Improving Person-Centered Care in Home and Community-Based Services with FHIR

Editor’s Note: On April 14, 2022 at the ONC Once-a-year Assembly the Missouri DMH LEAP team will share insight into their pilot demonstration and development to go reside with integrating overall health treatment and HCBS facts.

Integrating knowledge from health treatment and household and local community-based providers (HCBS) to make improvements to well being results is of growing relevance, in particular as the U.S. inhabitants ages and the need for extended-phrase expert services and supports (LTSS) grows. A 2020 ONC Primary Edge Acceleration Undertaking (LEAP) in Wellness Facts Technology (Overall health IT) awardee, the Missouri Office of Mental Wellness (DMH) Division of Developmental Disabilities, seeks to handle this issue.

The Missouri LEAP group focused on the use of the digital prolonged-time period services and supports (eLTSS) Health and fitness Amount Seven (HL7®) Rapid Health care Interoperability Methods (FHIR®) Implementation Manual (IG) to implement and examination the exchange of Missouri Personal Company Prepare (ISP) data throughout service provider IT techniques. The capture, aggregation, and sharing of these data elements will assistance the design and implementation of a Supported Employment Worth-Centered Care Product, which focuses on endorsing person-centered work setting up, training and instruction, position placement, and task development work outcomes for HCBS waiver participants. Moreover, the HL7 publication of the eLTSS FHIR IG offers HCBS engineering developers with a new opportunity to advance interoperability for populations served by HCBS.

For the duration of the September 2021 HL7 FHIR Connectathon, the Missouri LEAP group demonstrated the capabilities of the eLTSS FHIR IG by exchanging information and facts from the state’s circumstance administration method to a wellness facts community, a supported employment service provider IT method, and a principal treatment company electronic wellness document. The Missouri LEAP group demonstrated that a substantial diploma of interoperability between health and human service vendors is attainable and can help a eyesight for entire individual and total group care.

The trade of Missouri’s Personal Assistance Program (ISP) info applying FHIR is depicted higher than.

What’s Up coming?

ONC is collaborating with the Facilities for Medicare & Medicaid Products and services to make chances to advance interoperability in the HCBS sector. Ongoing function with public and personal payers, states, and businesses partners will be instrumental in progression endeavours and we hope other states can start off comparable tasks to coordinate and progress the care persons obtain as a result of HCBS.

The Missouri LEAP crew will share their eLTSS FHIR IG pilot findings at the ONC Yearly Assembly on April 14, 2022. Sign-up for the digital conference in this article.

ONC would like to thank the Missouri Department of Mental Well being for their help in creating this weblog write-up.