we can. We've created COVID-19 templates and 3 use cases at listrunnerapp.com/covid/. If you need help with your COVID-19 response, our team of engineers and designers are ready to build what we can to support you. Contact: [email protected] About Listrunner: Listrunner is built by clinicians for clinicians and is already used by thousands of clinicians every day to expedite rounding, sign-out, and patient care collaboration across teams. | burnout, COVID-19, FHIR, Handoff, HL7, Patient Handoff, Patient Handover, Patient Transfer, telehealth, workflow redesign | 12/31/2020 |
| AI COVID Web and Phone Assistant Triage - Syllable.ai | Syllable provides automated COVID-19 information and patient triage on the web and phone for healthcare providers and insurance companies. Syllable automates the dissemination of COVID-19 information from trusted sources such as the CDC and the WHO and triage patients to emergency departments, telehealth, urgent care, and testing facilities in order to alleviate communications burdens for healthcare responders and contact centers. Our COVID-19 web assistant is free and our phone assistant is provided at cost as a community service. | Artificial Intelligence, COVID-19, digitalhealth, insurance, Patient Engagement, Providers, Triage | 08/31/2020 |
| COVID-19 High Risk and Travel Analysis | Using claims, clinical and patient-generated data, algorithms generate the high risk, medication adherence and travel tracking. Consumers complete COVID-19 and social determinants health screenings that is combined with claims and clinical data. | ||
| MDcovid - patients with Covid-19 share their DNA with researchers | It is a crowdsourcing initiative: Patients with severe, mild or no symptoms of COVID-19 are able to upload their genetic data from 23andMe, Ancestry, FamilyTreeDNA, LivingDNA, MyHeritage, HomeDNA or from other sources. The goal is to compare the DNA of people who have serious cases of COVID-19 with those with mild or no symptoms. | Clinical Genomics, COVID-19, crowdsourcing, Patient Engagement | |
| Remote Elderly Home Care via Privacy Preserving Surveillance | COVID19 isolated at home many of us, including our elderly parents and grandparents. Not being able to check on them regularly elevates the risks that they are exposed to such as falls, gas leaks, flooding, fire and others. Ambianic.ai is an end-to-end Open Source Ambient Intelligence project that removes the stigma associated with surveillance systems by implementing privacy preserving algorithms in three critical layers: Peer-to-Peer Remote access Local device AI inference and training Local data storage Ambianic.ai observes a target environment and alerts users for events of interest. Data us only available to homeowners and their family. User data is never sent to any third party cloud servers. Here is a blog post that goes into the reasons why we started this project: https://blog.ambianic.ai/2020/02/05/pnp.html And here is a technical deep dive article published in WebRTCHacks. It clarifies that it is absolutely possible to build a privacy preserving surveillance system, despite popular cloud vendors making us believe that all user data belongs safely on their cloud servers: https://webrtchacks.com/private-home-surveillance-with-the-webrtc-datachannel/ | Active Care Relationship Service, COVID-19, HIE, Privacy, Remote Patient Monitoring | |
| Qventus Patient Flow Automation Platform | Qventus automates patient flow for leading hospitals and health systems. Integrating with EHRs, Qventus combines AI, behavioral science, and data science to predict operational issues before they occur, orchestrate actions among frontline teams and ancillaries, and manage accountability to drive continuous improvement. Qventus is currently partnering with health systems to help them address the challenges of COVID-19 and its subsequent impact by predicting COVID-19 admits, mitigating critical resource shortages, and driving continued focus on discharge optimization to prepare for future surges. | Artificial Intelligence, Behavioral Science, Patient Flow, COVID-19, Data Science, Discharge, EHR, HL7, interoperability, Machine Learning, Operations Management | |
| Encounter Notification Service – Alerting Providers about COVID-19 Test Results | CRISP (an HIE serving Maryland, and West Virginia and D.C. via affiliation), in partnership with Audacious Inquiry, has leveraged their existing ENS platform to deliver a new alert type to members of a patient’s care team, when a patient has had a positive or negative COVID-19 lab test. ENS is able to identify the lab values present in an HL7 Observation Result (ORU) messages and use them to trigger alerts to providers within their existing workflows. | ADT Notifications, Alerts, COVID19, EHR, HIE, HL7, Lab Results, SHIEC | 03/16/2023 |
| Pharmacists Combatting COVID-19 | DocStation launched a COVID-19 risk assessment that uses medical claims data on FHIR to target patients at high-risk for COVID-related illness. Pharmacists perform risk assessments to determine if patients are symptomatic and provide education on self-monitoring and social distancing. Pharmacists identifying patients who are symptomatic are encouraged to follow-up and monitor for symptom progression and assist with care coordination. | "Da Vinci Project”, APIs, COVID-19, DaVinci Project, FHIR, Pharmacist, Pharmacy, EMTM, CMMI, DocStation | |
| COVID-19 Community Interoperability and Health Information Exchange Platform Pilot | Heudia has redeployed an enhanced version of its Community Interoperability and Health Information Exchange (CIHIE) Platform called AccessMeCare™ to address community health needs resulting from COVID-19. The initial platform use case was designed to integrate ‘non-eligible’, community-based care providers into a pre-existing HIE to align medical care with the social determinants of health while encouraging vulnerable women to seek prenatal care at the right time and place. The enhanced, HIPAA compliant mobile version of AccessMeCare™ includes new functionality which enables community users to gain quick access to critical, up-to-date community-focused content relating to COVID-19, including; Testing Sites, COVID-19 Social Needs Screening, Exposure Assessments, Non-Emergent Medical Transportation, Community/School Closings, and Basic Needs/Social Services.We are recruiting fast-track pilot sites. | AI/ML/NLP, Alerts, Transportation, API, Community of Practice, COVID-19, HIE, interoperability, Social Determinants, Social Media, Transitions of Care | 12/31/2020 |
| Dock Health - HIPAA compliant task management and collaboration platform built specifically for healthcare | Dock Health is a secure platform to help healthcare teams work collaboratively on the administrative tasks of clinical care. Dock has the flexibility to work across the full spectrum of healthcare. From internal medicine and subspecialties, to mental health, dentistry, pharmacy or home health, Dock is customizable to easily fit any clinical need. Dock was born at Boston Children's Hospital and can integrate with EHRs via FHIR standards. Yet what makes Dock so easy to implement is that this connectivity is not needed, practices can simply upload patient profiles to add context to tasks. Beyond this, Dock has the ability to bring disparate groups from within and across organizations together in a shared and secure workspace. In response to COVID-19, Dock Health is offering our platform for free. We hope to help providers get prepared and coordinate their efforts to get ready and respond to this public health crisis. To help teams get started, we have distilled down many of the CDC protocols and guidelines into actionable team task lists. | Collaboration, COVID-19, workflow, FHIR, HIE - EHR, interoperability, Operations Management, project management, protocols, task management, Templates | 12/31/2020 |
| COVID-19 Contact Tracing Blockchain | The Villanova University Department of Electrical and Computer Engineering is currently developing a platform to contain COVID-19 by utilizing blockchain, Artificial Intelligence (AI), and Internet-of-Things (IoT) technologies to help medical facilities track coronavirus cases globally. The system uses a private blockchain shared among medical facilities around the world to publish coronavirus test results between doctors on a trusted, immutable ledger. IoT and AI are used to survey public spaces where high-risk gatherings can take place and trigger alerts over the blockchain. Such alerts will assist healthcare providers in making strategic, life-saving decisions of how to allocate medical staff and equipment already in short supply. | COVID-19, EHR, IoT, EMDI, FHIR, HIE, HL7, IHE, interoperability, Blockchain, AI | 12/31/2020 |
| Improved Disease Modeling Tools for Populations | The MIcro Simulation Tool (MIST) https://simtk.org/projects/mist is disease modeling software. The software allows advanced population modeling with a convenient user interface that allows easy, yet reliable modeling with the ability to use High Performance Computing and Evolutionary Computation. This is especially useful in cases where only summary data is available. MIST is already used as the engine behind the most validated diabetes cardiovascular model known worldwide. MIST was recently adapted to allow Infectious Disease modeling for pandemics like COVID-19. | AI/ML/NLP, COVID-19, Data Model | |
| Free and anonymous COVID-19 symptom mapping across the United States - Memora Health | Memora Health has released a text-based system that enables people to 1) get screened for risk factors related to COVID-19, 2) get a free telehealth visit if they have multiple risk factors, 3) ask common questions about COVID-19 and get automated answers based on CDC information. This service is a valuable public resource, that is free and anonymous, to enable people to get screened quickly and in a frictionless manner. This is being implemented nationwide with several health systems and government agencies to collect 1) data on which symptoms present most frequently, and 2) which zip codes are likely hotspots for outbreaks based on how many people present with risk factors. At a national scale, this would substantially facilitate a coordinated response and provide valuable insight. This will continue to scale to several millions of users over the next several weeks to help map the spread of COVID-19 and collect valuable symptomology information. | COVID-19, HIE | 05/31/2020 |
