June 25, 2024


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


Editor’s Be aware: On April 14, 2022 at the ONC Yearly Conference the Missouri DMH LEAP crew will share insight into their pilot demonstration and progress to go live with integrating health care and HCBS facts.

Integrating info from health care and home and neighborhood-based mostly companies (HCBS) to strengthen health results is of rising great importance, specially as the U.S. inhabitants ages and the demand from customers for extensive-time period expert services and supports (LTSS) grows. A 2020 ONC Major Edge Acceleration Project (LEAP) in Health Information Technology (Health IT) awardee, the Missouri Office of Mental Health (DMH) Division of Developmental Disabilities, seeks to deal with this issue.

The Missouri LEAP workforce centered on the use of the electronic very long-phrase expert services and supports (eLTSS) Health Amount 7 (HL7®) Quickly Healthcare Interoperability Means (FHIR®) Implementation Guide (IG) to implement and take a look at the exchange of Missouri Individual Assistance Strategy (ISP) information and facts throughout company IT programs. The capture, aggregation, and sharing of these info components will support the design and implementation of a Supported Work Worth-Based Treatment Model, which focuses on selling person-centered employment scheduling, education and instruction, job placement, and position progress employment outcomes for HCBS waiver members. In addition, the HL7 publication of the eLTSS FHIR IG gives HCBS technological innovation builders with a new prospect to progress interoperability for populations served by HCBS.

All through the September 2021 HL7 FHIR Connectathon, the Missouri LEAP group shown the abilities of the eLTSS FHIR IG by exchanging information from the state’s case management method to a health information and facts community, a supported employment provider IT technique, and a main treatment company digital health history. The Missouri LEAP crew demonstrated that a large diploma of interoperability amid health and human service suppliers is attainable and can support a eyesight for whole human being and whole group care.

Missouri Dept of Mental Health Demonstrate eLTSS FHIR Data Exchange

The exchange of Missouri’s Individual Service Approach (ISP) details utilizing FHIR is depicted above.

What’s Subsequent?

ONC is collaborating with the Facilities for Medicare & Medicaid Companies to produce possibilities to advance interoperability in the HCBS sector. Ongoing get the job done with public and non-public payers, states, and companies companions will be instrumental in progression efforts and we hope other states can begin equivalent tasks to coordinate and advance the care persons receive through HCBS.

The Missouri LEAP team will share their eLTSS FHIR IG pilot results at the ONC Once-a-year Meeting on April 14, 2022. Sign up for the digital assembly right here.

ONC would like to thank the Missouri Department of Mental Health for their help in establishing this blog site write-up.

Helpful Assets/Hyperlinks

Missouri Department of Mental Health, LEAP Grant

Missouri Value Dependent Paying for HCBS Quarterly Stakeholder Update


Mental and Developmental Disabilities – An Chance for Improved Treatment Coordination


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