One thing is certain if you’re in charge of interacting inside a hospital system, a consultancy firm, or Health Information Exchange(HIE): you need to accomplish more with less. The large HIT implementation expenditures are running out as EHR implementations slow down. But you’re still responsible for supplying those capabilities because a significant portion of the promise and value of those technologies depends on interoperability and data interchange. What do you then?
In this case, a lifecycle approach to your interoperability programs is something you should think about. By eliminating ad hoc operations, interface lifecycle management reduces waste in the workplace. You’ll be able to accomplish more with less, sustain your operations, and more readily satisfy interoperability requirements as a result.
While clinical end-users count on interfaces to deliver the functionality and interoperability they need, IT stakeholders need to be sure everyone involved gets the steps and costs involved. Especially since interfacing takes up 20 to 40% of an implementation project timeline. Here’s a quick overview to get everyone on the same page.
HL7 Interface Lifecycle
SCOPING
An interface analyst scopes the interfacing project.
The analyst performs a gap analysis based on the client’s current information system environment and the new system to be implemented. The gap analysis guides the conformance profile that defines the interface. Once the gap analysis is complete, the client, the vendor, and potential third parties sign off on who does what. When handled manually, scoping can be a major bottleneck in an implementation project. Vendors seeking to eliminate process waste need to seek out automation avenues. Gap analysis software can cut 30 to 50% off the scoping timeline.
CODING AND CONFIGURATION
An interface programmer uses the conformance profile and other documentation (such as database mapping) to code and/or configure the interface. Interfaces used to take weeks and months to code. With today’s tools, you can get it done in a few days or weeks, so this stage is rarely a bottleneck in the lifecycle of an HL7 interface.
SIMULATION TESTING
The programmer or analyst validates the interface against sample — read simulated — messages. Once the interface can successfully send and/or receive simulated messages under test conditions, it is shipped to the client site for integration testing.
The Simulation Testing step represents industry best practice. Providers should ensure that vendors put the interface through its paces before integration testing. Ask to see sample test documentation before signing off on the implementation project approval. Good simulation testing can avoid a whole lot of headaches during go-live and after.
CLIENT VALIDATION
An analyst at the client site validates the interface in a test system against specific clinical scenarios using pre-configured test data.
Important: you want to avoid using production systems and protected patient information during the validation stage.
The scope of client validation can vary greatly, depending on the project and on provider IT culture. Organizations that invest in thorough validation see payoffs with smoother go-lives, less downtime, and fewer calls to their vendor tech support teams down the road.
GO-LIVE
The new system then goes live. Vendors and providers monitor the interface intensely at this point, in order to fix issues as they arise. Some interface engines come with built-in monitoring tools with real-time alerts, so staff on call (on both provider and vendor teams) can proactively fix issues before they impact clinician end-users.
MONITORING
After go-live, provider IT teams need to ensure the interface continues working as expected. Monitoring tools (some come built into interface engines) help ensure issues are flagged.
SUPPORT AND MAINTENANCE
The interface needs to be supported, just like the information systems they link.
Vendors rely on HL7 troubleshooting tools for parsing messages and looking for problem segments. The problem is, most of these tools are built for interface programmers and engineers, not front-line tech support. An emerging industry best practice is to ensure that front-line support teams have troubleshooting tools that don’t require extensive HL7 knowledge. This can avoid expensive issue escalation and decrease customer response time.
UPGRADE
When a system that receives or sends data through the interface is changed, the interface needs to change as well. This triggers a new scoping stage.
KPi-Tech interoperability services draw on more than 15 years of expertise in patient management to integrate and communicate precise and important patient data to support effective patient care. Around the world, we offer the best HL7 integration services and HL7 interface development. We have a great deal of expertise creating safe HL7 interfaces for different healthcare IT systems.
