PACIO

Why should you care about the PACIO Project?

The PACIO (Post-Acute Care InterOperability) Project is all about care coordination – Forty-five percent of Medicare patients who leave hospitals go into some kind of post-acute care. Post-acute care accounts for $74 billion in Medicare payments annually, so it is a large part of our healthcare system. Post-acute care patients are typically very complex and have multiple transitions in their healthcare journey.

When a person transitions between healthcare settings, including ambulatory care, acute care, long-term post-acute care (LTPAC), and home- and community-based services (HCBS) – their care is often fragmented and can lead to poor health outcomes, increased burden, and increased costs. Interoperable health information exchange has the potential to improve patient and provider communications and supports access to longitudinal health information that enables improved efficiencies, improved quality of care, and improved health outcomes. Data should be usable across the continuum of care, and beyond the traditional healthcare system – into the community.

About

Mission

The PACIO Project is a collaborative effort to advance interoperable health data exchange between post-acute care (PAC) and other providers, patients, and key stakeholders across health care and to promote health data exchange in collaboration with policy makers, standards organizations, and industry through a consensus-based, use case-driven approach.

PAC on FHIR

The primary goal of the PACIO Project is to establish a framework for the development of Fast Healthcare Interoperability Resource (FHIR) technical implementation guides and reference implementations that will facilitate health data exchange through standards-based use case-driven application programming interfaces (APIs).

Use Cases

Published by HL7!

Announcements

July 18, 2024
The PACIO Project successfully tests and demonstrates how the Standardized Medication Profile (SMP) IG and the Transitions of Care Implementation Guide can be used to exchange a patient's transitions of care information necessary by many post-acute care disciplines. Medication reconciliation was also demonstrated using the data exchanged using the SMP IG. A video of the demonstration is coming soon!

July 18, 2024
The PACIO Project successfully tests and demonstrates how the Advance Directives (ADI) Implementation Guide can be used to exchange structured Personal Advance Care Plans (PACPs), unstructured Portable Medical Orders (PMOs), and unstructured Mental Health Advance Directives (MHAD). The participants also tested a better way to revoke an advance directive. A video of the demonstration is coming soon!

May 19, 2024
The PACIO Project successfully tests and demonstrates how the Standardized Medication Profile (SMP) IG and an early draft of the Transitions of Care Implementation Guide can be used to exchange a patient's transitions of care information necessary by many post-acute care disciplines. A video of the demonstration is coming soon!

May 19, 2024
The PACIO Project successfully tests and demonstrates how the Advance Directives (ADI) Implementation Guide can be used to exchange structured Personal Advance Care Plans (PACPs), unstructured Portable Medical Orders (PMOs), and unstructured Mental Health Advance Directives (MHAD). A video of the demonstration is available.

Feb. 29, 2024
The PACIO Project successfully tests and demonstrates how the Personal Functioning and Engagement (PFE), Physical Activity, and Gravity Social Determinants of Health Clinical Care (SDOH-CC) Implementation Guides can be used to enable data relevant to post-acute care during the PACIO Testing Event. The testing follows the patient through their care journey through a tightly-coupled use case and be available for decision making by the patient and their caregivers and family. A video of the demonstration is available.

Jan. 11, 2024
Advance Directive Interoperability (ADI) implementation guide was published as STU-1 (Standard for Trial Use 1). View the published ADI implementation guide here: PACIO Advance Directive Interoperability Implementation Guide 1.0.0 - STU1

Jan. 5, 2024
Personal Functioning and Engagement (PFE) implementation guide was published as STU-1 (Standard for Trial Use 1). View the published PFE implementation guide here: PACIO Personal Functioning and Engagement Implementation Guide 1.0.0 - STU1

Sept. 28, 2022
Re-Assessments Timepoints implementation guide was published as STU-1 (Standard for Trial Use 1). View the published Re-Assessments Timepoints implementation guide here: PACIO Re-Assessment Timepoints Implementation Guide 1.0.0 - STU1

Join the effort!

HL7 Page

Review the project charter, meeting minutes and other materials on our HL7 page

Meetings

Join our weekly calls

E-mail

Submit general questions to the PACIO Project email list

GitHub

Participate in our open source reference implementations and sample data on GitHub

YouTube

Subscribe to our YouTube channel to see demos and connectathon activities

Slack

Join our slack channel and its ongoing conversation threads (contact the team for access)

Twitter

Help spread the word about the PACIO Project by retweeting major announcements