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We offer the best-in-industry training courses for interoperability. Nobody will get you or your team better prepared for interoperability and its implications than Digital Perfusion.

Explore the depth and breadth of our training modules below. We'll meet you where you're at and get you to where you need to be, enabling everyone to come along for the journey of interoperability.

Free Trial Module

Interoperability and the Patient Access API

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On May 1, 2020, the Centers for Medicare and Medicaid Services released the Interoperability and Patient Access Final Rule CMS-9115-F, listing ways to give patients better access to their health information. Using data exchange through secure Application Programming Interfaces (APIs), CMS took a giant step in making health information more available to patients and in driving toward greater interoperability across the US healthcare system. This module walks through the key provisions of the rule. With enforcement dates in 2021 and 2022, it's imperative to know this rule in detail now.

Free Trial Coming Soon

Intro Modules

Interoperability and the US Health Insurance Market

Interoperability and the US Health Insurance Market

Interoperability and the US Health Insurance Market

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The US health insurance industry is unique and complex with many different kinds of health insurance. How interoperability is now impacting Medicare, Medicaid, other government-sponsored programs as well as commercial health insurance varies. This module covers the different kinds of insurance plans and how interoperability regulation is now impacting each distinctly.

How have Patients Shared Information in the Past?

Interoperability and the US Health Insurance Market

Interoperability and the US Health Insurance Market

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Since 2001, patients can share their health information as they choose. Traditionally, manual and paper-based, benefits have been limited. Yet, a robust understanding of the authorization to release medical information form. and supporting processes is incredibly useful to understand what interoperability is making digital. This module pinpoints key consumer rights in the HIPAA Privacy Rule, how they have been enabled in the past to understand how interoperability will shape the future.

Provider Directory API

Interoperability and the US Health Insurance Market

Provider Directory API

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Payers of Medicare, Medicaid, CHIP, and QHP health plans must make their provider directory freely and publicly available via APIs in 2021. This module uncovers what the data of this API is all about including the DaVinci PDEX standard.

Patient Access API

Interoperability and Implementation Guides

Provider Directory API

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Through the Patient Access API, in 2021 more than 80 million Americans will be able to securely get to their insurer's administrative and clinical information through third-party apps. This module explores the capabilities of the Patient Access API including the US Core, DaVinci Consumer PDEX, and CARIN Blue Button® framework.

Interoperability and Implementation Guides

Interoperability and Implementation Guides

Interoperability and Implementation Guides

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Payers must HL7® FHIR® for their APIs. Implementation Guides standardize how to do this. These implementation guides identify what data is included in the  APIs, how the data is to be formatted into specific FHIR® profiles, and what standardized vocabularies are to be used. This module walks through US Core, Da Vinci PDex including Plan Net, and the CARIN Implementation Guide for Blue Button®. 

Patient Privacy and Security Resources

Interoperability and Implementation Guides

Interoperability and Implementation Guides

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Patients need to be effectively informed regarding the new capabilities of interoperability. They need to understand their rights and risks in order to improve their health and the health of their loved ones while safeguarding their privacy. This module explains the resources available and key scenarios to consider in planning.

Interoperability App Best Practices

Interoperability App Best Practices

Interoperability App Best Practices

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Office of the National Coordinator for Health Information Technology of the Department of Health and Human services has offered guidelines and best practices for healthcare app developers. The CARIN Alliance Trust Framework and Code of Conduct offers a framework to healthcare applications that are not covered by HIPAA to exchange, store, and manage personally identifiable health care information. This modules explores best practices to consider for interoperability apps.

Additional Basic Modules

Interoperability and HIPAA

US Core Data for Interoperability (USCDI) Overview

Interoperability and State Privacy Laws

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The Health Insurance Portability and Accountability Act of 1996 has been the framework of patient of privacy rights as well as data management for a career's duration. We can hardly imagine different ways of thinking about the movement and protection of personal health information. As interoperability ushers the industry into a new era, we must see things in HIPAA that we may have never seen before, aspects not commonly covered in standard HIPAA training. This module provides a refresher of core concepts of HIPAA as well as new insights into key aspects of the law  especially in light of interoperability.

