Post-Acute Care Interoperability work group - outcomes
summary
The PACIO Project demonstrates a multi‑scene post‑acute care exchange at the May 2022 Connectathon, integrating 9 FHIR IGs (Functional, Cognitive, SPLASH, eLTSS, MCC eCarePlan, Gravity SDoH, DaVinci QI, Patient Data Receipt) with a patient‑centric Health Data Manager as the source of truth, involving 23 participants and producing 800+ resource instances. It shows read/write flows, consent management, CDA→FHIR advanced directive conversions, ICF‑based Functional Performance profiling, hearing/multi‑modal tests, reassessment timepoints, and live eCQM gap detection.
AI-written summary · about
chapters (21)
- 0:00Introduction and audience overview
- 1:23Why post-acute care interoperability matters
- 3:33PACIO project background and goals
- 6:18Functional performance implementation guide
- 8:04Advanced directives data structure
- 8:48Reassessment time points in encounters
- 9:29May Connect-a-thon demonstration overview
- 11:57Integrating with long-term services and MCC
- 12:38Patient Betsy’s care journey introduction
- 15:24Health Data Manager concept and benefits
- 17:52Connect-a-thon test results and lessons learned
- 23:14Patient Share demo introduction
- 24:17Betsy’s demographics and conditions
- 25:00Assessment data and trends visualization
- 27:49Advanced directives and care preferences
- 29:54ELTSS and MCC care plans
- 31:39Quality measures and data gaps
- 32:24Key learnings and next steps
- 34:52Pilot opportunities and collaboration
- 35:56Resources and how to get involved
- 36:19Closing story and Q&A session
related talks
54mPlenary Session
46mInternational Patient Summary (IPS) - Moving from Specification to Implementation
26mPlenary: Consumer voices: Why interoperability matters
16mThe story of FHIR data exchange and storage combined
42mInternational Patient Summary
11mPlatform Engineering for Healthcare Interoperability
47mBuilding a Standard Health Record for oncology using FHIR
34mFHIR Projects