Where APIs meet Health Equity by Design: Introducing the FHIRedApp Health Innovation

With a heightened aim on health equity throughout our function, ONC has adopted the idea of “health fairness by structure.” Alongside all those strains, health IT can, and should really, be applied to improved discover and mitigate disparities though boosting options for underrepresented populations. In 2019, less than the Primary Edge Acceleration Projects (LEAP) for Well being IT plan, ONC funded the University of Texas at Austin’s Dell Health care Faculty (Dell Med) to style and design, create, and demonstrate enhanced patient engagement technologies for care and investigation, with a aim on overall health equity.

The Dell Med crew proposed creating a affected person engagement know-how system employing application programming interfaces (APIs) and the exact same nationwide expectations for interoperability, safety, and authorization staying utilized by digital wellness records, particularly FHIR® and Sensible on FHIR.

Planning the FHIRedApp System

The FHIRedApp system was developed using human-centered structure methodology to determine the desires and preferences of a varied team of Latino, African-American, and Asian-American patients. To layout an easy-to-use system, the team held 20 Community Engagement Studio (CES) classes with ethnically and racially assorted people from Central Texas. The course of action concerned beta tests, semi-structured interviews, and pilot testing with members to assure the app’s large usability.

A group navigator led each and every CES session, and the dialogue subject areas included neighborhood health and fitness encounters, community readiness, layout tastes, adoption, and sustainability. The process for planning the app also incorporated human-centered design methodologies and insights collected from the CES periods assisted determined options and abilities that ethnically and racially various clients sought after from a health and fitness application platform.  A superior-fidelity prototype of the application (Determine 1) was then created, beta analyzed by varied individuals, and utilized by the growth workforce to code for the final application.

Image of the FHIRedApp showing the prototype of how the app may work.

Figure 1: FHIRedApp large-fidelity prototype

Whilst the FHIRedApp will be ready to join to FHIR API endpoints supplied by certified EHR technologies demanded by the ONC Cures Act Last Rule, the platform has also been intended to leverage wellness information exchanges (HIEs) and research networks, which act as facts aggregators from numerous EHRs. The FHIRedApp is also an application platform that makes it possible for clients to attain access to their information, grant entry to all or element of their facts, and make it readily available to third-social gathering application builders through FHIR APIs. The Dell Med group is presently creating a pilot app to enable with recruitment for research studies and integration with social companies referral networks.

The enhancement of FHIRedApp has shown how technological know-how improvements utilizing FHIR APIs for exchanging data can be informed as a result of a methodology of community engagement and human-centered style and design. Wanting forward, the team and neighborhood associates hope to constantly present more features and enhancements on the system and test scalability applying other HIEs and details sources in the future. To discover extra about this challenge, browse the Dell Med team’s conclusions.


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