Answers on FHIR®- Part 2

by: Russell Leftwich, MD, FAAAAI, FCCP the CMIO of the State of Tennessee Office of eHealth Initiatives

 This is the second of a two-part installment. Additional FHIR questions will be address in a blog post on Tuesday, April 14. 

Beyond the base Resources of the HL7® FHIR® standard and the Extensions there is the actual implementation of FHIR for data exchange using FHIR Profiles. Profiles are analogous to implementation guides.  They are created for specific use cases, including meeting policy requirements of organizations or jurisdictions.  They are constructs that include Resources, and may include Extensions, references to additional Resources, constraints on data types, vocabulary bindings, and other use case specific content.  HL7 will soon host a server where verified Profiles and Extensions will be accessible to FHIR developers and implementers.

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Innovation as a Business Imperative

by: Leslie Wainwright, PhD, AVIA, Chief Strategy Officer

Leslie WainwrightAfter having worked with health systems of the topic of innovation for almost a decade, I feel we have reached a tipping point where innovation is no longer viewed as the ‘sexy’ addition to leadership meeting agendas, but instead a true business imperative that organizations need to focus on with the same level of rigor that they do other aspects of the business essential for lasting success.

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Answers on FHIR® – Part 1

by: Russell Leftwich, MD, FAAAAI, FCCP the CMIO of the State of Tennessee Office of eHealth Initiatives

 This is the first of a two-part installment. Additional FHIR questions will be address in a blog post on Tuesday, April 14. 

HL7® FHIR® (Fast Healthcare Interoperability Resources, pronounced “fire”) is a platform and a set of rules for clinical data exchange.  It is a standard that was developed with implementers in mind and is based on a concept of logically discrete self-defined data groupings called Resources rather than the concepts of v2 messages or CDA® documents.  The HIMSS Interoperability and Standards Committee has recently published a set of FHIR FAQ resources as an introduction for those new to FHIR and wanting to know more.

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Certified Connectivity. Finely Tuned Simplicity

This spring has offered the health IT community many opportunities to chat about interoperability and consider the path forward. Clearly, the push towards interoperability is top of mind in our national dialogue. The ONC Interoperability Roadmap, the 2015 Edition Health IT Certification Criteria proposed rule, and the Standards Advisory are among the many resources that have been published for review and comment. In response, a great deal of thought leadership, and just plain hard work, is going into the analysis – and it’s time we take action on our collective vision.

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Why Privacy is Good for Business

With support from HIMSS, the National Cyber Security Alliance (NCSA) is urging all businesses to create a culture of privacy through transparent data collection and usage practices. The NCSA also encourages developing easy-to-use controls that help consumers manage their sensitive information.

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Impact of the Informatics Nurse Survey Results Debut at HIMSS15

By Christel Anderson, Director, Clinical Informatics, and Joyce Sensmeier, Vice President, Informatics

During the HIMSS15 Nursing Informatics Symposium, we released the results of the 2015 HIMSS Impact of the Informatics Nurse Survey.

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Be Careful – Don’t Fall into the Phish Tank

Motivated by the high demand for health information on the black market, bad actors want access to networks and information systems of healthcare organizations. These bad actors have time, resources, and know-how to gain access to the valuable health information on individuals which organizations have.

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Revenue Cycle Management Shifts to Healthcare Consumer

The need to reengineer revenue cycle management (RCM) has dramatically accelerated with the shift toward consumerism in healthcare. In response to the challenges facing RCM, HIMSS has assembled a group of experts drawing from providers, payers, financial services industry, revenue cycle vendor and consultants, and healthcare associations. This group of over 60 members is the HIMSS Revenue Cycle Improvement Task Force (RCITF or Task Force).

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HIE inPractice Blog Series: The Imperative for Financial Independence in HIEs

by:  Ralph Williams, Director, Access Management  

As grant money from the Office of the National Coordinator (ONC) for Health Information Technology (HIT) and other grantors dries up for Health Information Exchanges (HIEs), solutions are necessary for sustaining these entities.  Some are flourishing while others are struggling or closing.  It has become a paradox as to how and why some HIEs survive while others do not, although all address the same business concerns.  Since the early growth and adoption of the HIE, one model that seemingly reflects a cornerstone enabling HIE financial independence is the member fee model.

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A Portal is Not Patient Engagement

Over the last few months I have had the opportunity to travel throughout the country attending events focused on engaging patients in their health and healthcare care using health information technologies. One key observation I have made is using a patient portal does not achieve true patient engagement for patients and providers.

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