| A Series of Automatable COVID-19 Visual Guildelines | A series of microservice apps created with innovative automatable clinical guideline technology from Trisotech. Combining graphically created shareable clinical pathways with integrated clinical decision support, these microservice apps can improve precision and compliance with best practices, resulting in better implementations and quality of care. Leverages open modeling notations standards like BPMN, CMMN and DMN,combined with FHIR, CQL, and CDS Hooks . | AI, API, BPM+ (BPMN DMN CMMN), CDS Hooks, COVID-19, COVID19, CQL, FHIR, HL7, Interoperability | 03/31/2021 |
| A Library of Automatable Visual Guidlelines | A library of over 800 Automatable Visual Guidelines categorized by over 90 clinical problems hosted by Trisotech. Offers restful endpoints that are standardized using Open API and CDS Hooks. Leverages international open modeling notations standards like BPMN, CMMN and DMN,combined with FHIR and CQL. | AI, API, BPM+ (BPMN DMN CMMN), COVID-19, CQL, FHIR, HL7, Interoperability | |
| sars2pack: An open source COVID-19 package for R | The sars2pack R package includes data resources, workflows, and data science tools to understand and interpret the COVID-19 pandemic. Access to data resources is “real-time” to get the most up-to-date information. Use cases and introductory material are available in vignettes and in documentation. Use cases include exploratory data analysis of national and international pandemic cases, plotting, and interactive maps as well as tooling included with R to build dynamic dashboards and dynamic reports in Word, PDF, HTML formats. | Actionable Data, COVID-19, reporting, Rstats, R, COVID19, Data, Data Science, Open Source, Open-Source, pandemic, US Core Data for Interoperability, geospatial | |
| LifePulse360: Personalized Care Coordination Platform with Coronavirus First | LifePulse360 is a care coordination platform that defines an integrated care plan and coordination of health, human services and volunteer services for key public and personal health needs. Coronavirus Extensions have been added to include agent-based screening, test scheduling, referral and home monitoring with care coordinators and safe transfer for COVID-19 patients | Care Coordination with COVID-19 Extenaion | 04/01/2020 |
| Michigan Health Information Network Shared Services (MiHIN) COVID-19 Response in Michigan | Michigan Health Information Network Shared Services (MiHIN) has been leading the way in various efforts surrounding the secure exchange of health information for a decade. Our focus has always been, and always will be, the residents of Michigan. With the COVID-19 pandemic, it has been our mission over the past several weeks to amplify our efforts in the best way possible to reduce burdens on our medical communities and lead statewide efforts to increase efficiency for sharing data, accessing data across care givers, and reduce burdens on physicians and those on the front line. Together, with Michigan Department of Health & Human Services, we have accomplished a great deal in a short amount of time. Each week, over 17 million messages and pieces of health information get passed through our system; Admission, Discharge, and Transfer notifications, lab results, are incorporated in the response to COVID-19, we have only continued to increase the ability to securely exchange critical, real-time, patient data. • MiHIN’s main priority is to utilize the key information that is flowing through the network to accomplish comprehensive use of the data. MiHIN has created reports that contain: Admissions to an Emergency Department for COVID and Non-COVID Discharges from an Emergency Department COVID and Non-COVID Admission In-Patient COVID and Non-COVID Discharge from In-Patient COVID and Non-COVID ICU Admission COVID and Non-COVID ICU Discharge COVID and Non-COVID The data is being used and analyzed in new ways to support the effort of cohesive care across teams. • MiHIN’s Active Care Relationship Service® (ACRS®) has been turned on for all hospitals across the state of Michigan; the file will also be routed back to the sender • In conjunction with the Lab Database, MiHIN is placing indicators on the ACRS files indicating a Covid-19 Positive, Negative, Indeterminant result, along with the date • MiHIN is routing all COVID-19 lab results to the State of Michigan | acrs, ADT, ADT Notifications, COVID-19, Discharge, Lab Results, telehealth, telemedicine | |
| Redox "Innovators Ready to Help" COVID-19 Program | Redox supports 275+ digital health vendors integrating with 700+ healthcare organizations and across 45+ different EHR platforms. We've curated a list of vendors that have a meaningful solution around COVID-19 response, can implement with a "minimal viable integration scope" (2-3 week deployment timeline), and are waiving fees for 90 days. | COVID-19, EHR Integration, HIE, interoperability | 09/30/2020 |
| COVID-19 Alerts and Reporting Pilot - Population Health Management | 4medica®and KPI Ninja have teamed up to pilot a comprehensive lab analytics solution to support rapid treatment, prevention and spread of the COVID-19 (coronavirus) pandemic. The COVID-19 Alerts and Reporting Solution™ helps healthcare organizations and medical professionals identify and prioritize patients at higher risk of contracting severe forms of the respiratory disease. The solution also finds and tracks healthcare facility and ICU bed utilization across the U.S. | ACO, ADT, ADT Notifications, Alerts, C-CDA, COVID-19, FHIR, HIE, HL7, interoperability | 06/30/2020 |
| A EMR Message Broker Telehealth Solution | Proof of Concept (POC) for an enterprise solution of Webex powered telehealth visits from within Epic and other EMR, provider and patient apps. Patients can meet with their clinicians via a WebRTC based video call launched directly from their Epic or other EMR without the need to download any Cisco Webex software. The goal of this POC is to keep the patient that do not need to come to the hospital, on schedule for the appointment or obtain necessary medical advise/treatment. | Cloud Solution, COVID-19, EMR, Integration, interoperability, telehealth, Webex, WebRTC | 06/30/2020 |
| Synthea | Synthea is an open-source synthetic patient data generator that can generate realistic-but-not-real synthetic data conformant with FHIR (R4, STU3, DSTU2), US Core IG, BB2.0, CCDA, and other formats. The data is free from any privacy and security restrictions. | CCDA, Data, EHR, FHIR, Open Source, Software, Synthetic, Testing, US Core Data for Interoperability | |
| Equipment Track and Utilization | With the demand of Vents and Beds, we allow manufacturers and hospitals the ability to track and find equipment easily. Knowing if a device is dirty or clean, in a room or walking out the door, usage reports and alerts. Digital Medical Tech has created a platform to allow health systems to proactively track medical devices and equipment. Using Bluetooth technology, Digital Medical Tech’s real-time location system provides monitoring and management of a wide variety of medical assets, while requiring less infrastructure and shorter installation time than typical tracking solutions. | 04/01/2020 | |
| Noteworth - Programs for Mitigating the Impacts of Covid-19 | Patient program: aimed at the identification of potential infections of COVID-19, the treatment and initial screenings and longitudinal measurement of the condition through symptom tracking and outcome measurement. Flow: Screening (surveys) - engagement (telemedicine) - Follow up (Symptom tracking + education) Healthcare worker program: aimed at the detection of risk, based on exposure and symptoms presenting amongst employees and staff. Helping manage staff availability and reduce the administrative burden associated with clinical resourcing. Flow: Screening (surveys) - Scoring (categorize protocol to follow) - Monitor until reintegration (symptom tracking) | Actionable Data, Care Coordination with COVID-19 Extenaion, Care Planning, COVID-19, Patient Engagement, Patient Mobile Application, Patient Reported Outcomes, Remote Patient Monitoring | 07/31/2020 |
| COVID-19: Swift Response Solution, Medisafe’s Care Support Platform for Digital Drug Management | Medisafe, a leading digital therapeutics company providing digital drug companions for medication management is currently offering a Swift Response package, ready for rapid deployment, for Pharma, Specialty Pharmacies, and Hub services. The solution includes a digital drug companion and a quick launch version of the Care Connector, a patient engagement platform. The bundle enhances connectivity to patients in times of uncertainty, like now with the ongoing COVID-19 pandemic, offering personalized and proactive guidance, support and engagement around medication management. | COVID-19, interoperability, #DigitalTherapeutics, #SpecialtyPharma, #MedicationManagement, #PatientEngagementPlatform, #DigitalDrugManagement | |
| COVID-19 patient symptom survey with EHR and Device integration | Helping patients understand their COVID-19 risk through easy symptom tracking and information. Mobile app based survey and web based dashboard. HIPAA and GDPR compliant and available in 22 languages. | CEHRT, COVID-19, COVID19, Interoperability, Patient Engagement, Survey, Patient survey, Dashboard | |
| COVID Patient Monitoring and Contact Tracing | App: Developing a system where patients who have tested positive for COVID-19 can use a smartphone based application to submit their oral temperature as well as other symptoms. Dashboard: Healthcare providers have a dashboard to view these results to monitor their condition. Contact Tracing: We will collect contact information (name/phone/email) from COVID-19 positives of whom they have been in close contact with to follow up with them to determine if they should be screened for COVID-19. | COVID-19, Dashboard, Patient Mobile Application, contact tracing | |
