Podcasts about fhir

In this episode of The Dish on Health IT, host Tony Schueth sits down with two of the industry's sharpest minds leading the charge to fix one of health IT's most persistent headaches: digital consent management. Janice Reese, Senior Consultant at Point-of-Care Partners and Program Manager for the FHIR at Scale Taskforce (FAST), and Mohammad Jafari, Co-Lead of FAST's Consent Work, offer an unflinching look at why consent is still so messy—and what it'll take to make it scalable, interoperable, and actually work for patients.The conversation kicks off with a reality check. While the question “Who can access what data and when?” might sound simple, it quickly falls apart in practice. Consent today is often paper-based, fragmented, non-interoperable, and rarely computable. Mohammad explains how even digitized forms—often scanned PDFs—are barely better than paper when it comes to machine-readability and cross-system portability. The burden lands on both sides: patients are stuck filling out redundant forms at every touchpoint, and providers face access barriers that can delay or limit care.But the episode isn't just a critique, it's a roadmap forward. Janice and Mohammad walk listeners through how FAST is approaching consent differently. Rather than focusing on the content of specific consents (like for research or behavioral health), the team is building a foundational infrastructure: a FHIR-based implementation guide that supports core consent operations, like requesting and revoking consent, delegating authority, and syncing consent decisions with digital identity and security frameworks. In other words, FAST is working on the plumbing that everyone else can build on.What sets this work apart is its real-world grounding. The team has prioritized broad stakeholder input through public calls and is actively incorporating lessons from pilot participants. Janice highlights that many organizations don't even know where to start—some have APIs, patient portals, or identity systems in place, but lack a cohesive strategy for managing consent. That's where FAST can help, not just with standards but with education and architectural guidance.The discussion also tackles the elephant in the room: policy fragmentation. With states having vastly different rules—sometimes even conflicting ones within the same region—scaling consent can feel impossible. But rather than trying to standardize policy, FAST is focused on standardizing structure. That means creating frameworks flexible enough to accommodate policy differences without hardcoding for each new rule change. Mohammad notes this kind of flexibility is key to making systems resilient and future-proof.Both guests agree that the time to act is now. Technology has matured, regulators are engaged, and public expectations for privacy and control over personal data are higher than ever. As Janice puts it, the stars are aligning. With CMS showing growing interest in digital identity and consent, and with FAST's security IG set to be required for FHIR under TEFCA in 2026, organizations can't afford to sit this one out.Whether you're a health plan, HIE, health tech vendor, or public health department, this episode makes one thing clear: scalable, patient-centered consent management isn't just possible—it's already underway. And FAST is laying the groundwork.To get involved, attend a public call (2nd & 4th Fridays at 1:00 Central/2:00 Eastern), reach out to Janice directly at janice.reese@pocp.com, or contact the team at fast@hl7.org. Now's the time to shape the future of consent—before it shapes you.

"Le futur de la base de données passera par la convergence de leurs types (NoSQL/SQL, In-memory/Persistent, Transactionnel/Analytics) et l'exécution du code dans la base." Le D.E.V. de la semaine est Guillaume Rongier, Ingénieur avant-vente chez InterSystems. Si vous ne connaissez pas la techno d'InterSystems, cet épisode vous donnera envie de l'essayer ! Avec Guillaume nous parlons de la convergence SQL/NoSQL, des capacités in-memory et persistante ainsi que du stockage en ligne et en colonne de leur techno. Guillaume vient surtout nous parler de la norme FHIR qui a pour but de remplacer les normes d'échange d'information dans le monde médical. Liens évoqués pendant l'émission Episode IFTTD 156 avec Sylvain Arbaudiehttps://www.developpez.com/https://github.com/grongierisc **Continuons la discussion**@ifthisthendev@bibearnullLinkedInLinkedIn de Guillaume RongierDiscord** Une conférence IFTTD ! **Grande nouvelle pour les fans d'IFTTD ! Nous planifions une conférence pour 2024 et ton avis est essentiel.Participe à notre sondage rapide et aide-nous à créer un événement qui te ressemble** Plus de contenus de dev **Retrouvez tous nos épisodes sur notre site.Nous sommes aussi sur Instagram, TikTok, Youtube, Twitch ** Job Board If This Then Dev **Si vous avez envie de changer de job, visitez le job board If This Then Dev ! Si vous voulez recruter des personnes qui écoutent IFTTD, il va s'en dire que le job board d'IFTTD est l'endroit où il faut être ! Ce job board est fait avec My Little Team!** La Boutique IFTTD !!! **Affichez votre appréciation de ce podcast avec des goodies faits avec amour sur la boutique ou affichez clairement votre camp tabulation ou espace.** Participez au prochain enregistrement !**Retrouvez-nous tous les lundis à 19:00 (mais pas que) pour assister à l'enregistrement de l'épisode en live et pouvoir poser vos questions pendant l'épisode :)Nous sommes en live sur Youtube, Twitch, LinkedIn et Twitter🎙️ Soutenez le podcast If This Then Dev ! 🎙️ Chaque contribution aide à maintenir et améliorer nos épisodes. Cliquez ici pour nous soutenir sur Tipeee 🙏Archives | Site | Boutique | TikTok | Discord | Twitter | LinkedIn | Instagram | Youtube | Twitch | Job Board |Distribué par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Discusses the responsible integration of AI into healthcare delivery. Our guest today is Dr. Yauheni Solad who is a Managing Partner at Dalos Partners, leading healthcare AI strategy and validation. Dr. Solad is a research affiliate at Yale University and a board-certified physician in clinical informatics. He formerly led digital health innovation at UC Davis Health and Yale, advancing FHIR interoperability, telemedicine, and responsible AI standards.  Additional resources: ReAligned Healthcare podcast: https://realignedhealthcare.com/ Journal of the American Medical Informatics Association: https://academic.oup.com/jamia The Lancet Digital Health: https://www.thelancet.com/journals/landig/home Deep Medicine: https://dl.acm.org/doi/10.5555/3350442 Request for Information on the Development of an AI Action Plan: https://www.federalregister.gov/documents/2025/02/06/2025-02305/request-for-information-on-the-development-of-an-artificial-intelligence-ai-action-plan WHO Harnessing AI for Health: https://www.who.int/teams/digital-health-and-innovation/harnessing-artificial-intelligence-for-health National Academy of Medicine AI and Emerging Technology: https://nam.edu/our-work/key-issues/artificial-intelligence-and-emerging-technology/ CITI Program's course catalog: https://about.citiprogram.org/course-catalog 

How do you know if something needs prior authorization? Why does prior authorization take so long? What is electronic prior authorization? Discussing how to speed up prior authorization process using informatics in health care, HL7 and FHIR, computerized physician order entry, and more with Viet Nguyen, MD, chief standards implementation officer for HL7 International. American Medical Association CXO Todd Unger hosts.

In this interview, two health care interoperability leaders make a strong case for the value of the FHIR Business Alliance. We hear about FHIR as a path toward interoperability from Duncan Weatherston, Chief Executive Officer at Smile Digital Health and FHIR Business Alliance Chairperson, and Mario Hyland, Senior Vice President and Founder of AEGIS.net, Inc. and FHIR Business Alliance Board Member and Membership Committee.The Fast Healthcare Interoperable Resources (FHIR) standard, adopted several years ago by HL7, solves data sharing problems through well-defined, vendor-independent APIs, which are the modern approach to interoperability. Although FHIR is fully established and supported by nonprofit organizations, its implementation has been hampered up to now by lack of a strong business focus. The FHIR Business Alliance is bringing companies together to address that.Learn more about FHIR Business Alliance: https://www.fhirball.org/Health IT Community: https://www.healthcareittoday.com/

On this episode host and CEO of POCP, Tony Schueth and senior consultant & payer interoperability expert, Kendra Obrist, sit down with Rob Alger, SVP of Health Plan Technology at Kaiser Permanente, for a candid and sweeping conversation about payer interoperability, AI, FHIR, and the realities of health IT innovation at scale. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

The fiscal year 2026 proposed hospice rule brings cautious optimism to providers with a projected 2.4% payment increase, though experienced hospices know to factor in the ongoing 2% sequestration when calculating their bottom line. For those who've long struggled with regulatory inconsistencies, this rule delivers welcome clarification on who can certify hospice eligibility, aligning payment regulations with Conditions of Participation after years of confusion.Most significantly, CMS confirms the HOPE assessment tool will launch on October 1, 2025, as scheduled. Despite earlier speculation about potential delays, hospices should maintain implementation momentum, with CMS planning one final training session this summer. Face-to-face attestation requirements also receive much-needed clarification, potentially reducing one of the top reasons for claim denials.Beyond operational updates, CMS seeks provider input through several Requests for Information. They're exploring digital quality measurement using FHIR-based reporting, considering new quality measures around well-being and nutrition, and looking for opportunities to streamline regulations and reduce administrative burden. This represents a genuine opportunity for hospice providers to shape future requirements.The relatively slim 62-page rule contains consequential changes that demand attention. Providers should thoroughly review the complete document, evaluate potential financial impacts, coordinate with state and national associations on comments, and ensure staff education aligns with the clarified regulations. With the comment period closing June 10 and the final rule expected in early August, the time to prepare is now. Let your voice be heard on these important changes that will influence hospice care delivery and reimbursement for years to come.Visit our websiteConnect with us - LinkedIn, Twitter, YouTube, FacebookMake Lives Better

