apidays LIVE New York - Making the Healthcare Developer Experience Awesome to Achieve Interoperability by Nick Hatt
4 likes2,309 views
The document discusses the poor state of developer experience in healthcare, emphasizing that the problem of interoperability is more cultural and business-oriented than technical. Despite upcoming federal API requirements, the current infrastructure presents many challenges, yet there's a call for change and improvement. Overall, the healthcare developer experience has evolved since 2010, but significant barriers still exist.
apidays LIVE New York - Making the Healthcare Developer Experience Awesome to Achieve Interoperability by Nick Hatt
- 1. API Days NYC 2020 Making the healthcare developer experience awesome … To achieve interoperability Nick Hatt @nickredox https://github.com/nwhatt
- 2. © 2020 Redox, Inc. Summary Developer experience isn’t really a thing in healthcare (with some exceptions) Things are pretty bad right now, and might not get better with upcoming Federal API requirements Everyone can be an agent of change! (and there is evidence things are getting better)
- 3. 3 ⋅ Infrastructure selling to HC - DevX/DevRel can be a compelling story ⋅ New to HC - we need you! ⋅ HC Dev - Sorry if I shame you Who are ya’ll?
- 4. The problem with interoperability is not inherently a technical one - it’s a cultural and business model one 4
- 5. © 2020 Redox, Inc. Healthcare developer experience in 2010 5 ● Nick - Epic 2010-2014 Redox 2014-2020 ● HL7 Specs were PDFs only, and only for members ($1000+/yr) ● First “real” API offered by EHR vendor was Athena’s MDP (launched in 2011) ● The new hotness was SOAP, ebXML, and CDA ● Patient-authorized exchange of data was phone/fax/print
- 6. © 2020 Redox, Inc. Healthcare developer experience in 2020 6
- 7. © 2020 Redox, Inc. :( 7
- 8. © 2020 Redox, Inc. Wat? 8
- 9. © 2020 Redox, Inc. Wat? 9
- 10. © 2020 Redox, Inc. Wat? 10
- 11. 11
- 12. © 2020 Redox, Inc. What to expect When you’re building against these APIs 12 Dx Must-Do Required By Regs? Incentivized to do it? Is it just hard?
- 13. © 2020 Redox, Inc. Performance 13 Dx Must-Do Required By Regs? Incentivized to do it? Is it just hard? API has a status page and transparent reliability metrics published for all Kind of! Yes Of course, but again if you sell infrastructure you can lean on this
- 14. © 2020 Redox, Inc. YMMV on support 14 Dx Must-Do Required By Regs? Incentivized to do it? Is it just hard? Provide prospective developers great support, tutorials, eduction Nope, regs explicitly say you can charge extra for support Only if they charge for it Absolutely! The sexy API companies struggle with it, find me one EHR that has a youtube tutorial for their API
- 15. © 2020 Redox, Inc. Sandboxes 15 Dx Must-Do Required By Regs? Incentivized to do it? Is it just hard? Awesome sandbox with realistic examples, ideally queryable within minutes Hahaha no No Yes and no - see Synthea, but healthcare is real-time
- 16. © 2020 Redox, Inc. The limits of FHIR are meant to be broken 16
- 17. © 2020 Redox, Inc. Pesky design decisions implementing FHIR 17 Dx Must-Do Required By Regs? Incentivized to do it? Is it just hard? Provide a consistent experience across all endpoints, and do things in a predictable way supported by industry standards A lot is handled by the regs but the certification process gets murky. Meh - the incentive is to get certified and there are new penalties for being bad, but we’ll see if they are enforced Not really, but need to a) Engage with FHIR community b) Study best practices
- 18. © 2020 Redox, Inc. There is hope
- 21. 21
- 22. © 2020 Redox, Inc. Summary Developer experience isn’t really a thing in healthcare (with some exceptions) Things are pretty bad right now, and might not get better with upcoming Federal API requirements Everyone can be an agent of change! (and there is evidence things are getting better)
- 23. © 2020 Redox, Inc. Hospitals 23
- 24. © 2020 Redox, Inc. Providers 24
- 25. 25
- 26. Thank You FIND US ON TWITTER @redox @nickredox CONTACT US AT redoxengine.com/contact-us
- 27. World-Class Service & Support > Scoping & Implementation > 24/7 On-Call Engineers > Proactive Monitoring & Alerts > Tier 1 Support > Interface mappings > Issue Resolution > EHR Upgrades > Workflow Optimization > VPN Heartbeat Monitoring > Certification Management > Automated Message Retriggers
- 28. Thank You FIND US ON TWITTER @redox CONTACT US AT redoxengine.com community.redoxengine.com
- 29. Redox makes healthcare data useful. SPEAK WITH OUR SOLUTIONS TEAM calendly.com/redox-intro REVIEW DEVELOPER DOCUMENTATION developer.redoxengine.com
- 30. Check Us Out Review Full Data Model Docs developer.redoxengine.com Collaborate with Fellow Developers community.redoxengine.com