| A Patient facing COVID Symptom Tracker, ability to gather and share medical records and symptoms (MyLinks) | The COVID Symptom Tracker has been added to MyLinks to enable patients to easily track, graph, and share their symptoms. Patients can gather and share their medical records and device data with providers or research organizations. Patients answer specific questionnaires to meet your needs. If you are interested in working with us to receive data directly from patients, please contact us. | #COVID, #PatientEngagementPlatform, interoperability, #Research, #Symptoms, #SymptomTracker, C-CDA, COVID-19, EHR, FHIR, HL7 | 04/30/2021 |
| Tennessee COVID-19 Notifications for Public Health Tracking and Tracing | Using Audacious Inquiry’s Encounter Notification Service (ENS), branded as ConnecTN, the Tennessee Hospital Association (THA) has worked closely with the Tennessee Department of Health (TDH) to upload panels of confirmed COVID-19 patients to develop a series of alerts and reports to stem the outbreak. TDH is receiving both real-time and daily summary files to augment their COVID-19 response tracking. • Understand Healthcare Utilization once diagnosed o Real-time and daily summary inpatient and emergency department admission and discharge event notifications to track hospitalizations after initial diagnosis o Active Census showing which COVID-19 patients are currently in the ED, in the hospital, or have been recently discharged • Disease Investigation and Clinical Case Augmentation – 60-day prior events history including admit reason and diagnoses • Hospital Early Outbreak Detection Surveillance – Daily and historical reports monitoring trends of patients diagnosed with COVID-19 (using WHO and CDC interim ICD-10 codes) and other respiratory or influenza like illness (ILI) codes Project Points of Contact: David Rodriguez ([email protected]) and Bryan Metzger ([email protected]) | #COVID, COVID-19, HIE, HL7, Interoperability | |
| A COVID-19 Preparedness App to Enhance Front-line Interoperability by OCHIN/Epic | Created through a collaboration of OCHIN and Epic for the Washington Health Care Authority, the COVID-19 Preparedness App is a scalable, mobile solution for communities responding to the COVID-19 pandemic. This HIPAA-compliant tool empowers frontline health care workers to conduct emergency patient triage in the field that automatically becomes part of a patient’s medical record—closing existing interoperability gaps between providers at emergency pop-up care sites, labs, and public health agencies working to monitor community spread. It can also be utilized by citizen volunteers, expanding health care capacity in rural and underserved areas. This tool is being deployed in Washington state, where OCHIN has also helped to deploy four COVID-19 Assessment Centers to triage patients that are experiencing symptoms and/or have tested positive and need to be quarantined or admitted to an in-patient facility. This solution is scalable to any entities at the local or state level, and to other public health agencies to aid in patient triage. | #COVID, API, Scalable, App, Care Coordination, Care Transitions, Collaboration, EHR, Interoperability, mobile health, Rural | |
| A HIPAA compliant software tool to efficiently transition patients to PAC providers | In response to the COVID-19 outbreak, AIDA Healthcare is offering all hospitals and PAC providers nationwide AIDA Patient Choice software AT NO COST. The AIDA software module allows hospital caseworkers to quickly and efficiently transition patients to post-acute care facilities in order to make beds available for those patients diagnosed with COVID-19 | API, Care Transitions, COVID19, Embedded UI, Epic App Orchard, FHIR, Patient Data, Patient Discharge, Software, SSO | 06/30/2020 |
| Particle Health - Health data access via a simple API | Particle Health allows access to ~250M lives across the USA via a simple 2 step API. By passing in demographics Particle searches out and collects these records from over 25,000 facilities, delivering them in seconds. We are offering access to this API free for all COVID-19 projects, allowing for fast patient processing and triage. | C-CDA, COVID-19, EHR, FHIR, HIE, HL7, IHE, interoperability | |
| COVID Response App from Smile CDR | COVID Response app is an open-source COVID-19 Self-Assessment Tool using HAPI-FHIR as a FHIR server and Angular for front-end application. | #BetterGlobalHealth, Angular9, COVID-19, FHIR, HAPI, FHIRBall | |
| Orbita's COVID-19 Conversational Screening, Navigation and Monitoring Application | Orbita creates conversational chatbot and voice experiences tailored to the healthcare audience. When the COVID-19 outbreak began to gain steam, customers and the healthcare community alike were in need of a tool to supplement their front-line response. Orbita subsequently rolled out a free, clinically vetted screening tool that's designed to help organizations and employers support and screen patients concerned about the potentially deadly and highly contagious coronavirus (COVID-19). The tool can be used by health systems, employers and as a public health resource to screen, track and has the ability to proactively check-in, monitor and manage patients. The tool is already live and at large academic medical centers across the US, top telemedicine companies and large employers to help them manage their employee population. | COVID-19, COVID19, EHR Integration, HIE; EHR; Emergency Medicine; FHIR; EHR integration, interoperability | |
| FHIR R4 test sandbox from Smile CDR | This FHIR R4 test sandbox is available for organizations and individuals to gain some basic knowledge and experience using FHIR. A tutorial on using FHIR can be found here: https://smilecdr.com/docs/tutorial_and_tour/preamble_and_setup.html | #BetterGlobalHealth, C-CDA, FHIRBall, EHR Integration, FHIR, HAPI, HAPI FHIR, HHS ruling, HIE, HL7 V2, Interoperability | |
| Remote Patient Monitoring and Patient Engagement Solution from Strategic Interests to Keep Patients Safe at Home | Rapidly deployed platform to enable providers and public health departments to alleviate the strain on hospitals by monitoring Covid positive and suspected coronavirus patients, and symptomatic healthcare workers at home. Each population has a monitoring plan and dashboard to stratify patients based on risk with alerts and ability to initiate video call. Patient outreach via Smartphone includes daily surveys, temperature, and video calls. The application uses Datos platform: www.strategicinterests.com/covid19 Solution was deployed in 10 days: https://www.prnewswire.com/news-releases/rochester-regional-health-deploys-datos-for-remote-monitoring-of-patients-and-staff-at-risk-of-coronavirus-301031925.html | #PatientEngagementPlatform, COVID-19, Home Health, mobile health, pandemic, Remote Patient Monitoring | 03/20/2020 |
| COVID-19 Home Monitoring and Eventing | CHiYME (Coronavirus Home Monitoring and Eventing) is designed to be the 24/7 eyes and ears for physicians monitoring suspected coronavirus patients. By providing valuable—and most importantly—relevant patient health data alerts in real-time, it can help inform clinical treatment while greatly reducing false alarms. See more information here: https://www.connetixhealth.com/coronavirus-surveillance/ This project is implemented through a partnership between Connetix Health & Health in Your Hands Announce Partnership. It uses the mCharts Personal Health Record for account management (www.mCharts.com). mCharts consolidates health records from multiple providers, generally using C-CDA documents. | C-CDA, COVID-19, health records, interoperability, mCharts, PHR | 12/31/2020 |
| COVID-19 Lab Notifications (CORHIO - Colorado HIE) | To help the Colorado healthcare community during this crisis, CORHIO stood up a new service to provide patient-matched notices of COVID-19 test results from different lab sources directly to providers. Results are available in daily reports, via HL7 feed or other methods as needed. Additionally, custom reports are available for organizations and situations when member-based routing is not appropriate. | #COVID, Care Coordination, HIE, Labs | 12/31/2020 |
| COVID-19 Lab Orders and Results to Diameter Health Mapping | Diameter Health is a widely used 3rd party application that consumes primarily CCD/CCDAs and provides automated data quality uplifting, semantic normalization and quality metric reporting for healthcare organizations. For purposes of COVID-19 tracking, lab orders and results are extremely important, but CCD/CCDA's may not be a good source for this information. Zen Healthcare IT has developed code to map HL7v2 Lab Feeds to the Diameter Health API to help support COVID-19 related projects. We are currently rolling this out for a County in Northern CA and have previously deployed HL7v2 mapping to Diameter Health for other HIEs. We want other users of Diameter Health to know that this approach can be deployed quickly to fill in any data gaps related to COVID-19 reporting needs. Zen's approach makes use of Mirth (Nextgen) Connect (open source or commercial versions) which speeds deployment. | #COVID, COVID-19, COVID19, HIE, interoperability, Lab Results | 04/03/2020 |
| Clinical Communications Suite Now - PatientKeeper, Inc. | To help healthcare providers treat more patients, more quickly, under surge conditions during the COVID-19 pandemic, PatientKeeper is delivering a hosted software solution that combines mobile anytime, anywhere access to patient data and secure messaging with care team members, via smartphones and tablets. PatientKeeper Clinical Communications Suite Now optimizes and integrates with MEDITECH® acute-care electronic health records systems that do not provide such native functionality. The offering is available on a six-month renewable contract for an affordable fixed fee, with a low-overhead implementation. | COVID-19, COVID19, direct secure messaging, EHR Integration, mobile health | |
| StayHome.app sharable COVID-19 tracking & info | StayHome (https://stayhome.app, https://project.stayhome.app) is a web-friendly mobile app developed by a UW/Seattle team, that supports people who want to find reliable information and resources, track symptoms and temperature, and record COVID-19 testing and results, and who may choose to share that information with public health agencies, their friends/family, or researchers. Users can access resources about COVID-19 even if you don’t have an account, create an account with minimal information to start tracking, and elect to share anonymous or identified information. | COVID-19, FHIR, HAPI, Patient Engagement, Patient Reported Outcomes | |
