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SME Session 7: Scaling Requirements for FHIR RESTful Exchange Intermediaries
This SME Panel Session will focus on the proposed solution to address barriers related to Scaling Architecture, developed by theFASTDirectory, Versions and Scale Tiger Team. The group of SMEs invited to participate in this session will be asked to evaluate the team's proposed solution, "Scaling Requirements for FHIR RESTful Exchange Intermediaries", and provide expert insight, feedback, and guidance.
Intermediaries will be needed to scale FHIR across a growing number of healthcare ecosystem participants in anticipation of future healthcare needs and increased transactions embedded in clinical workflows. Yet there are no “rules of the road” for intermediaries to meet minimum requirements for performance, availability, or response times in support of synchronous end-to-end real-time data exchange. The FAST team has proposed a solution intended to support:
The ability to utilize intermediaries to reduce the complexity of connecting with a large number of endpoints and managing authentication and authorization with each
Predictable intermediary performance to meet real-time exchanges
Participants
Name
Organization
Participation Role
Patrick Murta
Humana
Meeting Facilitator, ONC FAST Chief Architect
Paul Oates
Cigna
Meeting Facilitator, ONC FAST Chief Architect
Alex Kontur
HHS | ONC
Meeting Facilitator, ONC FAST Lead
Alix Goss
Imprado
Meeting Facilitator, ONC FAST Tiger Team Lead
Bob Dieterle
Enablecare
Meeting Facilitator, ONC FAST Tiger Team Lead
Arien Malec
Change Healthcare
Subject Matter Expert
Michael Privat
Availity
Subject Matter Expert
James Agnew
Smile CDR
Subject Matter Expert
Sasha Volkov
Optum
Subject Matter Expert
John Kelly
Edifecs
Subject Matter Expert
Mike Gould
BCBSA
Subject Matter Expert
Vijey Kris Sridharan
United
Subject Matter Expert
Patrick Haren
Cigna/ Evernorth
Subject Matter Expert
Patrick Murta or designee
Humana
Subject Matter Expert
Hans Buitendijk
Cerner
Subject Matter Expert
TBD
Athenahealth
Subject Matter Expert
Vassil Peytchev
Epic
Subject Matter Expert
Jeff Danford
Allscripts/ Veradigm
Subject Matter Expert
Rohit Shinde
eClinical Works/ Healow
Subject Matter Expert
TBD
Military/DoD/VA
Subject Matter Expert
Eric Heflin
eHealth Exchange
Subject Matter Expert
Alan Swenson
Carequality
Subject Matter Expert
Jason Vogt
CommonWell
Subject Matter Expert
Tim Pletcher
MIHIN
Subject Matter Expert
Brandon Neiswender
CRISP
Subject Matter Expert
Cody Johansen
UHIN
Subject Matter Expert
Matt Spielman
InterSystems
Subject Matter Expert
Bill Gregg
HCA
Subject Matter Expert
Verghese Abraham
Sutter Health
Subject Matter Expert
Mike Westover
Providence St. Joseph
Subject Matter Expert
Michael Shoemaker
Providence St. Joseph
Subject Matter Expert
Jon Copley
Centene
Subject Matter Expert
John Loonsk
Association of Public Health Laboratories (APHL)
Subject Matter Expert
Walter Suarez
Digital Bridge
Subject Matter Expert
Paula Braun
CDC
Subject Matter Expert
Richard Hawes
CDC
Subject Matter Expert
Jamie Ferguson
Kaiser Permanente
Subject Matter Expert
*All SME participants with an asterisk by their name are invited, pending confirmation.
Scope and goals: This session is intended to orient SMEs to the work of FAST, the barriers this team is addressing and the proposed solution the team has developed. The goal is to provide SMEs with the foundational knowledge required to conduct an evaluation of the proposed solution prior to the SME Session.
Meeting #2 - SMEs Panel Session - An industry discussion around the FAST proposed solution for Scaling Requirements for FHIR RESTful Exchange Intermediaries (3 hours) (closed session, by invite only)
Date/time: 3-6PM ET
Scope and goals: The goal of this session is to elicit SMEs expert insight into proposed solution(s), specifically:
Feasibility and effectiveness
Potential gaps
Unintended consequences
Alternate approaches to consider
Industry path forward (standard, regulation or policy)
FAST’s goal is to analyze and identify HL7® Fast Healthcare Interoperability Resources (FHIR®) scalability gaps and offer possible solutions that will address current barriers and will accelerate FHIR adoption at scale.
To learn more, you can review theFASTAction Planfor a snapshot of the progress made byFASTso far.
Next Steps following SME Sessions
FAST Report-Out to summarize session discussion, decisions, and next steps
FAST Action Plan updates to define proposed solution path (standard, regulation and/or process)
Contact Us
If you have any further questions, comments or would like more information please contact ONCFASTLead:Alex.Kontur@hhs.gov