Tuesday, December 1, 2020

Modernizing US health provider sites to improve directory accuracy

The world's attention has turned to healthcare this year, with many initiatives exploring the use of open data and standards. Schema.org has made a number of efforts already to contribute to the global Coronavirus response, including the creation of SpecialAnnouncement markup, improvements around events, jobs, hospital reporting, and other schemas to reflect our changed reality. 

This week we have invited longstanding Schema.org collaborator Aneesh Chopra to provide an introduction to some important developments in the United States, where Schema.org is being used to improve the accuracy of information about healthcare provider directories. 

Guest post by Aneesh Chopra, former U.S. CTO (2009-2012) and President/Co-Founder of CareJourney:

Just over 9 years ago, the schema.org community launched a markup for JobPostings, an important resource to meet a call to action in helping veterans find jobs that valued their skills. During the early months of the pandemic, this community responded with an important upgrade to the nation’s health IT infrastructure to democratize access more trusted health information online.

Today, at an API Summit hosted by the Office of the National Coordinator for Health IT, Kathy Hempstead of the Robert Wood Johnson Foundation announced an open collaboration that builds upon the same regulations and industry standards to improve another important aspect of the consumer health navigation experience - searching for timely, accurate provider directory information.

For many Americans, finding a health plan that includes their trusted providers is critically important, but often requires tedious work looking up each plan’s provider directory. Sadly, as CMS found in a recent review, nearly 50% of provider directories contained inaccuracies regarding whether the provider was accepting new patients, practicing at the address listed, or reachable via the listed phone number. 

Regulators have attempted to solve these problems by imposing penalties on government-sponsored plans for inaccurate information, but an additional solution may be at hand. A provision embedded in CMS’ interoperability regulations requires government-sponsored health plans to publish machine-readable access to timely directory information by July 2021. In an effort to reduce administrative burdens, a multi-stakeholder collaborative is looking to both improve the quality of physician websites to include this information and to enable health plans to source timely, accurate information from them to comply with the rules.

Similar to the work that was done to make it easier for consumers to find COVID announcements on physician websites, such as testing availability, revised office hours or telemedicine services, this collaborative will work to standardize how to publish structured provider directory information. To further simplify the search experience, providers can now publish their website URL when updating their “digital contact information” on CMS’ NPPES NPI Registry.

Adding structured data from a provider’s website to the portfolio of tools health plans use today – including plan-agnostic reporting tools, “secret shopper” visits, mailings, and a number of emerging data-driven solutions – should result in a reduction in the administrative burden of updating physician directories. Directory maintenance is burdensome. The average practice has over 20 health plan contracts and directories to maintain with over 50% of these updates being conducted via phone or fax. According to a 2019 CAQH (Council for Affordable Quality Healthcare®) report, the average practice spends $1,000 each month for directory maintenance. Yet at the same time, physician practices find value in online marketing as a way to attract new patients, and invest an average of $650 per month to design websites and optimize search results, according to a study by Zocdoc. A web standardization effort will therefore have multiple benefits. It will allow physicians to more efficiently communicate useful information via search engines that can also be used to populate health plan directories and to meet regulatory compliance, thus reducing administrative burdens. 

CareJourney, with support from The Robert Wood Johnson Foundation, seeks to engage public and private sector stakeholders in an effort to accelerate the development and adoption of schema.org web standards for physician information, and to curate a portfolio of tools to structure this information on a practice’s website. Our goal is to improve consumer access to provider information while lowering physician burden. We anticipate the following benefits: 
  • Increased consumer access to high-quality, accurate provider information, such as whether a doctor, practicing at this location, is seeing new patients from my plan.
  • Consistent webpage documentation and maintenance practices that are sufficient to meet health plan regulatory requirements
  • Improved search engine results by leveraging the structured website markup 
This effort will benefit from the active participation of the healthcare community and we welcome additional participants to play a part in our initiative. Assistance in testing and providing feedback on the proposed web standards will be critical and extremely helpful in further promotion and adoption. Once the resulting open information and markup instructions are freely available, we welcome assistance in the widespread dissemination. Finally, we are grateful the prominent search engines are engaged in a process for site maintenance that ensures physicians keep their websites properly structured at the lowest possible administrative burden.

Thank you, in advance, for your interest in advancing this important work! Please sign up here to participate!

Monday, April 6, 2020

COVID-19 schema for CDC hospital reporting

The COVID-19 pandemic requires various medical and government authorities to aggregate data about available resources from a wide range of medical facilities. Clearly standard schemas for this structured data can be very useful.

The Centers for Disease Control (CDC) in the U.S. defined a set of data fields to facilitate exchange of this data. We are introducing a Schema.org representation of these data fields. 

The purpose of this schema definition is to provide a standards-based representation that can be used to encode and exchange records that correspond to the CDC format, with usage within the U.S. primarily in mind. While the existence of this schema may provide additional implementation options for those working with US hospital reporting data about COVID-19, please refer to the CDC and other appropriate bodies for authoritative guidance on the latest reporting workflows and data formats.

