Colorado State Health Information Exchange CORHIO

This resource covers the identified priority use cases that can be readily adopted within health information exchange vendors, implementers, networks, governance frameworks, and testing programs within 18 months. The Recognized Coordinating Entity (RCE) – The Sequoia Project (@sequoiaproject)is responsible for developing, implementing, and maintaining the Common Agreement component of the Trusted Exchange Framework and Common Agreement (TEFCA). The Common Agreement is the baseline technical and legal requirements for health information networks to share electronic health information and is part of the 21st Century Cures Act (Cures Act). North Carolina Department of Information TechnologyThe NC Health Information Exchange Authority (NC HIEA) is seeking its next mission-driven, highly motivated and detail-oriented data quality team lead. Even if AI technology codes only a portion of the data, its high accuracy and compliance standards make it invaluable. The shift from coding purely for billing to coding for total clinical value represents a fundamental evolution in how we capture and use healthcare data, which will benefit the entire healthcare ecosystem.

Nationwide Health Information Network and Exchange

In 2025, expect to see disruptive innovations that allow all electronic prescriptions to be treated as the clinical orders they are rather than as drug-related purchase orders, something especially needed for specialty medications and other complex conditions. Change is long overdue as physicians and pharmacists continue to lose countless hours trading phone calls and messages, computer systems lack true semantic interoperability, and patients suffer from the resulting gaps in collaboration. Stakeholders throughout healthcare hunger for an approach that is aware of clinical context, which perfects workflows, and that goes beyond the simple exchange of information to remove the cap on innovation which limits the ability to provide the best care for patients. Until then, I expect the profession to report faster adoption of technology, What Is the Dow Jones Industrial Average greater presence on data governance and exchange teams, and tighter collaboration with revenue cycle peers.

• In February 2023, the federal government provided USD 505 million to federal data partners and Canada Health Infoway to advance digital health tools and an interoperability roadmap.
• C-CDA has been adopted as the industry standard for creating patient care summary documents.
• When this technology is commonplace, CCD exchange will have much more clinical value to providers.
• The efficacy of AI use cases, including automated documentation and predictive modeling, will be highly dependent on the quality of data feeding the models on which these processes run.

Seven Insider Insights Heard at AHIMA24: New Energy for Coding, Data, and Exchange

Healthcare organizations and software vendors are increasingly recognizing AI’s transformative potential. This growing awareness will necessitate the adoption of new C-suite roles, such as Chief AI Officer (CAIO). Leading healthcare institutions like Mayo Clinic and Cleveland Clinic have already adopted this strategy by hiring their own CAIOs.

In 2025, interoperability will evolve from simply connecting systems to driving smarter, more efficient data exchange that transforms how care is delivered and accessed. The industry will prioritize not just integration but actionable insights that empower clinicians to make informed decisions and patients to confidently navigate their health journeys. As we move into the next phase of healthcare transformation, real-time access to meaningful information will be the foundation for delivering more connected, patient-centered care. About CORHIOCORHIO works closely with and among communities across Colorado to develop and implement secure systems and processes for sharing clinical information. CORHIO collaborates with all health care stakeholders including physicians, hospitals, clinics, behavioral health, public health, long-term care, laboratories, imaging centers, health plans and patients.

Although FHIR is mandated, the lack of consistent implementation and the ability to customize it for specific technologies create gaps. As a result, some organizations send data in FHIR format, only for recipients to convert it back to outdated HL7 standards, leading to wasted resources and inefficiencies. Public health, providers, insurers, legal, patients, and families are all requesting greater volumes of information, and at a faster pace. For example, a single payer will request information for the same patient three to five times annually for risk adjustment, HEDIS, payment integrity audits, prior authorization, and care management. In 2025, interoperability will transition from being a buzzword to a critical expectation in healthcare. Providers will demand seamless data-sharing across systems to eliminate silos that hinder care coordination and outcomes.

• The C-CDA format is specified as a requirement for EHR vendors pursuing ONC certification for their products.
• In 2014, NHHIO helped pass legislation to secure protected health information (PHI).
• Interoperability will remain a key focus in 2025, driven by both government policies and industry demand.
• For example, when a legacy HI company such as MRO Corporation announces a premier partnership with CHIME, you know an important evolution is taking place.

HQR System Now Accepting CY 2024 Medicare PI Program Data

Some senders might just send all of the patient’s clinical information in their system, resulting in an unwieldy amount of information. Conversely, the sender might include too little information in the CCD, which could cause gaps in care or require a provider to make additional phone calls to track down the missing information. The conference has grown and evolved into an important national venue for public and private sector thought leaders to share ideas and benchmark implementation strategies of State Health IT Systems. One Health Record is guided by the State Health Information Exchange Commission which is appointed by the Governor. It is actively partnering with state and federal government, state associations, health insurance payors, and vendors to build the state Health Information Exchange. They have deployed the Truven Health HIE Advantage system as the core backbone for the state HIE.

