Skip to main content

Provider Directory Strategies

The Office of the National Coordinator asked me to present the Massachusetts Provider Directory approach to the Provider Directory Community of Practice (CoP) on March 21.

Here's the powerpoint that I'll present tomorrow.

It highlights the decisions we had to make (Entity v. Individual, Central v. Federated, web API verses LDAP, etc)

Issue: Should we include organizations, individuals or both in the provider directory?
Answer: The directory should have a schema that enables lookup of entities (e.g., Organizations, Departments, State Agencies, Payer Organizations, Patient Health Record services) AND an individual's affiliation with an entity trusted by the HIE.  You can lookup John Halamka to discover that I'm affiliated with BIDMC, then lookup BIDMC to determine how to exchange data with my organization.

Issue: Should the Provider Directory be centralized or federated?
Answer:  The Provider Directory should be centralized at the State level, given lack of proven scalable approaches to federated provider directories standards and architecture.  However, Public Key Infrastructure can be federated based on the Direct DNS specification for certificate exchange.

Issue: How should we expose Provider Directory services to the Internet?
Answer: A SOAP-based web services API will support query/response, add/change,  and delete operations over the Internet.  An LDAP approach will support directory access for applications behind the MassHealth firewall.

Issue: How should we populate the provider directory?
Answer:  Commercial databases often lack timely updates.   In Massachusetts, we have several existing data sources to leverage including those used by payers for quality reporting, those used by provider organizations, and those used by the regional extension center.

Issue: How will we integrate this service into EHRs?
Answer: We will work with EHR vendors via a centralized program management office to procure software components that integrate provider directory and HIE transport services into the workflow of the EHR itself.  We will not force clinicians with certified EHRs to use a disconnected portal outside of their the EHR.

I look forward to speaking with the Provider Directory Community of Practice (CoP) to hear about approaches in other states and share lessons learned.

Comments

Popular posts from this blog

clip on magnetic sunglasses visit here

Save with prescription glasses and sunglasses. Prescription eyeglasses with magnetic clip on sunglasses. A wide selection of colors and styles for every budget! -GlassesPoint. Prescription eyeglasses with magnetic clip on sunglasses. A wide selection of colors and styles for every budget! Free magnetic clip on with every pair of glasses.  The operator should contact lens Plano glasses a few days of Sun and Rx on the other person. Many people choose single vision lenses, designed for a specific use, such as prescription sunglasses. Clip-ons magnetic magnetic clip ons often come with their prescription glasses frames. Prescription glasses Goggles4u dollars from 29.99 with free shipping. Takumi neodium magnet glass features recipes that are light, strong and in. The combination of some normal prescription glasses and a pair of polarized glasses that glare-resistant to outdoor activities. clip on magnetic sunglasses visit here

t shirt maker cheap online visit here

Design your own t-shirts online and custom shirt maker online Exclusive collection for women's clothing in the West at http://t-shirt-Maker.Page.TL/, photo t-shirts in India, send a photo t-shirt to write India slogan t-shirts, custom t-shirts online, order photo t-shirts, printed t-shirts online.    t shirt maker cheap online visit here

t shirt maker visit here

Who doesn't love the Tunnock tea cake? Crea mola foam? Pride of Scotland only bread ... with square sausage sandwiched in the segment of Sunday morning? I would love to meet your custom tshirt supplier and I just discovered jumping stable in Glasgow's Central St. Gillian Kyle is a young artist in Glasgow who develop custom t-shirts and other products that are worth a look. t shirt maker visit here