A Message from the Executive DirectorWelcome to 2023,As a follower of the late Dr. Avedis Donabedian, creator of theDonabedian Model, I am huge believer in structure influencingprocess which in turn leads to an outcome. Consequently, I view ourwork in health information exchange over the last decade as largelyfocused on creating a digital pillar that undergirds the structuresupporting health care.As the pandemic dwells and we look back, its clear how essential thistype of digital infrastructure has become and why health informationexchanges must naturally evolve into full Health Data Utilities.Becoming a Health Data Utility will ensure we can service thegrowing range of needs to more broadly support better health acrossmultiple sectors of society.What is personally exciting to me as we begin 2023, is that we havefinally entered the next phase of our journey to transition fromprocessing transactions to enabling transformation of healthcare processes.Dr. Tim PletcherThis means helping organizations not just gain access to the data, but striving to ensure the information canmerge into the workflow process in a manner that is more actionable and enables better decision-making atthe individual, provider, organizational, and population levels. This means bringing greater context to rawclinical data in ways that highlight the human beneath their medical record and seeking opportunities toreduce the friction and complexity associated with providing care and social services.In order to achieve this next phase, we must continue to ride the interoperability roller coaster. We will besupporting a new generation of standards and adopting a new set of emerging technologies that coincide withrecent regulatory requirements to enable process transformation and empower consumer access and use ofdata. This means that application programming interfaces (API’s) that utilize HL7 FHIR®, advanced cloud nativecomputing platforms, novel technology like Clinical Decision Systems Hooks (CDS Hooks) and the ClinicalQuality Language (CQL), and the ready integration of Smart on FHIR applications are all required componentsof our new integrated technology environment being installed and configured for use this calendar year aswe phase out our legacy applications.Because deep understanding and skillsets to support HL7 FHIR are relatively nascent, we plan to double downon our partnerships with participants, key partners, and stakeholders to learn how best as a community toadopt and harness these new capabilities. This includes pursuit of demonstration projects to establish valueand expanding our efforts to train a new high-caliber, innovative, and diverse HIT workforce though ourinternship and apprenticeship programs.Our commitment to HIT workforce development remains high because despite great strides to digitize thestructure, and efforts to transform the processes around health care, it’s going to be this new generation ofpeople who believe in our mission, believe in the power of our work, and come to work every day committed tomaking valuable change who will ensure we usher in the real transformation of achieving better, moreequitable health outcomes!-Tim Pletcher, DHAPAGE 3
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