Depending upon context, any of the formats and standards that work with Schema.org may be applicable for encoding this data, including the Microdata, RDFa and JSON-LD data formats, as well as related technologies such as W3C SPARQL for data query. JSON-LD is in most cases likely to be the most appropriate format. There is no assumption that data encoded using this schema should necessarily be published on the public Web, nor that it would be used by search engines.

We will continue to improve this vocabulary in the light of feedback, and welcome suggestions for improvements and additions particularly from US healthcare organizations who are using it. This CDC-based vocabulary follows other recent changes we have made to Schema.org. For details of recent changes see our release notes and our previous post announcing the SpecialAnnouncement markup, which is now supported at both Bing (blog, docs) and Google (blog, docs). As the global response to COVID-19 evolves we will do our best to improve schema.org's vocabularies to represent the changes that Coronavirus is bringing to society, and to assist those using structured data to help with the response.


Monday, March 16, 2020

Schema for Coronavirus special announcements, Covid-19 Testing Facilities and more

The COVID-19 pandemic is causing a large number of “Special Announcements” pertaining to changes in schedules and other aspects of everyday life. This includes not just closure of facilities and rescheduling of events but also new availability of medical facilities such as testing centers.

We have today published Schema.org 7.0, which includes fast-tracked new vocabulary to assist the global response to the Coronavirus outbreak.

It includes a "SpecialAnnouncement" type that provides for simple date-stamped textual updates, as well as markup to associate the announcement with a situation (such as the Coronavirus pandemic), and to indicate URLs for various kinds of update such a school closures, public transport closures, quarantine guidelines, travel bans, and information about getting tested.  

Many new testing facilities are being rapidly established worldwide, to test for COVID-19. Schema.org now has a CovidTestingFacility type to represent these, regardless of whether they are part of long-established medical facilities or temporary adaptations to the emergency.

We are also making improvements to other areas of Schema.org to help with the worldwide migration to working online and working from home, for example by helping event organizers indicate when an event has moved from having a physical location to being conducted online, and
whether the event's "eventAttendanceMode" is online, offlline or mixed. 

We will continue to improve this vocabulary in the light of feedback (github; doc), and welcome suggestions for improvements and additions particularly from organizations who are publishing such updates. 

Dan Brickley, R.V.Guha, Google.
Tom Marsh, Microsoft.

Wednesday, January 22, 2020

Schema.org 6.0

Schema.org version 6.0 has been released. See the release notes for full details.  As always, the release notes have full details and links (including previous releases e.g. 5.0 and 4.0).

We are now aiming to release updated schemas on an approximately monthly basis (with longer gaps around vacation periods). Typically, new terms are first added to our "Pending" area to give time for the definitions to benefit from implementation experience before they are added to the "core" of Schema.org. As always, many thanks to everyone who has contributed to this release of Schema.org.

--
Dan Brickley, for Schema.org.

Tuesday, April 2, 2019

Schema.org 3.5: Simpler extension model, projects, grants and funding schemas, and new terms for describing educational and occupational credentials

Schema.org version 3.5 has been released. This release moves a number of terms from the experimental "Pending" area into the Schema.org core. It also simplifies and clarifies the Schema.org extension model, reducing our emphasis on using named subdomains for topical groups of schemas. New terms introduced in Pending area include improvements for describing projects, grants and funding agencies; for describing open-ended date ranges (e.g. datasets); and a substantial vocabulary for Educational and Occupational Credentials. Many thanks to all who contributed!

Wednesday, May 2, 2018

Datacommons.org and Schema.org

Over the past few years we have seen a number of application areas benefit from Schema.org markup. Schema.org discussions have often centered around the importance of ease of use, simplicity and adoption for publishers and webmasters. While those principles will continue to guide our work, it is also important to work to make it easier to consume structured data, by building applications and making more use of the information it carries. We are therefore happy to welcome the new Data Commons initiative, which is devoted to sharing such datasets, beginning with a corpus of fact check data based on the schema.org ClaimReview markup as adopted by many fact checkers around the world. We expect that this work will benefit the wider ecosystem around structured data by encouraging use and re-use of schema.org related datasets.

Tuesday, August 29, 2017

Schema.org 3.3: News, fact checking, legislation, finance, schedules, howtos, tourism and toilets!

Schema.org 3.3 has been released. As always, the release was prepared, debated and finalized by the schema.org community group, and features a range of additions, adjustments, bugfixes and clarifications to improve the expressiveness and usability of our schemas.


See the release notes for full details, but of particular note are some changes made around the NewsArticle type (in collaboration with the Trust Project on whose work this is largely based). For many years, our definition of NewsArticle was simply "a news article". With this release we add (via our "pending" mechanism) some more subtlety around News, making it possible to mark-up categories of news including opinion pieces, background articles, reportage, as well as as also introducing types for satirical and advertiser content. We also add properties that encourage greater transparency around News creation and publication. These are flagged as "pending" to emphasize that early adopter feedback on the new vocabulary is particularly welcomed, via Github, the W3C group, or the site's feedback form. These developments complement our earlier work to support interoperability amongst fact-checking sites via the ClaimReview type. Following discussion at GlobalFact4 conference, we have also amended the definition of the "expires" to highlight its applicability to fact checking content.

