Tuesday, April 05, 2016

#ONCPDW Provider Directory Workshop – MiHIN Jeff Livesay

Evolution of Provider Directories – What we learned and where we are going

In the beginning:

  • Lots of confusion. Four different standards and profiles.
  • These got standardized to HDP.

Throwing all data in to Provider Directory – It doesn’t work

  • Don’t buy commercial data

Provider directory is not an end in itself.

Started to wrap directory in a REST API. (They use Salesforce).


Used in the CMS Code-a-thon this past weekend (http://2.healthca.mp/1P4WhH9)

Provider Directory Services used for:

  • Care Coordination
  • Quality Measurement
  • HelpDesk Use Cases
  • Patient Provider Attribution (Part of Care Coordination

Personal Predictions

  • Siloed Directories will not make it
  • National Provider Directory capability will emerge.
  • A Standard API is required

MiHIN is using NPPES 3.0 API.

MiHIN uses current FHIR Resources in Statewide Consumer Directory (SCD).
Providers, Organizations, Affiliations

No longer a phonebook but rather an indexed routing table.
-You need to include all CAREGIVERs. Not just NPI Holders.

  • Different Directories for Different Goals
  • CMS / DirectTrust / CAQH / States / Others

The common thread is Alternative Payment Models.

Presenter: Jeff Livesay

via WordPress http://2.healthca.mp/1SNkbvM