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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Active Projects

Project NameProject DescriptionTagsProjected End Date
Data Access Framework (DAF) Pilot-PopMedNetLincoln 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, PCORnet09/29/2016
Argonaut Phase 2 Implementation & Testing - Developing a Web Based ClientThis 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
Laboratory US Realm Pilot ProjectGoals 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, LRI09/30/2016
C-CDA Rendering Tool ChallengeThe 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, HL709/30/2016
Data Access Framework (DAF) Pilot - REACHnetThe 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, PCORnet09/30/2016
Integrate Home Health Care Data to ER and Urgent Care Facilities to reduce Hospital admissionBy 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, ADT01/01/2017
SMART Health ITSMART 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, SMART12/31/9999
C-CDA R2.1 Companion GuideProduce 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 GuideC-CDA, CCDA, CDA, EHR, HL711/7/2016
eHealth Exchange Testing ProgramAEGIS 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 ProfileAEGIS 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 2.5.1HL7 V2
HL7 FHIR Conformance and Interoperability Test PlatformAEGIS 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 ServerAEGIS 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 ToolCrucible 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 ProjectDirect 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 NotificationsReal-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 & CanadaHealthShare 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, XCA12/30/2016
ConnectEHR Transition of Care and DIRECT – Dynamic Health ITConnectEHR 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 TrialThe 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, SBIRT12/31/2016
HSX Interoperability Testing Process-Enabling Meaningful Exchange in the SEPA regionHealthShare 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
HIETexasThe 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, Testing12/31/2020
EMS Interoperability Pilot - UHINUHIN 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, HIE07/01/2017
Poison Control Interoperability PilotCurrently, 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, Poison07/01/2017
360X-C360X strives to define implementation guidance to enable EHRT interoperability supporting the referral process. This guidance will stimulate the robust exchange of patient referral information between two providers using disparate EHRT by utilizing appropriate, mature standards starting with those available from ONCE 2014 Certification criteria and HL7. Goals for 2015 and 2016 Finalize Implementation Guide – Term definitions, consistency, and clarity to make it consumable and reduce ambiguity Finalize HL7v2 payload specifications Provide sample content for all exchanges and components Establish ownership and maintenance proposal for transport and payload components: e.g. HL7 SDO, IHE IHE Connectathon to validate Demo at HIMSS Enter pilot phase Available for broad adoption 360X, HL7, ONC-led12/01/2016
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 HealthThis 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 HealthThis 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 HealthThis 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 HealthThis 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 HealthThis 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 HealthThis 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 HealthThis 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 HealthThe 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 HealthThe 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 HealthThe 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 HealthThe 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 HealthThe 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 HealthThe 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 HealthThe 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 HealthThe 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 HealthThe 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 HealthThe 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 HealthThe 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 HealthThe 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 HealthThe 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 HealthThe 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 HealthThe 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 HealthThe 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 HealthThe 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 HealthThis 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 projectThis 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, Security09/29/2017
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 HealthThis 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 FrameworkCarequality is a multi-stakeholder initiative that maintains and operates a framework for governance of inter-network health information exchange 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.Sequoia Project, Trusted Exchange Framework, Common Legal Agreement, Network of Networks, Governance