| Covid19 on FHIR | Covid19 on FHIR is a node/javascript package that queries FHIR servers for COVID19 related LOINC and SNOMED codes. It has been validated against HAPI servers using Synthea Covid19 module synthetic patient data. It uses all of the most common Javascript FHIR libraries available on NPM. | #COVID, FHIR, Node, Javascript, query, LOINC, SNOMED, React | 03/15/2021 |
| Covid19 Geomapping | This module geocodes FHIR Patient addresses and constructs FHIR Locations and GeoJson layers for displaying in GoogleMaps and other GIS systems. This project is intended to be used with Covid19 on FHIR. | COVID19, Javascript, Node, GIS, Geomapping, GoogleMaps, PandemicResponse | 03/15/2021 |
| Consensus Interoperability Platform - J2 Global | Consensus, offered by J2 Global, the leader in cloud fax technology, provides easy interoperability with streamlined workflows in a simple platform that keeps you connected through each patient’s continuum of care. Whether you are a small, mid-sized organization, or a large enterprise, Consensus can improve paper-based workflows, moving to cloud faxing, direct messaging, and query for patient information from CommonWell or CareQuality. Recently, Consensus launched a free Patient Record Query service during the COVID-19 Coronavirus crisis, giving front-line providers access to patient records that can include past or current conditions and treatments from a records database, as well as a community of providers. With this service, providers can prioritize high risk patients and make better decisions at the point of care. Providers can sign up for free during the current state of emergency and for a time of transition afterward. For more information, please visit https://www.consensus.com. | #COVID, C-CDA, IHE, Interoperability, Promoting Interoperability Requirements, #healthcare, #healthcareIT, COVID-19, DIRECT, EHR Integration, FHIR, HIE, HIE - EHR, HIE; EHR; Emergency Medicine; FHIR; EHR integration, HL7 | 05/01/2020 |
| b.well Connected Health Lite: Covid-19 Platform | The b.well Connected Health platform provides the healthcare eco-system with a middleware for interoperability and aggregation that works horizontally across the spectrum to consolidate a 360 view of real-time data and that works vertically to integrate point solutions to provide timely and relevant healthcare services for consumers. b.well is launching a COVID-19 solution that addresses the greatest needs of our healthcare system today including, the need to triage, provide access to virtual care, remote patient monitor, deliver timely fact-based information and allow consumers to monitor loved ones from afar. The time is now to empower people with access to their own healthcare data as we fight this global pandemic together. This digital health platform is free for 90 days and can be deployed in your brand in under 30 days. | #COVID, #PatientEngagementPlatform, Patient Engagement, Remote Patient Monitoring, #SymptomTracker, Actionable Data, consumer engagement, COVID-19, digital transformation, FHIR, HL7, interoperability | 07/31/2020 |
| Health Alerts COVID-19 Testing Locations Mapping & Self Assessments | Our solution allows the mapping of COVID-19 testing sites as well as to provide links to localized assessment tools (their guidance varies greatly by geographic location) and public health alerts bulletins from trustworthy sources including CDC, HHS, FDA, etc. AmericanEHR has produced numerous healthcare apps and websites for everyone from the CDC to the American College of Physicians. In light of everything going on, we made the call to establish a team to support healthcare workers and communities during this pandemic (our self-imposed version of the Defence Preparedness Act). With the right tool we can help reduce the burden on frontline healthcare workers. While we know that COVID-19 test sites are not readily available yet, they will be, and then it will be a monumental task to assess and prioritize everyone for testing. A presentation is available here: https://vimeo.com/402220493 The website is in live beta right now and we have a dozen volunteers collecting test location data from all over the US. Data will be imported into the platform in the first week of April. | API, COVID-19, COVID-19 Testing Location Dat, Health Alerts, Maps, Mobile Application, Patient Engagement, Public Health, Self-Assessments | |
| Indianapolis EMS and OpenMRS Collaboration | As the coronavirus pandemic progresses through Indiana, the traditional care system may be overwhelmed by the provision of care to people who have non COVID related urgent care concerns or who are at risk of or are actively dealing with non-emergent COVID-19 infections. Indianapolis EMS (IEMS) has proposed establishing “disaster field clinics” similar to urgent care clinics that will be designed to meet these needs. These settings will be established under the provenance of the public health department in collaboration with IEMS, with staffing to be coordinated and provided by their organization in conjunction with other designees. These clinical settings require a patient-level record system that can be deployed within these settings. IEMS has no current patient-level record system in the clinic setting at their disposal to meet this need. IEMS has evaluated multiple systems to provide this functionality within their time constraints and has proposed using OpenMRS as their patient record keeping solution. | EMR, EMS, frontline, OpenMRS, disaster field clinics | |
| COVID-19 Medical Brain | In response to the COVID-19 crisis, healthPrecision has launched a COVID-19 module, added to the library of best-practice modules powering its Medical Brain. The COVID-19 Medical Brain is an intelligent automated front-end triage and support tool to assist healthcare workers in complying with the Departments of Health and CDC guidelines for those healthcare workers who are exposed to COVID-19 patients. The COVID-19 Medical Brain is an automated triage tool that: - Integrates any available authorized data using HL7, FHIR, CCDs, etc. -Identifies employees suspected of potential COVID-19 infection -Connects suspected/ill employees with the right entities when diagnosis/intervention required - Intelligently assists employees comply with current DOH & CDC information & guidance - Maintains 24/7 monitoring and guidance to quarantined employees - Notifies the organization’s COVID-19 Clinical Command Center of employees at need for urgent medical attention, employees required to stay at home for self-isolation and monitoring, and employees failing to comply with DOH guidelines - Enables telehealth sessions when needed - Notifies authorities for diagnosis and follow up - Continues on-going critical support to the organization’s healthcare workers who need follow up and support due to coexisting high-risk medical conditions | #COVID, Artificial Intelligence, Clinical Decision Support (CDS), Machine Learning | |
| Phreesia Patient Intake to reduce COVID-19 exposure for patients and staff | Phreesia Patient Intake platform helps reduce COVID-19 exposure between patients and staff, deploying key features in as little as 2 days. 1) Reduce face-to-face interaction during registration: “Zero-Contact Intake” reduces face-to-face interactions to keep patients and staff safe during intake. Patients complete registration from their home, car or another personal space, using Phreesia Mobile. Staff manage the intake process from a remote location without needing to handle patients’ documentation. 2) Screen patients for COVID-19 risk factors: COVID-19 Screening Module automatically screens patients according to CDC guidelines for risk factors before their visit, alerting both patients and staff to the most appropriate action such as re-routing patients to sick and well visit care settings. 3) Automate intake for Telehealth: Intake for telehealth captures intake information ahead of each telehealth visit and facilitates the start of virtual sessions. 4) Prioritize outreach to the most vulnerable patients: Improve vulnerable patients’ access to care through targeted communications (emails/texts) that alert certain populations of their higher risk and encourages them to schedule an appointment - either via telemedicine or in-person, depending on their needs and the practices’ resources. Phreesia is integrated with 22+ PM/EMR systems including Epic, Cerner, Athenahealth, Allscripts and Greenway. Note, integration is not required for some COVID-19 related features. | COVID-19, FHIR, telehealth, HL7, HL7 V2, Intake, Integration, mobile health, Patient Data, Patient Engagement, Phreesia | |
| Service of tracking symptoms - SymptomMe | Know. Track. Share. Secure. Service SymptomMe simplifies a process of tracking symptoms of diseases. SymptomMe allows choosing symptoms you have and helps to identify the probability of your health condition. Service enables tracking symptoms for a long time and sharing this information with your doctor if you want it. You, as a client, can have visibility of changes in your health condition in time. We have developed the first release to make an elementary assessment if you have COVID-19. We continue our development and do our best to find a way to publish our application to the apple store and google play markets. We are looking for a partnership with medical institutions to extend the capabilities of our application, and with investors to accelerate development and reach the market. | #SymptomTracker | |
| Data Hub for COVID-19 | Comprehensive data hub from various sources. Includes dashboards, datasets along with API's to download and query curated datasets. | COVID-19 | 08/31/2020 |
