Congratulations to the ONC for their successful reporting to Congress on the progress made in interoperability. In reviewing the report, the following are some key take aways: https://lnkd.in/e93Q7xkF
Progress in Health Interoperability: The 2023 Report highlights significant advancements in connecting Health Information Networks (HINs) and Exchanges (HIEs) across the nation, aiming for a seamless electronic health information system.
Introduction of TEFCA: The Trusted Exchange Framework and Common Agreement (TEFCA) simplifies the process for healthcare providers, plans, and patients to connect and access health information on a national scale, covering a broad range of exchange purposes.
Initial Success: As of early 2024, the first group of Qualified Health Information Networks (QHINs) under TEFCA have been designated, signaling the start of a new era in health information sharing with more organizations expected to join rapidly.
Focus on Standards and Practices: The report emphasizes the role of TEFCA in establishing common standards like the United States Core Data for Interoperability (USCDI) and Health Level Seven (HL7) Fast Healthcare Interoperability Resources (FHIR) APIs, alongside expected business practices for information sharing.
Interoperability Challenges: Despite progress, the report notes ongoing challenges such as data exchange across different EHR platforms, patient matching (hey all NCPDP has developed a Patient Identifier) and public health reporting, with TEFCA poised to address these issues.
The report concludes with a call for continued congressional support for health IT initiatives under the 21st Century Cures Act, emphasizing the importance of TEFCA in achieving a nationwide interoperable health information system.
Effective health information exchange is paramount for delivering quality patient care, streamlining operations, and driving innovation. Trusted Exchange Framework and Common Agreement is at the forefront of this movement. Connie Renda’s latest blog includes a link to the Verisma Academy on-demand course where #ONC’s Elisabeth Myers presents solid, actionable information regarding #TEFCA and how it applies to healthcare operations.
#AHIMA#healthcarecompliance#healthinformationmanagement
In healthcare? Learn what a health information system (HIS) is and how they're key to managing healthcare data, along with HIS benefits, best practices, and more in this blog.
“So, we’ve had the review – now, what is the actual, practical, on-the-ground plan, properly resourced and funded, to make it happen?”
Following the publication of the report from Lord Darzi exploring the state of the NHS, HTN sought comments and reactions from a range of stakeholders from across the health and technology sector. We asked for thoughts on the report’s findings and the “missed opportunities” Lord Darzi highlights from analysis of the past ten years and look ahead to the ways technology can help secure the future of the NHS.
Key comments and views from across the industry are shared, read here: https://lnkd.in/e-egwG8W
To read HTN’s breakdown of the major findings on digital and data from Lord Darzi’s report, please click here: https://lnkd.in/eBnPBwAp
Stay up to date with the latest health tech news at https://htn.co.uk
Subscribe to our newsletter here 👉 https://lnkd.in/eBbNiEZD
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“Why is the Act (Bill-72) noteworthy? While the goal of enhancing access to electronic health information is laudable, the scope of the legislative regime raises significant issues. These issues include the following:
Rather than recognizing that interoperability can be achieved only through collaboration between vendors and deployers of technology, the Act imposes obligations solely on vendors.
Rather than targeting specific categories of vendors (such as electronic medical record services, physician, dental and pharmacy management software providers or virtual health platforms), the Act applies more broadly and may cover a broad range of technology providers that have historically not been considered part of the health system and are not directly subject to health privacy statutes (such as vendors of activity trackers or smartphone apps designed to enhance an individual’s physical or mental health). The Act may also apply both to technology vendors that do not themselves process health information, but support other technology vendors that do, and to retailers of off-the-shelf technology services.
Rather than focusing on technology deployed in connection with the delivery of health services, the Act applies to anyone engaged in supplying any health information technology regardless of how or by whom it is deployed, and extends to health information technology used by individuals to access their own information.
Rather than target prescribed categories or types of interoperability, the Act introduces a general requirement that health information technology vendors enable universal interoperability with all other health information technologies.
Rather than target organizations in the business of providing technology services, due to the broad definition of “health information technology vendor”, the Act may also apply to healthcare providers, including public hospitals and medical clinics, and other intermediaries that supply technology to other healthcare providers”
https://lnkd.in/gPuTBN9J
Navigating EHDS compliance: A deeper dive into the requirements of EHR systems under the European Health Data Space 💡
In part 2 of my series of articles on the European Health Data Space on the DLA Piper Life Science blog, you'll find an overview of the numerous requirements that manufacturers of EHR systems must meet under the European Health Data Space.
https://lnkd.in/egkMCUnV
A really interesting read - industry takes on the key findings of the Darzi Report and what it means for the future direction of the NHS in terms of digital and data
#healthtech#darzireport#digitalhealth
“So, we’ve had the review – now, what is the actual, practical, on-the-ground plan, properly resourced and funded, to make it happen?”
