Provider Directory Initiatives
Two Initiatives:
1. Discovery of Digital Certificates
- A Hybrid DNS/LDAP solution
- Definition of Electronic Service Information
- Minimum data set, data model and schema for Provider Directories – Specific Query and response
- Map dataset, model and schema to stndards for LDAP/x.500, HPD, ASC X12 (274) and identify gaps – Work with standards bodies to incorporate identified gaps. eg. HPD+
Query and Response: Individual / Organization /Relationship
Allow query and response on almost all data elements.
- What method using
- What information is being exchanged
- Security relating to exchange
- Endpoint
- Preference for multiple endpoints.
Next Steps:
- Establish Standard, fRee code sets for use by all members of community. – Provide detailed implementation descriptions
FHA Healthcare Directory Workgroup
- Guiding Parties: CMS, HHS, ONC, Indian Health Service, CDC, SSA, VA – identify alternative approaches
- identify short/mid and longterm solution proposals
Assessment and Evaluation Criteria for agencies:
Provider directory is part of a workflow process.
Options:
– Centralized
– Federated model
– Hybrid model
Central common directory.
Local implementations
Federated model was ranked highest because it gave control to local agencies
Recommendations:
– Short = Federation
– Mid = Hybrid
– Long = Hybrid Alternative Approach
Detail Work:
- Completed: Recommendations to establish Trust Relationships / Direct + eHealth Exchange ESI
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Additional Topics:
- Support Complex Queries
- Support multiple query technologies inc. FHIR
- Federation (Directory Discovery, Security, Content Replication) – Maintenance and Access
- Audit Trails
- Certification and Accreditation
- Granular Security
Presenter: Bob Dieterich
via WordPress http://2.healthca.mp/1TzYkdt
