Jul 11, 2024 | 3 Min Read
Challenge
A non-profit Health Maintenance Organization (HMO), wanted to modernize its IT ecosystem. This included a crucial migration to the cloud, constructing next-generation data platforms, and upskilling their workforce to support their growth trajectory. They were also driven by the need to comply with the Centers for Medicare & Medicaid Services (CMS) Interoperability and Patient Access final rule, which mandates that patients have access to their health information through standardized APIs like HL7 FHIR. The HMO faced significant challenges in ensuring seamless data migration while adhering to stringent compliance requirements and modernizing their infrastructure.
Solution
Emids was brought in to navigate these complex requirements and provide a robust solution. We began by developing a comprehensive cloud strategy that encompassed a detailed data platform strategy on AWS.
Our approach was multifaceted:
Leverage CMS Interoperability Program: Using the CMS Interoperability program as a minimum viable product, we ensured that our solution met immediate compliance needs while setting the foundation for future expansion.
Data Mapping and Architecture: We meticulously mapped data from the HMO’s source systems to the FHIR store, ensuring accuracy and completeness. Our team designed an architecture pattern tailored to the client’s needs, establishing AWS infrastructure and CI/CD pipelines for streamlined operations.
Data Migration: Utilizing tools like Sqoop, we migrated data from on-prem databases to AWS S3 buckets. We then implemented a FHIR server, converting data into the FHIR format and loading historical data into an MS SQL Server in FHIR format.
Data Pipelines and Authentication: We created data pipelines using AWS Glue, Python, and Lambda to handle incremental data loads from new systems to the cloud. Additionally, we enabled member authentication and authorization using Okta, ensuring secure access to data.
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The project was executed with precision, leading to several significant outcomes:
Architectural Excellence: We delivered a robust cloud architecture pattern that provided a scalable and efficient framework for the HMO’s operations.
Enhanced Compliance and Interoperability: The HMO achieved full compliance with CMS mandates, providing patients with seamless access to their health information via FHIR APIs. This not only met regulatory requirements but also enhanced internal data exchange processes.
Operational Efficiency: Data on the cloud facilitated advanced analytics, improving decision-making and operational efficiency. The new system supported rapid data access and processing, empowering the HMO to offer better services to its members.