Following the publication of the report from Lord Darzi exploring the state of the NHS, HTN sought comments and reactions from a range of stakeholders from across the health and technology sector. We asked for thoughts on the report’s findings and the “missed opportunities” Lord Darzi highlights from analysis of the past ten years and look ahead to the ways technology can help secure the future of the NHS.
Key comments and views from across the industry are shared, read here: https://lnkd.in/e-egwG8W
To read HTN’s breakdown of the major findings on digital and data from Lord Darzi’s report, please click here: https://lnkd.in/eBnPBwAp
Stay up to date with the latest health tech news at https://htn.co.uk
Subscribe to our newsletter here 👉 https://lnkd.in/eBbNiEZD
Stay up to date with the latest international health tech news at https://htn.international/ or subscribe here 👉 https://lnkd.in/eEMK7hJG
New regulations are on the horizon, mandating healthcare providers to share information with My Health Record by default next year.
In a recent five-year strategy and roadmap, the Australian Digital Health Agency (ADHA) outlined initiatives aimed at creating a more inclusive, sustainable, and digitally enabled health system.
Matthew Galetto, MediRecords Founder and CEO expressed the business's readiness to embrace this vision. "At MediRecords, we're fully prepared to support the government's vision that mandates "real-time information exchange at the point of care". Our cloud-based solutions are equipped with APIs and FHIR by design, ensuring seamless connectivity within the broader healthcare ecosystem."
#MyHealthRecord#patientcare#digitalhealth
Reading this brings to mind the countless conversations I’ve had on the topic since joining VLI Tech, Inc. It’s frustrating to witness the narrow perspective that often surrounds the value of PCRs. Many service providers seem to focus on just two reasons: 1) billing and 2) maintaining compliance by uploading data to state systems.
This limited mindset is one of the factors preventing EMS and MIH from gaining full recognition as essential components of the broader healthcare system. If we broaden our understanding and approach, there is so much untapped potential.
Imagine if hospital nurses or doctors could view our transports as “Mobile Medical Care” visits within their EMR, with all the relevant data seamlessly integrated into the fields they already use. Detailed provider assessments and treatment notes would present our work on par with any emergency room visit, raising the profile and perception of our profession.
Alternatively, we can continue faxing reports and be satisfied with a $325 payment for ALS care. The choice is clear, and it’s time for a shift. Keep pushing, Art Groux! One day, everyone will listen—and truly understand.
Mobile Health Care leader who is here to help your organization navigate the technology and management needs of this changing market
Let's talk about HIE or Health Information Exchange. Most of you reading this are in a state or area where your hospital uses an HIE. Why is it that hospitals use it, doctors offices use it, other healthcare professions use it but EMS does not? There is value in transmitting EMS data to the HIE - your services benefit (yes connecting to your HIE can mean $$$ in the door Jonathon Feit) and your patients benefit (your full report is available for review during care beyond the ER).
When you arrive at the ER 🏥 and give a verbal report that data lives in the mind of the provider hearing it, some of it gets noted but most of the finer details sit in the mind of the person listening. As that person interacts with others and then ends their shift your information slowly disappears. All this may happen before you have the time to finish your EPCR. 📃
When you do get the time to finish your report it gets sent to the hospital and eventually finds it way into the patient record as a PDF document (in some cases weeks later), buried somewhere in EHR. When the hospital transmits the data to the HIE your information may be included as antidotal notes (because it was not imported as discreate data points) and it is PART OF THE HOSPITAL RECORD, NOT YOUR OWN RECORD.
We advocate for our patients 🚑 ; we work hard to collect the information NECESSARY to effectively treat those who call on us. Why do we allow our interactions to be a footnote on the hospital record. If we transmit directly to the HIE our record is its own entry in the patient's history of care, NOT JUST A FOOTNOTE. All your data should be seen as just that, data in the chain of care of your patient. It is time we push to have our information have a meaningful impact on our patient’s health well past the first 12 hours in the ER.
To some this may seem like a nice thing to do but it is not currently possible. It is possible, and it is happening in parts of this country KONZA National Network, Manifest MedEx, Epic,Michigan Health Information Network Shared Services (MiHIN). The need for your work to be recognized as an integral part of your patient’s healthcare data is real and we need to push for this in all areas. I have listened to many people talk about not connecting unless we get outcome data, you can’t get data without a connection, so we need to take the first step * CONNECT* ▶ and then we can take the next step - getting the data back ◀ . But more on that in a coming post.
Both Fred Wilkins and Art Groux have said something that deserves to be shouted from the rooftops especially during the Civitas Networks for Health annual conference. Indeed, CIVITAS held a preconference w/r/t Mobile Medical data. How many #ambulance#fire services sat on the panel?
Both Art and Fred highlighted important REASONS to justify health information exchange. I'll go further: Collectively, we have not delved deeply enough into the "WHY" of HIE. Or even, the WHY "outcomes reporting"? (Joshua, Nance) Is there more to justify that goal than clinical QA? What if an HIE could keep you and your colleagues alive by PREVENTING SUICIDE? Would you be more inclined to care about it?
