Integrating data from health care and home and community services (HCBS) to improve health outcomes is of growing importance, especially as the U.S.

population ages and the demand for long-term services and supports term (LTSS) increases. A 2020 ONC Leading Acceleration Project (LEAP) winner in Health Information Technology (Health Informatics), the Developmental Disabilities Division of the Missouri Department of Mental Health ( DMH), seeks to solve this problem.

The Missouri LEAP team focused on using the Electronic Long Term Services and Supports (eLTSS) Health Level Seven (HL7®) Fast Healthcare Interoperability Resources (FHIR®) Implementation Guide (IG) to implement and test Missouri's Individual Services Plan Information Exchange (ISP) in vendor computer systems. Capturing, aggregating and sharing these data elements will support the design and implementation of a supported employment value-based model of care, which focuses on promoting health planning. person-centred employment, training and education, job placement and job development. HCBS waiver participants. Additionally, the HL7 release of the eLTSS FHIR IG provides developers of HCBS technologies with a new opportunity to advance interoperability for populations served by HCBS.

Note:- official sites Improving Person-Centered Care in Home and Community-Based Services with FHIR.

During the September 2021 HL7 FHIR Connectathon, the Missouri LEAP team demonstrated the capabilities of the FHIR IG eLTSS by exchanging information from the state's case management system to a health information network, a supported employment provider computer system and a primary care provider electronic health record. . The Missouri LEAP team demonstrated that a high degree of interoperability between health and social service providers is possible and can support a vision for the whole person and the whole community.