In this episode of The Dish on Health IT, host Tony Schueth and payer interoperability expert Kendra Obrist sit down with Rob Alger, SVP of Health Plan Technology at Kaiser Permanente, for a candid and sweeping conversation about payer interoperability, AI, FHIR, and the realities of health IT innovation at scale.Rob kicks things off by discussing Kaiser Permanente's unique care and coverage model, highlighting how it streamlines internal coordination and shapes investment priorities. He notes that, unlike many other health plans, Kaiser's vertically integrated structure allows for fewer administrative hurdles, particularly in areas like prior authorization.The conversation then turns to CMS-0057. While Rob acknowledges Kaiser must comply like everyone else, the regulation presents less of a lift for them due to their internal alignment. That said, both he and Kendra agree: the success of any interoperability initiative hinges on provider adoption, and that remains uncertain.Looking ahead to 2025, Rob shares Kaiser's strategic focus on simplifying healthcare experiences, especially by leveraging AI to remove friction from both clinical and administrative processes. One standout example is their ambient listening tool from Abridge, now rolled out across 40 hospitals and 600 medical offices, which is allowing clinicians to focus more on patients than keyboards. It's one of the fastest clinical tech adoptions Rob's ever seen.Naturally, the discussion shifts to FHIR. Rob puts it plainly: “FHIR is non-negotiable.” Regulatory mandates have solidified its role, but he wonders whether the industry will eventually want to use FHIR or continue reacting to policy. Kendra and Tony weigh in, noting signs of growing pull once organizations recognize the potential. They agree that multi-stakeholder efforts like Da Vinci Project and FHIR at Scale Taskforce (FAST) are helping to build real-world traction by solving for shared use cases.When asked why Kaiser stays engaged in these initiatives, Rob makes it clear it's about shaping standards early, staying ahead of the curve, and making smarter, future-proof decisions, especially when it comes to vendor selection.The episode then revisits AI, with Rob outlining Kaiser's guiding principles: human in the loop, bias mitigation, and responsible governance. He explains that while Kaiser isn't trying to build every tool themselves, they aim to be excellent adopters, using AI to free up clinicians and call center reps to operate at the top of their license. It's less about chatbots and more about smarter workflows, ambient data capture, and preserving session context across modalities.Data quality surfaces as a recurring theme. Kendra highlights increasing payer interest in tackling inconsistency and fragmentation. Rob acknowledges Kaiser has an edge due to its standardized EHR system, but insists no one is immune to the challenges, especially when AI is in the mix. As he puts it, “If your data's not clean, you're not going anywhere.”As a member of the Council for Affordable Quality Healthcare (CAQH) board, Rob brings a unique perspective on industry-wide infrastructure and collaboration. He explains that CAQH, originally formed by major health plans to tackle non-competitive operational challenges, has evolved into a key player in both standards development and practical solutions like coordination of benefits and provider directories. That dual focus—advocacy and action—resonates throughout the conversation, especially as Rob underscores the importance of shared investments in foundational infrastructure that lift the entire industry.The discussion then touches more specifically on directories and the potential of shared infrastructure for non-competitive areas of healthcare. Rob emphasizes that while payers care deeply about directory accuracy, the solution likely involves more human accountability than tech alone.In closing, the trio shares their perspectives on under-discussed industry challenges. Rob flags cybersecurity as a growing threat, especially in light of recent ransomware attacks. Kendra and Tony shine a light on consent and pharmacy interoperability, two areas that, while not headline-grabbing, could unlock major gains in care coordination and equity.Rob's parting call to action? It's time for the industry to align on clinical policy. Competing on utilization rules isn't sustainable, and getting consensus on what's appropriate care could help streamline prior auth and improve patient trust.Kendra wraps by urging payers to suspend disbelief and start planning for a world where APIs and data exchange work as intended. Dream a little, and then build accordingly. 

“Health care is finally ready to operate at information speed,” says Jonathan Bush, co-founder and CEO of Zus Health. Bush joins Bloomberg Intelligence analyst Jonathan Palmer to explain why he believes health care is poised for a digital transformation. He unpacks how Zus uses AI and FHIR-native tools to pull patient data from fragmented sources, clean it and serve it back to providers in actionable form. From uncovering the “fire in the trash” to helping doctors identify high-risk patients before costs spike, Bush shares what it means to be a modern health-tech platform and why he came out of retirement to build it. They also discuss the early customers driving growth, lessons from Athenahealth and why gross margin, not buzz, is the new benchmark for digital health.See omnystudio.com/listener for privacy information.

Is FHIR the key to seamless healthcare interoperability? Let's discuss its impact on AI, security, and patient care.In this episode, Dr. Ambreén Zaman-Riaz, a physician, healthcare innovator, and leadership expert, as well as the co-founder of Uppshot Lifesciences and host of the Leadership in Medicine Podcast, and our host, Christopher Kunney, a distinguished healthcare technology strategist, serving as Managing Partner and Digital Transformation Strategist at IOTECH Consulting and host of the Straight Out of Health IT podcast, the evolving role of interoperability in healthcare, particularly the shift from HL7 to FHIR (Fast Healthcare Interoperability Resources). Christopher highlights how FHIR's open standards, API-based structure, and cloud compatibility improve data sharing, patient access, and integration with emerging technologies like AI and machine learning.Dr. Zaman-Riaz asks about FHIR's impact, its role in AI evolution, and its future in patient-centric care. Christopher emphasizes that FHIR enables real-time data aggregation, predictive analytics, personalized medicine, and improved clinical decision support. He predicts AI-driven "digital doctors" and virtual care platforms will rely on FHIR for seamless, cost-effective healthcare delivery, especially in remote areas.They also discuss security concerns, with Christopher stressing the importance of encryption, blockchain, and secure APIs to protect patient data. Blockchain, in particular, is seen as a promising tool for data integrity, fraud prevention, and secure information exchange. Dr. Zaman-Riaz notes that her work involves integrating blockchain for oncology data management and patient-controlled records.Join Christopher Kunney and Dr. Ambreén Zaman-Riaz as they dive into the transformative impact of FHIR, the role of AI in healthcare, and the future of secure, patient-centric data sharing! 

In this episode of SIIMCast, we chat with Dr. Marc Kohli, professor of radiology and medical director of imaging informatics at UCSF Health. From early days programming on an Atari to leading imaging IT at a major academic center, Marc shares his unique path into imaging informatics. He reflects on influential mentors, his work in Kenya, his passion for standards like HL7 and FHIR, and his deep involvement with SIIM. This conversation is packed with insight, stories, and a genuine love for innovation and mentorship in healthcare IT.

About Kevin Ritter:Kevin Ritter is the Executive Vice President of CareInMotion at Altera Digital Health, an experienced digital health leader with more than 20 years of experience spanning electronic health records, population health management, consumer health, and data analytics.Things You'll Learn:CareInMotion at Altera Digital Health focuses on interoperability, data aggregation, and delivering actionable insights at the point of care.The organization leverages FHIR, generative AI, and national networks to improve data connectivity and usability.AI-enabled search and natural language processing (NLP) are utilized to enhance data retrieval and decision-making.Remote patient monitoring, powered by AI, enables better analysis of patient data from wearables and chronic condition devices.Altera Digital Health serves health systems, physician organizations, and payers globally, providing high-quality data to clinicians within their existing workflows.Resources:Connect with and follow Kevin Ritter on LinkedIn.Learn more about Altera Digital Health on their LinkedIn and website.

On this special HIMSS25 recap episode of The Dish on Health IT, host Tony Schueth, CEO of Point-of-Care Partners (POCP), is joined by co-hosts Brian Bamberger, POCP's Life Sciences Lead, and Vanessa Candelora, Senior Consultant and Program Manager of the HL7 Gravity Project. Together, they break down the biggest themes from the conference, covering interoperability, artificial intelligence (AI), FHIR adoption, and the growing focus on improving data quality in healthcare innovation. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

On this episode host Jim Tate recorded live at HIMSS25 with two guests. Chris Wickersham, CHCIO, AVP of Support Services at CereCore discusses health system challenges with maintaining clinical IT help desks: staffing, costs, balancing efficiency with MD satisfaction. And Mike Gordon, Chief Product Officer at Secure Exchange Solutions discusses opportunities of TEFCA and QHINs along with operational uses of FHIR.

