RESTful Health Exchange (RHEx) UNCLASSIFIED Ollie Gray August 2014 - PowerPoint PPT Presentation

RESTful Health Exchange (RHEx) � UNCLASSIFIED � Ollie Gray � August 2014 � Ollie B. Gray, RN, MSN, Research Program Manager, ollie.b.gray.civ@mail.mil

Outline � » What is RESTful Health Exchange (RHEx)? � » Exploratory RHEx Pilots � » Pilot Outcomes � » RESTful Health Exchange Addresses Gaps � » Summary � 2

What is RESTful Health Exchange (RHEx)? � » Open source, exploratory project to apply Web technologies to demonstrate a simple, secure, standards-based health information exchange � » Builds the foundation for patient access to data via the Web and mobile devices, removing barriers to broad electronic health data exchange � » Offers a new approach to health data exchange � » From moving documents to linking to needed information � » Involved partnerships between the ONC Federal Health Architecture (FHA) program, TATRC, Maine Health Information Exchange, and VHA � » Apply RHEx technology to key capability gaps � » Address challenges to develop a specification for RESTful exchange of health data � RHEx technology enables secure, Web-based data exchange �

Exploratory Pilots with RHEx �

Pilot Outcomes � » Pilots successfully demonstrated that: � » Physicians can securely share health data over the Web � » Diagnostic images can be shared using REST with Direct � » High volumes of data can be moved over the Web securely in support of HIE patient data integration � » RHEx is being implemented across Maine to support small, independent providers in medically underserved areas � » New pilots in progress � » Federal Health Information Exchange to enhance continuity of care for transitioning Service Members � » Secure sharing of information between VHA and third-party providers in support of home healthcare for Veterans in rural Utah �

Exploratory Pilots with RHEx �

RESTful Health Exchange Addresses Gaps � » Secure email does not scale to allow sharing of very large files, such as diagnostic images � » Lightweight exchange is needed to allow health information sharing with out-of-network providers � » Standing up some exchange mechanisms can be a challenge for small, independent providers and providers in rural areas � » Heavy weight information exchange capabilities not needed for stateless transactions � RHEx can move any type of data securely over the Web �

Summary � » Today, health records are distributed across providers, inhibiting patient and provider access to a complete patient medical history � » Obstacles exist to broad health data exchange � » RHEx project demonstrated secure, Web-based health data exchange, building the foundation for future advances in health care � » Exploratory pilots successfully demonstrated secure RESTful health data exchange � » New pilots are underway to apply RHEx to key health data exchange challenges � RHEx is informing a path forward for the future of health data exchange �

Discussion � https://github.com/project-rhex http://www2.mitre.org/work/health/himss/rhex.pdf http://www.mitre.org/publications/project-stories/restful-health- exchange-a-fresh-approach-to-health-information-exchange https://www.youtube.com/watch?v=MvW0EdDfCns 9 UNCLASSIFIED �