Healthcare information systems are built like 20th century power grids - they are designed to transport data across closed-ended, proprietary networks.
There is no one solution to consolidate data across the billions of healthcare interactions that happen each year, because the current data exchanges are all scoped to a particular region, industry, corporation, government entity, or clinical use case.
What the US needs is nationwide, service-agnostic network that overlays existing healthcare data exchanges, and allows the transmission and integration of healthcare data powered by health IT standards and open APIs.
Carequality has brought together the entire healthcare industry to overcome this challenge by providing a national-level, consensus-built, common interoperability framework to enable exchange between and among health data sharing networks.
Bringing together a diverse group of representatives to determine technical and policy agreements to enable data to ﬂow between and among networks, platforms, and geographies, much like the telecommunications industry did for linking cell phone networks.
Carequality strives to be:
- Inclusive and transparent
- Flexible and innovative
- Clear and equitable in its oversight
What is needed to enable this sort of widespread connectivity, without individual pre-coordination with each partner?
There are three core elements:
Common rules of the road: In order for the varied participants to trust each other with health information, everyone needs to have a legal obligation to abide by the same rules.
Well-defined technical specifications:
Shared rules are not enough; clear standards must be laid out in an implementation guide that all implementers can follow.
A participant directory:
To connect using the common standards, systems must know the addresses and roles of each participant.
Carequality is implementing each of these pieces, as the core of a practical, operational framework for connecting the country through existing networks.
The comprehensive Carequality Interoperability Framework consists of multiple elements, including legal terms, policy requirements, technical specifications, and governance processes, which operationalize data sharing under the previously approved Principles of Trust. The Framework is now available for health information exchange networks, vendors, payers, and others across the healthcare ecosystem to adopt, providing a practical approach to unlocking previously unseen levels of connectivity, including patients through consumers apps.
How We Work
OneRecord is the only consumer facing organization live on the current national networks as CareQuality Implementer Our CEO sits on the Steering Committee and OneRecord as an organization has been actively involved with Carequality sine 2017.
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