HL7
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Aligning with the Standards Development Community: The New Cycle for Standards Version Advancement Process
As part of ONC’s ongoing charge to coordinate across federal and industry stakeholders, we determined it was necessary to adjust our Standards Version Advancement Process (SVAP) timeline. Although it may seem like this process has been around for a while, it’s still brand new and we’ve been looking at ways to optimize how the process aligns with other standards development work in the community. The changes we’ve made will help ensure timely publication of implementation specifications central to our cadence for new versions of USCDI.
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2017 Emerges as Pivotal Year for FHIR Interoperability Standard
Health Level Seven International’s Fast Healthcare Interoperability Resources (FHIR) application programming interface is moving closer to becoming a mature standard, with the “normative” version slated for release sometime in 2017. Standards are widely perceived as providing the greatest potential for achieving national health IT interoperability in the near future. In particular, FHIR is seen by industry stakeholders as a promising solution to the complex interoperability challenges that are confronting healthcare organizations...
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6 Reasons To Plan Architecture For Interoperability
Nearly $26 billion spent, and the U.S. healthcare industry is still asking why information doesn’t move more easily between electronic health records. That’s a loaded question, of course, and suggesting a ten-year timeframe or arguing that there is progress if you look hard enough just doesn’t answer it...
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Apervita Creates Health Analytics for the Millions
I have often advocated for better integration of analytics into everyday medical practice, and I found a company called Apervita (originally named Pervasive Health) that jumps off in the right direction.
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Apervita Selected to Demonstrate Real-time Analytics for the Veterans Affairs’ Digital Health Platform
Apervita, Inc., the leading platform and marketplace for health analytics & data, today announced that Apervita participated in the US Department of Veterans Affairs (VA) proof-of-concept to demonstrate the power of real-time analytics to deliver higher quality, more efficient and flexible care as part of the Digital Health Platform (DHP) architecture. The VA’s DHP unlocks the enormous opportunity to integrate analytics for all patients and care providers, into a wide range of decision workflows and technologies, to provide the best care everywhere. In the proof-of-concept, Apervita acts as the real-time analytics engine to continuously execute pathways and guidelines and distribute resulting insights throughout the DHP and other platforms across the care continuum...
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Award Winning Firm J P Systems, Inc. Supports Veterans Health Administration (VHA) to Define COVID-19 Clinical Workflows
[J P Systems] hit the ground running to serve the U.S. Department of Veterans Affairs (VA) by designing and documenting workflows for Veteran COVID-19 patient care. VA's Clinical Informatics and Data Management Office, CIDMO, in collaboration with the Emergency Management Coordination Cell (EMCC) and VHA health practitioners, have developed ten baseline COVID-19 clinical workflows. These workflows were created to establish a baseline for COVID-19 patient care from patient outreach through discharge and follow-up.
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Cernering the Market
After years of speculation and rumors, in a move that surprised absolutely no one, Veterans Affairs Secretary David Shulkin announced that the Department of Veterans Affairs is moving to Cerner Millenium to replace its home-grown VistA electronic health record. On the surface this makes sense, because of DoD’s move to Cerner in 2015 and an overarching VA desire to move from custom software to COTS software. However, SecVA’s decision is only the beginning of an extremely long path, as DHA is finding with its MHS GENESIS project. Moreover, VA has a broader scope than DHA. Unlike DHA, whose primary goal is to provide a medically ready fighting force, VA handles a slew of additional tasks, including...
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CIMI Group Goes with OpenEHR Archetypes & UML Profile
The Clinical Information Modelling Initiative (CIMI) group led by Dr Stan Huff (Intermountain Health, Utah) met here in London 29 Nov – 1 Dec to make a final decision on formalism, from the two remaining – openEHR archetypes and various forms of UML (previous posts on CIMI: DCMs & RM, on formalisms). Instead of simply choosing one, the group made a more strategic choice of designating openEHR ADL/AOM 1.5 as the core formalism, with a corresponding profile of UML being developed to enable the more numerous UML-based developers (e.g. VA, NHS etc) to use archetypes within their UML toolchains....
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CMS To Invest $5+ Billion a Year in Open Source and Cloud-based IT Infrastructure for Medicaid
After more than 40 years of relying on monolithic mainframe platforms to administer its services, the Centers for Medicare & Medicaid Services (CMS) has embraced a new modular, open and agile approach to Medicaid health information technology for the Federal government and States. In many ways, this is the best of what open source advocates and technology innovators could have hoped for when it comes to open source policy from a government agency. According to Andrew Slavitt, Acting Administrator of CMS, the agency will spend more than $5 billion a year to fund this transformation.
DoD And Tech Firms Face Daunting Health-IT Challenge
"The DoD's electronic health record program is a large and extremely complex undertaking. There are a number of different vendors, players, technologies, organizations and politics involved, resulting in tremendous barriers to overcome," said eHealth Initiative CEO Jennifer Covich Bordenick. "That doesn't mean it is impossible to execute DHMSM successfully -- but it will be a difficult feat."...
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Does Healthcare Need a More Modern Way to Define and Measure EHR Interoperability?
Industry experts and the federal government are divided on the best way to assess the state of the nation’s health IT interoperability. The Office for the National Coordinator for Health IT, for instance, has proposed using CIO surveys to gauge the status of interoperability among and between healthcare organizations. To that end, ONC posted a Request for Information (RFI) on how to best assess interoperability that closed last month — just not before drawing some sharp comments from across the industry...
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EHR Interoperability a Source of Pain and Debate in Vermont
The lack of interoperability stems from innovation outpacing standardization. Because of the lack of proper guidance from the Office of the National Coordinator for Health Information Technology, which is charged with providing specifications for health information technology (IT), and other federal agencies during the earliest phases of EHR implementation, it is likely that Vermont isn’t the only state suffering these growing pains.
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EHRs, IoT, Revenue Cycle Bring Opportunities for Healthcare APIs
Application programming interfaces (APIs) are quickly becoming a critical tool for healthcare organizations looking to build interoperable connections, and it is likely that this new standard for health data exchange will keep growing in importance during the next few years. A new report from Market Research Engine (MRE) predicts healthy growth for the nascent healthcare API ecosystem, forecasting a 4 percent compound annual growth rate (CAGR) that will produce a $234 million market by 2024....
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FHIR App Provides Precision Medicine Support at Point of Care
FHIR is helping to power a new precision medicine oncology app that brings clinical decision support to the point of care. Two of the most intriguing trends in healthcare may be able to work together to bring advanced clinical decision support directly to the point of care, suggest researchers who developed a FHIR-based precision medicine application that integrates with electronic health records...
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Fridsma: Meaningful Use Causing 'Real Fatigue'
"Interoperability is hard in the concrete,” Doug Fridsma, MD said, “it is impossible in the abstract.” Fridsma, former chief scientist at ONC and now CEO of AMIA, said on Wednesday at RSNA's 100th annual meeting in Chicago that the key is enabling the free flow of information of all types — from lab results to medications to imaging data — within and between healthcare organizations of all shapes and sizes...
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