Interoperability and State Privacy Laws

US Core Data for Interoperability (USCDI) Overview

Interoperability and State Privacy Laws

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Many states have created laws to enhance privacy rights afforded their residents. Many of these laws concern the handling and disclosure of health information in ways that could be considered "more stringent" than HIPAA. Examples include minor's rights concerning sexual health, reproductive health, substance abuse treatment, ability to consent to disclose, and more. Further, laws in some states place requirements on entities not covered by HIPAA. This module explores how state laws must be considered in interoperability requirements.

US Core Data for Interoperability (USCDI) Overview

US Core Data for Interoperability (USCDI) Overview

US Core Data for Interoperability (USCDI) Overview

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The USCDI is a standardized set of health data classes and constituent data elements for nationwide, interoperable health information exchange. Covering treatment plans, care team members, clinical notes, goals, health concerns, immunizations, lab, meds, demographics, problems, procedures, provenance, and more, it identifies terminology standards to be used when sharing data via interoperability.. This module will help you understand the data classes and data elements defined by USCDI and how they are used in interoperability standards.

What is an API?

Payer-to-Payer API

US Core Data for Interoperability (USCDI) Overview

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The technical team talks like "APIs" (Application Programming Interfaces) are the cure to everything. But what are they, really? We know that APIs are the cornerstone of interoperability, but--for business people--what is it that we need to understand about what they are, and aren't? This module helps non-technical team members better understand how to be conversant in this fundamental component of "going digital."

FHIR® Overview

Payer-to-Payer API

Payer-to-Payer API

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Fast Healthcare Interoperability Resources (FHIR)® are the new data sharing standard. If you've entered the world of interoperability, it's probably the first new acronym you were exposed to. But what is it? This module helps you understand how this broad international standard is being specifically used in US health interoperability. You'll come to understand the fundamentals of the technology and become comfortable in what you need to know about FHIR to work effectively in your role.

Payer-to-Payer API

Payer-to-Payer API

Payer-to-Payer API

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Patients would benefit from their electronic health record following them through the course of their lives. Further, when moving from one payer to another, there could be a better hand-off to facilitate continuity of care. Filling these gaps is exactly what the government had in mind when they defined the regulatory requirement of a Payer-to-Payer API. This module will uncover how this API works. Mandated deadlines are just around the corner. In addition to the FHIR profiles of the Patient Access API, 

FHIR Bulk Data Access (Flat FHIR) is covered.

Interoperability and the Future of Healthcare

Interoperability and the Future of Healthcare

Interoperability and the Future of Healthcare

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CMS states, "API technology enables the seamless user experiences associated with applications familiar from

other aspects of many consumers’ daily lives, such as travel and personal finance. Standardized, transparent, and pro-competitive API technology can enable similar benefits to consumers of

health care services." This module explores use cases across the landscape--payer, provider, telehealth, retail, online, apps, enterprise technology vendors, and more.

Additional Cram Course Modules

Interoperability and Highly Sensitive Data

Interoperability and Prior Authorization Proposed Rule

Interoperability and Highly Sensitive Data

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While HIPAA protects all types of protected health information, there are highly sensitive types of information that require further special handling. Examples include behavioral health, substance abuse, HIV/AIDS, genetic and more. This module provides an overview of these different kinds of information and what special considerations must be given to them in planning for and enabling of interoperability. Discussion of "data segmentation" and record of disclosures is covered.

Interoperability and Other Federal Law

Interoperability and Prior Authorization Proposed Rule

Interoperability and Highly Sensitive Data

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Beyond HIPAA, there are other federal laws and regulations that must be considered in regards to interoperability. The 42 CFR Part 2 regulations (Part 2) serve to protect patient records for the treatment of substance use disorders. Further, in the Interoperability and Patient Access Rule, CMS points to the Federal Trade Commission authority to investigate and take action against unfair or deceptive trade practices as well as the FTC Health Breach Notification Rule, which applies to certain types of entities, including vendors of personal health records and third-party service providers, that fall outside of the scope of HIPAA. This module identifies key federal laws and regulation that matter in the world of interoperability.