Join Kiran Mysore, Chief Data & Analytics Officer at Sutter Health, as he shares insights on scaling AI adoption, building sustainable innovation infrastructure, and transforming healthcare delivery through data-driven approaches. Learn how one of the nation's largest health systems is successfully integrating advanced analytics and AI into clinical practice while maintaining governance and ethical standards. Real-world implementation of clinical AI at scale Building sustainable innovation infrastructure Data strategy for improved patient and provider experiences Governance frameworks for responsible AI adoption Implementation and impact from digital scribes to diagnosticsKiran Mysore, Chief Data & Analytics Officer at Sutter HealthShahid Shah, Chairman of the Board, Netspective Foundation

In this special HIMSS25 recap episode of The Dish on Health IT, host Tony Schueth, CEO of Point-of-Care Partners (POCP), is joined by co-hosts Brian Bamberger, POCP's Life Sciences Lead, and Vanessa Candelora, Senior Consultant and Program Manager of the HL7 Gravity Project. Together, they break down the biggest themes from the conference, covering interoperability, artificial intelligence (AI), FHIR adoption, and the growing focus on improving data quality in healthcare innovation.HIMSS25 once again proved to be a crucial gathering of healthcare leaders, vendors, and policymakers, drawing nearly 28,000 attendees. Vanessa notes the continued focus on interoperability and trust, with a clear divide between experienced stakeholders refining their strategies and newcomers trying to grasp the fundamentals of FHIR. Brian, a HIMSS veteran, points out that first-time attendees often struggle with the complexity of both the conference itself and the discussions around health IT's latest advancements, particularly AI and its real-world applications.To add perspectives from the conference floor, Tony introduces a series of interviews with HIMSS25 attendees and industry leaders, including Anna Taylor, Associate Vice President, Population Health and Value-Based Care of MultiCare, Erin Weber, Chief Policy & Research Officer, CAQH, Mariann Yeager, CEO, The Sequoia Project, Matthew Holt, Founder/Writer of The Health Care Blog, and Lynne Nowak, Chief Data and Analytics Officer. Each interview provides insights into the real-world implementation of interoperability and FHIR, the evolving use of AI, and how data privacy and governance are shaping health IT strategy.FHIR adoption was one of the topics covered in the interviews. Some, like Mariann Yeager and Erin Weber, expressed optimism about FHIR's expanding role in clinical data exchange, while others, such as Anna Taylor, highlighted persistent scalability challenges and limited adoption for administrative functions like prior authorization. Matthew Holt offered a broader view on data exchange, arguing that while data mobility has improved, the real challenge is how organizations actually use and integrate that information. Vanessa underscores that while FHIR is gaining traction globally, large-scale implementation remains a work in progress. The panel agrees that translating theoretical frameworks into real-world adoption is the next crucial step.AI was another dominant topic, with a mix of enthusiasm and skepticism surrounding its potential. The HIMSS interviewees discuss AI's growing role in streamlining administrative workflows, summarizing patient records, and enabling ambient listening for clinical documentation. However, as Brian bluntly puts it, the “magic” of AI is still far from reality—many tools promise seamless EHR integration but lack the ability to write back into clinical systems, requiring manual intervention. Lynne Nowak and others emphasized that AI's effectiveness is directly tied to data quality—bad inputs will only lead to bad outputs. The consensus? AI has real potential to enhance workflows but cannot replace clinicians, and health IT leaders must focus on governance, usability, and ensuring AI supports, rather than replaces, human decision-making.As the conversation wraps up, Vanessa highlights the critical role of policy and strategic innovation in shaping the next wave of health IT progress. With new regulatory shifts and uncertainty around TEFCA, organizations must stay agile while ensuring that patient privacy, data integrity, and consent management remain top priorities. Brian brings the discussion back to life sciences, stressing the importance of leveraging patient insights and real-world data to drive treatment adherence and improve outcomes.HIMSS25 reinforced that while FHIR, AI, and interoperability remain hot topics, the industry is now at a critical inflection point—shifting from theory to execution. Organizations must filter out hype, focus on data quality, and build scalable solutions that improve both clinical and administrative functions.For those who couldn't attend HIMSS25 or want a deeper dive into what's next for health IT, this episode provides a comprehensive breakdown of the major takeaways. Subscribe to The Dish on Health IT on Apple Podcasts, Spotify, or your preferred platform. The podcast is also available on HealthcareNOW Radio. Full video versions are also available on POCP's YouTube channel. As always, health IT is a dish best served hot. 

What if I told you that in 2025, the way we access and exchange healthcare data will be fundamentally different?   For years, we've talked about interoperability—but now, we're seeing it take shape. Nearly 40% of the CommonWell network and most Q-HINs are responding to patient access requests, opening the door to a new era of seamless, secure, and patient-driven data exchange.   Paul L. Wilder, Executive Director of CommonWell Health Alliance, joins Eric to explore the future of healthcare data and the evolving landscape of healthcare interoperability. Learn about the CommonWell Marketplace, how patient access to data is improving, the increasing role of FHIR, and the critical aspects of trust and AI in healthcare. Paul provides key insights to help you and your organization position yourself for success.   This episode was recorded live at ViVE 2025 in Nashville.    About CommonWell   CommonWell is a not-for-profit interoperability advocate and Qualified Health Information Network under the Trusted Exchange Framework and Common Agreement (TEFCA), which facilitates the secure exchange of patient data across more than 36,000 provider sites, representing over 238 million individuals nationwide. CommonWell has enabled the exchange of more than 7.7 billion healthcare records. Visit https://www.commonwellalliance.org/.   About Paul Paul is leading the organization as it enters a new chapter in its pursuit of empowering clinicians, practitioners and individuals with interoperability services via its robust, nationwide network. With more than two decades of experience in health IT, Paul has held various roles focusing on imaging, clinical informatics, and interoperability.   Before joining CommonWell, Paul was Vice President of Strategy & Business Development for Philips Interoperability Solutions. He also spent close to 10 years with one of the largest regional HIE networks in the world, the New York eHealth Collaborative (NYeC)—serving as its Chief Information Officer, Vice President of Product Management and Program Director for NYeC's Regional Extension Center. During his time with the NYeC, he helped nearly 10,000 primary care providers attest to Meaningful Use and solidified the state's status as one of the national leaders in health IT adoption. Each role enabled him to work and hear directly from providers and end-users of Electronic Health Records (EHRs)—which gives him an important perspective as a leader in health IT adoption and execution.   Paul received his Master of Business Administration from New York University, with a concentration in Finance and Operations. He also holds two bachelor's degrees from the University of Pennsylvania: one from the College of Arts and Sciences in Economics and the other from the School of Engineering and Applied Science in Biomedical Science. Paul lives in the New York area with his wife, two daughters and their newest family member, their dog Penny.   Bright Spots in Healthcare is produced by Bright Spots Ventures   Bright Spots Ventures brings healthcare leaders together to share working solutions or "bright spots" to common challenges. We build valuable and meaningful relationships through our Bright Spots in Healthcare podcast, webinar series, leadership councils, customized peer events, and sales and go-to-market consulting. We believe finding a bright spot and cloning it is the most effective strategy to improve healthcare in our lifetime.   Visit our website at www.brightspotsinhealthcare.com  

Continuing the last Quality Matters episode, host Andy Reynolds and NCQA Chief Technology Officer, Ed Yurcisin, break down the complexities of the digital transformation in health care quality and explore the importance of high-quality data exchange, particularly in the context of HEDIS reporting and the FHIR interoperability standard. Ed explains how NCQA's work in digital HEDIS measurement not only improves health care quality reporting, but also lays the groundwork for broader industry advancements. By ensuring consistent, standardized data for digital HEDIS, NCQA is setting the stage for better measurement of public health, smoother prior authorization and general data accessibility.The conversation also explores the technical side of digital quality measurement, focusing on Clinical Quality Language (CQL) and the role of HEDIS “engines” in the health care data ecosystem. Ed clarifies the difference between SQL and CQL, and underscores that NCQA's focus is on measures' content, not on building the end-to-end software systems that run measures.Through collaborations like the Digital Quality Implementers Community, NCQA is working to ensure alignment across CQL platforms so everyone is “doing the same math.” Amol Vyas, NCQA Vice President for Interoperability, joins the conversation to explain how a public-private partnership is bringing choice and confidence to the market for CQL engines.Ed reflects on how his international perspective and personal experiences shape his passion for health care data interoperability. He shares how challenges accessing medical records for his family members underscore the need for a seamless, patient-centered health care system. His real-world perspective highlights why creating standardized, high-quality data isn't just a technical challenge, but a crucial factor in helping to ensure better, safer care for all.As the episode wraps, listeners are encouraged to explore NCQA's resources and upcoming events to stay informed on the future of digital quality. Key Quote:“ HEDIS measures are incorporated into government payment programs—for example, Medicare Star Ratings. There's incentive to enable digital HEDIS because it is tied to your CMS Star Ratings and the money a Medicare advantage plan might receive from the government. That's not the case for other important use cases, whether it be public health or prior authorization. So our infrastructure is tied to financial returns incenting organizations to make higher quality data accessible for digital HEDIS. And that means if it's good enough for digital HEDIS, it's been cleansed and analyzed in a way that could be used for public health, could be used for prior authorization—all of these different use cases.”Ed Yurcisin Time Stamps:(02:10) Clearing a Path for Data Quality(05:30) HEDIS “Engines” vs. HEDIS “Calculators”(07:17) Measures' Content vs. Software that Runs Measures(11:18) Digital Quality Implementers Community(19:35) The Need for Data Quality Cuts Close to Home Links:Bulk FHIR Quality Coalition Digital Quality Implementers CommunityNCQA Digital Hub Connect with Ed YurcisinConnect with Amol Vyas 

In a recent interview, Ed Yurcisin, Chief Technology Officer of the National Committee for Quality Assurance (NCQA), shed light on key advancements that aim to streamline quality measurement, improve interoperability, and accelerate the shift toward value-based care (VBC).Healthcare IT Today caught up with Yurcisin at the 2024 NCQA Health Innovation Summit in Nashville, TN.Learn more about NCQA athttps://www.ncqa.org/Find more great health IT content athttps://www.healthcareittoday.com/

How can healthcare organizations make the most of unstructured data like medical images, lab results, and clinical notes? In this interview, Jitesh Ghai, President & CEO at Hyland, discusses the company's innovative approach to extracting value from unstructured data and how their enterprise imaging SaaS solution is simplifying data sharing across systems.Discover how Hyland is using AI and open standards like DICOM and FHIR to support seamless integration and enhance efficiency. Plus, hear Ghai's vision for unifying clinical, financial, and operational data to improve patient care and drive smarter healthcare decisions.

