CONTRIBUTOR:
Tim Bennett, Director Strategic Healthcare Initiatives
The insights shared in this blog originate from a ViVE presentation given by Tim Bennett, Director Strategic Healthcare Initiatives at Drummond. During this presentation he discussed the need for more robust interoperability testing to support the growing adoption and regulation of FHIR development and demand for data sharing. What follows is a summary of this presentation.
The healthcare industry is well poised to make dramatic advancements in technological innovation, which could in turn significantly improve the level of quality care throughout the medical sector. Healthcare’s ability to capitalize on these expanded IT capabilities will largely depend on its willingness to prepare for the upcoming wave of digital innovation. A perfect example of this is the Fast Healthcare Interoperability Resources (FHIR) standard, which can enrich the utility of medical data if users prioritize and support the data exchange benefits of interoperability. Organizations interested in leveraging these robust data exchange capabilities should strive to achieve multi-party system integration so their systems can support the expanded and versatile functionality of FHIR.
Preparing for the Widespread Adoption of FHIR
Healthcare entities can prepare their systems for the widespread adoption of FHIR with full-matrix interoperability testing—a rigorous and comprehensive approach designed to ensure that different health IT systems meet industry standards and work effectively together in real-world scenarios. This testing method goes beyond conventional checks, pushing the boundaries of what it means to be truly interoperable and enabling test participants to reach elevated levels of FHIR use case efficiency at scale.
Robust multi-party system integration not only addresses the technical challenges of interoperability but also serves as a cornerstone in pursuing a more connected and efficient FHIR-based healthcare ecosystem. However, organizations looking to achieve this system integration benchmark shouldn’t be complacent, as FHIR’s ubiquitous presence in healthcare is transitioning from a matter of choice to a mandated requirement.
The Growing Enforcement of FHIR
FHIR is quickly transforming into a cornerstone of healthcare data exchange, supported by ongoing developments in federal regulations such as the CMS Interoperability and Patient Access Final Rule and ONC Cures Act Final Rule. These rules have introduced crucial capabilities like FHIR-based prior authorization and payer-to-payer data exchange, healthcare processes that demand complex data exchange capabilities, and real-time data transactions across various healthcare stakeholders. For this reason, health IT developers should view these regulations as a sign of governing entities’ strong desire to facilitate improved data exchange, enhanced patient coordination, and optimized healthcare delivery through the power of FHIR.
Due to the increasing enforcement of FHIR, there is a critical need for expansive testing as healthcare systems will soon be mandated to comply with multiple FHIR-based regulations. Full-matrix interoperability testing is designed to support this expansive testing requirement, rigorously evaluating how different health IT systems adhere to the FHIR standard under a variety of real-world scenarios—not just in isolation but across an intricate web of healthcare operations. This allows developers to simulate high-stakes environments where systems interact with multiple parties simultaneously, unlike traditional testing, which often occurs in controlled, predictable environments.
For this reason, Drummond created FHIRplace, an adaptable full-matrix interoperability testing platform built on a foundation of over 20 years of full-matrix interoperability testing experience with other industries.
Foundations in Full-Matrix Interoperability Testing
Drummond’s deep expertise in full-matrix interoperability testing dates to the early 2000s, as Drummond played a pivotal role in crafting some of the inaugural implementation guides alongside the Internet Engineering Task Force (IETF). During this time, Drummond was tasked with analyzing and supporting the intricate usage of various standards such as S/MIME, HTTPS, x.509, and PK. Drummond facilitated this work by establishing standard-specific interoperability tests with multiple software developers to validate the compatibility of their disparate solutions. As a result, Drummond discovered that traditional conformance testing typically resulted in vendors only getting 85% of the way to achieving interoperability. Meanwhile, when software developers were brought together to test simultaneously with one another in situationally relevant multi-party use cases they were able to efficiently resolve all the issues preventing them from achieving full interoperability.
Since then, Drummond has dedicated its efforts to honing its full-matrix interoperability services, producing a tried-and-true platform that efficiently helps participants find interoperability issues within the span of a single 3-month testing event—a process that can easily take years using traditional testing methods.
Drummond’s Invitation to Collaborate
As healthcare advances, the need for a collaborative approach to FHIR-based interoperability testing becomes more apparent. That’s why Drummond invites developers, providers, and payers to join a community committed to rigorous testing and continuous improvement. This collaborative effort is crucial not only for meeting today’s requirements but also for shaping a healthcare system that is truly integrated and capable of supporting patient care at the highest levels. Through full-matrix interoperability testing, the healthcare industry can anticipate a future where technology bridges the gaps between diverse systems, ensuring seamless data exchanges that support clinical decisions and enhance patient outcomes. The path to this future is complex but, with the right testing protocols and collaborative efforts, entirely achievable.
Free FHIR Compliance and Interoperability Consulting Session
Drummond’s FHIRplace testing platform can help you gain market trust and significantly reduce your interoperability testing efforts.
Speak with Tim Bennett about FHIR interoperability testing, and the nuanced of existing and pending compliance requirements such as: Patient & Provider Data Access, Payer-to-Payer Data Exchange, Prior Authorization & Burden Reduction, No Surprises Act and how they will impact your development and compliance plans.