| CIEL COVID-19 Terminology Starter Set | The Columbia International eHealth Laboratory (CIEL) has been producing terminology for OpenMRS since 2006. Distributed through SQL files and now via the Open Concept Lab API, CIEL has been posting COVID-19 enhanced files since January 2020. The COVID-19 starter set is a list of interface terminology mapped to standard codes (ICD-10, SNOMED CT, LOINC, RxNORM, etc.) covering diagnoses, comorbidities, lab testing, treatments and observations necessary for screening, treatment, monitoring and reporting to the CDC, WHO, etc. New concepts have been added to support research and the bridge between clinical systems and research databases. | COVID19, EHR, ICD-10, interoperability, LOINC, SNOMED, Terminology | |
| EMDI- El Dorado County Behavioral Health Interoperability Pilot | Organization: El Dorado County Behavioral Health POC: Angelina Larrigan, Manager of MH Programs; Jamie Samboceti, Deputy Director EDC BH; Pilot Goal: In addition to participating in the EMDI Medallie Interoperability Pilot; El Dorado County Behavioral Health would like to enhance the continuity of care and increase communication between healthcare organizations and entities. | 360X, DIRECT, EMDI, interoperability, Provider-to-Provider | 04/01/2021 |
| A COVID-19 management system powered by Innovaccer | Currently deployed at Physicians of Southwest Washington, multiple state healthcare organizations, MercyOne PHSO, Sanitas Health, Elevate health among others, Innovaccer’s COVID-19 Management System is a solution that enables practices to more easily manage and screen high volumes of patients efficiently. It is a HIPAA compliant, multi-platform and robust solution designed to support our healthcare professionals in the time of this pandemic. COVID-19 Management System for health systems, governments and health organizations provides immediate assistance to fight the pandemic by using remote assessments, monitoring, education, outreach, and treatment based on the Centers for Disease Control and Prevention (CDC) guidelines. 1.)The COVID-19 Management System is designed to help medical practitioners by providing the following capabilities: 2.)Conducts COVID-19 screening assessments within minutes, remotely and with ease. 3.)Automates outreach of helpful CDC guidelines to patients. 4.)Auto-fills completion of CDC’s Person Under Investigation (PUI) form to reduce the clinician’s documentation burden 5.)Identifies high-risk patients and report to state agencies using this PUI form to administer necessary actions 6.)A HIPAA-compliant video communication platform that enables two-way communication between physician and patient 7.)HIPAA compliant SMS capabilities that allow our users to send text messages from within our application to anywhere in the US 8.)End-to-end data encryption within our application 9.)Secure messaging to transmit data such as the PUI forms to state authorities | #BetterGlobalHealth, #COVID, #healthcare, #healthcareIT, #PatientEngagementPlatform, #Research, COVID, COVID-19, COVID-19 Testing Location Dat, HIPAA | 04/01/2025 |
| A FHIR-enabled COVID19 Triage and Monitoring Application | Rimidi has built and deployed a FHIR-enabled application for automated COVID-19 triage of patients with upcoming appointments or high-risk groups. Using patient, encounter, observations, provider, medications and immunization resources as well as QuestionnaireResource, this application creates a complete patient profile in FHIR of those patients at risk for COVID19, awaiting test results, or managing COVID19 at home. On-going monitoring identifies worsening symptoms, social and mental health needs for triage back to the healthcare system. | COVID-19, EHR, FHIR, interoperability | 04/03/2020 |
| Rhinogram's Telehealth Helps Flatten the Curve of COVID-19 | Rhinogram’s HIPAA-compliant telehealth platform helps help flatten the curve of COVID-19 by managing physician-patient interactions without physical contact – complying with federal and state health department advisories to have high-risk patients remain at home. Rhinogram integrates with a practice’s EHR system and offers the ability to conduct virtual consults so practices can securely engage with patients via two-way texting at any time from their mobile device. This includes remote consults, answering clinical questions, paying for treatment, retrieving medical records, refilling prescriptions and more. Rhinogram has waived all setup fees during the pandemic. | #PatientEngagementPlatform, HIE, HL7, interoperability, patient care, Patient Engagement, telehealth, telemedicine, Virtual Care | |
| Enli COVID-19 Patient Monitoring - deployed in 25 metro areas across 15 states | Enli’s COVID-19 care coordination solution is a cloud-based patient tracking program for healthcare providers and payers. Workflow and task support enable teams to record, manage, and monitor patients under investigation or diagnosed with coronavirus. Suspected or confirmed cases can be imported from any data source or added manually. During import, the patient profile can be augmented with comorbidities and other risk factors defined by the CDC. Once processed, patients are sent to the COVID-19 program worklist for active management by the care team. Risk factors are automatically assessed so care coordinators can filter to prioritize outreach. Patients can be assigned to specific care team members that are most suited for job, supporting top-of-license work. The tool includes tasks that are based on CDC and WHO COVID-19 guidelines, including check-ins, self-isolation, and assessments for symptomatic and high-risk individuals. The care plan can be tailored for specific patients based on clinical and non-clinical factors that are accessible within the tool. Contact patients using an integrated texting service or patient-member portals. All data can be easily exported to other HIT systems for processing, reporting, and storage. Key Features: • Leverages Enli’s industry-leading cloud-based Central Worklist application with COVID-19-specific configuration. • Translates current CDC and WHO guidance on self-isolation at home into care team decision support. • Allows clinical users to assess symptomatic and high-risk individuals to determine if self-isolation is safe and practical. • Facilitates periodic care coordination check-in calls to detect symptomatic deterioration and possible need for in-person care. • Incorporates CDC guidance on when to discharge patients from self-isolation. • Supports importing patient lists from any data source. Also supports manual data entry from the frontlines including urgent care centers and temporary hospital facilities. | #COVID, #COVID-19 Patient Monitoring, Care Coordination, Care Coordination with COVID-19 Extenaion, CDC COVID-19 Guidelines, COVID-19 | 04/01/2025 |
| Telehealth Mobile Application - Helpsy Health | Helpsy is the world’s first whole-health and virtual nurse platform for use across the entire care spectrum, providing dynamic support to patients and empowering patients and clinicians alike. The artificially intelligent Symptom management And Navigation (SAN) nurse can automatically create personalized, condition specific care plans that addresses the members physical, emotional, social, and environmental needs. Helpsy has served tens of thousands of patients from all over the world and the data generated provides insights that have never been captured or understood before. Helpsy RPM Rx (remote patient monitoring) can send a monitoring kit with thermometer, HR, oxygen saturation monitoring, etc. and enable collection of data automatically from these devices to the user's app. Additionally, the virtual nurse will engage the member 24/7 by monitoring symptoms, reminding them to monitor, answering questions, and escalating care. If a change in condition is noted, then it is automatically auto-triaged and consultation can be provided through telemedicine | #COVID, #PatientEngagementPlatform, #SymptomTracker, Artificial Intelligence, Care Coordination with COVID-19 Extenaion, Patient Mobile Application, telehealth | 08/31/2020 |
| Telehealth Mobile Platform - Helpsy Health | Helpsy is the world’s first whole-health and virtual nurse platform for use across the entire care spectrum, providing dynamic support to patients and empowering patients and clinicians alike. The artificially intelligent Symptom management And Navigation (SAN) nurse can automatically create personalized, condition specific care plans that addresses the members physical, emotional, social, and environmental needs. Helpsy has served tens of thousands of patients from all over the world and the data generated provides insights that have never been captured or understood before. Helpsy RPM Rx (remote patient monitoring) can send a monitoring kit with thermometer, HR, oxygen saturation monitoring, etc. and enable collection of data automatically from these devices to the user's app. Additionally, the virtual nurse will engage the member 24/7 by monitoring symptoms, reminding them to monitor, answering questions, and escalating care. If a change in condition is noted, then it is automatically auto-triaged and consultation can be provided through telemedicine | #COVID, #PatientEngagementPlatform, #SymptomTracker, Artificial Intelligence, Care Coordination with COVID-19 Extenaion, Patient Mobile Application, telehealth | 08/31/2020 |
| Screening, Triage, and Messaging App - SEIUS | In response to the current situation regarding COVID-19, MCI has developed an interactive prescreening tool for our SEIUS application. This module is web-based and includes access to our secure messaging system providing a simple and secure way for providers to communicate with their patients. This interactive tool includes basic customization services for practice identification, public notifications, screening questionnaires, and a HIPAA compliant private secure messaging portal dedicated to the practice. It also includes basic statistics, data analysis, and reporting. | COVID-19, Functional Interoperability, HIE; EHR; Emergency Medicine; FHIR; EHR integration | 04/02/2020 |
| Patientory's COVID-19 tracking, reporting and rapid diagnostic kit | Patientory is a global population health management software that gives users access to actionable insights from their health data. Patientory provides a real-time COVID-19 patient tracking and reporting tool which evaluates users’ current health condition with a self-inspection quiz and diagnostic testing kit equipped with diagnostic care treatment plan to share with telehealth providers. The mobile app also alerts users prior to entering COVID-19 hot spots. | #BetterGlobalHealth, #COVID-19 Patient Monitoring, #healthcareIT, Health Alerts, health records | |