In this episode of Quality Matters, host Andy Reynolds is joined by Ed Yurcisin, Chief Technology Officer at NCQA, to break down the complexities of digital transformation in health care quality. Ed explains how NCQA's push for digital measurement cuts through inefficiencies and inconsistencies in assessing quality. Traditionally, HEDIS® quality measures have existed as large, text-heavy PDFs, leaving room for misinterpretation. By digitalizing these measures into computer code—Clinical Quality Language (CQL)—NCQA removes ambiguity and standardizes interpretation. That makes it easier for health care organizations to implement and use quality measures. This shift reduces administrative burden and helps ensure that quality assessments are more accurate and actionable.The conversation then shifts to FHIR® (Fast Healthcare Interoperability Resources), a standard designed to streamline health care data exchange. Ed explains that while FHIR might sound intimidating, it's built on the basic web technologies that power everyday internet browsing. FHIR brings five essential components to the table—JSON files, Rest APIs, standardized value sets, a common data model and government-mandated data exchange. While the government requires organizations to “pitch” data (make data available), there's no mandate to “catch” data (actually use the data). That means organizations that choose to use the data gain a competitive advantage.The discussion ends by focusing on data quality, an issue that looms large over digital transformation efforts. Ed introduces the Bulk FHIR Quality Coalition, a collaborative initiative aimed at improving the reliability of data exchanged between health care providers and insurers. Using the analogy of water through pipes, Ed explains that current data-sharing efforts help ensure flow, but don't always guarantee that data are “clean” enough to be useful. The coalition enhances existing provider–insurer relationships to test and improve large-scale data exchange methods. Ultimately, Ed underscores that digital transformation in health care is only as strong as the quality of the data being exchanged. Standardization, accessibility and interoperability are the foundations of progress, ensuring that technology-driven solutions improve enhance outcomes. Digital HEDIS, FHIR and the Bulk FHIR Quality Coalition are examples of how NCQA is reducing measurement burden to streamline measurement and improve quality. Key Quote:“ The digital transformation of health care is necessary to deliver higher quality care. But that is dependent on high-quality data and the ability to exchange this data.  It starts with high-quality data–making it accessible, interoperable,  exchangeable. That is the foundation for being able to deliver digital health care transformation.  Nothing in digital transformation in health care makes sense without high-quality data exchange.”-Ed YurcisinTime Stamps:(1:03) The How and Why of Digital Measurement(04:14) Understanding FHIR(08:32) From Data Exchange to Competitive Advantage(10:42) The Bulk FHIR Quality CoalitionLinks:Connect with Edward YurcisinNCQA Digital Hub Bulk FHIR Quality Coalition 

Send us a textInteroperability has long been a buzzword in healthcare In an ideal world, our healthcare system would exchange timely, high-quality data to empower patients, improve clinical quality, and keep costs under control. How close are we to making this a reality?In this episode of the HealthBiz Podcast, host David E Williams talks with Dr. Donald Rucker, Chief Strategy Officer at 1upHealth, about how their health data management platform is transforming the way healthcare organizations access, share, and leverage patient data to improve outcomes, enhance efficiency, and drive more personalized care.TOPICS(0:25) Introduction(0:52) How Dr. Donald Rucker Got Into Healthcare(2:54) Rucker's Educational Path and Career(11:14) What Does 1upHealth Do?(21:13) Why Are CMS APIs So Important?(25:15) How Do APIs Affect Prior Authorization?(31:37) Book Recommendations from Dr. Donald Rucker

eHealth Exchange, a non-profit started by Health & Human Services and now a separate non-profit, helps health care institutions exchange over two billion records a month. In this video, President Jay Nakashima explains the role they play, particularly in public health, scaling FHIR® and TEFCA™.Nakashima presents an interesting history of eHealth Exchange (originally named the National Health Information Network), including how close it came to being shut down after it first demonstrated in 2006 that the electronic exchange of patient documents was feasible. It is still around and thriving as a non-profit.Learn more about eHealth Exchange:https://ehealthexchange.org/Health IT Community:https://www.healthcareittoday.com/

In this episode, we explore FDA-cleared remote patient monitoring technology and its applications in opioid use disorder (OUD) treatment. Discover how such innovations could enhance monitoring and communication in healthcare settings. We discuss integration with existing tools, successful early collaborations, and the importance of interoperability and FHIR standards for seamless information exchange. With thousands of units deployed, learn how real-time data insights are shaping healthcare. The episode also addresses maintaining HIPAA-compliant security and the role of strategic partnerships in advancing innovation. Join us to explore these developments and their impact on patient monitoring.What You'll Learn:Potential applications of advanced remote patient monitoring technology in opioid use disorder (OUD) treatment. How these innovations enhance communication between clinicians and patients. Insights into integrating such technology with existing healthcare systems. The role of interoperability and FHIR standards in seamless information exchange. The impact of real-time data insights on healthcare standards.Strategies for maintaining HIPAA-compliant security. How strategic partnerships facilitate growth and innovation in healthcare technology.MODERATOR: Nathan Strack CEO, Reimagined HealthNathan is the founder and CEO of Reimagined Health, where he is driven by a passion for empowering organizations to harness the full potential of their data and technology. A lifelong technologist, Nathan has dedicated his career to ensuring advanced technology delivers tangible improvements in outcomes. With over 15 years of experience consulting for some of the largest companies in finance, media, and healthcare, he recognized the need for a faster, more effective adoption of next-generation cloud and AI technologies in the healthcare sector. This vision led him to establish Reimagined Health, where he continues to pioneer innovative solutions that transform healthcare organizations. GUEST: Rachel Weissberg Head of Healthcare Provider Strategy, Americas, NeteeraRachel Weissberg is a seasoned leader in healthcare technology sales and marketing, with a passion for optimizing technology to enhance healthcare quality, cost-efficiency, and patient satisfaction. Known for driving significant growth for Fortune 1000 companies like Sirius Healthcare and AT&T Wireless, Rachel excels in building strong networks with industry leaders. As Head of Neteera's Healthcare Provider Strategy for North America, she leverages her expertise in market dynamics to propel business expansion. Beyond her role at Neteera, Rachel is an influential thought leader, actively participating in industry conferences and initiatives. She holds a Bachelor of Arts in Psychology from Scripps College and enjoys golfing, exploring the outdoors, and traveling in her spare time.The CHIME Opioid Task Force (OTF) was launched in early 2018 with a simple mission: to turn the tide on the opioid epidemic using the knowledge and expertise of the nation's healthcare IT leaders. While our mission is simple, achieving it is not. Opioid addiction is a complex disease that requires long-term, if not lifetime, care from well-informed clinicians who are supported with easy-to-use and reliable tools.

One of the most common questions we get from healthcare IT startups is how they can connect with EHR vendors.  One of our most common questions we ask health IT startups is how they integrate with the EHR.  One of the answers to this question for startup companies is FHIR.  Certainly the FHIR standard is still maturing to include more data, but the data in the current FHIR standards can solve a lot of data access challenges for startup companies.  If the data your startup needs is in FHIR, then the great thing is that pretty much every certified EHR can support FHIR access to that data (thanks EHR certification). With this as background, I was excited to learn about a new Predictive AI in Healthcare with FHIR contest that's being held by the FHIR experts at Darena Solutions.  The contest is pretty simple.  Predictive AI app developers just have to leverage the MeldRx platform to connect their application using SMART on FHIR to healthcare systems. The great news is that there are $25,000 in cash prizes available for the winners of the contest.  Plus, there are a number of in-kind prizes available including from Healthcare IT Today.  The grand prize winner will be featured in a video interview on Healthcare IT Today ($4200 value). For more details on the contest and how you can enter for a chance to win $25,000 in cash prizes and a number of in-kind prizes, check out the Predictive AI in Healthcare with FHIR Devpost site: https://meldrx-predictive-ai.devpost.com/ Learn more about MeldRx: https://www.meldrx.com/