The Sequoia Project Interoperability TestingThe 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. 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. The Sequoia Project operates this program in conjunction AEGIS and their Developer’s integration Lab (DIL).eHealth Exchange, IHE, Product Certification, Sequoia Project, Testing
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, among others.IHE, Sequoia Project, Testing, XDS-I, PHR, RSNA, Imaging
The Sequoia Project Clinical Content Interoperability TestingThe 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 will eventually be required for interoperability testing and exchange of content documents between eHealth Exchange participants. The Content Testing Pilot has begun and is recruiting more volunteers. The pilot includes the following milestones: - Publish Content Testing Documentation Available for public comment 11/05/2015 (Testing Workgroup and Specification Factory) - Pilot Trial period – 6 months – December 2015 to May 2016 - Tooling assessment to determine testing tools to be used and manual testing requirements that may not be met by automated tooling. It is expected feedback from pilot will help prioritize tooling improvements for use by the program in production. – 3 months – December 2015 – February 2016 - Mandatory content testing under consideration by Coordinating Committee after Pilot concludes – Date TBDC-CDA, CCD, eHealth Exchange, HL7, Sequoia Project, Testing, Pilot
FHIR Pilot The Sequoia Project is preparing to sponsor a pilot for the use of FHIR to exchange production patient and provider data under the eHealth Exchange DURSA common legal and trust framework. Organizations that are interested in participating should contact admin@sequoiaproject.org. eHealth Exchange, FHIR, Sequoia Project
The Sequoia ProjectThe 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 RSNA Image Share Validation Program is an interoperability testing program to enable seamless sharing of medical images. 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 will be piloting FHIR via its initiatives and in conjunction with the Argonaut Project FHIR-based provider directory work. FHIR, Governance, policy, Sequoia Project, Public-Private Collaborative, Patient Matching
Cross-Organizational Patient Matching Work GroupThe 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 is designed to shed light on, define, document, and operationalize specific improvements in patient matching across organizational boundaries. Recently we 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 work group will be dispositioning the white paper public comments, and publishing a new version that 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.Patient Matching, Sequoia Project, Testing
eHealth ExchangeThe eHealth Exchange is a rapidly growing 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. Since then, the eHealth Exchange has more than quadrupled in size to become the nation's largest health data sharing network, supporting 100 million patients across: - 50 states - 4 federal agencies (DoD, VA, HHS including CMS, and SSA) - ~50 of US hospitals - 26,000 medical groups - 950+ dialysis centers - 8,300 pharmaciesC-CDA, CMS, Testing, VHA, DoD, eHealth Exchange, FHIR, HL7, Nationwide Network, policy, Sequoia Project, SSA
Cisco-UCSF Connected Health interoperability PlatformThe 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, OAuth209/15/2018
MedKaz® patient-centered personal health record system MedKaz delivers total, nationwide interoperability today. Assembles a patient’s complete searchable medical record in one place, on a MedKaz, a unique flash drive the patient carries on a keychain, in a wallet, or wears and gives to any provider anytime, anywhere—in or out of network, at home or away. MedKaz contains copies of all the patient’s records, including paper, from all providers, plus the unique patented MedKaz application to manage them. They include complete progress notes, lab and test reports, operative and discharge reports and other documents used during a visit. With appropriate APIs, documents can be uploaded to and downloaded from a patient's MedKaz as structured data.EHR, EMR, patient-centric, personal health records, PHR, FHIR, Functional Interoperability, HIT Vendor, Innovation, interoperability, Nationwide Network, Open API, Patient Portal
NCQA eMeasure CertificationNCQA'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 5There 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, Referrals12/31/2016
KHIN DIRECToryThe Kansas Health Information Network (KHIN) is a provider driven statewide Health Information Exchange, Established in January 2011 by the Kansas Hospital Association, Kansas Medical Society, and the Wichita Health Information Exchange. KHIN began providing Direct messaging later that same year. As KHIN’s services and membership began to grow we heard from our providers that there was the need for a more robust provider directory they could access outside of the KHIN provider portal. With a majority of Kansas being rural the providers work at multiple health systems and have multiple Direct addresses. This tended to cause confusion for users when searching for a provider’s correct Direct address. With development from BluePrint Healthcare IT, KHIN has a DIRECTory that providers can access outside of the CareAlign provider portal on a Microsoft platform. The DIRECTory allows for the providers or clinical staff to be tied to multiple Direct addresses and multiple health systems. The provider can choose their preferred Direct address and update their individual profile. The DIRECTory also has various levels of access for administrative staff and HIE staff to provide updates on any of the providers information listed. Additionally, other HIE’s can contribute to the DIRECTory once approved by KHIN. The KHIN DIRECTory went live in the fall of 2015 and has been mainly maintained by KHIN and a hand full of members. Currently KHIN is rolling out the editing process to client administrators to make the DIRECTory less time consuming for the KHIN staff. As KHIN works through this process we have learned that the initial collection and constant updates of addresses can be challenging. DIRECT, HIE, HISP, provider directory
