ü Checklist for Interoperability Compliance 1. Identify your data sources q Locate where your member claims, payment and clinical care data reside q Ensure accessibility via API or ETL 2. Implement a FHIR server and API data staging environment q Determine if you will use a FHIR data repository, dynamic services or a hybrid approach q Determine if you will build (internal) or buy (external) q Determine if you will select an open source or proprietary option 3. Verify your FHIR-based API management capabilities q Ensure native integration between your FHIR data repository and the FHIR server q Enable full integration with your OAuth services 4. Establish dynamic links between your FHIR infrastructure and your source data q Use smart API layers wherever possible q Reduce dependency on legacy ETL processing models 7. Establish a rigorous consent management framework q Address consent declaration and tracking q Certify your patient matching process q Implement third-party application certification 6. Establish your ID and OAuth framework q Ensure full integration between your API infrastructure and digital ID management system q Refine your OAuth implementation to address HIPAA privacy and security requirements 5. Implement a change management plan for mapping data to standards q Address version volatility with FHIR, USDCI and other standards referenced in the rule q Leverage configurable canonical mapping tools 8. Implement a transparency platform (track, log, audit, and report) q Ensure HIPAA Compliance q Review all approaches to liability risk management q Address business liability concerns The CMS Interoperability & Patient Access Final Rule and the ONC 21st Century CURES Act Final Rule mandate that healthcare organizations comply with new interoperability requirements to liberate patient care and payment data. Edifecs has been the trusted partner and leader in compliance and interoperability in the healthcare market for 24 years. As health plans move forward to implement new standards and APIs based upon HL7 FHIR, RESTful services and OAuth 2.0, Edifecs has developed this checklist to help you plan a successful roadmap to interoperability and compliance. Contact us today to find out how we can help you meet interoperability deadlines at [email protected] © 2020 Edifecs Corporation. All Rights Reserved.

Checklist for Interoperability Compliance · 2020. 4. 28. · Edifecshas been the trusted partner and leader in compliance and interoperability in the healthcare market for 24 years

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© 2019 Edifecs, Inc. | WEDI Webinar Series Page 1

ü Checklist for Interoperability Compliance

1. Identify your data sourcesq Locate where your member claims, payment and clinical care

data reside q Ensure accessibility via API or ETL

2. Implement a FHIR server and API data staging environmentq Determine if you will use a FHIR data repository, dynamic

services or a hybrid approach q Determine if you will build (internal) or buy (external)q Determine if you will select an open source or proprietary option

3. Verify your FHIR-based API management capabilitiesq Ensure native integration between your FHIR data repository

and the FHIR serverq Enable full integration with your OAuth services

4. Establish dynamic links between your FHIRinfrastructure and your source dataq Use smart API layers wherever possibleq Reduce dependency on legacy ETL processing models

7. Establish a rigorous consent management frameworkq Address consent declaration and tracking q Certify your patient matching processq Implement third-party application certification

6. Establish your ID and OAuth frameworkq Ensure full integration between your API infrastructure and

digital ID management systemq Refine your OAuth implementation to address HIPAA privacy

and security requirements

5. Implement a change management plan for mapping data to standardsq Address version volatility with FHIR, USDCI and other

standards referenced in the ruleq Leverage configurable canonical mapping tools

8. Implement a transparency platform (track, log, audit, and report)q Ensure HIPAA Compliance q Review all approaches to liability risk managementq Address business liability concerns

The CMS Interoperability & Patient Access Final Rule and the ONC 21st Century CURES Act Final Rule mandate that healthcare organizations comply with new interoperability requirements to liberate patient care and payment data. Edifecs has been the trusted partner and leader in compliance and interoperability in the healthcare market for 24 years. As health plans move forward to implement new standards and APIs based upon HL7 FHIR, RESTful services and OAuth 2.0, Edifecs has developed this checklist to help you plan a successful roadmap to interoperability and compliance. Contact us today to find out how we can help you meet interoperability deadlines at [email protected]

© 2020 Edifecs Corporation. All Rights Reserved.
mailto:[email protected]