In this episode of The Dish on Health IT, host Tony Schueth leads an engaging discussion on pharmacy interoperability, a topic at the center of a recently published POCP white paper funded by the NCPDP Foundation and supported by Surescripts. Joining Tony as guests are, John Hill, Executive Director of the NCPDP Foundation, and Larry King, Director of Intelligent Prescribing at Surescripts, to unpack the white paper's findings and explore the future of pharmacy's role in patient care.The conversation begins with Tony laying the foundation for the discussion by defining pharmacy interoperability as the seamless, bi-directional exchange of health information between pharmacy care settings and the broader healthcare ecosystem. This connectivity ensures that data flows effortlessly without adding complexity to the workflows of pharmacists or other providers. Tony highlights the POCP white paper, which outlines critical opportunities and challenges in achieving this vision. The document calls for leveraging standards and technology to integrate pharmacists as key contributors to care teams, addressing  medication management and broader clinical services.John Hill and Larry King bring their unique perspectives to the conversation. John shares insights into how the NCPDP Foundation is focused on grants that expand the pharmacist's role, improve patient safety, and enhance access to care. He emphasizes that the white paper marks a pivotal step toward identifying gaps in interoperability and opportunities to engage pharmacists more fully in patient care. Larry draws from his experiences as a pharmacist and industry leader, highlighting the complexity of patient needs and the roadblocks that prevent pharmacists from working to the highest and best purpose of their license. Both guests underscore the need for workflow-friendly solutions to reduce administrative burdens and allow pharmacists to spend more time on meaningful, patient-centered work.The discussion delves into the growing role of pharmacists, who are increasingly stepping beyond dispensing medications to provide direct patient care services, including immunizations, chronic disease management, and comprehensive medication reviews. Tony and his guests agree that pharmacies are uniquely positioned to fill gaps in care, especially in underserved areas, and to offload basic services from overburdened primary care practices. However, for pharmacies to step into this larger role, significant progress is needed in interoperability, reimbursement models, and technology adoption.A key focus of the conversation is the critical role of standards in enabling interoperability. John elaborates on how NCPDP works to ensure data can be exchanged seamlessly, highlighting their collaboration with HL7 on standards like the eCare Plan. He explains that standards not only ensure data consistency across systems but also reduce the burden on users by integrating into existing workflows. Larry adds that Surescripts' efforts to implement interoperable solutions, such as Qualified Health Information Networks (QHINs) under TEFCA, demonstrate the potential of standards to create a nationwide framework for secure data exchange.The guests also discussed the importance of using sustainable financial models to incentivize investment in interoperability. Larry points out that while there are some reimbursement programs for clinical services, inconsistencies remain a significant barrier. Both guests stress that the industry must develop scalable payment models that align with pharmacists' expanded roles and address the technology investments required to connect pharmacy systems with the broader care continuum.Emerging technologies like AI are also prominently featured in the discussion. Larry shares how Surescripts is leveraging AI for tasks like parsing patient instructions and monitoring network activity for compliance issues. John highlights NCPDP's efforts to explore how AI can support standards adoption and governance. Both agree that while AI offers enormous potential to optimize pharmacy workflows and enhance clinical insights, it must be implemented cautiously, with safety and security as top priorities.As the episode nears its conclusion, the guests reflect on the ideal future state of pharmacy interoperability. Larry envisions a world where patients experience seamless care, with providers and pharmacists having immediate access to comprehensive, accurate health information. This would eliminate redundant data collection, reduce errors, and enable faster, more informed decision-making. John echoes this vision, emphasizing that interoperability can empower pharmacists to operate at the top of their licenses, improving patient outcomes and addressing provider shortages.Tony closes the discussion by encouraging listeners to take actionable steps, such as engaging with workgroups like NCPDP's Work Group 20, reviewing the POCP white paper, and participating in industry initiatives that drive interoperability forward. John and Larry emphasize the urgency of acting now, describing this as a once-in-a-generation opportunity to create lasting change in healthcare delivery.For more insights and resources, including links to the white paper and details on key industry initiatives, check the episode summary. Subscribe to The Dish on Health IT on Apple Podcasts, Spotify, or Healthcare Now Radio to stay informed. Let's continue the journey toward a more connected and efficient healthcare system—because health IT is a dish best served hot!Reference Links: POCP Pharmacy Interoperability Whitepaper: https://info.pocp.com/pharmacy-interoperability-whitepaper NCPDP Foundation abridged results report: https://ncpdpfoundation.org/pdf/PharmacyInteroperability_AbridgedResults.pdf  NCPDP Foundation website (for grant proposals in connection with the CTA of future opportunities for grants): https://ncpdpfoundation.org/home.aspx  NCPDP Standards website (for encouraging involvement/collaboration in WGs in connection with the CTA of getting involved/supporting the mission): https://standards.ncpdp.org/  Surescripts Blog, "Ready for Action: Advancing Pharmacy Interoperability": Preparing Pharmacy with Technology to Participate in Healthcare Interoperability | Surescripts  

One of the questions we get asked a lot by new digital health entrepreneurs here at Healthcare IT Today is whether building on top of FHIR will mean a solution will be interoperable. The answer, sadly, is no. Healthcare remains a mishmash of data formats. Andrea Kowalski, Chief Product Officer at 1upHealth, shares this pragmatic view on the state of interoperability. While the promise of FHIR as a universal data standard is enticing, Kowalski recommends digital health companies accommodate multiple data formats (including FHIR) so that their solutions can be adopted by healthcare providers TODAY. Kowalski also shared how 1upHealth's platform simplifies the complex work of interoperability, enabling startups and healthcare organizations to focus on innovation rather than the intricacies of data exchange. Learn more about 1upHealth at https://1up.health/ Find more great health IT content at https://www.healthcareittoday.com/

S2E2: Host Anthony Murray, MRO's Chief Interoperability Officer, discusses automated record retrieval with CHRISTUS Health's Revenue Cycle Services Director, Prudence Budemer. Together they dive into how CHRISTUS and MRO are utilizing FHIR to facilitate the retrieval of medical records required for specific use cases while maintaining the integrity of HIPAA and organizational policies. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Collaboration is key to overcoming administrative burdens and driving better outcomes in healthcare. On this episode, Anna Taylor, AVP of Population Health and Value-Based Care at MultiCare Connected Care, and Heidi Kriz, Director of Medical Policy and Medical Management at Regence Health Plans, discuss their innovative approach to using FHIR for prior authorization and other administrative processes. Anna and Heidi highlight the importance of sharing operational workflows between payers and providers, much like other industries, to improve efficiency and patient care. Their pilot program for quality measure exchange demonstrated significant financial returns and operational efficiencies, earning enterprise buy-in for broader implementation. Hosts: Stuart Hanson Rachel Schreiber Guests: Anna Taylor and Heidi Kritz Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

For the past 20 years, under both Republican and Democratic administrations, the ONC has played a pivotal role shaping and regulating the health tech market. On the eve of the election, Micky Tripathi joined me to discuss the agency's recently expanded role. Now, two months later—though it feels like a decade—the future is uncertain. Will the ONC and ASTP continue as market regulators and opportunity catalysts, or is a new direction on the horizon?Here's what we covered:The government's role in shaping and regulating the health tech ecosystemAI in healthcare: balancing the risks of misuse vs. the risk of “missed uses” Health information sharing: why Micky is optimistic about the future Can technology take the pain out of prior auth?Micky thinks we are standing on the edge of a transformative era:“We are just at the beginning of the most exciting decade...health information technology can really start to show… the return on investment for patients. We've done a lot of hard work over the last 10 years… [With that foundation in place] we have the opportunity to say there's an ROI here for patients.”Relevant LinksBlog post on ONC reorganization: ONC's Next ChapterTEFCA overviewForbes interview: Where is interoperability headed?Healthcare Dive: HHS AI Task Force Takes Shape (March 2024)Blog post by Micky: Getting real about information blocking and APIs (October 2024)About Our GuestMicky Tripathi is the Assistant Secretary for Technology Policy, National Coordinator for Health Information Technology, and Acting Chief Artificial Intelligence Officer at the U.S. Department of Health and Human Services, where he leads the formulation of HHS technology and data strategy and coordinates technology policies, standards, programs, and investments.Dr. Tripathi has over 20 years of experience across the health IT landscape. Prior to joining the federal government he served as Chief Alliance Officer for Arcadia, a health care data and software company focused on population health management and value-based care, the project manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR, and a board member of HL7, the Sequoia Project, the CommonWell Health Alliance, and the CARIN Alliance.Dr. Tripathi served as the President and Chief Executive Officer of the Massachusetts eHealth Collaborative (MAeHC), a non-profit health IT advisory and clinical data analytics company. He was also the founding President and CEO of the Indiana Health Information Exchange, a statewide HIE partnered with the Regenstrief Institute, an Executive Advisor to investment firm LRVHealth, and a Fellow at the Berkman-Klein Center for Internet and Society at Harvard University.He holds a PhD in political science from the Massachusetts...