| Bridge Connector Data Integrations for COVID-19 Responders | Bridge Connector is offering rapid deployment system integrations for COVID-19 use cases free of charge for six months. Given the dynamic nature of the virus and far-reaching impact, ending further spread will require system-wide collaboration that enables front-line responders to communicate effectively. The free, pre-configured system integrations will help response teams, call centers and care teams more effectively communicate and manage patient data and streamline communications for a more efficient treatment process. | COVID-19, EHR Integration, HIE; EHR; Emergency Medicine; FHIR; EHR integration, Integration, interoperability | |
| Embleema COVID-19 Data Initiative for Patient Advocacy Groups | Embleema has launched a COVID-19 data platform and app to collect from Patient Advocacy Groups members data on testing, symptoms, conditions, demographics, and psychosocial impact on a longitudinal basis. Analytics along those dimensions and geography are then shared back to members and Patient Advocacy Groups. The platform is turnkey and access is free of charge. | #COVID, #COVID-19 Patient Monitoring, #SymptomTracker, FHIR | 07/07/2020 |
| Cascade Healthcare Solutions | Authorized seller of thousands of top-quality medical products, supplies and equipment at a competitive price. We have online presence that serves the needs of Assisted Living Homes, Nursing Facilities, Hospitals, Government Agencies, Schools and Military Locations across the country. Cascade Healthcare Solutions was founded on the premise of helping our customers save money and making their buying experience as smooth as possible. | #BetterGlobalHealth, #MedicationManagement | 04/30/2022 |
| i2i Population Health: COVID-19 Toolkit for Health Centers Nationwide | i2i Population Health, founded in 2000, delivers next generation population health management (PHM) tools to provider organizations nationwide. i2i provides dynamic software solutions that enable providers to extract and aggregate patient information directly from disparate systems in near real time. i2i has developed a comprehensive COVID-19 toolkit to support the heroic efforts of healthcare providers during this pandemic. Starting March 18th, i2i released a COVID-19 Toolkit to 200+ customer i2iTracks® databases. This toolkit provided organizations with actionable reports that helped to identify at-risk populations, monitor screening tests performed/results, and track Coronavirus cases. In addition, this solution allows health centers to engage with patients through text, email, or other communication channels. This allows providers to safely engage with patients without a face-to-face meeting. | #COVID, #COVID-19 Patient Monitoring, #healthcareIT, #PatientEngagementPlatform, Care Transitions, COVID-19, digital transformation, EHR, Innovation | |
| A standards-based, plug-and-play interoperability and analytics platform: HealthConcourse | HealthConcourse is a digital health platform that links data consumers (mobile apps, portals, analytics) to fragmented and unstandardized data providers. HealthConcourse provides 4 primary functions: 1. Data ingestion and standardization: HealthConcourse aggregates data (including free text) from multiple sources, maps and transforms the data to FHIR and normalizes terminology bindings and identities (e.g., patient identities). 2. Knowledge management: HealthConcourse brokers the registration, discovery and execution of 3rd party knowledge services (e.g., clinical decision support algorithms) against available FHIR resources. Any computable algorithm encapsulated as as a microservice with a CDS-Hooks interface can be added into our plug-and-play knowledge layer. 3. Business process automation: HealthConcourse can import and run BPM+ models describing clinical practice guidelines and other clinical workflows. Our BPM+ discovery process identifies and delivers contextually aware data and decision support to the appropriate activities within in a BPM+ model. 4. Secure data syndication: HealthConcourse exposes FHIR APIs, supports bulk data transfer, participates in event driven pub/sub communications and provides data extracts for analytics. The HealthConcourse platform provides an interoperability chassis that enables the 4 primary functions and provides orchestration and cohesion for a plug-and-play framework of health-related microservices. These microservices provide beneficial capabilities including terminology services, mapping and transformation services, NLP services, identity services, analytics services, consent and privacy services, validation services, security services and others. HealthConcourse is cloud native yet containerized with OpenShift for deployment onto any modern cloud platform. HealthConcourse can be used to load COVID-19 patient data sets and test/validate COVID-19 decision support, analytics and practice guidelines. | #COVID, AI/ML/NLP, Health Analytics, Digital Health Platform, Terminology, HealthIT, API, BPM+ (BPMN DMN CMMN), CDS Hooks, Clinical Decision Support (CDS), COVID-19, CQL, FHIR, interoperability | |
| COVID-19 Interoperability Alliance | The COVID-19 Interoperability Alliance is a collaborative effort between healthcare industry stakeholders to provide a collection of value sets for clinical, demographic, and administrative concepts relating to the COVID-19 pandemic. Our objective is to provide these resources, free of charge, to anyone in the healthcare community that can leverage them to identify, understand, and monitor COVID-19 information patterns. Resources currently include: *Value sets containing COVID-19 related codes released from Standard Development Orgaizations such as SNOMED International, LOINC etc. *Value sets supporting Logica COVID FHIR IG (https://covid-19-ig.logicahealth.org/index.html) | Clinical Architecture, COVID-19, FHIR, Semantic Interoperability, Symedical, Terminology, Value Sets | |
| Data Privacy Management System | PHEMI Systems is a strategic technology provider to the largest hospital network in western Canada. PHEMI Data Privacy Manager aggregates and safeguards data from millions of lab tests weekly, province-wide - including COVID data. PHEMI’s innovative software solves the urgent need to protect AND share the healthcare data used by analysts and decision-makers at the heart of the province’s highly-effective COVID response. PHEMI provides an NSA-grade privacy, security, governance, and data management system for Microsoft Azure. Healthcare organizations use Data Privacy Manager to secure, govern, curate, and control access to sensitive private data at scale. | #COVID, Analytics, COVID-19, Data Science, Governance, Health Analytics, HIE, Information Governance, Privacy, Security | |
| Smart Flag to identify patients associated with COVID-19 symptoms | PatientPing has added a COVID-19 Flag to its product suite. With access to the flag, providers across the continuum can now identify patients associated with COVID-19 symptoms in real time, and as they present, admit, discharge or transfer to facilities or organizations anywhere across our national network. The flag supports hospitals, post-acutes, ACOs, health plans and more adhere to quarantine protocols for affected COVID-19 patients, proactively coordinate support for incoming patients and patients transitioning home, prepare for COVID-19 patients entering their facility, and assess overall population health. About PatientPing PatientPing is a Boston-based care collaboration platform that reduces the cost of healthcare and improves patient outcomes by seamlessly connecting providers to coordinate patient care. The platform enables providers to collaborate on shared patients through a comprehensive suite of solutions and allows provider organizations, health plans, governments, individuals and the organizations supporting them to leverage this real-time data to reach their shared goals of improving the efficiency of our healthcare system. Over 6,000 hospitals, post-acute-care providers, ACOs, health plans and community physicians all use PatientPing to collaborate on patient care events across the healthcare continuum. PatientPing is recognized as a High Performing Emerging Healthcare IT company by KLAS® Research. For more information, please visit www.patientping.com. | #COVID-19 Patient Monitoring, ADT Notifications, Care Coordination, COVID-19, HL7, post-acute, #acute | |
| Comprehensive COVID-19 Anaytics | KPI Ninja has rapidly deployed a comprehensive COVID-19 analytics solution to support health care organizations and medical professionals to prevent and manage the epidemic spread. Current solution includes real-time dashboards, reports, and notifications for hospital bed occupancy/management, health care utilization/ADT, risk stratification, predictive analytics, a comprehensive lab analytics solution in partnership with 4medica and continued development related to tracking of PPE, medical equipment and targeted medications (anti-malarial, etc.). | #healthcareIT, Actionable Data, Analytics, C-CDA, COVID-19, EHR, FHIR, HIE, HL7, interoperability | |
| Free COVID-19 Consumer & Physician Text and EHR Alerts, TelaRep Service- OptimizeRx | OptimizeRx Corporation is leveraging its technology platform to offer timely and authoritative information sourced directly from the Centers for Disease Control and Prevention CDC, to help physicians and the public stay up-to date about the spread of the coronavirus (COVID-19) and provide guidance on what to do if affected. OptimizeRx has integrated the CDC COVID-19 alerts into its digital health network of leading electronic health record (EHR) providers nationwide to provide healthcare professionals (HCPs) with timely information within their workflow. Getting these CDC-sourced alerts during evaluation, helps HCPs better monitor the spread of the virus and facilitate timely treatment at the point of care. OptimizeRx has also launched a free interactive text message alert program available to the general public that delivers coronavirus (COVID-19) information issued by the Centers for Disease Control and Prevention (CDC) directly to any SMS-enabled mobile device. All you have to do is text VIRUS to 55150 to subscribe to the service. These new alerts both at the point of care and via SMS texts, will help medical professionals better monitor the pandemic and facilitate timely treatment, as well as help the American public stay safe and help stop the spread of coronavirus OptimizeRx also launched a TelaRep program in April. Through the Optimize platform, life science companies can digitally communicate with over half of the healthcare providers in the U.S. – even when providers are working remotely. | #COVID, #healthcareIT, #PatientEngagementPlatform, Alerts, EHR, EHR Integration, mobile health, Nationwide Network, Primary Care | |
