As EHR adoption becomes ubiquitous, interoperability and health information exchange (IHIE) remain unachieved goals for realizing the full potential of EHRs to improve the quality and cost-effectiveness of care. Much attention and enthusiasm have accompanied several recent innovations that promise to finally “solve” longstanding barriers to IHIE, including FHIR, OAuth, Carequality, and Commonwell. But will they?
In this webinar, we will describe the essence of these innovations, their similarities and differences, the novel attributes they offer for solving the IHIE problem, and the remaining limitations they must address to deliver on their promises. By taking a clear-eyed look at these innovations, we seek to highlight and motivate the work that still remains to achieve envisioned levels of IHIE.
After participating in this activity, the learner should be better able to:
- Weigh the strengths of the HL7 FHIR interoperability standard against its remaining limitations
- Differentiate use of the OAuth standard for application interoperability versus health information exchange
- Compare the Carequality and Commonwell initiatives for patient data sharing
- Gauge the level of adoption for Carequality and Commonwell, as well as their plans for integration
Walter Sujansky, MD, PhD - Sujansky & Associates
Josh Mandel, MD - Verily Life Sciences
Walter Sujansky is the President of Sujansky & Associates, a consulting firm that specializes in the representation, analysis, and exchange of clinical data in information systems. His firm has worked since 2003 to design and implement disease registries, clinical data warehouses, and health information exchange technologies. Among his roles, he recently served as the Chief Technology Officer for the California Joint Replacement Registry, a statewide registry for hip and knee replacements that was acquired by the National Joint Replacement Registry. Dr. Sujansky received his MD and Ph.D. in medical informatics at Stanford University, where his doctoral work addressed clinical database interoperability. He received his undergraduate degree in economics at Harvard College.
Josh Mandel is a physician and software developer working to fuel an ecosystem where technology supports better health. He works at Verily as Health IT Ecosystem Lead, and is a visiting scientist at the Harvard Medical School Department of Biomedical Informatics. He has developed tools, APIs, and platforms to support clinical care, consumer empowerment, and research. Projects include: SMART Health IT, Clinical Decision Support Hooks, Sync for Science, and C-CDA Scorecard.