What are the best HIEs doing? Join radio host Jim Tate on this special episode from a recent virtual event with Manifest MedEx CEO Erica Galvez, and J2 Interactive CTO Mickey Yalon as they discuss the latest advancements in Interoperability. Jim, Erica, and Mickey discuss new industry standards and regulations, how HIEs are becoming a critical component in the public health space, HIEs getting more involved with CBOs, the promise of FHIR, and better serving payer. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

We delve into the critical topic of fax machines and their surprising impact on health equity with Bevey Miner, a seasoned expert in healthcare technology. Drawing from over two decades of experience, Bevey illuminates the complexities of healthcare data sharing and the disparities marginalized communities face due to outdated technologies like fax machines. We explore the challenges of interoperability, the necessity of structured data for meaningful analytics, and the importance of tech equity in bridging the gaps in healthcare access and outcomes. From discussing digital cloud faxing solutions to advocating for policy changes, we highlight the intersection of technology and health equity, urging for a unified approach to data sharing that includes all healthcare providers and patients. Overview: 00:00 EHR incentives neglected behavioral health and upgrades. 05:07 Implement translation technologies, output as FHIR resource. 09:00 Structured data enables effective health outcome analysis. 12:06 Tech equity funding needed for healthcare databases. Resources: Consensus Solutions Next Step: Visit our website, Healthcare for Humans, and join our community to enjoy exclusive benefits at https://www.healthcareforhumans.org/support/ Support Our Mission: Non-clinicians, explore exclusive content and contribute to our collective journey. Be an Active Participant: Go beyond listening. Shape our narrative by co-creating episodes with us. Be part of our community by visiting https://www.healthcareforhumans.org/support/. Follow us on Instagram @healthcareforhumanspodcast

Send Everyday AI and Jordan a text messageGenAI is revolutionizing healthcare, driving innovation in patient outcomes, provider support, and operational efficiency. But with new technology come challenges: What hurdles stand in the way of adoption? We'll explore the transformative potential of GenAI, the real-world obstacles, and how it's redefining the future of medicine with William Horton, Staff Machine Learning Engineer at Included Health.Newsletter: Sign up for our free daily newsletterMore on this Episode: Episode PageJoin the discussion: Ask Jordan and William questions on AI in HealthcareUpcoming Episodes: Check out the upcoming Everyday AI Livestream lineupWebsite: YourEverydayAI.comEmail The Show: info@youreverydayai.comConnect with Jordan on LinkedInTopics Covered in This Episode:1. AI Usage in Healthcare2. Opportunities and Concerns of AI in Healthcare3. Future of Healthcare with AI4. Challenges in U.S. healthcare5. System Integration and Data InteroperabilityTimestamps:00:00 Google integrates Gemini AI into search functionality.04:04 Gemini 2.0 allows multimodal interactions, competitor.08:57 Gen AI advances in healthcare administration and care.11:05 HIPAA ensures data protection with BAAs.13:23 Reducing physician burnout by minimizing administrative tasks.18:37 Virtual triage by intelligent bots for symptoms.22:33 AI parallels self-driving cars: apprehensive adoption persists.25:54 Using AI for personal health data analysis.28:26 AI privacy concerns impact doctor-patient conversations.|31:24 AI, personal data, and healthcare integration trend.33:08 AI empowers patients, despite valid fears.Keywords:AI in healthcare, Jordan Wilson, youreverydayai.com, healthcare podcasts, AI tools in healthcare, audience engagement, ChatGPT, Claude, Gemini, AI medical diagnostics, AI in healthcare challenges, privacy concerns with AI, HIPAA compliance, virtual healthcare, wearable technology, AI and patient empowerment, AI and healthcare system improvement, physician shortages, telemedicine, AI-based triage, AI medical scribing, multimodal models in healthcare, data interoperability in healthcare. healthcare industry standards, FHIR, Google Gemini, OpenAI, William Horton, Included Health, machine learning in healthcare. Get more out of ChatGPT by learning our PPP method in this live, interactive and free training! Sign up now: https://youreverydayai.com/ppp-registration/

As healthcare evolves, the demand for connected, data-driven, and member- and patient-centric systems is at an all-time high. By 2027, 70% of healthcare organizations are projected to adopt digital-first care management strategies, interoperable workflows, and advanced consumer data platforms to empower individuals, enhance experiences, and build trust, according to IDC.When providers are seamlessly integrated as essential contributors and collaborators in care management, organizations can unlock significant benefits, including better health outcomes and enhanced operational efficiency.Join industry leaders from IDC and Medecision for an engaging panel discussion where we will share IDC's latest research, practical insights, and best practices. These discussions will bridge the gap between payers and providers, laying the groundwork for future-ready care management practices.Listeners will hear about:Techniques for leveraging data interoperability and FHIR-based solutions.Best practices for establishing data-sharing transparency.Methods for aligning value-based care objectives.Approaches for promoting digital tool adoption supported by AI and analytics.Frameworks for designing comprehensive wellness and engagement programs.Insights into the importance of closed-loop feedback for sustained, coordinated care efforts.Why Listen? Gain valuable insights and practical strategies from leading experts to empower your organization's digital care management initiatives. This session is essential for healthcare leaders aiming to optimize collaboration and harness the full potential of digital care management solutions.

This episode, recorded live at the Becker's Healthcare 9th Annual Health IT + Digital Health + RCM Annual Meeting, features Anil Saldanha, Chief Innovation Officer at Rush University System for Health. Here, he discusses how AI technologies like scribing and conversational AI are enhancing healthcare delivery, the importance of data integration tools like Epic and FHIR, and the need for collaboration and openness to innovation as healthcare systems navigate future advancements.

In this episode of The Dish on Health IT, Host Tony Schueth, CEO of Point-of-Care Partners (POCP) and Co-host, Kendra Obrist, Payer Strategy Senior Consultant with POCP, welcome Anthony Murray, Chief Information Officer of MRO, to tackle one of health IT's most pressing topics: payer-provider data exchange and interoperability.The discussion begins with introductions and a light-hearted acknowledgment of the traditional friction between payers and providers. Anthony shares his journey from pharmaceutical work to leading MRO's efforts in clinical data exchange. He emphasizes the enduring challenges in interoperability, including siloed systems and the complexities of real-time data sharing.The conversation then shifts to the evolving patient-centric approach. Anthony and Kendra explore how technology like patient portals has improved engagement but highlight gaps in bidirectional data exchange. They dive into the payer-provider dichotomy, with Kendra explaining how payers are shifting their mindset to view data holistically as patient data rather than isolated categories like claims or provider information.Later, the trio examines successful payer-provider collaborations, such as Anthony's example of a client achieving a 63% improvement in quality scores through seamless digital connectivity. They also spotlight the Da Vinci Project and other initiatives driving innovation in the space.The regulatory landscape takes center stage with a discussion of the CMS-0057 rule, which aims to streamline prior authorization and bolster interoperability. Both Anthony and Kendra share candid views on the challenges of implementing these changes and the opportunities they present for strategic advantage.Closing on a forward-looking note, Anthony calls for active industry participation in shaping health IT's future, urging stakeholders to engage in accelerators and public comment opportunities. Kendra envisions a healthcare system that embraces real-time digital experiences, aligning with the expectations of younger generations.Tune in for actionable insights and spirited dialogue about the future of health IT and interoperability!Key Themes:Challenges in payer-provider data exchangeOpportunities in patient-centric interoperabilityRegulatory impacts, including CMS 0057Examples of successful collaborations driving innovationStrategic shifts in viewing data holisticallyListen now to explore how collaboration, technology, and regulation are reshaping health IT! Find us on Apple Podcasts, Spotify, and Healthcare Now Radio, or watch on the POCP YouTube channel. Don't forget, health IT is a dish best served hot! 

This episode, recorded live at the Becker's Healthcare 9th Annual Health IT + Digital Health + RCM Annual Meeting, features Anil Saldanha, Chief Innovation Officer at Rush University System for Health. Here, he discusses how AI technologies like scribing and conversational AI are enhancing healthcare delivery, the importance of data integration tools like Epic and FHIR, and the need for collaboration and openness to innovation as healthcare systems navigate future advancements.

This short discussion with Rachel Dunscombe, CEO of openEHR International Foundation, was recorded in Reading at the first openEHR Annual conference. Rachel Dunscombe discussed trends in data standards and the importance of structured data for the future development of AI. Recap of the discussion: Historical Context and Progress in Data Standards: Thirty years ago, the "Good European Healthcare Record" initiative aimed to create a standardized European healthcare record. How does it relate to EHDS and efforts for single patient records on European level. Unlike the past, today's digital landscape and AI advancements underscore the importance of standardized, actionable data for remote care and patient self-management. Collaboration Among Standards Bodies: Recent years have seen increased cooperation among standards organizations like FHIR, OpenEHR, and SNOMED, with a focus on complementing rather than duplicating efforts. Standards bodies are now defining clearer roles and working together toward a unified goal of improving healthcare outcomes. Need for Practical Implementation and Governance: Effective implementation of standards requires practical guides for healthcare systems, developed collaboratively by standards bodies. Open, democratic communities with strong governance are essential to ensure diverse input and practical guidance for using standards effectively. AI and Data Quality: Good data quality is foundational for effective AI in healthcare; without it, AI solutions cannot achieve optimal results. Standards are crucial for creating "trustworthy" AI and have been discussed at forums like the United Nations, emphasizing the need for global alignment on data standards. Future Goals and Global Standards: Continued development of clear, internationally recognized standards will support interoperability and innovation in healthcare, including AI-driven solutions. Guidelines from standards bodies are anticipated to help healthcare systems apply data standards cohesively for population health benefits. Resources and Engagement: The podcast "Faces of Digital Health" and its associated newsletter discuss these topics, offering updates on trends and insights in healthcare digitalization and standards. www.facesofdigitalhealth.com Newsletter: https://fodh.substack.com/

Michael discusses the Sequoia Project's Payer to Payer FHIR API Implementation Workgroup with its co-chairs, Nancy Beavin from Medica, Bob Oakley from Evernorth and the Project Lead, David Pyke with Sequoia.  The workgroup was created to identify practical, implementation-level implications from a business and governance perspective. The guests discussed the workgroup makeup, their mission, what they've heard so far and why a payer, small, medium or large, should join their community of practice.  To learn more about the workgroup, visit https://sequoiaproject.org/interoperability-matters/payer-to-payer-api-workgroup/

Michael welcomes Huthaifa Khan, Director, Solutions Architecture with Virtual Health. Huthaifa, a veteran health care professional, discusses the emergence and rapid adoption of the FHIR standard in healthcare data exchange, along with implementation stories, and its potential future in the industry. 

