The Standard

Da Vinci’s Feb. 26 Community Roundtable and Feb. 27 Joint Education Session with FAST to provide implementation resources.

Two free online events coming up soon will provide practical insights on how to improve interoperability by leveraging Health Level Seven’s Fast Healthcare Interoperability Resources (FHIR®) standard for APIs.

A Community Roundtable, to be held at 4 p.m. ET on Feb. 26, will focus on “Da Vinci’s Trebuchet: Launching Your Interoperability Implementations.”

The HL7 Da Vinci Project is a private-sector initiative that’s leveraging FHIR to improve data sharing in value-based care (VBC) arrangements. The goal of Da Vinci’s Trebuchet effort is to accelerate FHIR adoption and scaling of FHIR APIs through pilot projects.

Attendees at this month’s Community Roundtable will receive information to equip them with the knowledge and resources needed to successfully launch an implementation journey.

Pilot leaders and a panel of payer and provider implementers will share their expertise. After a level-setting session that reviews the purpose and current state of Trebuchet pilots, presenters will describe what’s involved with piloting and how to determine your organization’s readiness.

Attendees will learn about key elements of finding or creating a pilot, including identifying other parties of the willing, the role of vendors in your pilot design, Qualified Health Information Network (QHIN) and Health Information Network (HIN) implications and how your current trading partners fit into your vision. The session will conclude with a panel of payers and providers who will share their piloting journey.

Register Today for the February Community Roundtable! 

To register and attend this free webinar, visit:
https://zoom.us/webinar/register/WN_T5IyY_NQQLybrIZdQ0zifw#/registration 

Second Event

The second event, to be held at 2 p.m. ET on Feb. 27, will be a joint session of FAST and Da Vinci focusing on alignment of Trebuchet and network exchange goals.

FAST stands for the FHIR at Scale Taskforce (FAST) Accelerator, which is working to identify ecosystem-wide barriers to deploying FHIR at scale, define solutions to address those barriers and develop infrastructural standards to support FHIR implementations. The desired outcome is a national API interoperability approach that enables consistent clinical data exchange using FHIR. 

The FAST Security Implementation Guide (IG) supports a multi-party trust framework within payer-payer and payer-provider networks. It supports implementing dynamic client registration in scalable exchange.

David Pyke, FAST technical director, will discuss the FAST IG with a focus on the implementer’s perspective, including:

• What to consider before and during implementation of the IG
• What is of primary importance as you begin and progress through implementation
• For payers, providers and vendors: What are the implications and experiences of the client, vendors and EHRs.

To attend, access the Zoom link on this page under the  Conference Call Schedule and Dial-ins section: https://confluence.hl7.org/display/DVP/Da+Vinci+Trebuchet+FHIR+Pilots   

Don’t miss these two opportunities to learn how to implement FHIR as a critical component of ramping up the exchange of clinical data to improve the quality of care.

Are you ready to go for 2025? 

Join the HL7 Da Vinci Project technical directors next week to learn the latest Da Vinci implementation guide developments. 

Ready to Go! 2025 HL7 Da Vinci Project Implementation Guide Progress, will be held online Jan. 22 at 4 p.m. ET.  As a participant, you will learn about Da Vinci’s use cases and the use case progress across the Da Vinci implementation guides. Da Vinci Project’s technical directors will provide an overview of all the use cases spanning clinical data exchange; coverage, transparency and burden reduction; quality and risk use cases; and foundational assets.  

Don’t miss this opportunity to hear an overview of each use case and learn about implementation guide functional enhancements and resources.  You will also learn the status and maturity of the guides to help inform your planning for your 2025 Fast Healthcare Interoperability Resources (FHIR®) implementation staffing and allocations. 

As the Trusted Exchange Framework and Common Agreement (TEFCA) moves ahead for FHIR usage within the framework, the use of the HL7 FAST UDAP Security for Scalable Registration, Authentication and Authorization FHIR IG (FAST Security) is becoming more important to the security framework for FHIR within the US and in other countries. As part of our mission, the FHIR At Scale Taskforce (FAST) wants to help people get ready for the TEFCA January 1, 2026, deadline to have Fast Security implemented for FHIR Exchange over TEFCA.

To help implementers, CISOs, and anyone interested in FHIR on TEFCA out, FAST is holding a 1-day event to introduce the Security IG and how TEFCA will use it and information about general TEFCA security, Security IG testing, and other aspects. This event is FREE on January 13, 2025, right before the FHIR Connectathon. If you’re interested in FHIR on TEFCA or want to know the latest in FHIR OAuth security, you can sign up at: https://info.hl7.org/fast-security

One of the most efficient ways to exchange data among providers and payers for prior authorization and other purposes is by taking advantage of standard application program interfaces (APIs) and a central hub to avoid manual processes and support of point-to-point interfaces.

The HL7^® Da Vinci Project’s new Trebuchet pilot program, launched earlier this year, is enabling additional pioneers to test that approach.

Trebuchet was created when Da Vinci members Regence, MultiCare Connected Care, and Blue Cross Blue Shield Arkansas sought ways to pilot Da Vinci use cases on the emerging TEFCA framework. They contacted multiple Qualified Health Information Networks™, or QHINs™, to gauge their interest in joining the pilot. eHealth Exchange joined the effort to perform the QHIN functions and provided valuable project management support.

The team named the coalition “Trebuchet” to illustrate how the success of a third-century military catapult could inspire providers, payers, and a QHIN to accelerate trusted and scalable exchange. 

