Las vegas-this past week at Himss25, a panel of healthcare interoperability leaders convented for an ad hoc discussion about the ongoing evolution of fhir api-baa-baa-baa-baa-baa-baa exchanged: How weT can Be expanded across the payers-divider-paharmacy-patient ecosystem, How Certification Should Evolve and What the Role of Policymakers, Agencies Such as CMS and TECHNOLOOGYS Devers Over the next decade or so.
The session, “ditch the clipboard: policy ideas for dog and the trump administration,” Shares a name with a Recent Leavitt Partners WhitePaper That served as the Basis of the discussion.
Despite Its Title, Session Moderator, Leavitt Partners Principal Ryan Howlls, Emphasized that the Panel Talk was not a Political Discussion.
“The election is over,” said howlls. “We are now in a phase, for the next four years, of what the administration’s priorities are. Administration.
“It’s clear they want to do big, bold things. It’s clear that they’re actually doing generational change in the federal government,” He explained. It’s clear that they actually want to eliminate waste. Thos things are clear. The question now banks, how do we go understand whats perorities are and how actively provide recommendations that could Meaningful Move the Ball in Terms of Interopeability and Policy Over the Necade Plus. “
Howells was Joined by Michael Westover, Vice President of Population Health at Providence; Anna Taylor, Associate VP for Population Health & Value-Based Care at Multicare Connected Care; And Jason Teeple, Interoperability Strategy Leader and Senior Director of Enterprise Architecture at Cigna HealthCare.
Among the questions they sought to answer: What federal technology policies are needed-or no longer needed-to create a truly a truly patient-kept health care system? How does Cehrt Need to Evolve to support a modern, api-based, interopeable ecosystem? And what can we expect on this front from the new administration in the year ahead?
“What do we need to do over the next decade?” Howells Asked. “Not the next administration, not the next couple of years. Hitechtook about 10 years, right? Fhir has taken more than 10 years.
“And so when we think about: what does this look like over the next decade? About Things Like AI, Cloud-based computing, all the solutions that they have, which is really cool.
Howells made the case that some current interoperability policies are “antiquated,” and, also, that there’s simply too many too many of them.
“We have too much regulation,” He argued. And we have a lot because we started to grow off of a certain program and start to add a bunch of things to start to certify individual functionality inside the ehr, to build the ehr.
“Well, now we’ve built itm. Problem in exchanging the data between not only the ehr, but the payers, the pharmacies, the patients, everyone else in the ecosystem.
Howels also Advocated for Ironing Out Some Discrepancies with Policies Between Different Agency, and Better Alignment on Timing of Rule Compliance.
“We’re a little out of sync based on policies in terms of the timing,” He said, for example, “for when uscdi is being in place and when the CMS Rules Need to Take Advantage. Government.
We also need to move towards a “More modern computing architecture,” He said.
“We believe that we need to redefine cehrt,” said howells. “We go back to the original definition of the hitch act, where it talks about hardware, software or packaged solutions sleep as services that are designed for designed for Patients for the electronic creation, maintenance, access, or electronic health information.
“It does not say ehrs. This could be ehrs. It also out Certify the Apis, which is the outbound call to the other systems – rather than certificate the functionality inside the appea
Howells Sees Reasons for Optimism in the Years Ahead. Particularly with under-tempered resources like the Infearno Project on Healthit.govWhich offers services for running select FHIR Conformance Tests.
With the CMS Interoperability and Prior Authorization Final Rule, by 2027 “Every payer provider in the country is going to have to have to connect through these aPis,” He said. “You’re going to have to eite spend a gazillion dollars making all these custom upgrades to individual tweaks in the appearance, or you can tell everyone to go to inferno and say, this is the fourth dat in the fourth data in The future. “
The Leavitt Partners paper offers detailed suggestions for:
Eliminating antiquated interoperability policy and better aligning it across the federal government
Improving Patient Access to Health Care Data
Boosting Health Care Data Exchange to Ensure Faster Implementation
of FHIR APIS for B2B Data Exchange
Improving the Tefca
Automating Quality Measurement Reporting
Adopting Digital Identity Services for Individuals, Payers, and Providers
“Since the passage of the Hitech Act, 21st Century Cures Act, and the Promulgation of the CMS Interoperability Rules, Significant Work Has Been Done to Advance Clinical and Non-CLINICAL DATA EXICHANICAL DATA EXICHANICAL DATA EXICHANCAL DATA Limited Efforts Have Been Done to Advance Non-Ehr Solutions and Application Programming Interfaces Required by Congress, “The Report’s Authors Write.
However, “The promise of these policy actions is limited by inconsistencies in the implementation of the required standards, lacked of coordinated early adopter projects, regulatory and adMINISTIVE DRIP From Hitech and the 21st Century Cures Act Legislation.
The goal: “We need to improve bot information we share and how we share the information to reduce bills of dollars in wasted private sector administer speeding; the burden on provides, and plans; And eliminate regulatory bloat.
“Most of the projects below out be accounted in the first year of the [Trump] Administration, “they add, and out” dramaatically ease patient and provider burden, reduce redundant solutions, and eliminate wasteful spending “while supporting” interoperability and digital health cause Country. “
Mike miliard is executive editor of healthcare it news
Email the writer: mike.miliarard@himssmedia.com
Healthcare it news is a Himss publication.