Interoperability and Prior Authorization Proposed Rule

Interoperability and Prior Authorization Proposed Rule

Interoperability and Prior Authorization Proposed Rule

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The Interoperability and Prior Authorization Proposed Rule is the next phase of CMS interoperability rule-making, aimed at improving data exchange while reducing provider and patient burden. This rule will enable certain payers, providers, and patients to have electronic access to pending and active prior authorization decisions. This is expected to cut back on repeated requests for prior authorizations, thereby reducing costs and administrative burden so providers can deliver higher quality care. This module walks-through this rule including its scope and deadlines. The Provider Access API, Documentation Requirements Lookup Service API, ePrior Authorization API, and associated Da Vinci implementation guides are covered.

Standardized Terminologies

SMART on FHIR, OAuth, and OpenID Connect

Interoperability and Prior Authorization Proposed Rule

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The USCDI identifies standardized health information terminologies for use in interoperability. Examples include LOINC®, SNOMED CT®, HL7 Standard Code Sets and Value Sets, the CDC National Drug Code (NDC) Directory, The Unified Code of Units for Measure, RxNorm, the Office of Management and Budget (OMB) Directive on Race and Ethnicity, CDC Race and Ethnicity Code Sets, RFC 5646 for identifying languages, HCPCS and CPT-4 for procedures, as well as ICD-10. This module will provide overview of how interoperability standardizes data exchange semantically through these informatics standards.

Tools and Technologies

SMART on FHIR, OAuth, and OpenID Connect

SMART on FHIR, OAuth, and OpenID Connect

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In working with HL7® FHIR®, the standardized terminologies, APIs, and the specifics of US Core, Da Vinci, and CARIN Alliance Implementation Guides, there are a number of tools and technologies you may want to become aware of. Some of these may accelerate your work and help you meet deadlines and bring ideas to fruition. Some of the tools and technologies are open source while others are commercially available. This module will survey the market to help you understand what's now available to help you out. 

SMART on FHIR, OAuth, and OpenID Connect

SMART on FHIR, OAuth, and OpenID Connect

SMART on FHIR, OAuth, and OpenID Connect

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CMS has prescribed specific security technologies for interoperability. SMART on FHIR provides reliable, secure authorization for a variety of app architectures with the OAuth 2.0 standard. OpenID Connect 1.0 is a  identity layer on top of the OAuth 2.0 protocol. It enables clients to verify the identity of the end user. This module walks through these security standards at a high level and provides resources for consideration.

Interoperability and Competitive Insights

Interoperability and Competitive Insights

Interoperability and Competitive Insights

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In the Interoperability and Patient Access rule, CMS boldly declares, "we have launched several initiatives related to data sharing and interoperability to empower patients and encourage payer and provider competition." This module explores use cases available for innovation for both industry incumbents and outsiders wanting to increase their value in the healthcare ecosystem.

Additional Advanced Modules

Fourteen Additional Modules Planned

  • Interoperability and Data Management
  • Provider Access API
  • Documentation Requirements Lookup Service API
  • ePrior Authorization API
  • Interoperability and the Member Portal
  • Interoperability and the Mobile App
  • Interoperability and the Contact Center
  • Interoperability and Enrollment
  • Interoperability and Appointment Scheduling
  • The Digital Point of Care
  • Interoperability and Virtual Care
  • Interoperability and Referrals
  • Interoperability and Care Coordination
  • Interoperability and Quality Metrics

Be Among the First

The modules are under development now. Be among the first to take advantage of this ground-breaking training to help bring digital innovation to the healthcare industry. The Intro modules will be available March 2021, the Basics in April, the Bootcamp in May, and the Advanced in June.


Learn more about our Early Adopter Program.

Early Adopter Program

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