As efforts advanced and participants increased, Trebuchet asked Da Vinci to take over project management. Now a priority project adopted by Da Vinci, Trebuchet is proving how eHealth Exchange’s nationwide trust model and “Networked FHIR” architecture rapidly deploy Smart-on-FHIR Prior Authorization and Clinical Data Exchange (CDex) at scale

Looking for an update on the HL7 Da Vinci Project’s accomplishments this year and the outlook for 2025? Then don’t miss a special year-end online session at 4 p.m. ET on December 11.

This meeting, which combines Da Vinci’s Member Forum and Operating Committee meetings and the December Community Roundtable, will review this year’s programmatic accomplishments and set the stage for 2025.

A Da Vinci leadership panel will discuss 2024 highlights, sharing progress across policy, use cases and implementer support. The panel will address the successful Fast Healthcare Interoperability Resources (FHIR®)) implementation outcomes listed in the HIPAA exception report as well as key partnerships and their interoperability journeys. (For more on the HIPAA exception report, see: Report on HIPAA Exception Project Describes Benefits of Using FHIR APIs).

Are you implementing Health Level Seven (HL7®) Fast Healthcare Interoperability Resources (FHIR®) APIs and looking for testing resources? Find out about the Inferno Health API Testing Framework at this month’s October HL7 Da Vinci Project Community Roundtable.

In its SDOH Playbook, “US Playbook to Address the Social Determinants of Health,” the White House explained that supporting flexible funding to address social needs, such as those offered through health-related social needs (HRSN) reimbursement programs, improves health outcomes: “Increasing funding flexibility and offering technical assistance that empowers organizations to utilize funding from a variety of sources will better equip them to address unmet social needs.”

The success of these reimbursement programs requires the existence of exchange and data standards that serve the interests of all stakeholders. Payers and community-based organization (CBOs) currently experience complexities and pain points that have presented challenges and made it difficult to meet the HRSN reimbursement programs’ full potential exist as these benefits roll out today.

As momentum has grown among states and payers for the reallocation of healthcare funds to address HRSNs, Gravity Project decided to undertake a discovery effort to understand and define the existing landscape for CBO reimbursement and identify the components of the CBO reimbursement process and where national standards play a role. 

"Unite Us is proud to work with the Gravity Project. Together, we are making it easier for community-based organizations to participate in Medicaid reimbursement programs, expanding the availability of these benefits to more individuals seeking care,” Emily Anders, director of payments strategy for Unite Us, said.

A report from the HL7 Da Vinci Project describes how two pioneering organizations demonstrated the real-world practicality and value of applying standard application program interfaces (APIs) to streamline the prior authorization process.

Regence, a payer based in the Pacific Northwest, and MultiCare Health System, a provider based in Washington state, spent about a year testing and fine-tuning processes that leverage HL7’s Fast Healthcare Interoperability Resources (FHIR^®) standard for APIs.

In addition, dozens of other organizations have tested FHIR APIs at more than 15 Connectathon testing events.

"Our response to interoperability isn’t just about managing data—it’s about building the future of healthcare through open standards." - Dan Vreeman, DPT, Chief Standards Development Officer, HL7 International

Last week at Civitas 2024 in Detroit, HL7 International/s Chief Standards Development Officer,Dan Vreeman, DPT, led an insightful panel session on how HL7® Fast Healthcare Interoperability Resources (FHIR®) is revolutionizing interoperability. As data sharing becomes increasingly critical, HL7 is at the forefront, driving collaboration with over 45 organizations and developing 35-45 new FHIR implementation guides annually! Dan was joined by leaders from the Da Vinci Project, FAST, Gravity Project, and Helios, to discuss their HL7 FHIR Accelerator projects, including objectives and progress made to date in advancing open data standards development and interoperability.

An Overview, Demo and Benefits of Da Vinci-related Test Kits on Wednesday, October 23

Are you implementing Health Level Seven (HL7®) Fast Healthcare Interoperability Resources (FHIR®) APIs and looking for testing resources? Find out about the Inferno Health API Testing Framework at this month’s October HL7 Da Vinci Project Community Roundtable.

This month’s session, Exploring Inferno: An Overview, Demo and Benefits of Da Vinci-related Test Kits, is scheduled for Wednesday, Oct. 23, from 4 – 5:30 PM EDT and features presenters from the Assistant Secretary for Technology Policy (ASTP) / Office of the National Coordinator for Health Information Technology (ONC) and MITRE. Presenters will introduce the Inferno Framework and voluntary test kits, which may be used as testing tools to further advance implementation guide development and testing of industry implementations.

The FHIR at Scale Taskforce (FAST) community has been at the forefront of shaping the future of healthcare interoperability. By working closely with the FHIR community and other FHIR Accelerators, FAST is building the framework for a robust FHIR infrastructure that supports the scalability of FHIR solutions across the healthcare ecosystem. Today, we are excited to announce an important leadership transition as we continue this vital work.

A New Opportunity for Dana Marcelonis

Dana Marcelonis, who has been a cornerstone of FAST as our Program Manager, will be transitioning to a new role at Point-of-Care Partners, where she will provide program support for the Coalition for Health AI (CHAI) project. Dana’s expertise, dedication, and leadership have been instrumental in guiding FAST’s efforts, and her impact on our work cannot be overstated. While Dana managed both roles admirably, the increasing demands of these projects have made it necessary to have a dedicated resource for each. Dana will continue to support Janice and the team through November to ensure a smooth transition.