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The accelerated pace of adoption of HL7® FHIR® (Fast Healthcare Interoperability Resources) with various versions and approaches is expected to improve interoperability and data exchange, but also present scalability challenges. The FHIR at Scale Taskforce (FAST), an initiative convened by the Office of the National Coordinator for Health IT (ONC), brings together a highly representative group of motivated healthcare industry stakeholders and health information technology experts. The goal is to identify scalability barriers and propose solutions to accelerate the industry-wide adoption of the FHIR standard at scale. 

The conversation topics will include: 

  • What is FAST?
  • FAST structure and Tiger Team approach to tackle FHIR scalability challenges
  • FAST-identified use cases and core capabilities for supporting FHIR solutions at scale
  • Initially identified Technical, Regulatory and Policy barriers to FHIR scalability
  • Overview of proposed solutions and next steps
  • The FAST Technical Learning Community (TLC) and other ways to get involved

About the Presenters

Stephen Konya, Senior Innovation Strategist, Office of the National
Coordinator for Health IT (ONC), U.S. Department of Health and Human Services (HHS)

Stephen KonyaSince 2015, Stephen Konya has served as the Senior Innovation Strategist for the Office of the National Coordinator for Health IT (ONC), U.S. Department of Health and Human Services (HHS). In addition to developing the external and internal innovation strategy, he also serves as the Agency’s primary liaison for innovation related projects and challenges, specifically targeting engagement opportunities with the healthcare startup and investor communities. Prior to his position with the Federal Government, he served concurrently as Chief of Staff, Chief Operating Officer, and Chief Results Officer for the Illinois Department of Public Health, Chief of Staff for the IL Department of Commerce and Economic Opportunity, and CFO of the IL Human Rights Commission. He holds a BBA in Finance and International Business from Loyola University of Chicago, and was both a Fellow and Mentor of the Mid-America Regional Public Health Leadership Institute (MARPHLI) program, at the University of Illinois-Chicago (UIC), School of Public Health.

Patrick Murta, Solution Architecture Fellow, Humana | FAST Initiative Chief Architect | Da Vinci Operating Member

Patrick Murta

Patrick is Solution Architecture Fellow at Humana and is responsible for the strategy and architecture as it relates to interoperability and providing integrated care delivery. With more than 20 years in the field, Patrick frequently speaks at industry events and actively participates in industry initiatives. He currently sits on the coordinating committee for Da Vinci, is one of the chief architects for the ONC FAST initiative, and participates in other initiatives. He is co-inventor on two patents related to payer business rules management and implementations of payer generated clinical insights.

Patrick's experience extends to the original HIPAA X12 implementations. He has designed and implemented enterprise business rules management systems for case and utilization management, predictive models for member health and safety, and bi-directional payer and EHR integration.  

 

 

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Daniel Stein

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Comments

  • Good clarifiication about FAST from Stephen K:  FAST is less focused on specific "functional" use cases for specific demographics, but rather is keenly focused on a streamlined/standardized national infrastructure that supports the adoption/scalability of ALL functional use cases being developed with FHIR. We leave the development of specific "functional" use cases, like those being developed for the underserved and/or under-funded up to others collaborative efforts. For example, the HL7 FHIR accelerator known as the "Gravity Project" is focused on developing FHIR IGs and solutions for use cases that address social determinants of health. in other words, FAST is working to clear the technical pathway to scale those solutions being developed by the Gravity Project.

  • Another good comment/question from John Odden: Great applause for FAST. However, at the inception of ONC's Certified EHR program, we heard too many tech leads say things like "as soon as we map the patient charts to SQL, the need for physicians may go way down, or at we erase the physician shortage." Later, we saw IBM add Explorys to Watson and race to a smaller version of that vision (was that a success or a face plant). In a world where many adopt FHIR for a badge or a bonus, but don't actually use that much, what is FAST? Is FAST "the first source-to-workflow value-based FHIR use case," or is FAST more of "an incremental step in building out a valuable FHIR-based infrastructure?" Either one would be GREAT. What's the FAST vision and goal? One of those, or something else?

  • Greg Bloom asked an important question - looking for responses please:  To what extent, if at all, might FHIR be appropriate for use in non-clinical care settings, especially among social services provided by non-HIPAA covered entities? Similar problems (identity, permissions, secure exchange, etc) but different regulatory frameworks … and technological capacities

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