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

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Editor’s Take note: On April 14, 2022 at the ONC Annual Conference the Missouri DMH LEAP workforce will share insight into their pilot demonstration and development to go reside with integrating wellbeing care and HCBS knowledge.

Integrating info from health and fitness treatment and household and local community-based mostly expert services (HCBS) to boost well being results is of escalating great importance, especially as the U.S. population ages and the demand from customers for extended-phrase providers and supports (LTSS) grows. A 2020 ONC Main Edge Acceleration Venture (LEAP) in Overall health Information and facts Technology (Wellness IT) awardee, the Missouri Division of Mental Health (DMH) Division of Developmental Disabilities, seeks to tackle this situation.

The Missouri LEAP team centered on the use of the electronic very long-term products and services and supports (eLTSS) Health and fitness Degree Seven (HL7®) Quickly Healthcare Interoperability Assets (FHIR®) Implementation Information (IG) to implement and examination the exchange of Missouri Specific Company Plan (ISP) data throughout provider IT units. The capture, aggregation, and sharing of these knowledge aspects will assist the style and implementation of a Supported Work Worth-Centered Care Model, which focuses on advertising and marketing person-centered employment planning, teaching and instruction, career placement, and task improvement work results for HCBS waiver contributors. Additionally, the HL7 publication of the eLTSS FHIR IG delivers HCBS technology builders with a new opportunity to progress interoperability for populations served by HCBS.

Throughout the September 2021 HL7 FHIR Connectathon, the Missouri LEAP workforce shown the abilities of the eLTSS FHIR IG by exchanging information from the state’s circumstance management method to a wellbeing info network, a supported employment provider IT program, and a principal treatment company electronic overall health file. The Missouri LEAP workforce shown that a high diploma of interoperability amongst health and human provider suppliers is attainable and can aid a eyesight for total individual and total neighborhood treatment.

Missouri Dept of Mental Health Demonstrate eLTSS FHIR Data Exchange

The exchange of Missouri’s Particular person Service Prepare (ISP) data making use of FHIR is depicted previously mentioned.

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What’s Following?

ONC is collaborating with the Facilities for Medicare & Medicaid Expert services to generate opportunities to advance interoperability in the HCBS sector. Ongoing perform with general public and private payers, states, and companies companions will be instrumental in progression attempts and we hope other states can commence comparable jobs to coordinate and advance the care persons get by HCBS.

The Missouri LEAP team will share their eLTSS FHIR IG pilot conclusions at the ONC Annual Assembly on April 14, 2022. Register for the virtual meeting in this article.

ONC would like to thank the Missouri Office of Mental Wellbeing for their guidance in acquiring this web site submit.