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

With a heightened concentration on well being fairness throughout our perform, ONC has adopted the strategy of “health equity by style and design.” Alongside all those lines, wellness IT can, and really should, be applied to improved determine and mitigate disparities although improving possibilities for underrepresented populations. In 2019, below the Main Edge Acceleration Jobs (LEAP) for Health IT software, ONC funded the College of Texas at Austin’s Dell Health care University (Dell Med) to layout, create, and reveal enhanced patient engagement technologies for treatment and analysis, with a aim on overall health equity.

The Dell Med staff proposed building a affected person engagement technology platform using application programming interfaces (APIs) and the identical nationwide criteria for interoperability, protection, and authorization remaining applied by electronic overall health records, namely FHIR® and Good on FHIR.

Creating the FHIRedApp Platform

The FHIRedApp system was created employing human-centered style and design methodology to establish the wants and preferences of a varied team of Latino, African-American, and Asian-American clients. To style and design an simple-to-use system, the team held 20 Neighborhood Engagement Studio (CES) periods with ethnically and racially various clients from Central Texas. The approach concerned beta testing, semi-structured interviews, and pilot tests with individuals to ensure the app’s substantial usability.

A community navigator led every CES session, and the discussion subject areas incorporated community health ordeals, local community readiness, style and design choices, adoption, and sustainability. The procedure for coming up with the app also incorporated human-centered style methodologies and insights collected from the CES sessions aided discovered attributes and capabilities that ethnically and racially various people desired from a health and fitness application system.  A higher-fidelity prototype of the application (Figure 1) was then made, beta analyzed by diverse individuals, and made use of by the progress workforce to code for the closing app.

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

Figure 1: FHIRedApp significant-fidelity prototype

Although the FHIRedApp will be capable to link to FHIR API endpoints offered by accredited EHR systems required by the ONC Cures Act Closing Rule, the system has also been built to leverage wellness information exchanges (HIEs) and exploration networks, which act as knowledge aggregators from several EHRs. The FHIRedApp is also an app system that permits patients to acquire entry to their information, grant entry to all or component of their facts, and make it out there to 3rd-occasion app developers by using FHIR APIs. The Dell Med group is presently developing a pilot app to enable with recruitment for investigation scientific studies and integration with social services referral networks.

The improvement of FHIRedApp has proven how technology improvements utilizing FHIR APIs for exchanging details can be educated by way of a methodology of neighborhood engagement and human-centered layout. Looking ahead, the crew and neighborhood members hope to continually present supplemental characteristics and enhancements on the system and check scalability working with other HIEs and details sources in the upcoming. To discover far more about this venture, examine the Dell Med team’s conclusions.