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

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

With a heightened target on health equity during our function, ONC has adopted the concept of “health fairness by style and design.” Together those people lines, wellness IT can, and need to, be applied to better determine and mitigate disparities whilst improving opportunities for underrepresented populations. In 2019, less than the Top Edge Acceleration Assignments (LEAP) for Health IT software, ONC funded the University of Texas at Austin’s Dell Health care School (Dell Med) to style and design, acquire, and demonstrate improved affected individual engagement systems for care and investigation, with a aim on wellness fairness.

The Dell Med group proposed developing a patient engagement engineering platform making use of software programming interfaces (APIs) and the same countrywide specifications for interoperability, protection, and authorization staying employed by digital health data, namely FHIR® and Smart on FHIR.

Creating the FHIRedApp Platform

The FHIRedApp system was made applying human-centered design methodology to establish the needs and choices of a diverse team of Latino, African-American, and Asian-American patients. To design an uncomplicated-to-use platform, the group held 20 Group Engagement Studio (CES) classes with ethnically and racially assorted people from Central Texas. The procedure involved beta tests, semi-structured interviews, and pilot testing with individuals to be certain the app’s large usability.

A neighborhood navigator led each CES session, and the discussion topics provided community health encounters, local community readiness, style choices, adoption, and sustainability. The method for designing the application also incorporated human-centered design and style methodologies and insights collected from the CES sessions served identified features and capabilities that ethnically and racially assorted people wanted from a wellbeing app system.  A higher-fidelity prototype of the application (Determine 1) was then developed, beta tested by numerous individuals, and utilised by the growth staff to code for the closing application.

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

Determine 1: FHIRedApp significant-fidelity prototype

Although the FHIRedApp will be in a position to link to FHIR API endpoints offered by accredited EHR systems needed by the ONC Cures Act Ultimate Rule, the system has also been intended to leverage health information exchanges (HIEs) and study networks, which act as data aggregators from various EHRs. The FHIRedApp is also an app platform that permits sufferers to acquire entry to their knowledge, grant accessibility to all or portion of their info, and make it accessible to third-occasion app developers via FHIR APIs. The Dell Med workforce is presently developing a pilot app to help with recruitment for exploration scientific studies and integration with social expert services referral networks.

The development of FHIRedApp has revealed how technology innovations working with FHIR APIs for exchanging data can be educated by way of a methodology of local community engagement and human-centered style. Seeking ahead, the staff and group customers hope to frequently offer you extra options and enhancements on the system and examination scalability applying other HIEs and knowledge sources in the future. To study more about this job, browse the Dell Med team’s results.