In this episode of The Dish on Health IT, Tony Schueth, CEO of Point-of-Care Partners, and Kim Boyd, Regulatory Resource Center Lead, are joined by Pam Schweitzer, former Assistant Surgeon General of the United States and current Chair of the NCPDP Foundation Board of Trustees. Together, they deliver an in-depth discussion on critical topics impacting the health IT landscape, including interoperability, public health data modernization, and evolving healthcare regulations.The episode begins with introductions from Tony and Kim, highlighting Pam's extensive career in healthcare, ranging from her leadership roles in the Indian Health Service and the Veterans Affairs (VA) system to her current position as chair of the NCPDP Foundation. Pam reflects on her experience overseeing the transition from paper to electronic health records and how this complex shift required the coordination of multiple healthcare departments, including radiology and labs.Pam shares her insights into how policy changes, such as CMS 0057 and the HTI-2 proposed rule, are shaping the future of healthcare interoperability. The trio discusses how these regulations, aimed at improving data sharing between payers, providers, and public health systems, will ultimately drive real-time data exchange. They also emphasize the importance of infrastructure, standards, and innovation to support these efforts.As the discussion moves forward, Pam talks about her work on public health initiatives, particularly around pharmacy interoperability, maternal health, and the broader impacts of nutrition and food supply on community health. Kim and Pam also explore the evolving role of pharmacists in public health, especially in rural areas where they often serve as the primary healthcare providers.The conversation includes key steps for modernizing public health data systems, such as addressing the data silos between healthcare and public health systems. Pam emphasizes the need for greater collaboration and data sharing to enable a more effective public health response, especially during crises like pandemics or natural disasters.Pam, Kim, and Tony also touch on the role of the Trusted Exchange Framework and Common Agreement (TEFCA) in promoting data fluidity and expanding the integration of pharmacists and other healthcare stakeholders into the broader healthcare ecosystem.The episode wraps up with Pam expressing her optimism for the future of health IT and public health interoperability, while stressing the importance of ongoing collaboration between stakeholders, from policymakers to healthcare technology vendors. Kim adds that the evolution of pharmacy practice and regulatory changes are driving significant improvements in patient care and medication management.Listeners can tune in for a deep dive into the intersections of health IT policy, pharmacy standards, and public health modernization, with practical insights from leaders in the field. This episode is a must-listen for those interested in healthcare interoperability, the impact of CMS and ONC policies, and the future of public health and pharmacy integration.Catch the full episode on your preferred podcast platform, including Apple Podcasts, Spotify, and Healthcare Now Radio, or watch the video version on YouTube.Other resources you may be interested in:Healthy People 2030 – Data and Information Systemshttps://health.gov/healthypeople/objectives-and-data/browse-objectives/public-health-infrastructurePublic Health Infrastructure - Healthy People 2030 | health.govhttps://health.gov/healthypeople/objectives-and-data/browse-objectives/public-health-infrastructureStrategies for Public Health Interoperability | PHDI | CDChttps://www.cdc.gov/data-interoperability/php/public-health-strategy/index.htmlMarch 27, 2024 – Draft 2024-2030 Federal Health IT Strategic Planhttps://www.healthit.gov/sites/default/files/page/2024-03/Draft_2024-2030_Federal_Health_IT_Strategic_%20Plan.pdf2023 – Infrastructure for Scaling and Spreading Whole Health – Health Informaticshttps://www.nationalacademies.org/our-work/transforming-health-care-to-create-whole-health-strategies-to-assess-scale-and-spread-the-whole-person-approach-to-health 

In this episode of SIIMcast, we sit down with a dynamic team of four students from Marquette University who took home the top prize at the SIIM Hackathon 2023. Join us as we chat with Paige Harrill, Alex Giblin, Davina Lettau, and Tom O'Sullivan about their journey from newcomers to champions in the field of medical imaging informatics. Each student shares their unique experiences—Paige's upcoming internship with GE Healthcare, Alex's podcasting endeavors, Davina's dual focus on engineering and law, and Tom's extensive background in data engineering. Listen in as they discuss their path to the Hackathon, the pivotal role of mentorship from industry veteran Terry Sippel Schmidt, and the challenges they faced in mastering complex concepts like FHIR and DICOM standards. Whether you're a student, professional, or just curious about the intersection of healthcare and technology, this episode offers valuable insights into the power of collaboration, mentorship, and seizing opportunities. Don't miss out on the chance to hear from the next generation of leaders in imaging informatics!

Healthcare's Data Exchange Evolution On this episode of The Spark, Bob Gross and Krista Matlock from Cleveland Clinic explore how to improve patient care across healthcare. In addition, they discussed FHIR standards and how to make healthcare information sharing more efficient. Listen to learn from banking's tech innovations and the importance of aligning incentives in value-based care. Tune in for insights that can transform the way we deliver and experience healthcare. Hosts: Stuart Hanson Rachel Schreiber Guests from The Cleveland Clinic Bob Gross, Executive Director of Financial Decision Support and Analysis Krista Matlock, Senior Director of Operations, Market and Network Services Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

The PulsePod team are in Brisbane Australia for the annual HIC conference, where there are a number of announcements from large software companies, plus the future of interoperability seems to be FHIR all the way baby!What does Rock Health's latest report tell us about US investor sentiment in digital health startups?Investing in women founders is so rare, should we refer to that as the real unicorn in start-up land?US based personal genomics company 23andMe – from highs to lows, what's next for personal genomics?It's all about the patient!  Simple things like the convenience of online patient appointment booking are still a rarity in the land of medical specialists – one guy is wanting to change that!A visit into the Pulse+IT archives: Kate McDonald wrote about Chris Longhurst and Mike South's HIC2018 keynote on why clinician burnout related to the EMR is not as prevalent a problem in Australia vs US.Louise & George talk with Liz Salmi, Communications & Patient Initiatives Director for OpenNotes at Beth Israel Deaconess Medical Center in the US about her research and patient advocacy work, and what does happen when patients get bad health news from reading it in online firstPaper: When Bad News Comes Through the PortalKeynote: Getting Ready for Open Everything, MedInfo 2023Follow @TheLizArmy on LinkedIn  |  X Visit Pulse+IT.news to learn more, engage in this rapidly growing sector, and subscribe to breaking digital news, weekly newsletters and a rich treasure trove of archival material.  People in the know, get their news from Pulse+IT – Your leading voice in digital health news.Follow us on LinkedIn  Louise  |  George  |  Pulse+ITFollow us on X   Louise  |  George  |  Pulse+ITSend us your questions pulsepod@pulseit.newsProduction by Octopod Productions | Ivan Juric

Real-time access to patient data through electronic medical records' APIs is a game-changer for healthcare analytics. In this episode of the AHIP 2024 series, Donald Rucker, the Chief Strategy Officer at 1upHealth, discusses the critical role of modern data representations and FHIR APIs for payers and providers. He highlights the significance of electronic medical records and their APIs for real-time patient data access and analytics, explaining how payers can utilize the Bulk FHIR API for core data and how advancements in JSON and RESTful APIs have made clinical data access smarter and more efficient. Donald emphasizes the importance of building a quality FHIR data pipeline for modern analytics and AI while also delving into the re-architecting of healthcare through data science, stressing the need to involve consumers in the process. He also explains how he and his team are focused on improving industry processes like quality measurement, network design, prior authorization, case management, and payer-to-patient outreach, expressing excitement for the industry's future and involving consumers in healthcare data processes. Tune in and learn how healthcare is evolving with the power of data! Resources:  Watch the entire interview here.  Connect and follow Donald Rucker on LinkedIn. Learn more about 1upHealth on their LinkedIn and website.

