Colorado’s Approach to Implementing the CMS Interoperability & Patient Access Rule
The ‘Interoperability Insights’ virtual programming, as part of the 2020 State HIT Connect Virtual ‘Mini-Series’, provides an opportunity for participants to learn and collaborate around key interoperability related topics, projects, implementations from across the country.
The second in the ‘Interoperability Insights’ series provides critical insights and learning from a multidisciplinary team at Colorado’s Department of Health Care Policy and Financing (DHCPF), CORHIO, one of the country’s largest and most successful health information exchange (HIE) networks and Colorado Digital Service, launched in October 2019 to develop and implement user-centered solutions, using agile methodologies for Colorado’s most pressing technical challenges.
Thursday, June 4th | View Presentation on Demand at the 2020 State Healthcare IT Connect Portal | Register to view now
Chris Underwood, Deputy Chief of Staff, Colorado Department of Health Care Policy and Financing (DHCPF)
Micah Jones, HIT Coordinator, Colorado DHCPF
Vicki Foreman, Director of Health Information Office, Colorado DHCPF
John Kennedy, Project Coordinator, Colorado DHCPF
Kelly Taylor, Director, Colorado Digital Service
Parrish Steinbrecher, Director for the Health Information Office, Colorado DHCPF
Kate Horle, COO, CORHIO
Presentation Overview: In releasing the Interoperability and Patient Access final rule, CMS hopes to empower Medicaid members by giving them access to their claims and encounter information when they need it most and in a way they can best use it. As part of the Federal MyHealthEData initiative, the Final Rule will accelerate interoperability and patient access to health information by liberating patient data held by Medicaid and CHIP entities.
Colorado has long emphasized the importance of patient-centered care and breaking down health data silos. To that end, the Colorado Department of Health Care Policy and Financing, Colorado’s State Medicaid Agency, is collaborating with patients, plans, providers, care coordinators, and Health Information Exchanges to implement Patient Access and Provider Directory APIs.
Colorado has an eye for future applications of its APIs, with a vision of a broadly scalable solution that has promise for use cases beyond patient access and payer-to-payer exchange. Including use cases for providers, care coordinators, and community organizations as directed by the Member. This will be achieved through integrating the SMA’s claims and encounter data with clinical data, social determinants of health data, and datasets broader that the USCDI.
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