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

Editor’s Notice: On April 14, 2022 at the ONC Annual Conference the Missouri DMH LEAP team will share perception into their pilot demonstration and development to go stay with integrating wellness care and HCBS information.

Integrating data from overall health treatment and household and local community-dependent providers (HCBS) to improve health results is of increasing great importance, specifically as the U.S. population ages and the desire for very long-phrase providers and supports (LTSS) grows. A 2020 ONC Top Edge Acceleration Job (LEAP) in Wellness Information and facts Technological innovation (Well being IT) awardee, the Missouri Department of Psychological Overall health (DMH) Division of Developmental Disabilities, seeks to handle this situation.

The Missouri LEAP staff focused on the use of the electronic long-phrase providers and supports (eLTSS) Health and fitness Amount Seven (HL7®) Fast Healthcare Interoperability Methods (FHIR®) Implementation Information (IG) to apply and take a look at the exchange of Missouri Unique Provider Strategy (ISP) details throughout supplier IT devices. The capture, aggregation, and sharing of these facts factors will guidance the style and design and implementation of a Supported Work Price-Centered Care Model, which focuses on advertising and marketing man or woman-centered employment arranging, education and instruction, task placement, and position growth employment results for HCBS waiver contributors. Moreover, the HL7 publication of the eLTSS FHIR IG presents HCBS know-how developers with a new possibility to progress interoperability for populations served by HCBS.

Through the September 2021 HL7 FHIR Connectathon, the Missouri LEAP workforce demonstrated the capabilities of the eLTSS FHIR IG by exchanging facts from the state’s scenario management system to a health and fitness details network, a supported employment service provider IT process, and a major care provider digital health history. The Missouri LEAP group demonstrated that a superior degree of interoperability among the well being and human service vendors is feasible and can assist a eyesight for entire individual and full local community care.

Missouri Dept of Mental Health Demonstrate eLTSS FHIR Data Exchange

The trade of Missouri’s Particular person Support Plan (ISP) info making use of FHIR is depicted above.

What’s Up coming?

ONC is collaborating with the Facilities for Medicare & Medicaid Expert services to make options to advance interoperability in the HCBS sector. Ongoing function with public and non-public payers, states, and businesses partners will be instrumental in improvement attempts and we hope other states can get started equivalent assignments to coordinate and advance the treatment persons acquire via HCBS.

The Missouri LEAP group will share their eLTSS FHIR IG pilot conclusions at the ONC Annual Meeting on April 14, 2022. Register for the digital conference here.

ONC would like to thank the Missouri Office of Psychological Well being for their assistance in establishing this blog site write-up.

Practical Methods/One-way links

Missouri Section of Psychological Well being, LEAP Grant

Missouri Worth Based mostly Buying HCBS Quarterly Stakeholder Update

HL7 eLTSS FHIR IG

Mental and Developmental Disabilities – An Prospect for Improved Care Coordination