| COVID-19 HomeHealth Virtual Assistant | A set of Alexa skill to support, monitor and trend patients data managing COVID91 symptoms from home. | #COVID-19 Patient Monitoring, #PatientEngagementPlatform, #SymptomTracker | |
| PPX-TEC ‘s Mobile Enterprises is a Bridge for Connectivity | COVID19 ushers' in 'real time' need for PPX-TEC's Bridge Interoperability Solution. PPX-TEC is a mobile bridge enterprise that has a personal health record that aggregates that data being exchanged between and beyond silos. PPXTEC allows users to decide when and how to share their data B2C, B2B, and C2C exchanges. PPX-TEC is a COVID 19 mitigation solution. More accurate and faster public health data collection and interpretation of public health data is possible when IT systems are able to interact. This can help organizations answer pressing questions for both patients and providers. The COVID 19 and opioid crisis provides an excellent example of why more robust public health data is needed to understand the scope of that crisis and continue ways to more effectively address and resolve the crisis. By facilitating the sharing and interpretation of such data, interoperability allows healthcare organizations to collectively educate one another on predicting and preventing outbreaks. | #BetterGlobalHealth, #COVID, COVID-19, Digital Health Platform, HIE, Interoperability, #COVID19, #PatientEngagement Platform, #EHR, #HIE, #Interoperability, #HL7, #PatientEngagementPlatform, #FHIR, #care coordination, Actionable Data, API, Beyond HIE, bi-directional Direct Interoperability, C-CDA, Care Coordination, Care Coordination with COVID-19 Extenaion | 04/12/2021 |
| Gravity Project SDOH and COVID-19 Data Standardization | As part of the Gravity Project Housing domain work, we are currently mapping HUD Homeless Management Information System (HMIS) data to clinical activities to allow seamless data transfer. The COVID-19 crises brought a level of urgency to both this work and the work of our previous data domain, food insecurity, and we have been working hard to consider how we can leverage our knowledge to help. Part of our work is curating all conceptually aligned screening tools and intervention activities so we have a lot on hand to address current needs. | bi-directional Direct Interoperability, C-CDA, COVID19, DIRECT, EHR, FHIR, HIE, LOINC, SNOMED-CT, SDOH | 08/06/2020 |
| EMDI- El Dorado Community Health Centers Interoperability Pilot | Organization: El Dorado Community Health Centers POC: Megan DeLautre, Manager, Health Information Technology; Andrea Quintana, EMR Provider Champion; Pilot Goal: To advance secure healthcare interoperability, specifically by using 360X via Direct referral management in support of reducing provider burden, improving patient, provider and staff experiences as well as enhancing workflows and care processes. | 360X, C-CDA, DIRECT, EHR, EMDI, interoperability, Provider-to-Provider | 03/19/2021 |
| Mobile App for Cardiac Arrest, Stroke, Sepsis Decision Support and Documentation | To assist with the increase in cardiac arrest cases linked to COVID-19, Redivus Health is offering free use of its Code Blue mobile app to any healthcare professional or organization through July 1, 2020. The Code Blue app provides real-time clinical guidance and documentation when a patient's heart or breathing stops. Redivus Health is a physician-founded software company that exists to optimize patient safety during time-critical medical emergencies such as cardiac arrest, stroke and sepsis. We believe patients deserve safe and effective care, while healthcare providers deserve better support to treat life-threatening cases. | Clinical Decision Support (CDS), COVID-19, documentation, interoperability, cardiac arrest, code blue, sepsis, stroke | |
| HealthLX - Interoperability Platform and Accelerators for Payers and Providers | HealthLX is an interoperability platform that contains accelerators for 1) FHIR enablement for Payers needing to meet the CMS Interoperability and Patient Access final rule 2) Clinical Data Sharing requirements to support Payer and Provider needs 3) C-CDA document exchange capabilities across the healthcare industry. | "Da Vinci Project”, #COVID, Behavioral Health, C-CDA, clinical quality measures, CMS, FHIR, HEDIS, HL7, US Core Data for Interoperability | 12/31/2030 |
| PeerNet - Research Package Evaluation Management System | Reliable web-based application promoting stakeholder engagement aligned with the goals of PAHPRA, PAHPAIA and the 21st Century Cures Act. PeerNet is a leading online peer review management tool, utilized for more than 1,100 evaluations and reviews within HHS and across federal agencies. | #COVID, #PeerReview #Evaluation #ORAU, #COVID-19 | 01/01/2021 |
| EMDI- ChronicMOBILE, Inc. Interoperability Pilot | Organization: ChronicMOBILE, Inc. POC: Michael Golden Pilot Goal: To help steer and leverage an open, standards-based approach to receiving prescriptions for DME (similar to pharmaceuticals). | EMDI, FHIR, interoperability, Provider-to-Provider | |
| AI for Covid 19 Triage POC | Several months ago Zebra Medical Vision saw the growing Covid-19 epidemic and steered it's developers to build an AI algorithm based on a Patent on Ground Glass Opacities that was obtained in 2016. One of our hospital partners in the Northeast is helping drive what is needed for clinical outcomes. Their message/need was the following, On our Covid Floor, everyone is Covid positive, everyone is sick, has a fever, can't breath and is scared. We need to have a way of determining the severity of their condition. Zebra AI developers built an AI algorithm for detecting COVID-19 which will be ready May 1st for wide distribution. The Algorithm will detect and quantify suspected COVID-19 on standard, both contrast and non-contrast Chest CTs. The AI algorithm will output the Lung burden Volume- % affected lung volume relative to the entire lung volume, Segmentation of the suspected findings with key Images with annotations. We are doing our part to help those who are affected by Covid-19 by providing this at No cost to hospitals with Large 1,2,3rd and 4th Waves. Zebra Medical Vision began building an AI Visual deep learning algorithm based on a patent we were granted in 2016 for ground glass opacities which is a dominant imaging feature of COVID-19 pneumonia. We have added several considerations based on customer feedback to give more depth to analyze/track the severity/progression of the infection. This AI algorithm will help map the trajectory of the disease in the patient through the precision use of CT. Our Goal is to provide this Algorithm at NO COST to our partner's hospitals around the world. This includes all implementation COST. The target Hospital should be those who have a high COVID-19 population. Tech Details: for best results and minimum impact to the workflow, a HL-7 connection to the PACS to drive and flag the Worklist would be preferred but not needed. Ramp up time is a week and the POC will be available to use May 1st. Ever | #BetterGlobalHealth, #COVID-19 Patient Monitoring, Artificial Intelligence | 11/30/2020 |
| RAREwithCOVID | There are estimated to be over 300 million people living with one or more of over 6,000 identified rare diseases around the world. On the whole, rare disease patients are at higher risk of serious illness by the new coronavirus and will also have uniqueness as therapeutics are developed. The RAREwithCOVID registry is IRB approved and allows any patient with a rare disease to report if they have tested positive to COVID-19. The project is working with many patient advocacy groups to exchange data and welcomes request to collaborate with others interested in this rare disease population. | #COVID-19, #COVID-19 Patient Monitoring, #PatientEngagementPlatform, #RAREwithCOVID | 04/08/2025 |
| EMDI- NewWave Telecom & Technologies Inc. Interoperability Pilot | Organization: NewWave Telecom & Technologies Inc. POC: Vignesh Rajan, Tech Director; Aaron Seib, Senior Vice President, Informatics Pilot Goal: NewWave is committed to improving healthcare by making it easier for providers to benefit from the emerging FHIR standards being implemented across the country. When this pilot generates subjective measures of improved services used by providers and patients that can be shared with the boarder community, we will have accomplished an important component of our justification for participation in the EMDI project. We believe that we will learn a lot from the practical experience of this project and will be able to leverage our experience for work we have done in the past- like our FHIR related activities in relation to the BB 2.0 API. Ultimately, the true measure of our work on this project will be to have an active role in supporting CMS in accomplishing the goals of the EMDI project and being an active contributor to the growth of knowledge in implementing FHIR in practical real-world environments. | C-CDA, EHR, EMDI, FHIR, interoperability | |