CHIME $1 Million National Patient ID ChallengeThe 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.interoperability, Patient Matching, patient identificatioin, HIPAA, medical errors, safety, Privacy, Security02/19/2017
Pharm2PharmPharm2Pharm 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, Hawaii, HIE, Innovation, medication reconciliation, medication management, drug therapy problem
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
Redox EngineRedox is the modern API for healthcare. We allow best-in-class software to easily and securely interoperate with EHRs by connecting to existing health system infrastructure. Software applications connect to Redox once and integrate with any other application or health system they sell to through our standardized data models. Redox is the leading healthcare integration platform with an ecosystem of over 120 enterprise applications. Learn more and join the ecosystem at www.RedoxEngine.com.CCD, CCDA, DIRECT, FHIR, HL7 V2, IHE, Nationwide Network, XCA, XDS-I
Arkansas OHIT - ADT AlertsThe 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 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 SettingsWork 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, OASIS07/26/2017
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 HIEKHIN 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, interoperability, substance abuse patients
MyKsHealth eRecords Statewide Patient PortalA 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
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 Matching7/27/2017
Learning UDI CommunityThe FDA has identified the need to actively engage with a coordinated, action-oriented early adopter UDI community. AHRMM, in response to this need and recognizing the importance of such a community, is pleased to announce that it will be convening and hosting a Learning UDI Community. Please contact Michael Schiller at mschiller@aha.org if you are interested in joining the community or would like additional information. The LUC will be a broad based coalition comprised of healthcare leaders including those from the association, clinical, distribution, financial, health IT, physician, provider, regulatory, standards organizations, and supplier/manufacturing sectors, residing within two communities; the Learning UDI Community Steering Committee (LUCSC) and the Members at Large community. The LUC will focus on identifying issues that impact UDI adoption within the healthcare setting and establishing cross-industry work groups made up of subject matter experts and stakeholders. Work groups will publish progressive practices, proposed solutions, and any resources developed that focus on topics, e.g., use cases, and enabling technologies that can accelerate UDI adoption. These progressive practices, as well as any tools, will be shared through the UDI Adoption and Implementation Repository. Capturing, storing, maintaining, and providing unrestricted access to this shared knowledge base will increase the likelihood of success in accelerating UDI adoption practices while shortening the UDI adoption learning curve.AHRMM, Learning UDI Community, Clinically Relevant Size, work groups, LUCSC, UDI, UDI Adoption, Unit of Use, LUC, Scanning, UDI Capture, UDI Recognition
Medical Shop SoftwareImprove 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, Software05/31/2026
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, EHR, GUDID, interoperability, Medical Device Surveillance, Patient Registry, Unique Device Identifiers, Distributed Research Network, Coronary Artery Stents08/31/2018
Rural Community Interoperability Project - UHINAs 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, Rural07/01/2017
Behavioral Health Integration Project - UHINAs 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 Summary07/01/2017
LTPAC Project - UHINAs 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 Care07/01/2017
Public Health Immunization Data ExchangeDescription: 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
DirectTrustThe 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: David.kibbe@directtrust.org DIRECT, EHR, esMD, FHIR, HIE, HISP, interoperability, Network of Networks, provider directory, Trusted Exchange Framework
Electronic Submission of Medical Documentation- ClinXdataPilot Category: e-Clinical Templates Pilot Stream: Home Health Pilot Contact: Luke Gilliam (luke@afoundria.com), Jon Mcbride (jon@afoundria.com) ClinXdata is an IHE vendor, currently working on implementing the Home Health Services e-Clinical Template, using their post-acute (nursing, skilled nursing, rehab, long-term care, assisted living, independent living, and hospice care) charting tool, ChartPath.e-Clinical Template, esMD, Home Health
Electronic Submission of Medical Documentation- Hyland OnBasePilot Category: e-Clinical Templates Pilot Stream: eMDR Pilot Contact: Mike Hurley (mike.hurley@onbase.com), Eric Patalinghug (eric.patalinghug@onbase.com) Hyland is a certified EHR vendor and OnBase is a EHR software provider. Hyland has completed a pilot project Mackinac for sharing medical documentation between OnBase payers and providers. They plan to work with customers on their beta pilot starting within the coming months.e-Clinical Template, eMDR, esMD
