[It is now June 2024, nearly four years since I wrote this post. Talk about a swing and a miss! In practice there are very few software applications actually using Patient Access APIs - not the tsunami I saw in my crystal ball. I need to do a post-mortem to figure out how I - … Continue reading On the Tsunami of Consumer Health Apps Headed Our Way
Tag: Interoperability
Your ONC Cures Act APIs and Managing Consent as Policy
The ONC Cures Act final rule is forcing payers and providers to come to grips with automating consent management and enforcement for data access. The best architectural solution to address it is Policy Based Access Control, or PBAC. PBAC is a kind of Attribute-Based Access Control, or ABAC. Unlike Role-Based Access control, in which a … Continue reading Your ONC Cures Act APIs and Managing Consent as Policy
The CONQUER Architecture for Distributed Systems, Part 1 of Probably Too Many but Hopefully Just Enough
Some time between 2010 and 2013 I began thinking differently about integration, both among components of distributed applications and among distributed applications per se. I know the rough time span because I published an integration reference architecture here in 2010 that did not feature the new ideas, and one in 2013 that did - well, … Continue reading The CONQUER Architecture for Distributed Systems, Part 1 of Probably Too Many but Hopefully Just Enough
A Brief History of Healthcare Interoperabilty (with some thoughts on the future)
The word 'interoperability' as used the current national healthcare dialog has a nuanced meaning. Interoperability is generally defined as the ability of computer systems to readily exchange information. In health care today, however, Interoperability (capitalized hereafter when I am trying to distinguish it from the general sense of the word) more closely means something like … Continue reading A Brief History of Healthcare Interoperabilty (with some thoughts on the future)
Trusted Applications: an Interoperability Parable
Imagine you have to go to the Florida Blues Deerwood campus to pick up a copy of your significant other Sam's claims history. (I am picking on Florida Blues because Deerwood is a compound, you pretty much have to drive there, and there is an only-friendly-to-cars guard gate. What follows is fiction, not what actually … Continue reading Trusted Applications: an Interoperability Parable
Interoperability is Not About Moving Data Around
The national dialog about Interoperability is currently based on a shared conceptualization of interoperability as 'moving data around'. This is common across the standard definitions of interoperability from ONC, HIMSS, CMS and other authoritative sources. The original Blue Button was - is - about moving your entire health record from their computer to your computer. … Continue reading Interoperability is Not About Moving Data Around
Join a Trusted Payer Exchange Network Framework. What?
CMS has inadvertently sown some confusion around what are now in my experience mostly being called 'Trusted Payer Exchanges' – the things that MA plans, Medicaid managed care plans, CHIP managed care entities, and QHPs in the FFEs will be required to join. (‘QHPs in the FFEs’ begs to be rapped – somebody give me … Continue reading Join a Trusted Payer Exchange Network Framework. What?
Health IT Architect 