Meeting the Demand for Interoperable Health Information Exchange 2016: Options and Opportunities
This presentation, followed by questions and discussion, will examine the landscape of interoperable health information exchange technologies, networks, and governing organizations available in 2016, while also looking at how the demand for interoperable exchange has grown and been shaped by various regulatory and market forces during the past several years. One of the theses of the talk will be that "interoperability" of information exchange means different things to different people and groups of people, and that having a multiplicity of interoperable exchange options is not at all a bad thing or does it imply lack of innovation. We will also explore the way in which demand for more open exchange of health information across boundaries of organization and health IT system is dependent on factors like trust, network effects, and health payment system incentives, and that these can often be localized. The primary example for demonstrating these ideas will be that of Direct exchange or Direct messaging. But other technical solutions, such as eHealthExchange and FHIR and APIs will be discussed as well.
- Participants will be encouraged to define anew what interoperability means in light of the last five years of health information exchange during which interoperability has been both a goal, a mission, and tough problem to solve. Several kinds of interoperable exchange will be acknowledged as both used and useful, and the demand for them evaluated based on recent information from the field.
- Participants will be introduced to both positive and negative network effects as these have influenced the growth of Direct messaging for health information exchange, and how these are related to pressures from regulations, legislation, and the market. We will ask the question: to what extent are network effects common to all of the types of interoperable health information exchange?
- Finally, participants will be invited to comment on and argue their perspectives on the assumptions, definitions, and assertions made regarding interoperability of health information exchange made during the presentation, and to engage in a healthy and lively dialogue.
David Kibbe, MD, MBA
President and CEO
The Learning Health System: Democratizing Health Together
This presentation will describe the Learning Health System (LHS) vision and imperative. It will illuminate the way the LHS can be a trust fabric that weaves together and amplifies many efforts aimed at the Triple Aim, health quality improvement, patient empowerment, research and analytics, and public health. The presentation tracks developments in the space including the growth of the Learning Health Community multi-stakeholder grassroots movement, national and global policy shifts, public and private investments in developing learning networks, and academic/scientific developments promising to shape the future of this transformation. It closes with a call to action for the HIE Community and HIMSS members generally.
- Participants will understand the "bigger than 'big data'" LHS vision and imperative, as well as a number of policy, technology, and scientific developments in the landscape.
- Participants will be able to trace the growth of the LHS movement from impossible to imperative to inevitable.
- Participants will be able to envision a transformation in which health data and knowledge are being generated at many times present rates, and recognize the challenge and importance of mobilizing and sharing this data and knowledge to empower all stakeholders.
- Participants will have learned about some current efforts creating learning networks and the potential for a common infrastructure to engender economies of scale and scope to amplify their impact.
- Participants will be able to imagine the role of HIE in this transformation, as well as consider how they can contribute to the LHS movement and what the LHS can do for them (as health/IT professionals and as patients/caregivers).
Joshua C. Rubin, JD, MBA, MPH, MPP
Program Officer for Learning Health Systems Initiatives
University of Michigan Medical School
Department of Learning Health Sciences