In this episode of SIIMcast, hosts Ali and Mohannad sit down with Isaac Vetter from Epic, a seasoned expert in the FHIR community and a leading force behind the CDS Hooks project and the FHIRCast specification. With over a decade of experience, Isaac shares insights into how these HL7 standards are revolutionizing healthcare interoperability. We delve into the core problems FHIRCast aims to solve, particularly in imaging, by enabling seamless context synchronization across multiple health IT applications. Isaac discusses the evolution of FHIRCast from its inception to its latest iterations, highlighting the significant impact of artificial intelligence in real-time imaging findings exchange. The conversation also explores CDS Hooks, a standard that facilitates real-time clinical decision support within EHR workflows. Isaac outlines various use cases, including regulatory requirements and innovative integrations that enhance clinical decision-making and streamline prior authorization processes. Join us for an enlightening discussion on how FHIRCast and CDS Hooks are paving the way for more integrated and efficient healthcare systems, and what the future holds for these groundbreaking standards.

Using the FHIR standard can help organizations like the VA connect rapidly to drug data, paving the way for real-time surveillance that is improving patient safety and identifying adverse events tied to medication.

April 15, 2024: In this episode of This Week Health, Bill Russell interviews Samira Singh, Director of Informatics for Providence, at HIMSS 2024. They delve into the intricacies of value-based care contracts, data exchange frameworks like FHIR, and the evolving landscape of healthcare interoperability. With discussions ranging from the challenges of closing care gaps to the future potential of standardized data sets, listeners are invited to ponder the role of regulation in driving healthcare standards, the impact of FHIR on bidirectional data exchange, and the necessity of financial data inclusion in interoperability efforts. How can professionals navigate the complexities of value-based care while ensuring data accuracy and accessibility for providers and payers alike? Can standardized frameworks like TEFCA pave the way for a more streamlined and efficient healthcare ecosystem? And how might the integration of financial performance reporting reshape the provider-payer relationship in the era of value-based care contracts?

The special episode of The Dish on Health IT episode provides insights and coverage from the recent HIMSS24 conference. Hosts Pooja Babbrah, the PBM and Pharmacy Lead and Jocelyn Keegan, Payer/Practice Lead with Point-of-Care Partners dig into their observation from HIMSS24 before reacting to stakeholder interviews from the floor of the Interoperability Showcase on topics ranging from the impact of the final CMS interoperability & prior authorization, benefits of API adoption and pharmacy interoperability opens with a montage of HIMSS24 attendees. --NOTE: The sound quality of the kiosk interviews is not ideal. If you prefer, you can watch this episode on video for close captioning of the kiosk interviews--The episode opens with a montage of HIMSS24 attendees sharing what they find valuable about attending HIMSS. Pooja Babbrah then opens the episode explaining that she and co-host Jocelyn Keegan share their key takeaways and insights from the biggest health technology conference in the industry. Jocelyn started the conversation off by sharing her observation that the work over the last 15 years to forge scalable connections to improve data fluidity has been fruitful and reached a tipping point. Importantly, the conversations we heard at HIMSS24 showed an acknowledgment as important as data fluidity is the content of what we are exchanging, and that data quality is just as important. Jocelyn then shared her second observation which is that we need to build a skillset and pool of resources who can do the next phase of work that is needed. She shared that when she worked in the financial industry which was at the time transitioning to interoperability and automation, they had to hire and develop the critical thinkers needed to think through how to best leverage technology, approach change management and do the abstractions needed to be successful. Health IT is at a similar place; we probably need more clinical informaticists because how we use technology in clinical workflows is extremely important, but we also need operational experts to help pull through how shifts in one workflow should get pulled through in others. She went on to say that we need people understand data mapping and why clean data is so important. Pooja thanked Jocelyn for her insights before sharing her own. She mentioned that she heard talk about whether ViVE and HIMSS could both survive because they occur so close together, and are big investments for companies to make to attend or exhibit. She shared that her view is that they are different enough in programmatic and attendance mix that she believes they both have value and will survive. Adding to Jocelyn's point about data quality, Pooja added that data governance and sending the right data to the right people at the right time versus just sending a data tsunami. Pooja continued by adding that it's also important to meet people where they are. This was clear at the post-acute care listening session. Some care facilities are not yet FHIR-enabled, some can send data via FHIR but perhaps are not yet API-enabled, how can we meet those facilities where they are even if they aren't using cutting-edge technology? Most stakeholders are going to be somewhere on a spectrum of tech adoption. We need to be flexible in how we do things. Pooja went on to say that another observation is that the importance of consent management will continue to grow, and that real work is starting to be done to figure out what patient-centered consent management might look like. We need to be able to exchange the right data at the right time with the right people, but we need to ensure we have the right consent to go along with it. Pooja mentioned some industry initiatives on consent including the HL7 FHIR at Scale Taskforce Accelerator, which has launched a new consent project. Public meetings for the FAST Consent project have launched and will be held regularly. A consent learning lab was held at HIMSS24 for the second year in a row. Pooja expressed that she attended both last year's and this year's events and she could feel a shift including the presence of regulators who were in the room. She explained that the conversation focused on actual work and progress being made in California and Florida as well as a huge focus on the role of consent in connecting health data and human services data.Next Pooja and Jocelyn listened and reacted to stakeholders who stopped by the POCP Kiosk in the Interoperability showcase to give their perspectives on the final CMS prior authorization & interoperability rule, API adoption, and pharmacy interoperability. Interviewees at the kiosk included:Colin Banas, Chief Medical Officer for DrFirst, shared insights on medication management and prior authorization.Polina Vaserman, Vice President of product Management with MHK, discussed the complexities and proposed improvements in prior authorization final rule.Lathe Bigler, Vice President of Clinical Network Services at First Databank provided perspectives on leveraging FHIR APIs for improving price transparency and patient care.Lenel James, Business Lead - Health Information Exchange & Innovation, Blue Cross Blue Shield Association, highlighted the use of FHIR APIs to enhance data accessibility for all stakeholders, including patients, payers, and providers, underscoring the importance of making healthcare data available across the care continuum to improve service delivery and care coordination.Melanie Marcus, Chief Marketing and Customer Experience Officer at Surescripts highlighted the role of pharmacies in expanding care access and the necessity for interoperability and policy support.Kathryn Ayers Wickenhauser, Sr. Director of Community Strategy at DirectTrust discusses the critical role of pharmacists in delivering care and the role of Direct Messaging can play in supporting this work. Themes from the interviews and host response include: CMS Interoperability and Prior Authorization: There has been broad acknowledgment of the positive progress this final rule will make towards enhancing interoperability and refining the prior authorization processes is widespread, with some hoping for additional policies to go even further.Healthcare Ecosystem and CMS Policies: The industry acknowledges the complexities of medications requiring prior authorization. There's an expectation for CMS to broaden its research and policy scope to include specialty medications, recognizing their critical importance.Impact of Technology and Innovation: The importance of adopting standards like FHIR for improving healthcare interoperability is emphasized. Leveraging technology and standard adherence is highlighted as crucial for enabling effective communication among healthcare stakeholders, reducing administrative burdens, and improving patient care quality.Pharmacy's Essential Role: Pharmacies are spotlighted as key to healthcare delivery, especially in underserved areas. There's strong advocacy for improved pharmacy interoperability and integration into the care team, stressing the need for policies, payment reforms, and access to health information to support their expanded role.Using Existing Technologies: The discussions promote the practical use of existing technologies and workflows to address healthcare delivery challenges effectively. This pragmatic approach centers on solving immediate patient care and business problems with available tools and sharing successful industry practices to foster broader adoption.Future Directions and Collective Engagement: A desire for ongoing engagement with health IT innovations, with a focus on interoperability, is clear in future industry events. The importance of collaborative efforts within the community and across the industry is underscored as critical for driving advancements in health IT and interoperability.After Pooja and Jocelyn listened and reacted to the interviews, Pooja shifted to close out the episode. She took a moment to reflect on the rich dialogue and insights shared by professionals across the healthcare ecosystem. She acknowledged the collective and collaborative effort that is fundamental to advancing health IT, underscoring the critical role of technology, the growing importance of pharmacies in the healthcare delivery ecosystem, and the collective anticipation for the evolution of policies concerning specialty medications and the work toward a better way to manage consent. With a nod to the resilience and spirit of innovation that defines the HIMSS conference, Pooja expressed gratitude for the contributions of all speakers and participants, celebrating another successful year of sharing, learning, and collaborating. Looking ahead with optimism, she voiced enthusiasm for the next HIMSS, where the community will reconvene to delve deeper into healthcare's pressing issues, explore new advancements, and foster further collaborations that promise to shape the future of health IT.

In this illuminating podcast episode, Ed Yurcisin, Chief Technology Officer at NCQA, sheds light on the organization's pivotal role in defining quality standards in healthcare and their ongoing journey into digitization. Discover the critical significance of data interoperability and adopting FHIR standards in the healthcare landscape. Ed Yurcisin emphasizes how these initiatives can catalyze improved care coordination and advanced data analysis. Dive into the potential advantages of bulk FHIR, exploring its transformative impact on data exchange and analytic capabilities. Ed Yurcisin leaves us with a resounding message—the transformative promise of interoperability and data standards is the key to reshaping the entire healthcare industry. Ready to explore the future of healthcare? Connect with this episode to gain valuable insights from a key industry figure. Stay tuned for potential follow-up discussions because the journey to reshape healthcare through interoperability and data standards is just beginning!  Resources: Follow and Connect with Ed on LinkedIn Follow NCQA on LinkedIn Visit NCQA's Website