May 18, 2022

MDG – 500

Trailblazing Healthy Quality

Improving Person-Centered Care in Home and Community-Based Services with FHIR

3 min read


Editor’s Note: On April 14, 2022 at the ONC Yearly Conference the Missouri DMH LEAP workforce will share perception into their pilot demonstration and development to go are living with integrating wellness treatment and HCBS facts.

Integrating knowledge from overall health treatment and property and neighborhood-centered solutions (HCBS) to strengthen health and fitness results is of escalating significance, primarily as the U.S. populace ages and the demand for extensive-term companies and supports (LTSS) grows. A 2020 ONC Leading Edge Acceleration Undertaking (LEAP) in Wellness Facts Technologies (Well being IT) awardee, the Missouri Department of Psychological Wellness (DMH) Division of Developmental Disabilities, seeks to tackle this situation.

The Missouri LEAP staff focused on the use of the digital extended-expression companies and supports (eLTSS) Wellbeing Degree 7 (HL7®) Quick Health care Interoperability Methods (FHIR®) Implementation Tutorial (IG) to employ and exam the trade of Missouri Specific Support Strategy (ISP) information across supplier IT systems. The capture, aggregation, and sharing of these knowledge aspects will help the style and implementation of a Supported Work Price-Based mostly Treatment Model, which focuses on endorsing man or woman-centered work arranging, instruction and instruction, job placement, and work advancement employment results for HCBS waiver contributors. On top of that, the HL7 publication of the eLTSS FHIR IG provides HCBS know-how builders with a new option to advance interoperability for populations served by HCBS.

Throughout the September 2021 HL7 FHIR Connectathon, the Missouri LEAP staff shown the capabilities of the eLTSS FHIR IG by exchanging information from the state’s case administration technique to a well being info community, a supported employment company IT system, and a major treatment provider digital overall health history. The Missouri LEAP workforce shown that a high diploma of interoperability amid health and human provider suppliers is feasible and can assist a vision for entire person and whole community treatment.

Missouri Dept of Mental Health Demonstrate eLTSS FHIR Data Exchange

The exchange of Missouri’s Unique Company Prepare (ISP) facts employing FHIR is depicted above.

What is Up coming?

ONC is collaborating with the Facilities for Medicare & Medicaid Companies to build alternatives to progress interoperability in the HCBS sector. Ongoing operate with general public and non-public payers, states, and agencies associates will be instrumental in advancement efforts and we hope other states can start off similar assignments to coordinate and advance the care men and women get by way of HCBS.

The Missouri LEAP workforce will share their eLTSS FHIR IG pilot findings at the ONC Annual Meeting on April 14, 2022. Sign up for the virtual meeting listed here.

ONC would like to thank the Missouri Division of Psychological Health and fitness for their assist in producing this website post.

Beneficial Sources/One-way links

Missouri Division of Psychological Wellbeing, LEAP Grant

Missouri Worth Dependent Obtaining HCBS Quarterly Stakeholder Update

HL7 eLTSS FHIR IG

Mental and Developmental Disabilities – An Possibility for Enhanced Care Coordination



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