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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