We’re going virtual! DirectTrust is proud to host our second annual DirectTrust Summit to connect you with some of the nation’s greatest healthcare and interoperability experts. Both members and non-members are encouraged to attend, but advance registration is required.
This event is open to both members and non-members of DirectTrust.(more…)
As we marshal healthcare technology and policy to respond to the COVID-19 crisis, discussions about best approaches are everywhere. While public health reporting needs to be a focus, continued attention to privacy and security also remain important. More than ever, care coordination is essential to outcomes.
Hear the success story of the coming together of the HIT powerhouse that consists of one of the nation's largest HIEs (Great Lakes Health Connect) with one of the country's largest HINs (Michigan Health Information Network Shared Services) and how Direct Secure Messaging is being set as a foundation in Michigan as an expected core competency. Next, learn how MiHIN partnered with our state government and the organization digitizing Michigan driver's licenses to create a trustworthy process to verify identities remotely. This proofing methodology moves beyond knowledge based questions and validates the individual bears a valid government issued ID and performs facial recognition against State of Michigan records.
As VA has used Direct Messaging nationwide, it has learned that people and process are often more difficult than technology. HISPs and EHRs are closer than ever to the point that end users don’t need to think about them—they can focus solely on usage. Setting up business workflows between organizations is often challenging and time consuming. Having these connections transform health care and provide significant organizational efficiencies is even harder.
In this session, VA will share the good and bad of its Direct Messaging work, as well as lessons learned and ideas on how to improve sharing between organizations. Specific areas VA will discuss include:
- Finding the right contacts within a partner organization
- Dealing with the variation in Direct Messaging end user functionality
- Using the DirectTrust Directory for research, as well as finding specific people
- Defining repeatable workflows between organizations
- Troubleshooting technical and business process issues
In the last 10 years that the industry has been digitizing the healthcare industry, DirectTrust and Direct Secure Messaging has been an essential part of the journey, enabling trusted exchange between virtually every EHR platform in the US, deployed at over 400,000 organizations. Now, five years into the Trusted Exchange Framework and Common Agreement (TEFCA) journey, Direct Secure Messaging is still not included as a mechanism in the framework - rather, a competitive alternative to Direct is required for use by QHINs. If the ONC were to formalize the ability for DirectTrust to become a QHIN that only supports a single modality, it would be possible to bring Direct into the fold under the Common Agreement. Learn how we got to this point and why we are proposing this approach.
Today, there's a conversation about how to improve the approach we take to identifying patients in US healthcare. It will be important as we do this that we move to fill the “trust gap” on the internet at the same time. We need to build an identity infrastructure where the consumer has control over their identity and the data that is shared about them, rather than a model based upon surveillance. A Trust Framework and technical trust capabilities like what is in use in DirectTrust have applicability to this challenge.
At last year’s Summit, we demonstrated a proof-of-concept of the Trusted Instant Messaging standard. Over the last year, the DirectTrust Standard TIM+ Consensus Body crafted Version 1.0 of a Draft Specification. In the COVID-19 era, we have learned that telehealth is just healthcare delivered virtually, and like life on the internet generally, what is missing is the trust-in-identity that is more easily ensured when we are face-to-face. We are also announcing in the fall we will invite outside participants to help us test the specification to harden it, with the goal of finalizing the specification through consensus balloting and ultimate ANSI approval.
Secure, private and reliable identification of patients is critical to delivery of healthcare services across providers. The W3C Decentralized Identifiers1 and Verifiable Credentials2 allow for trusted, secure, and vendor-independent identification and exchange of information across many underlying transport technologies. A decentralized identifier (known as a “DID”) can be used globally to lookup information without relying on a centralized registry controlled by a single country, vendor or any other organization. This session will deliver a working demonstration delivering an identity proofing scenario, generating a patient direct address, coupled with a subscription based notification platform that delivers secure messaging between disparate stakeholders integrating biometric verification.
In today’s world of shared information, timeliness and ease of access by the people who need it is important. Determining the best course of action and treatment could depend on it. Reducing siloed data, decreasing the time to receive patient information and increasing interoperability, between EMS and the patient’s providers, drives better treatment and outcomes. This presentation will explore how Virginia-based health system, Carilion Clinic, leveraged existing technology and healthcare standards for patient information exchange between emergency medical services (EMS), and the hospital. Learn why it was easy and affordable and the measurable results it created by improving efficiency for the EMS crews, automating delivery of the ePCR into the Hospital’s EMR, closing care gaps and eliminating manual labor at the hospital.
This presentation will explore opportunities to use secure messaging powered by the DirectTrust security and trust framework to renegotiate relationships among members, providers and payers to improve healthcare delivery. Use cases involving DirectTrust-mediated transport (e.g., prior authorization, consultations, virtual healthcare) and identity (e.g., different personas for different healthcare interactions) will be considered.
Identity is the great unsolved problem in healthcare today. Outside of healthcare and outside of the United States, models for Decentralized digital identity management are in use at scale and provide a framework enabling interoperability, large scale commercial collaboration and individual participation. This panel will bring together representatives from the organizations responsible for deploying such models in both governmental and commercial contexts with healthcare information exchange experts to explore how a technical trust framework like DirectTrust can be used to provide governance and support for the deployment of such a model in the US. Experts representing both the Hyperledger/SOVRIN Community and X-Roads (as is deployed in Estonia and in more broadly in the European Union) will be present as well as healthcare technology and interoperability thought-leaders for a collaborative discussion on ways to make digital identities durable, portable and powerfully useful in healthcare information exchange.
Dr. Rucker will share his thoughts on the future of healthcare data liquidity, review industry accomplishments thus far, and what remains for the industry to be successful going forward.
DirectTrust is excited to share a special live presentation from eClinicalWorks, MedAllies, Netsmart, Epic and Qvera demonstrating the 360X referral process through multiple care settings.
We have assembled a unique group of activists in the health policy arena representing health information exchange organizations, provider organizations, technology companies and government to discuss the current regulatory climate for interoperability and potential gaps that may need filling with new regulation or governance.