The California Well being & Human Providers Company’s Middle for Information Insights and Innovation (CDII) has developed a draft for public remark of a six-pillar Information Trade Framework (DxF) Roadmap to establish and talk a set of implementation priorities and proposed steps and milestones to implement them via 2027.
Established by Meeting Invoice 133 in 2021, California’s Information Trade Framework (DxF) is the primary statewide Information Sharing Settlement (DSA) to securely alternate Well being and Social Providers Info (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 via 2027.
The six precedence areas are:
1. Occasion Notification
2. Social Service Information Technique
3. Consent and Identification 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 standard, statewide construction to speak important occasions that influence a person’s well being to all approved DxF members that request them to enhance whole-person care.
One other advice is to discover establishing centralized or coordinated federated providers to assist Occasion-Primarily based Trade, together with:
• Individual matching to extend consistency and scale back burden of linking people on a roster to the topics 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 Information Technique, the roadmap recommends establishing social service knowledge alternate steering for specified precedence areas. CDII will assess current social service knowledge sharing necessities to establish boundaries that might hinder knowledge sharing throughout varied applications. For instance, for the Having a Youngster and Early Childhood precedence space, this will likely contain figuring out knowledge sharing boundaries between federal applications (e.g., SNAP and WIC) and Medicaid advantages for maternity care. To handle boundaries in program interactions, CDII will develop steering round navigating potential authorized boundaries and making certain interoperability between various knowledge techniques.
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 identification administration framework that permits people to offer, replace, and revoke their consent to share protected Well being and Social Service Info between their care and social service companions.
The DxF Roadmap contains suggestions to enhance knowledge alternate throughout the behavioral well being system, together with by creating steering, requirements, and shared providers.
