Bob Dieterle

Tim Young

Jason Walonoski

Patrick Murta

Rick Geimer

Dan Chaput

Alex Kontur

 

Existing Entities w/Directory & Scaling Services

 

Bob – who are the major players in this space that we can learn from?

 

Directory services

Murta – eHealth Exchange (Sequoia)

Walonoski – MiHIN has provider directory services, FHIR pits (their FHIR server), Ring of FHIR (FHIR servers in a network)

  • Bob – I think FHIR Pit was built to simulate what is being asked for in TEFCA

Bob – DirectTrust for Direct addresses

Bob – there is a group trying to put together the commercial equivalent of Blue Button 2.0

  • Murta – the CARIN alliance?

Walonoski – Argonaut Provider Directory? To the extent people are implementing it

  • Bob – Cerner, Epic, Allscripts
  • Murta – Epic Directory Service

Alex – Surescripts

Bob – Commonwell

Walonoski – aware of a provider directory in Australia, but don’t know the name of it

Bob – does CAQH have directory services? Do they maintain endpoints?

Bob – NPPES includes endpoint information for providers

Bob – state HIEs

 

Bob – how would we prioritize these (in terms of implementation of endpoint services)?

  • Sequoia – A
  • MiHIN – C
  • DirectTrust – A
  • CARIN alliance – C (not in production)
  • Surescripts – A
  • Commonwell – A
  • Australia – B
  • NPPES – C (doesn’t include a lot of good endpoint info)
  • State HIEs – C (because they focus on routing rather than endpoint services)
  • EHR vendors – B (because directory services are mostly internal)

 

Scaling Services

Bob – clearinghouses

  • Bob – Change Healthcare
  • Murta - Availity

Walonoski – can you elaborate on what you mean by clearinghouses and scaling services?

  • Bob – anything that provides an intermediary that allows us to scale. Ability to manage multiple endpoints

Walonoski – Apple health records? Has built interfaces to 500 other FHIR endpoints

Bob – do other industries provide examples? Banking? The internet/DNS model?

  • Walonoski – cloud service providers, e.g. AWS, Azure
  • Bob – travel industry
  • Dan – Insurance industry
  • Amazon?
  • Walonoski – Mint is aggregating financial front end
  • Bob – Surescripts for pharmacy/PBM info

Alex – Research networks? E.g. Cancer Biomedical Informatics Grid (caBIG)

  • Walonoski – ASCO CancerLinQ

 

Prioritization

  • Clearinghouses – A
  • Apple – A
  • DNS model – A
  • AWS – B
  • Research networks – C
  • Travel – A
  • Amazon – A
  • Insurance.com – A
  • Banking – A
  • Surescripts - A
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