New Hampshire State Health Information Exchange

The ability to integrate disparate platforms effortlessly will ensure that vital information reaches clinicians and patients precisely when and where it’s needed. Google launches new Medical Records APIs globally in Health ConnectAt The Check Up, Google’s annual health event, they shared how they are using AI to help improve health outcomes for everyone, everywhere. These APIs enable apps to read and write medical record information like allergies, medications, immunizations and lab results in standard FHIR format. With these additions, Health Connect supports over 50 data types across activity, sleep, nutrition, vitals and now medical records — making it easier to connect your everyday health data with data from your doctor’s office.

The industry will increasingly recognize that true interoperability requires more than technical standards — it demands validated clinical documentation that accurately represents patient conditions and care decisions. We’ll see a growing focus on point-of-care validation tools that ensure accurate, standardized clinical documentation as the foundation for meaningful health information exchange. In 2025, the industry will focus on transforming payer/provider data exchange with real-time computational workflows, drawing inspiration from innovations in other industries. Despite the availability of FHIR APIs and advanced technology, interoperability progress has been hindered by mistrust and competitive dynamics between stakeholders. A shift towards free-market solutions is emerging, where payers and providers may increasingly demand real-time, standards-based data exchange in their contracts.

It contains the steps needed to submit data for the Medicare Promoting Interoperability Program, including eCQM data. Refer to the CY 2024 QRDA I Submission Checklist for more help on submitting eCQM data. Yes, we have started to receive CCDs into the CORHIO network from certain select providers and we are analyzing how best to deploy CCD exchange more broadly across the CORHIO network.

Delaware Health Information NetworkDelaware Health Information Network (DHIN) is currently seeking a Project Manager Analyst. Specifically, the Project Manager plays a critical role by serving as the lead for project work for all assigned project initiatives and will integrate with all DHIN teams, DHIN stakeholders and technology vendors. Projects are typically IT integration but are shifting towards projects requiring software development and customization. The PM has no positional authority and must be able to create and sustain cooperative voluntary relationships between the project participants. This milestone reinforces LANES’ commitment to securing protected health information (PHI) and ensuring the highest standards of data privacy and regulatory compliance, including the handling of sensitive data such as Substance Use Disorder (SUD) treatment records. The Network for Regional Healthcare Improvement (NRHI) and the Strategic Health Information Exchange Collaborative (SHIEC) announced a formal affiliation between the two organizations to form a new organization named Civitas Networks for Health.

However, there is still inconsistent adoption of FHIR across the industry, which has limited its impact. The 2025 State HIT Connect Summit will explore leading-edge pilots in different vertical application areas, as well as at the enterprise level, providing key insights as to the potential for driving overall ecosystem transformation. The CY 2024 HQR User Guide provides the necessary tools to register, log in, and navigate within the HQR system.

With the rise of electronic health record usage, the need for a standardized way to exchange comprehensive clinical documents between providers — beyond individual results and reports — became clear. Continuity of Care Documents (CCDs) were developed to meet this need and their usage is being bolstered by Meaningful Use. As the technology evolves and health systems become more interoperable, document exchange will be seen more and more.

This panel will explore how new interoperability solutions can help health insurance providers quickly identify gaps in care by streamlining data exchange and enhancing communication with providers. By leveraging these solutions, attendees will learn how to improve care coordination, ensuring that providers have timely, accurate information to address gaps and deliver better care, ultimately improving member outcomes. Their mission is to electronically exchange health information between Alabama’s healthcare providers and as a result, improve the quality and efficiency of the healthcare received by Alabama’s citizens. The exchange of health information through the OHR system will support patient‐centered health care and continuous improvements in access, quality, outcomes and efficiency of care. When considering healthcare interoperability, one often-overlooked area involves the ability of virtual care companies that partner with health systems to access full patient records when delivering telehealth services to the health system’s patients. By using the same EHRs as health systems, virtual providers can deliver a more continuous care experience that takes into account patients’ full medical histories, improving patient satisfaction and outcomes.

CCDs can also include advance directives, family history, social history and insurance information. To meet the objective for Stage 1 Meaningful Use that requires sending CCDs outbound from an electronic system, CCDs must include problems, allergies, medications and lab results. For Meaningful Use stage 2, there are more required data elements, including smoking status, vital signs, care plans and more.

If you can’t exchange clinical data, each stakeholder is back to sharing attachments by fax, mail, email, etc. FHIR is one part of the electronic prior authorization solution along with the HIPAA 278 transaction. When done optimally, CCD exchange can reduce staff time spent gathering patient clinical information during transitions of care. And CCDs generally expand the clinical information available to community providers and give them more details on the care patients received at outside facilities. Combined with existing medication, imaging and lab data being shared from hospitals and labs, CCDs may give providers the additional clinical data needed at the point of care.