Organizations that have completed the Qualified Health Information Network® (QHIN™) application and have been accepted into the project planning and testing phase of the on boarding and designation process. To read the full document and for updated information on the progress of KHIE, read the Kentucky Strategic and Operational Plan for Health Information Exchange.
- What makes C-CDA significant and an improvement on previous standards is that the data exchanged is machine-readable, so it can be picked up by HIE systems and parsed out into patient records.
- The nationwide health information network known as NwHIN is a set of standards, services and policies that enable secure health information exchange over the Internet.
- 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.
- By breaking down silos and enhancing communication between care settings, interoperability combined with enhanced patient throughput will improve outcomes, reduce inefficiencies, and create a more cohesive patient experience.
With providers looking to reduce friction throughout the patient experience, we can expect increased adoption of omni-channel payment solutions, such as tokens shared across engagement channels. For instance, a token captured via an in-person interaction at a physical location can be shared across channels and later used to complete E-Commerce or back-office transactions. Leveraging tokens shared across channels helps providers offer seamless payment experiences to their patients. The Sequoia Project Releases Data Usability Guide Version 2.0 – The Sequoia Project announced the release of the Data Usability Implementation Guide Version 2.0 created by its Interoperability Matters Data Usability Workgroup (DUWG).
Kentucky State Health Information Exchange (KHIE)
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.
The New Hampshire Health Information Organization (NHHIO) is a non-profit organization created by New Hampshire legislation to run the statewide health information exchange (HIE). Their aim is to collaborate with hospitals, physicians, community health centers, long term care providers, home care providers and other clinicians involved in healthcare delivery. NHHIO’s secure, encrypted network has given many of their providers the expanded access needed to comply with their EHR Incentive Program objectives, and allows for greater security and auditability when transmitting PHI.
New Hampshire State Health Information Exchange
To be considered for an exception (to avoid a downward payment adjustment), eligible hospitals and CAHs must complete and submit a Hardship Exception application. Eligible hospitals and CAHs would need to submit a new application for subsequent years and no eligible hospital or CAH can receive more than five exceptions in a lifetime. CMS understands that there may be circumstances out of your control that make it difficult for you to successfully meet the Medicare Promoting Interoperability Program requirements.
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.
- If you can’t exchange clinical data, each stakeholder is back to sharing attachments by fax, mail, email, etc.
- To be considered for an exception (to avoid a downward payment adjustment), eligible hospitals and CAHs must complete and submit a Hardship Exception application.
- 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.
- In 2025, healthcare organizations will finally move beyond basic data exchange to tackle the more complex challenge of semantic interoperability — ensuring that clinical information is not just shared but meaningfully understood across different systems and care settings.
Nationwide Health Information Network and Exchange
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.
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Organizations that leverage this shift to gain competitive advantages, by replacing outdated data-sharing methods with on-demand FHIR API access for example, will lead the way. While challenges persist, financial pressures on Medicare Advantage plans and the industry’s growing recognition of business impacts are expected to drive meaningful transformation. In 2025, we will see an increased focus on interoperability between payers and providers.
Some EHRs are only capable of sending and ingesting CCD information on a limited basis, if at all. For CCD exchange to be truly valuable, the information contained within the documents needs to be parsed out and able to populate fields within the patient record. When this technology is commonplace, CCD exchange will have much more clinical value to providers. This role will define and guide processes for customer and operations support including the daily interactions between our clients and our organization. The Client Support Lead plays a crucial role in prioritizing customers’ needs, expectations and satisfaction; they will lead our team in delivering the highest level of customer service in all client support interactions.
While progress will be made, achieving seamless data exchange across all platforms will take time. AI will make significant strides in the areas of AI-powered chatbots that can efficiently address patient inquiries and provide information, allowing healthcare providers to focus on complex cases. We will see additional growth in AI algorithms that can analyze extensive patient data to predict potential health risks, enabling proactive interventions and superior patient outcomes.
Interoperability in 2025 will reach new heights through systems that integrate real-time data from disparate sources, enabling seamless patient flow and care transitions. These tools will empower providers with actionable insights, ensuring patients are guided effectively through their care journey. By breaking down silos and enhancing communication between care settings, interoperability combined with enhanced patient throughput will improve outcomes, reduce inefficiencies, and create a more cohesive patient experience. Anthony Murray, CISO and ISSO at MRO, reminded attendees that HI professionals are the guardians of digital information in healthcare. “While we all want to accelerate clinical data exchange (including for prior authorization), there is a juxtaposition between protecting information while also sharing information more freely. Balance must be achieved for secure clinical eToro Review data exchange, and HI professionals have the knowledge to serve both masters.
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.
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.
What’s more, the speed at which data is shared across the continuum will be augmented with the help of AI and fueled by a complete picture of each individual patient. As such, we will see more frequent intersection points between interoperability and AI, with one hand feeding the other to improve patient outcomes at scale in 2025. Providers will also demand a more responsible infrastructure and expect more fluid, bi-directional learning between humans and technology to ensure safer and more secure interoperable data. In 2025, healthcare organizations will finally move beyond basic data exchange to tackle the more complex challenge of semantic interoperability — ensuring that clinical information is not just shared but meaningfully understood across different systems and care settings.
Interoperability 2025: The Hare and the Tortoise
In 2014, NHHIO helped pass legislation to secure protected health information (PHI). The legislation expands the network to include care coordinators, clinical support staff and other members of the care team. If you are the “receiver” of another provider’s CCD, you are reliant on what the “sender” thinks you need to know about the patient and their recent encounter(s).