Per Fred: "Many service providers seem to focus on just two reasons: 1) billing and 2) maintaining compliance by uploading data to state systems. This limited mindset is one of the factors preventing EMS and MIH from gaining full recognition as essential components of the broader healthcare system...Imagine if hospital nurses or doctors could view our transports as 'Mobile Medical Care' visits within their EMR, with all the relevant data seamlessly integrated into the fields they already use. Detailed provider assessments and treatment notes would present our work on par with any emergency room visit..."
That's the thing...They CAN. ALL of this is happening now -- you know who you are if you're doing it. Again, Fred writes: "Alternatively, we can continue faxing reports and be satisfied with a $325 payment for ALS care." We don't talk enough about the realities of economics in #MobileMedicine. We def do the "dog whistle" thing: people who have been around a while -- and are surely fantastic clinicians, but when it comes to business... 🤷♂️ 🤷♂️ -- pronounce "if only we had degrees" or "if only we had were in HHS," "if only this," "if only that." The MONEY side is not hard to explain. #AdamSmith did it hundreds of years ago. John Nash did it more recently:
1. Demonstrate value, then
2. Cultivate scarcity. Finally,
3. Seek "the best of all suboptimal solutions."
#3 might warrant explanation, and I cannot wait until Art Boni's book latest comes out because I have a chapter in there that applies Nash Equilibria to #MobileMedicine#Fire#EMS#CriticalCare#MIH. 😎 🤓 It distills down to this: PROVE your contribution. PROVE your value. You may think you have, but *what makes you think that*?
As Michael A. Greeley put it on Nadav Shimoni, M.D.'s podcast: It's about ATTRIBUTION. Prove the impact, then, that YOU made the impact. Once you do that, they who want the impact again will be inclined to pay for it if it can only be gained from YOU. Health information exchange is a vital tool in the toolbox for empowering others to attribute value to YOU. It helps get you PAID and get you PAID MORE. It's not imaginary nor proprietary. It's often funded by your tax dollars (that is, you're *already* paying for it...may as well use it!).
So why aren't you (yet)?
Mobile Health Care leader who is here to help your organization navigate the technology and management needs of this changing market
Let's talk about HIE or Health Information Exchange. Most of you reading this are in a state or area where your hospital uses an HIE. Why is it that hospitals use it, doctors offices use it, other healthcare professions use it but EMS does not? There is value in transmitting EMS data to the HIE - your services benefit (yes connecting to your HIE can mean $$$ in the door Jonathon Feit) and your patients benefit (your full report is available for review during care beyond the ER).
When you arrive at the ER 🏥 and give a verbal report that data lives in the mind of the provider hearing it, some of it gets noted but most of the finer details sit in the mind of the person listening. As that person interacts with others and then ends their shift your information slowly disappears. All this may happen before you have the time to finish your EPCR. 📃
When you do get the time to finish your report it gets sent to the hospital and eventually finds it way into the patient record as a PDF document (in some cases weeks later), buried somewhere in EHR. When the hospital transmits the data to the HIE your information may be included as antidotal notes (because it was not imported as discreate data points) and it is PART OF THE HOSPITAL RECORD, NOT YOUR OWN RECORD.
We advocate for our patients 🚑 ; we work hard to collect the information NECESSARY to effectively treat those who call on us. Why do we allow our interactions to be a footnote on the hospital record. If we transmit directly to the HIE our record is its own entry in the patient's history of care, NOT JUST A FOOTNOTE. All your data should be seen as just that, data in the chain of care of your patient. It is time we push to have our information have a meaningful impact on our patient’s health well past the first 12 hours in the ER.
To some this may seem like a nice thing to do but it is not currently possible. It is possible, and it is happening in parts of this country KONZA National Network, Manifest MedEx, Epic,Michigan Health Information Network Shared Services (MiHIN). The need for your work to be recognized as an integral part of your patient’s healthcare data is real and we need to push for this in all areas. I have listened to many people talk about not connecting unless we get outcome data, you can’t get data without a connection, so we need to take the first step * CONNECT* ▶ and then we can take the next step - getting the data back ◀ . But more on that in a coming post.
In the wake of the 21st Century Cures Act and the implementation of the Trusted Exchange Framework and Common Agreement (TEFCA), Qualified Health Information Networks (QHINs) have emerged as a cornerstone of healthcare interoperability. While these networks promise to revolutionize data sharing and improve patient care, they also present significant challenges that healthcare executives must navigate.
As healthcare interoperability approaches an inflection, it’s a good time to examine both the transformative potential and the pitfalls of QHINs in our evolving healthcare ecosystem.
David Lareau navigates the promise and perils of health data interoperability via Medical Economics: https://bit.ly/4bRCzRz | #HealthData#Interoperability#TEFCA#QHINs
