Introduction to the ISA

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Comment

e-LTSS FHIR Implementation Guide

Please consider adding the electronic- Long-Term Services and Supports (e-LTSS) FHIR Implementation Guide as an emerging standard being piloted. LTSS providers and case managers are essential partners with the health care providers in providing whole-person care.  In recent years, the health sector has began to pay more attention to the social determinants of health. The LTSS support (care) plan data elements contained within the e-LTSS FHIR data standard can provide critical information to primary care physician about the support individuals are receiving in the community and in their homes and hospitals will have access to the same information when the post-acute setting is the individual's home. Beyond the benefit to the care coordination between health care and LTSS providers, this standard will be the first LTSS data standard of its kind that begins the work of creating data standards that will support the collection, aggregation and sharing of information between and among LTSS providers.  I hope that is only the first step in creating data standards for the LTSS delivery system as the LTSS providers and case managers collect comprehensive assessment data, including data around social determinants, and other data that would not only benefit the LTSS providers but also the health sector when considering whole person care. I appreciate your consideration of this addition to your emerging standards.   Timothy Cortez Colorado Department of Health Care Policy and Financing (Colorado's State Medicaid Agency)  
2020 Comments ONC ISA_QD Final.docx

IEEE SA Comments

The IEEE Standards Association (IEEE SA) is pleased to submit the following information in response to the above-captioned request for information. We commend the Office of the National Coordinator for Health Information Technology (ONC) in its effort to update the Interoperability Standards Advisory (ISA). As a globally recognized standards developing organization grounded in an open, inclusive, transparent, and consensus-building process, we appreciate the ONC’s request for updates to its ISA.
IEEE SA_Office of the National Coordinator for Health Information Technology ISA.pdf

Lantana Consulting Group comments on 2019 ISA

Dear Dr. Rucker,  Lantana Consulting Group, Inc. (Lantana) is pleased to provide comments on the 2019 Interoperability Standards Advisory (ISA). Lantana provides services and software for standards-based health information exchange. We have built our expertise through more than a decade of involvement in standards development and deployment. We focus on design and implementation of Clinical Document Architecture (CDA) and Fast Healthcare Interoperable Resources (FHIR) compliant systems, including validation, document management, authoring, data conversion, and web services for information exchange. Please find attached our comments on Sections I through III of the ISA. Dan Andersen Program Director t: 443-609-4166 Maryland - Eastern Time Image removed.Image removed.Image removed.  
Lantana Consulting Group comments on the 2019 ONC ISA.docx
Interoperability Standards Advisory 092319.pdf

HL7 Comments for ONC ISA 2020 Reference Edition

Health Level Seven (HL7) International welcomes the opportunity to submit comments on ONC’s Interoperability Standards Advisory (ISA) as ONC prepares to update the ISA for the 2020 “Reference Edition”.  As ONC prepares to finalize the ISA for the 2020 “Reference Edition”, we offer both general considerations and responses to questions ONC specifically raised, as well as detailed suggestions on previously documented and new interoperability needs. Should you have any questions about our attached comments, please contact Charles Jaffe, MD, PhD, Chief Executive Officer of Health Level Seven International. We look forward to continuing this discussion and offer our assistance to ONC.
HL7 Response ISA Letter 09.23.19 FINAL_0.pdf

HL7 Comments for ONC ISA 2020 Reference Edition

Health Level Seven (HL7) International welcomes the opportunity to submit comments on ONC’s Interoperability Standards Advisory (ISA) as ONC prepares to update the ISA for the 2020 “Reference Edition”.  As ONC prepares to finalize the ISA for the 2020 “Reference Edition”, we offer both general considerations and responses to questions ONC specifically raised, as well as detailed suggestions on previously documented and new interoperability needs. Should you have any questions about our attached comments, please contact Charles Jaffe, MD, PhD, Chief Executive Officer of Health Level Seven International. We look forward to continuing this discussion and offer our assistance to ONC.
HL7 Response ISA Letter 09.23.19 FINAL_0.pdf

CAQH CORE Comments to ONC ISA 2020 Reference Edition

Thank you for the opportunity to provide input to the Interoperability Standards Advisory (ISA). CAQH CORE appreciates that the ISA includes a description of standards, implementation specifications, operating rules and other utilities that support interoperability in the exchange of healthcare information. The CAQH Committee on Operating Rules for Information Exchange (CORE) is a non-profit, national multi-stakeholder collaborative that drives the creation and adoption of healthcare operating rules that support standards, accelerate interoperability and align administrative and clinical activities among providers, payers and consumers. CAQH CORE participating organizations represent more than 75 percent of insured Americans, including health plans, providers, electronic health record (EHR) and other vendors/clearinghouses, state and federal government entities, associations and standards development organizations. CAQH CORE is designated by the Secretary of the Department of Health and Human Services (HHS) as the Operating Rule Authoring Entity for HIPAA-mandated administrative transactions. Operating rules are developed by CAQH CORE participants via a multi-stakeholder, consensus-based process. CAQH comments on the ISA are set forth below based on our history of working with stakeholders across the healthcare industry to reduce administrative burdens in areas such as eligibility and benefit verification, prior authorization, attachments or exchange of medical documentation, claims submission and payment, and value-based payment. The comments in this letter are presented in two parts and are intended to enhance the quality of information in the ISA and improve usability:
  • Part I includes specific comments on existing content in Section IV of the ISA.
  • Part II responds to the Request for Stakeholder Feedback pertaining to question 19-3.
CAQH CORE has also posted these comments to the online resource. Thank you for considering our recommendations and comments. Should you have questions for CAQH CORE, please contact me at eweber@caqh.org or 202-517-0435. Sincerely, Erin Richter Weber Director, CAQH CORE    
CAQH CORE Comment Letter to ONC ISA.pdf

The Pew Charitable Trusts Comments on 2019 ISA

Dr. Rucker,  Thank you for soliciting comments on the Office of the National Coordinator for Health Information Technology’s 2019 Interoperability Standards Advisory. Comments from the Pew Charitable Trusts are attached.  Sincerely,  Ben Moscovitch 
Pew ISA comments Final .pdf

AIRA Comments on 2019 ISA, September 2019

Thank you for the opportunity to comment on the 2019 ISA. Please see attached document for full version of AIRA comments. We look forward to the evolution of future versions of the ISA. Sincerely, Mary Beth Kurilo, Policy and Planning Director, American Immunization Registry Association
AIRA Letter and Comments - ONC 2019 Standards Advisory - Sept 2019.pdf