Health

What Bulk FHIR can do to measure quality and more


Over the past decade or so, the HL7 Express Healthcare Interoperability Resources standard has enabled a broader and more intuitive exchange of data across the healthcare ecosystem for a wide range of use cases. important use.

FHIR innovation has only increased in recent years. At this month’s HIMSS23, former Health IT National Coordinator, Dr Donald Rucker, along with longtime clinical informatics leader, Dr Kenneth Mandl, will deliver a discussion on how the interface is designed The SMART/HL7 series FHIR Access program can help healthcare organizations of all shapes and sizes better manage their data and track their performance across a range of key metrics.

Rucker, now chief strategy officer at 1upHealth, and Mandl, who directs the Computational Health Informatics Program at Boston Children’s Hospital and is a professor of biomedical informatics at Harvard Medical School, are at the forefront of this approach. development and standardization of the FHIR Series specification.

The SMART/HL7 FHIR Bulk Data Access API “enables button-click access to patient-level data across a population of patients.”

Dr. Ken Mandl, Hardvard . School of Medicine

They will explain how mass FHIR is enabling new approaches to quality measurement, allowing for a more thorough assessment of supplier performance. They will also explore its applications as artificial intelligence continues to evolve and will discuss other implications for reimbursement and policymaking.

Mandl said of the HIMSS23 talk – scheduled for April 19: “We would love to see at our session innovators of all fields, users of population data. in their work,” Mandl said. The FHIR API is available through ONC rulemaking, using bulk FHIR data in their improvement efforts and assessing its implications for quality measurement, etc.

Mandl explains that the SMART/HL7 FHIR Bulk Data Access API “enables patient-level click-through of data across the entire patient group, noting that data is provided and defined by US Interoperability Core Data or USCDI, the body of standardized data layers created through ONC interoperability operating under the 21st Century Cures Act .

Since data is made available everywhere through the standardized FHIR, he adds, “reproducible analytical processes and procedures can be universally used without the need for mapping tasks.” data into a complex and expensive common format.”

Mandl said the bulk FHIR API has been in use by the Centers for Medicare and Medicaid Services “since the earliest days of the project”.

“Doctors and ACOs should be able to access their population claims data for therapeutic use, because under the Cures Act, the mass FHIR access API “must also be accessible,” he explains. in all certified health IT” – meaning that any organization using an electronic health record system can access the full USCDI dataset about their population.

With that in mind, “quality metrics can become the ‘digital’ composite of EHR and claims data and are easily generated using automated processes,” explains Mandl.

“The same data used in quality can be useful for many use cases, such as monitoring public health, monitoring the safety of pharmaceuticals after they go to market, building networks, etc. multi-system research grid or AI algorithm training.”

Mandl and Rucker will explain further in their HIMSS23 presentation, “The FHIR Bulk: Measuring Global Organizational Performance.” Scheduled for Wednesday, April 19, 2:30 -3:30 p.m. CT at room S504, South Building, 5th Floor.

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