Electronic Submission of Medical Documentation- MedAZPilot Category: Standards Pilot Stream: CDP1 Pilot Contact: Vasu Iyengar (vasu@medaz.net) MedAZ is a fully integrated EHR vendor and practice management company. They are currently working on CDP1 implementation.CDP1, esMD
Electronic Submission of Medical Documentation- OPIE SoftwarePilot Category: e-Clinical Template Pilot Stream: Lower Limb Prosthetics Pilot Contact: Scott Williamson (scott@qualityoutcomes.com) OPIE Software provides software and clinical documentation solutions to a majority of prosthetists in the field (50% or more) nation-wide. They also provide software solutions for orthotics and prosthetics practices. They are focusing on getting physicians to appropriately fill out forms and medical documentation.e-Clinical Template, esMD, LLP
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 LTPACTransforming MDS reports to CCDsLTPAC, ONC-led
FHIR Enabled Open Source Terminology ServiceApelon, 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 - NHHIOAs 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.CCDA, DIRECT, Peer Learning Network, SNF, Transitions of Care, Behavioral Health, Discharge, Education, HIE, HISP, Home Health, interoperability, LTPAC, ONC-led06/30/2017
Pharmacist eCare PlanThis is a joint project between NCPDP and HL7 http://dms.ncpdp.org/index.php/ncpdp-work-groups?view=category&id=64. The goal of this project is to develop an electronic care plan with enhanced medication management content based on the templates in the HL7 Implementation Guide for C-CDA Release 2: Consolidated CDA for Clinical Notes. 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 (community, hospital, long term care, clinics, etc.) and increasingly participate in patient-centered care teams providing essential clinically oriented patient care services such as medication therapy management, clinical reconciliation (medication, allergies and problems), patient immunization management, disease state monitoring, and therapy adherence programs. The pharmacist works with the patient or care giver to identify manageable medication-related goals of therapy, defines needed interventions and strategies for achieving those goals and monitors outcomes in an iterative process. Consultation with other providers involved in the patient’s care are performed as needed. 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. Four (4) organizations have agreed to implement the Pharmacist eCare Plan. Community Care of NC (CCNC) Indian Health Services (IHS), QS1 and PioneerRX.C-CDA, care plan, drug therapy problem, HL7, medication management, medication reconciliation, NCPDP, Pharmacy, Pharmacist01/31/2017
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
VA Interoperability with HealthInfoNetFunded 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 Care10/01/2016
Maine DASH Project - HealthInfoNetHealthInfoNet 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, Transportation06/30/2017
HealthInfoNet - Maine's statewide health information exchangeIn 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 PlatformHealthInfoNet’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 - HealthInfoNetIn 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 – HealthInfoNetMaineCare 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 projectAlerts, HIE
MaineCare Clinical Dashboard – HealthInfoNetMaineCare 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 testingMichigan'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 ServerThis 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 DirectoryDocument 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 CasesThe 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-LInKLINK 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 RecordHealthcare 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
SHRINEMore 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
Finnish national PHRBy 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, PHR12/31/2017
NJII New Jersey Health Information Network (NJHIN) ONC Advance HIE Interoperability for Eligible Professionals and LTPACsNew 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 Registry07/26/2017
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 Statewide Provider DirectoryThe Oregon Health Authority (OHA) is developing a statewide provider directory (PD) that will be operational in 2018. Healthcare entities will use PD to find authoritative healthcare practitioner and practice setting information. The PD is part of our Health IT (HIT) portfolio which includes other HIT services such as the Oregon Common Credentialing Program and the Clinical Quality Metrics Registry. Harris Corporation is the system integrator and is responsible for procuring and overseeing the implementations. The PD will leverage data from existing, trusted data sources, starting with the upcoming Oregon Common Credentialing Program which places a 120-day requirement for providers to update their credentialing information in a central database. Other authoritative data sources will also be included and matched to produce a complete data set of quality provider data that can be used to support operational efficiencies, health information exchange, care coordination, and analysis of provider data. It will also leverage national or federally recognized standards (such as the IHE-HPD standard and FHIR) which supports the management of provider directories and opens the door for an interoperable solution. The project includes design, development, implementation, and maintenance of the technical solution, data validation and management, as well as operations, ongoing management, and oversight of the program. An incremental implementation approach, driven by stakeholder endorsed use cases will be applied to ensure success out of the gate. APIs, Data Matching, Data Quality, Data Stewardship, FHIR, Health Provider Directory, HIE, HPD, provider directory, System Integrator

