Interoperability Proving Ground (IPG) submissions within the ONC Tech Lab are submitted by healthcare, technology and development organizations that are invested in Health IT and Interoperability and want to share, learn and collaborate with similar stakeholders in the US, and around the world.

To view all submissions, please view the IPG link located within the ONC Techlab.

Bi-directional acute-ambulatory Direct patient messages

Description 
A North Florida/South Georgia bidirectional Direct interoperability acute – ambulatory pilot between the VA and HCA organizations is now ready to be rolled out nationally.  HCA sends the VA a daily census of VA admitted patients.  In response the VA sends to HCA a C-CDA for these patients. On discharge HCA pushes, via Direct, a discharge C-CDA to the VA EHR to enable care management. The document also assists with VA’s payment process to community care providers, when an open consult is completed using the clinical data received via Direct Messaging.  A VA user in Florida exclaimed, “I have grown to love VA Direct Messaging because as soon as the patient gets discharged, I get documents. It’s wonderful! “
  • glen.crandall@va.gov
Start Date 
01/01/2018
Projected End Date 
05/01/2018
Project Tags 
  • bi-directional Direct Interoperability
  • C-CDA
  • Care Coordination
  • DIRECT
  • Direct Interoperability
  • direct secure messaging
  • EHR
  • interoperability
  • Interoperability
Project Point of Contact: kelly.gwynnremove@removedirecttrust.org
Project Results 
A VA user in Florida exclaimed, “I have grown to love VA Direct Messaging because as soon as the patient gets discharged, I get documents. It’s wonderful!“