Other highlights of 3.3 include new terminology (also pending implementor feedback) for describing legislation, based on the European Legislation Identifier (ELI) ontology and the work of the ELI taskforce. We have also added an overview page giving more details on our finance-related terminology, contributed by the FIBO community, alongside a proposed design for describing schedules, new subtypes distinguishing user from critic reviews, and a generalization of our recipes schema called "HowTo" for recipe-like tasks that don't result in food. We've also added types for TouristAttraction and for PublicToilet...

Thursday, March 23, 2017

Schema.org 3.2: courses, fact-checking, digital publishing accessibility, menus and more...

Schema.org 3.2 is released! This update brings many improvements including new vocabulary for describing courses, fact-check reviews, digital publishing accessibility, as well as a more thorough treatment of menus and a large number of pending proposals which are offered for early-access use, evaluation and improvement. We also introduce a new "hosted extension" area, iot.schema.org which provides an entry point for schema collaborations relating to the Internet of Things field. As always, our releases page has full details.

These efforts depend entirely on a growing network of collaborations, within our own W3C Community Group and beyond. Many thanks are due to the Schema Course Extension Community Group, the IDPF's Epub Accessibility Working Group, members of the international fact-checking network including the Duke Reporters Lab and Full Fact, the W3C Web of Things and Spatial Web initiatives, the Bioschemas project, and to Wikipedia's Wikidata project.

This release also provides the opportunity to thank two of our longest-serving steering group members, whose careers have moved on from the world of structured data markup. Peter Mika and Martin Hepp have both played leading roles in Schema.org since its earliest days, and the project has benefited greatly from their insight, commitment and attention to detail.

As we look towards future developments, it is worth taking a brief recap on how we have organized things recently. Schema.org's primary discussion forum is a W3C group, although its most detailed collaborations are typically in Github, organized around specific issues and proposed changes. These discussions are open to all interested parties. Schema designs frequently draw upon related groups that have a more specific topical focus. For example, the Courses group became a hub for education/learning metadata experts from LRMI and others. This need to engage with relevant experts also motivated the creation of the "pending" area introduced in our previous release. Github is a site oriented towards computer programmers. By surfacing proposed, experimental and other early access designs at pending.schema.org we hope we can reach a wider audience who may have insight to share. With today's release, we add 14 new "pending" designs, with courses, accessibility and fact-checking markup graduating from pending into the core section of schema.org. Future releases will follow this pipeline approach, encouraging greater consistency, quality and clarity as our vocabulary continues to evolve.



Tuesday, August 9, 2016

schema.org update: hotels, datasets, "health-lifesci" and "pending" extensions...

Schema.org 3.1 has been released! Many thanks to everyone in the community who has contributed to this update, which includes substantial new vocabulary for describing hotels and accommodation, some improvements around dataset description, as well as the usual collection of new examples, bugfixes, usability, infrastructural, standards compatibility and conceptual consistency improvements.

This release builds upon the recent 3.0 release. In version 3.0 we created a health-lifesci extension as a new home for the extensive collection of medical/health terms that were introduced back in 2012. Publishers and webmasters do not need to update their markup for this change, it is best considered an improvement to the structure of our documentation. Our extension system allows us to provide deeper coverage of specialist topics without cluttering the core project pages. Version 3.0 also included some improvements from the FIBO project, improving our representation of various financial products.

We have also introduced a special extension called "pending", which provides a place for newly proposed schema.org terms to be documented, tested and revised. We hope that this will help schema proposals get wider visibility and review, supporting greater participation from non-developer collaborators. You should not need to be a computer programmer to be part of our project, and "pending" is one step towards making work-in-progress schema proposals more visible without requiring knowledge of highly technical systems like GitHub. We have linked each term in pending.schema.org to the technical discussions at Github, but also to a simple feedback form. We anticipate updating the "pending" area relatively frequently, in between formal releases.

The site also features a new "how we work" document, oriented towards the Web standards community and toolmakers, explaining the evolving process we have adopted towards creating new and improved schemas. See also commentary on this in the UK government technology blog post about making job adverts more open with schema.org.

Many people were involved in these updates, but particular thanks are due to Martin Hepp for leading the hotels/accommodation design, and to Marc Twagirumukiza for chairing the "schemed" W3C community group that led the creation of our new health-lifesci extension.

Finally, we would like to dedicate this release to Peter Mika, who has served on our steering group since the early days. Peter has stepped down as Yahoo's representative, passing his duties to Nicolas Torzec. Thanks, Peter! Welcome, Nicolas...

For more details on version 3.1 of schema.org, check out the release notes