The California Well being & Human Providers Company’s Heart for Knowledge Insights and Innovation (CDII) has developed a draft for public remark of a six-pillar Knowledge Trade Framework (DxF) Roadmap to establish and talk a set of implementation priorities and proposed steps and milestones to implement them by means of 2027.
Established by Meeting Invoice 133 in 2021, California’s Knowledge Trade Framework (DxF) is the primary statewide Knowledge Sharing Settlement (DSA) to securely alternate Well being and Social Providers Data (HSSI) amongst well being and social service organizations and authorities businesses in California. The DxF requires hospitals, doctor organizations and medical teams, well being plans, different statutorily mandated entities to signal the DSA to alternate HSSI in actual time beginning January 31, 2024.
CDII developed this DxF Roadmap to establish and talk a set of DxF implementation priorities and proposed steps and milestones to implement them by means of 2027.
The six precedence areas are:
1. Occasion Notification
2. Social Service Knowledge Technique
3. Consent and Id Administration
4. Public Well being
5. Affect Measurement
6. Participant Engagement
Within the realm of occasion notification, the DxF Roadmap recommends that the state set up a typical, statewide construction to speak important occasions that influence a person’s well being to all licensed DxF contributors that request them to enhance whole-person care.
One other suggestion is to discover establishing centralized or coordinated federated companies to assist Occasion-Based mostly Trade, together with:
• Individual matching to extend consistency and cut back burden of linking people on a roster to the themes of occasions and notifications;
• Submitting, managing, and accessing rosters; and/or
• Submitting and routing occasions, and supply of notifications.
When it comes to a Social Service Knowledge Technique, the roadmap recommends establishing social service knowledge alternate steerage for specified precedence areas. CDII will assess current social service knowledge sharing necessities to establish limitations that might hinder knowledge sharing throughout varied applications. For instance, for the Having a Little one and Early Childhood precedence space, this may occasionally contain figuring out knowledge sharing limitations between federal applications (e.g., SNAP and WIC) and Medicaid advantages for maternity care. To handle limitations in program interactions, CDII will develop steerage round navigating potential authorized limitations and guaranteeing interoperability between numerous knowledge methods.
CDII will develop minimal viable knowledge units, together with nomenclatures, coding (e.g., use LOINC/HCPCS) that assist use case transactions and leverage current knowledge sharing agreements and requirements.
The roadmap additionally recommends creating a statewide consent and digital id administration framework that permits people to offer, replace, and revoke their consent to share protected Well being and Social Service Data between their care and social service companions.
The DxF Roadmap contains suggestions to enhance knowledge alternate inside the behavioral well being system, together with by creating steerage, requirements, and shared companies.