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

Editor’s Observe: On April 14, 2022 at the ONC Once-a-year Conference the Missouri DMH LEAP workforce will share insight into their pilot demonstration and progress to go dwell with integrating health treatment and HCBS information.

Integrating info from wellness care and property and neighborhood-based providers (HCBS) to boost well being outcomes is of expanding worth, particularly as the U.S. population ages and the desire for long-time period providers and supports (LTSS) grows. A 2020 ONC Major Edge Acceleration Venture (LEAP) in Well being Information and facts Technological know-how (Wellbeing IT) awardee, the Missouri Department of Psychological Health (DMH) Division of Developmental Disabilities, seeks to handle this difficulty.

The Missouri LEAP crew focused on the use of the digital very long-time period expert services and supports (eLTSS) Overall health Stage 7 (HL7®) Quickly Healthcare Interoperability Methods (FHIR®) Implementation Guidebook (IG) to carry out and take a look at the trade of Missouri Particular person Services Plan (ISP) info across supplier IT systems. The capture, aggregation, and sharing of these knowledge elements will assist the structure and implementation of a Supported Work Price-Based Care Product, which focuses on advertising and marketing individual-centered work planning, teaching and instruction, task placement, and job enhancement work outcomes for HCBS waiver contributors. Also, the HL7 publication of the eLTSS FHIR IG gives HCBS technological innovation developers with a new prospect to advance interoperability for populations served by HCBS.

For the duration of the September 2021 HL7 FHIR Connectathon, the Missouri LEAP staff demonstrated the capabilities of the eLTSS FHIR IG by exchanging information from the state’s situation administration technique to a health details network, a supported employment service provider IT method, and a key treatment supplier electronic health and fitness history. The Missouri LEAP workforce shown that a superior degree of interoperability among well being and human service suppliers is possible and can assistance a eyesight for entire human being and complete local community care.

The exchange of Missouri’s Person Service Program (ISP) details making use of FHIR is depicted previously mentioned.

What’s Following?

ONC is collaborating with the Centers for Medicare & Medicaid Solutions to develop possibilities to advance interoperability in the HCBS sector. Ongoing perform with public and non-public payers, states, and agencies partners will be instrumental in development attempts and we hope other states can start out similar jobs to coordinate and advance the treatment folks get by way of HCBS.

The Missouri LEAP group will share their eLTSS FHIR IG pilot conclusions at the ONC Once-a-year Assembly on April 14, 2022. Sign-up for the digital meeting here.

ONC would like to thank the Missouri Section of Mental Wellness for their assistance in building this blog site write-up.

Beneficial Resources/Hyperlinks

Missouri Section of Mental Overall health, LEAP Grant

Missouri Benefit Dependent Buying HCBS Quarterly Stakeholder Update

HL7 eLTSS FHIR IG

Intellectual and Developmental Disabilities – An Possibility for Enhanced Care Coordination