2018 State HIT Connect Summit

In the 1982 movie “TRON,” actors playing intelligent computer programs ask each other “Do you believe in the users?” This presentation will discuss how scalable health information exchange can be accomplished by focusing on interoperability through enforcing rigorous data and technical standards using a combination of financial incentives for machine-validated conformance and normalization. This socio-technical approach both encourages and requires health information organizations to participate in a common legal and trust framework that further institutes strict compliance requirements for participants to utilize highly modular, medium-grained web services that can be flexibly assembled and reused to accomplish things from Health Information Exchange (HIE) to Modular Medicaid Information System (MMIS) capabilities. Web services using modern APIs can replace user-centric silos with highly modular components for provider directory information, master patient information, record location, care coordination, public health reporting, and quality reporting each of which can be procured independently. This presentation will also describe how a focus on standardized health information and interoperability can help reduce provider workflow burdens and help close gaps-in-care by enabling the separate user-centric user interface efforts to occur in parallel. Finally, this presentation will detail how knowledge-based predictive modeling can be applied to successfully standardized exchanges of health information for use cases of very high value such as the detection of high-risk conditions and treatment optimization for population health.