Completed Projects

Project NameProject DescriptionTagsProjected End Date
Data Provenance - RAIN Live Oak Health Information Exchange and Telemedicine NetworkData 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-CDA09/01/2016
Electronic Long-Term Services and Supports (eLTSS) Pilot - PeerPlaceThe 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. eLTSS04/30/2016
Electronic Long-Term Services and Supports (eLTSS) Pilot - Care at HandThe 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. eLTSS04/30/2016
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. eLTSS04/30/2016
Electronic Long-Term Services and Supports (eLTSS) Pilot - FEi SystemsThe 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. eLTSS04/30/2016
Electronic Long-Term Services and Supports (eLTSS) Pilot - Therap ServicesTherap'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.eLTSS04/30/2016
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. eLTSS04/30/2016
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.eLTSS04/30/2016
Electronic Long-Term Services and Supports (eLTSS) Pilot - State of Colorado Health Care Policy and FinancingThe 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. eLTSS04/30/2016
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.eLTSS04/30/2016
Electronic Long-Term Services and Supports (eLTSS) Pilot - Connecticut Department of Social Services Division of Health ServicesThe 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”. eLTSS04/30/2016
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. eLTSS04/30/2016
Electronic Long-Term Services and Supports (eLTSS) Pilot - Kno2The 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.eLTSS04/30/2016
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, SDC08/08/2016
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, SDC08/01/2016
Clinical Quality Framework Pilot- The American College of CardiologyThe 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, SIHD08/27/2015
Clinical Quality Framework Pilot- HHS/CDCThe 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, QUICK08/27/2015
Clinical Quality Framework- HLN Consulting, LLCThe 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, vMR08/27/2015
Clinical Quality Framework- Motive Medical IntelligenceThis 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, EHR08/27/2015
Clinical Quality Framework (CQF)- Pilot: National Decision Support CompanyPilot 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, CQF08/27/2015
Clinical Quality Framework Pilot - Phentotype Execution and Modeling ArchitecturePhentotype 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, CQL08/27/2015
Clinical Quality Framework Pilot- Breast Cancer Decision SupportThis 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: chad.armstrong@evinance.comCDS, CQF08/27/2015
Prescription Drug Monitoring Program - EpicEpic 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, PDMP12/31/2015
Prescription Drug Monitoring Program - PASTThe 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, PDMP12/31/2015
Prescription Drug Monitoring Program - NextGenThis 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, PDMP03/31/2016
Prescription Drug Monitoring Program - DrFirstDrFirst 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, PDMP03/31/2016
Prescription Drug Monitoring Program - QS/1The 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, PDMP03/01/2016
Prescription Drug Monitoring Program - PDXThe 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, PDMP03/31/2016
Prescription Drug Monitoring Program - SpeedScriptsThe 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, PDMP03/31/2016
Prescription Drug Monitoring Program - APPRISSThe 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, PDMP03/31/2016
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, PDMP03/31/2016
Prescription Drug Monitoring Program - KY Cabinet for Health and Family ServicesThe 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, PDMP03/31/2016
Prescription Drug Monitoring Program - Virginia Prescription Monitoring ProgramThe 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, PDMP03/31/2016
Prescription Drug Monitoring Program - WA State Department of HealthThe 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, PDMP12/31/2015
Prescription Drug Monitoring Program - Wisconsin PMPThe 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, PDMP03/31/2016
Prescription Drug Monitoring Program - OneHealthPortThe 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, PDMP03/31/2016
Electronic Submission of Medical Documentation- University of Pittsburgh & NuMotionPilot Category: e-Clinical Template Pilot Stream: Power Mobility Device Pilot Contact: Madalyn Rogers (rogersm2@upmc.edu), Brad Dicianno (dicianno@pitt.edu) 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, PMD04/01/2016
Query Health Pilot - New York City Dept. of Health / New York State Dept. of HealthThe 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, QH05/01/2012
Query Health Pilot - FDA Mini-SentinelThe 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, QH04/26/2012
