Digital Health Talks - Changemakers Focused on Fixing Healthcare

HealthIMPACT Live

A weekly podcast featuring healthcare providers using technology to improve access to healthcare, patient experience, and clinical outcomes. Healthcare Technology leaders address big questions like what technologies are worth investing in today and how will technology change the future of healthcare? Hear how programs in telehealth, healthcare data analytics, cloud, 5G, artificial intelligence, machine learning, and social determinants of health are shaping the future of healthcare. Hosted by the HealthIMPACT Live Team Megan Antonelli, CEO, HealthIMPACT Live Janae Sharp, Founder, The Sharp Index Shahid Shah, Chair, HealthIMPACT Live, Publisher, Medigy

  1. FHIR-Native Architecture: Building Healthcare IT for True Interoperability

    3D AGO

    FHIR-Native Architecture: Building Healthcare IT for True Interoperability

    FHIR-Native by Design: Why Legacy System Conversions Can't Compete with Purpose-Built Interoperability As healthcare systems race to meet 21st Century Cures Act mandates, a critical question emerges: retrofit or rebuild? Mike O'Neill, CEO of MedicaSoft, explains why FHIR-native architecture delivers fundamentally different interoperability outcomes than legacy systems with API layers bolted on. This conversation cuts through vendor marketing to examine the structural, semantic, and operational advantages of building healthcare IT from the ground up on HL7 FHIR standards. O'Neill draws on extensive experience leading P&L, engineering, and operations across healthcare IT startups and public companies to explain what "FHIR-native" actually means in practice—and why it matters for CIOs evaluating vendor claims. Learn how purpose-built FHIR architecture eliminates middleware complexity, reduces integration costs, and enables real-time clinical data exchange that retrofitted systems struggle to deliver. Technical and operational differences between FHIR-native systems and legacy platforms with FHIR APIsCost implications of middleware elimination versus ongoing translation layer maintenanceHow FHIR-native architecture impacts system performance, vendor lock-in, and future scalabilityRegulatory compliance advantages under 21st Century Cures Act requirementsMike O'Neill, CEO, MedicaSoft Megan Antonelli, Founder & CEO, HealthIMPACT Live

    30 min

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About

A weekly podcast featuring healthcare providers using technology to improve access to healthcare, patient experience, and clinical outcomes. Healthcare Technology leaders address big questions like what technologies are worth investing in today and how will technology change the future of healthcare? Hear how programs in telehealth, healthcare data analytics, cloud, 5G, artificial intelligence, machine learning, and social determinants of health are shaping the future of healthcare. Hosted by the HealthIMPACT Live Team Megan Antonelli, CEO, HealthIMPACT Live Janae Sharp, Founder, The Sharp Index Shahid Shah, Chair, HealthIMPACT Live, Publisher, Medigy