Health Information Technologies and Processes

FHIR Readiness/Preparation

  • 1.  FHIR Readiness/Preparation

    Posted 02-24-2020 16:00
    At a provider office level e.g. large provider groups that treat patients for outpatient services e.g. preventive screens, immunizations etc, how prepared or ready are these organizations to use Fast Healthcare Interoperative Resource?   Are you working in the FHIR space yet?

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    Chris Ordonia, MPH, RHIA, CPHQ
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  • 2.  RE: FHIR Readiness/Preparation

    Posted 02-25-2020 08:40
    I work as a consultant and have had some experience with FHIR in many different EHRs, especially in the last year helping clinics achieve success with the FHIR requirements for the portal measure for MIPS reporting.  My experience specifically in regards to the portal measure for MIPS so far has been that it is heavily dependent on what EHR you are using.  Some say that since their patient portal gives the patient the ability to export their data that is how the FHIR application is "implemented" which really means no implementation at all.  Others require actually connecting to a FHIR application and maintaining the connection for flow of information.  It's been a bit of a jumbled mess figuring out which EHRs require what.  For the EHRs that have required connected to a FHIR, I had some connections go really quickly and in a matter of days it was up and going.  I had others where there were continual issues with the connection and it took months of back and forth between the EHR vendor and the FHIR vendor to get things working.

    As for readiness, most organizations were somewhat ready, but there was a learning curve for the doctors to really understand the purpose.  Since it was required for MIPS reporting, most took on the tasks of doing what needed done with grace ;)  other lucked out because their EHR didn't require any action on their part.  As far as patients actually utilizing FHIR to incorporate their data and submit anything to the doctor, I have yet to hear a use case of this for the providers I work with.  I'm sure part of that is because the patient most likely has no clue the functionality available to them or it hasn't been explained well to them.

    Hope that is helpful!  Let me know if you have any questions!

    Diana

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    Diana Flood
    Clinical Consultant Ii
    dflood@ofmq.com
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  • 3.  RE: FHIR Readiness/Preparation

    Posted 02-27-2020 15:43
    Thank you for your response.  If I understand correctly, not all EMR systems out there can be accessed using FHIR - is that correct?

    Interesting.  Thanks again.

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    Chris Ordonia, MPH, RHIA, CPHQ
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  • 4.  RE: FHIR Readiness/Preparation

    Posted 02-27-2020 16:38
    Correct.  If they are a 2015 CEHRT they should have the capability since it is a requirement of the certification.  If not, I would report that EHR to their certifying body as being in violation of certification.  Luckily, with the requirement for 2019 MIPS reporting that EHRs be a 2015 CEHRT, hopefully that situation is few and far between nowadays :)

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    Diana Flood
    Clinical Consultant Ii
    dflood@ofmq.com
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