Query Health Pilot - Massachusetts Dept. of Public HealthMeHI, 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, QH11/06/2012
Data Segmentation for Privacy (DS4P) Pilot - VA/SAMHSASAMHSA 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-led03/04/2013
Data Segmentation for Privacy (DS4P) Pilot - SATVAThe 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-led02/28/2013
HILCORP Electronic Data Exchange Network HEDIS reporting initiativeThe 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, eCQM02/29/2016
Clinical Data Collection Pilot - ChartPull / BloomAPIBloomAPI 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 V204/08/2016
C-CDA Implementation-A-ThonHL7 is hosting a second C-CDA Implementation-A-Thon to identify issues and potential trouble spots. 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. C-CDA, CCDA, CDA, EHR, HL704/15/2016
Rhode Island Quality Institute - Sharing Health Information for Transitions (SHIFT) of CareThe 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, TOC07/26/2016
Real-time, automated C-CDA clinical data exchange between an Epic E.H.R. and the Mississippi Division of MedicaidIn February 2016, Mississippi Division of Medicaid (DOM) implemented a real-time, automated connection to its largest provider’s E.H.R. system to exchange clinical data patient summaries using the C-CDA format. This connection allows care providers at the University of Mississippi Medical Center (UMC) to request real-time summaries of Medicaid patients from DOM from the 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. CCDA, HIE, Innovation, interoperability, XDS-I, EHR Integration02/29/2016
Behavioral Health Admissions IntegrationThis 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 Health9/1/16
Rhode Island Behavioral and Medical Information Exchange ProjectRhode 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, interoperability09/09/2016
Utah Health Department HIE-ONC Interoperability ProjectThe 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, Providers09/10/2016
Delta Medix PC Interoperability - Phase 1This 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, HL703/01/2016
Coalition for Health IT in Communities (“CHIC”) – GaHINThe 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, telehealth09/10/2016
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 redesign01/01/2015
EMDI- Topline HealthcarePilot Category: e-Clinical Templates Pilot Stream: Powered Mobility Devices (PMD) Pilot Contact: Mark Kimmel (mark.kimmel@toplinehealthcare.com), Susan Hemme (susan.hemme@toplinehealthcare.com) 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 (mark.kimmel@toplinehealthcare.com) for more information. Completed Pilots, e-Clinical Template, EMDI, esMD, PMD01/25/2016
Direct and 10A Preauthorizations - UHINIn 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, 10A10/1/14
Patient Portal-HIE Blue Button Pilot - HealthInfoNetAs 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 Interface10/01/2015
Carolinas HealthCare System- Patient NavigationPatient 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, interoperability01/01/2016
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, Michigan09/12/2014
GLHC – Admit, Discharge and Transfer (ADT) NotificationsIn 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, Michigan11/20/2012
GLHC - Advance Care Directives and the Statewide Community Patient RecordHealthcare 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, Michigan10/01/2013
GLHC – Statewide Community Health RecordHealthcare 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, Michigan04/20/2012
GLHC – Immunization Message Query and RetrieveThanks 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, VXU10/22/2015
GLHC – Long Term Care & Home Health Oasis & MDS StandardizationLong 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, LTC06/30/2016
GLHC – Result Delivery based on a patient listHealthcare 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 Systems06/20/2016
GLHC – Radiology Imaging EnablementHealthcare 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, Radiology04/30/2015
Kingsport, TN - DIRECT Messaging - Wellmont Health SystemThe 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, DIRECT01/01/2015
"MedMij": Personal Health Environment in The NetherlandsThe 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, PHR07/31/2016
Kingsport, TN - Vaccine Administration Information sent to Virginia (VIIS) Immunization Registry - Wellmont Health SystemVaccine administration information is being sent to the Virginia (VIIS) immunization registry via HL7 interface.HL7, Immunization, Immunization Registry01/01/2016
Kingsport, TN - Syndromic Surveillance Results sent to Virginia Department of Health - Wellmont Health SystemSyndromic surveillance results are sent to Virginia Department of Health via HL7 interface.HL7, Lab Results1/1/16
Kingsport, TN - Reportable Results sent to Virginia Department of Health - Wellmont Health SystemReportable results are being sent to the Virginia Department of Health via HL7 interface.HL7, Lab Results01/01/2016
Increasing Early Detection of Youth Behavioral Risk, Improving Care Delivery and Addressing Suicide in Primary Care SettingsHigh-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 Health, Behavioral Risk Screens, Referrals, Suicide Prevention, Transitions of Care, workflow redesign, Community Mental Health, EHR Integration, Garrett Lee Smith, Meaningful Use, Patient-Centered Outcomes Research, patient-centric, Primary Care, Public Health08/17/2016