| CliniComp's COVID-19 monitoring, surveillance, and tracking solutions | CliniComp, Intl.'s collaboration with long-time client Dallas VA Medical Center has resulted in the development of COVID-19 monitoring, surveillance, and tracking solutions to inform pandemic outbreaks and response management in large VA patient populations. The tools provided to VA hospitals pro bono include early warning dashboards, real-time alerts, reports and summary screens that visually show patients at severe and rising risk along with positive lab results. Forty-two VA hospitals nationwide are using the solutions to protect and care for these most vulnerable patients primarily in intensive care. Solutions also can be used in the ED, med-surg unit or other hospital patient care areas. Single screen and dashboard views display real-time COVID-19 patient surveillance data of individual VA hospitals and collectively across all VA participants. | #COVID-19, #COVID-19 Patient Monitoring, #healthcareIT, #SymptomTracker, #surveillance, #veteranaffairs, #hospitals #pandemic #patientpopulation | |
| ICAREHUB EXCHANGE | iCAREHub Exchange is a cloud based HIPAA compliant platform that enables hospitals, ACOs, physicians, nurses and other authorized users, to share a patient’s medical history using CCD Exchange technology, for providing efficiency in the care coordination process; and therefore, reducing the risk of human error in every patient care event. Moreover, our company is a strategic partner for CMS Connected Care. The iCAREHub, provides notification admission/discharge/transfer of care (ENS) to the Circle of Care providers. iCAREHub forms a strategic alliance with Primary Care doctors and with all the community members, that provide for an efficient coordinating care, across the health system. The iCAREHub presents (remote patient monitoring) alerts, to all of the Circle of Care providers and the Care Coordinator/Care Manager of the patients conditions, based on patient's chronicity. All by secure email connectivity, through the physician's EMR. TeleMedicine, chat and video, right to the patient's phone and is integrated with the iCAREHub to provide video calls with patients, providing support, supplying the most updated Medical information and now, nurses/care manager, are working as an extender to the primary care physician. Plus, chat messages can be sent to the primary physician and notifying of any alerts (reducing hospital readmissions). | #COVID-19 Patient Monitoring, #PatientEngagementPlatform, #Research, #surveillance, ACO, Care Coordination, patient referrals, telehealth, telemedicine, Virtual Care | |
| COVID-19 Care Coordination from Halo Health | Halo’s mobile communication platform integrates with EHRs to deliver COVID-19-related alerts, including notification to virtual care teams when a virtual patient is in the cue and ready to be seen, and notifications to other clinical teams when bed capacity issues arise. Halo also integrates with 3rd-party scheduling solutions to ensure that urgent messages are routed to the right person at the right time, without having to know who is covering a specific role or team at the moment. For example, Halo users can simply message the “Infectious Control Specialist On Call” or the “High-Risk Transfer Team” without having to know who is covering those roles/teams – the Halo platform automatically routes messages to the correct people at any given time using sophisticated role, team, and schedule-based logic. Schedules can be managed within the Halo platform itself or sourced from 3rd-party solutions through Halo’s integration. The Halo platform is a reliable, HIPAA-compliant, mission-critical mobile communication platform for health systems and government agencies. It unifies all communication channels (text, voice calls, alerts) in a single, easy-to-use mobile application. It serves as a scalable tool for coordination during pandemics like COVID-19 to streamline individual and team communication. Halo is an AWS cloud-based mobile and web platform and is easy to set up and use with little to no training. If a user knows how to text, the application will be intuitive. | #COVID-19, Care Coordination, Clinical Team Communication, Cloud Solution, Collaboration, Communication, EHR Integration, Interoperability, Mobile Application, Role-Based Communication, On-Call Scheduling | 12/31/2021 |
| COVID-19 Community Resources | If you suspect that you are infected with SARS-CoV-2, the novel coronavirus that causes COVID-19, you can use the following protocols to determine if you should be tested. These recommendations are based on guidelines provided by the Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO), and state and local health departments. The CDC has a Self-Checker tool that individuals can use to help them determine if they need to seek testing for COVID-19. Are you severely ill? You should seek testing and treatment for COVID-19 immediately if you start to experience any of the following emergency warning signs: Trouble breathing Persistent pain or pressure in the chest New confusion or inability to arouse Bluish lips or face If you have other symptoms that are severe or concerning, you should also consult a medical provider immediately. However, if you are not experiencing severe symptoms, you may not need to get tested. The questions below will help you determine the necessity of testing for COVID-19. Have you been exposed to the coronavirus? Generally, exposure to the coronavirus comes from having close contact with an infected individual. Close contact includes the following: Living with someone who is sick with COVID-19 Caring for a person who is sick with COVID-19 Being within six feet of a sick person for 10 minutes or more Being in direct contact with secretions from a sick person via kissing, sharing utensils, being coughed on, etc. Recent travel to a coronavirus hotspot Do you have symptoms of coronavirus? If any of the above criteria apply to you, pay attention to whether you start displaying any symptoms of COVID-19. Based on current data, symptoms usually emerge 2-14 days after exposure to the disease. According to the World Health Organization, COVID-19 symptoms include: Fever Dry cough Tiredness Shortness of breath Aches and pains Sore throat Other symptoms that have been reported to occur include nausea, diarrhea, runny | #COVID-19 | 04/30/2025 |
| Coronavirus Testing for the Homeless | According to the CDC, homeless individuals who have COVID-19 symptoms should alert a service provider, such as a case manager, homeless shelter staff, or other care provider in their community. These staff members can assist the individual with assessing their symptoms, isolating, and receiving testing and medical attention as needed. If a homeless individual experiencing COVID-19 symptoms does not have access to a service provider or homeless shelter, an alternative is to visit a hospital emergency room or urgent care center. Where can homeless individuals get tested for COVID-19? Criteria for diagnostic testing is determined by state and local health departments and local healthcare providers. Service providers like case managers, homeless shelter staff, or social workers can connect homeless individuals with healthcare providers to determine their eligibility for testing, and arrange a COVID-19 diagnostic test, if necessary. The federal government has established programs to help uninsured individuals, including people experiencing homelessness, get tested for COVID-19. Additionally, some cities with significant homeless populations, such as San Francisco, are holding testing events specifically for people experiencing homelessness. | #COVID-19 | 04/30/2025 |
| ASSYST Hephaestus Health Data Interoperability Solution | ASSYST Hephaestus HL7® FHIR® solution framework aims to support evidence-based policymaking and data-driven decisions on social determinants of health measures. Hephaestus' solution will use Health indicator measures and data at the Congressional District level. We expect it will draw further attention to the relevance of health data interoperability, cost of care, financial data analytics, and exchange standards in measuring public health and wellness. | #EHR, #FHIR, #HL7, #Interoperability, CCDA, Financial, Health Analytics | 3/31/2021 |
| COVID-19 - Paying for Coronavirus Testing Resource | Can you get tested for COVID-19 for free? In certain instances, yes. On occasion, some cities and states have been offering free COVID-19 testing to all individuals, regardless of their insurance status. In some places, such as Wisconsin, free testing has been ongoing, while other areas, like Seattle, San Francisco, and Denver offered free testing temporarily following protests in those cities. To find out if free testing is available in your area, contact your state or local health department for more information. Paying for COVID-19 testing When you make an appointment for a COVID-19 test, or go to a walk-up site, talk to your healthcare provider about how much the test costs, what your insurance will cover, what out-of-pocket costs you may have to pay during your visit, and what forms of payment they accept. Generally speaking, regardless of where you are tested, you should bring your personal ID and insurance card. You can also contact your insurance provider directly if you have questions about coverage for COVID-19 testing. In most cases, your healthcare provider will bill your insurance company directly for reimbursement for the cost of the test, but clarifying this with your insurance provider can help you avoid surprise bills after your test. | #COVID-19 | 04/30/2025 |
| test | test | #HIE, adfdsf | 09/30/2021 |
| Integrating Standardized Data to Advance Person-Centered Planning, Outcomes, and Value Based Payment Models Project | The Missouri Department of Mental Health, Division of Developmental Disabilities in partnership with stakeholders and contractor EMI Advisors, is testing the integration of standardized health and human services data to support person-centered planning, population health management, reporting, and value-based payment among health care and home and community-based service providers for individuals with developmental disabilities. This project focuses on harmonizing data standards (e.g., Electronic Long-Term Services and Supports standard) and data exchange to support long-term services and supports use cases across providers, clients and their families. | Care Coordination, eLTSS, ONC Funded, Person-centered planning, SDOH, Social Determinants, Value-based Care, Value-based payment, FHIR, HCBS, Home and Community-Based Services, Human services, Intellectual/developmental disabilities, Interoperability, LEAP, ONC | 09/30/2022 |