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Continuing Care Meets FHIR: How Consulting Services Improve Data Continuity

Michael Nikitin

CTO & Co-founder AIDA, CEO Itirra

Published on August 1, 2025

Continuing Care Meets FHIR: How Consulting Services Improve Data Continuity

Table of Contents

  1. Introduction
  2. What Is Data Continuity in Healthcare?
  3. Challenges in Continuing Care Coordination
  4. Enter FHIR: A Standard for Seamless Data Exchange
  5. SMART on FHIR and Application Integration
  6. Consulting Services: The Bridge to Interoperability
  7. Enhancing Post-Acute Care Transitions
  8. Supporting Physician Advisors and Medical Consultants
  9. Revenue Cycle Management and Data Flow
  10. Itirra’s Role in FHIR-Driven Integration
  11. Future Trends in Longitudinal Health Data
  12. Conclusion

1. Introduction

In today’s healthcare environment, continuity of care remains a major challenge—especially as patients move across providers, specialties, and care settings. Whether transitioning from hospital to home health or coordinating with third-party consultants, gaps in data can delay care and increase risk. Fortunately, the adoption of FHIR (Fast Healthcare Interoperability Resources) is making it easier to bridge those gaps. But standards alone aren’t enough; organizations need the right consulting services to translate potential into performance. This is especially true for post-acute care coordination, where timeliness and context are everything. In this blog, we’ll explore how FHIR and consulting services together improve continuity for continuing care organizations.

2. What Is Data Continuity in Healthcare?

Data continuity refers to the ability to maintain consistent, accessible, and up-to-date health information as patients move through the care continuum. This concept is essential for safe, effective treatment—especially for populations with chronic conditions or complex needs. Unfortunately, health data is often fragmented across different systems, providers, and software platforms. Without seamless data exchange, clinicians must rely on incomplete information, which can lead to delays, duplication, or errors. Ensuring continuity means aligning both technology and process around patient-centric care. This is where FHIR and expert consulting can deliver significant value.

3. Challenges in Continuing Care Coordination

Continuing care, such as skilled nursing, home health, or palliative services, often suffers from information fragmentation. EHRs used by hospitals and those used by post-acute facilities frequently lack direct integration. Faxing, manual entry, and delayed documentation still dominate many workflows. Additionally, third-party providers like physician advisors or medical consultants may lack access to up-to-date patient data, limiting their effectiveness. The result is inconsistent communication, inefficient processes, and frustrated care teams. Overcoming these barriers requires not just technology adoption, but tailored implementation strategies.

4. Enter FHIR: A Standard for Seamless Data Exchange

The FHIR standard is designed to improve interoperability between disparate health IT systems. By defining consistent APIs and data formats, FHIR allows for real-time exchange of clinical data, regardless of platform. It is especially well-suited for organizations that need to share data across institutional boundaries. FHIR resources like Patient, Condition, MedicationRequest, and Observation enable granular, structured information exchange. This makes it easier to surface relevant clinical data exactly when it’s needed. As a result, FHIR plays a crucial role in supporting continuous, coordinated care.

5. SMART on FHIR and Application Integration

The combination of SMART on FHIR and EHR platforms like Epic and Cerner enables embedded applications to deliver insights directly within clinical workflows. SMART on FHIR provides the authorization and context-launching capabilities necessary for secure, patient-specific interactions. Apps can now pull data on-demand, push updates, or offer decision support—all in real time. This dramatically improves usability and reduces the burden on clinicians managing multiple systems. However, implementing SMART on FHIR apps requires technical planning, regulatory compliance, and deep understanding of clinical workflows. That’s where healthcare-focused consulting services make a difference.

6. Consulting Services: The Bridge to Interoperability

Even with powerful standards like FHIR, healthcare organizations often need help navigating the complexity of integration. Consulting services provide the strategic planning, technical implementation, and stakeholder coordination necessary for success. Experts can identify where data handoffs fail, design solutions that align with existing systems, and ensure long-term scalability. They also bring regulatory expertise to keep organizations aligned with HIPAA and other compliance standards. More importantly, consultants help ensure that data exchange translates to measurable improvements in patient care and operational efficiency. Without this guidance, many FHIR implementations fall short of their potential.

7. Enhancing Post-Acute Care Transitions

Smooth transitions between hospitals and post-acute care providers are essential for recovery and cost control. FHIR-enabled solutions—when implemented with expert guidance—can automatically share discharge summaries, medication lists, and follow-up plans with home health agencies and skilled nursing facilities. This minimizes the need for manual re-entry and ensures care continuity. Consulting teams can also help integrate FHIR workflows into legacy systems common in continuing care environments. By aligning clinical and administrative processes, they reduce friction and improve handoff quality. The result is more coordinated, efficient, and safer care transitions.

8. Supporting Physician Advisors and Medical Consultants

Third-party professionals like physician advisors and utilization review consultants rely on accurate and timely data to perform their roles. Without seamless integration, their recommendations may be based on outdated or incomplete records. With FHIR-based access, consultants can view real-time patient data without requiring full EHR access or complex credentialing. Consulting firms can design secure access points and apps that allow these professionals to work efficiently without compromising security. This accelerates case reviews, appeals, and authorization workflows. Ultimately, better data access means faster, more informed decision-making.

9. Revenue Cycle Management and Data Flow

Data continuity also plays a major role in revenue cycle management (RCM). Denials, delays, and inaccuracies often stem from incomplete documentation or poor data synchronization. FHIR-based tools can automate the validation of patient demographics, authorization statuses, and care plans. With the right strategy, consulting services can implement apps or integrations that reduce claim errors and improve billing accuracy. This not only improves cash flow but also enhances patient satisfaction by reducing administrative burdens. Continuity isn’t just about care—it’s also about sustaining the financial health of the organization.

10. Itirra’s Role in FHIR-Driven Integration

Itirra, a health tech lab based in Washington State, specializes in building customized, FHIR-enabled integrations for healthcare organizations. With over a decade of experience, Itirra has partnered with physician advisors, medical consultants, and RCM companies to implement scalable, compliant, and highly usable solutions. Their team understands the complexity of real-world healthcare workflows and tailors solutions accordingly. From SMART on FHIR apps to backend system integration, Itirra bridges the technical and operational divide. Whether you’re starting with a legacy system or enhancing an Epic or Cerner deployment, they provide hands-on support from strategy through execution. Itirra is a trusted partner for organizations seeking long-term success with FHIR.

As value-based care and population health initiatives continue to gain momentum, the need for longitudinal, cross-setting data will only grow. FHIR adoption will expand to include more data types, from social determinants of health to patient-reported outcomes. New federal mandates and payer requirements will further drive interoperability, especially for transitions in care. Organizations that invest now in FHIR infrastructure and consulting expertise will be better positioned to meet these demands. Embedded apps, AI-driven analytics, and real-time care coordination are just the beginning. The future of continuing care is connected, intelligent, and patient-centered.

12. Conclusion

Improving data continuity in continuing care is no longer optional—it’s a strategic imperative. With the power of FHIR and the guidance of specialized consulting services, healthcare organizations can finally bridge long-standing gaps in communication and care. Whether you’re coordinating post-acute services, supporting third-party reviewers, or optimizing your RCM processes, seamless data exchange is critical. Itirra is here to help turn interoperability goals into operational realities through expert-led, customized solutions. Don’t let fragmented systems hold your organization back. Contact Itirra today to schedule a consultation and take the first step toward seamless, FHIR-powered care continuity.