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


Editor’s Take note: On April 14, 2022 at the ONC Annual Meeting the Missouri DMH LEAP staff will share perception into their pilot demonstration and development to go live with integrating overall health treatment and HCBS knowledge.

Integrating knowledge from health treatment and dwelling and neighborhood-based expert services (HCBS) to enhance wellbeing outcomes is of increasing worth, particularly as the U.S. inhabitants ages and the need for very long-phrase solutions and supports (LTSS) grows. A 2020 ONC Foremost Edge Acceleration Job (LEAP) in Wellness Facts Technological know-how (Health IT) awardee, the Missouri Section of Mental Health and fitness (DMH) Division of Developmental Disabilities, seeks to deal with this difficulty.

The Missouri LEAP team centered on the use of the electronic long-phrase products and services and supports (eLTSS) Health Level 7 (HL7®) Rapid Healthcare Interoperability Methods (FHIR®) Implementation Guidebook (IG) to implement and take a look at the trade of Missouri Person Support Prepare (ISP) information across supplier IT methods. The capture, aggregation, and sharing of these details aspects will guidance the layout and implementation of a Supported Work Worth-Primarily based Care Model, which focuses on marketing particular person-centered employment arranging, teaching and instruction, career placement, and task advancement work results for HCBS waiver participants. Also, the HL7 publication of the eLTSS FHIR IG supplies HCBS know-how builders with a new possibility to advance interoperability for populations served by HCBS.

During the September 2021 HL7 FHIR Connectathon, the Missouri LEAP crew shown the capabilities of the eLTSS FHIR IG by exchanging information and facts from the state’s scenario administration program to a wellness information and facts community, a supported work service provider IT technique, and a most important treatment company digital wellness record. The Missouri LEAP group shown that a significant degree of interoperability between health and fitness and human assistance companies is probable and can assistance a eyesight for full particular person and total local community treatment.

Missouri Dept of Mental Health Demonstrate eLTSS FHIR Data Exchange

The exchange of Missouri’s Person Support System (ISP) data using FHIR is depicted over.

What’s Up coming?

ONC is collaborating with the Centers for Medicare & Medicaid Companies to build alternatives to progress interoperability in the HCBS sector. Ongoing operate with general public and personal payers, states, and businesses partners will be instrumental in advancement attempts and we hope other states can commence related initiatives to coordinate and advance the treatment people get as a result of HCBS.

The Missouri LEAP staff will share their eLTSS FHIR IG pilot conclusions at the ONC Annual Meeting on April 14, 2022. Sign-up for the virtual meeting here.

ONC would like to thank the Missouri Department of Mental Overall health for their support in developing this blog article.

Handy Resources/Hyperlinks

Missouri Section of Mental Overall health, LEAP Grant

Missouri Worth Primarily based Acquiring HCBS Quarterly Stakeholder Update

HL7 eLTSS FHIR IG

Mental and Developmental Disabilities – An Prospect for Enhanced Care Coordination



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