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June Webinar Highlights Risk Adjustment Reporting at the Point-of-Care

[fa icon="calendar'] Jun 15, 2023 12:58:26 PM / by Leslie Amorós posted in FHIR, interoperability, Da Vinci, FHIR Accelerator, Risk Adjustment

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The Da Vinci Project’s June Community Roundtable to be held June 28 from 4:00 – 5:30 pm ET

Representatives from athenahealth and Optum discuss the HL7 Da Vinci Project’s newest use case during the June Community Roundtable, scheduled on Wednesday, June 28, from 4 – 5:30 p.m. ET.

In addition to learning the latest project updates, attendees will learn how the Da Vinci Risk Adjustment Implementation Guide (IG) supports exchange of risk adjustment gap reports at the point of care. Attendees will discover how standard protocols, which are payer agnostic, enable communication of chronic conditions and simplified workflows. Presenters will also illustrate how providers gain the ability to share real-time feedback and clinical evidence to address gaps. An overview of the IG and a question-and-answer period will conclude the webinar.

 Presenters for this session, “Risk Adjustment Reporting at the Point-of-Care​,” include:

  • Josh Lamb, Integration Architect, Optum
  • Linda Michaelsen, Director, Healthcare Interoperability Standards, Optum
  • Nidhi Pengoria, Senior Product Manager, athenahealth

Alix Goss, HL7 Da Vinci Project PMO, and Senior Consultant, Point-of-Care Partners, serves as the session moderator.

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Insights on Achieving Bidirectional Clinical Data Exchange

[fa icon="calendar'] May 17, 2023 5:21:16 PM / by Howard Anderson posted in FHIR, interoperability, Da Vinci, FHIR Accelerator, PDex, CDex

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May Community Roundtable Will Feature Case Study on How Standardized Information Sharing Between Providers, Payers Improves Patient Care

In this month’s Community Roundtable, the HL7 Da Vinci Project will offer timely insights on achieving bidirectional clinical data exchange between payers and providers using Da Vinci’s PDex (Patient Data Exchange) and CDex (Clinical Data Exchange) implementation guides.

The virtual roundtable, titled “Improving Patient Outcomes Using FHIR: How providers are exchanging clinical data with payers to deliver better quality of care,” will be held 4-5:30 p.m. EDT on Wednesday, May 24.

 

This free online event will feature an implementation story from Florida Blue, healow Insights and Humana that describes how standardized information sharing improves patient care. The session will include a demonstration of clinical data exchange capabilities, such as point of care alerts and up-to-date patient histories, underscoring the value of using HL7 FHIR® (Fast Healthcare Interoperability Resources) standards to optimize electronic medical record integration to assist in achieving value-based care outcomes.

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Da Vinci's April Community Roundtable to Feature Implementation of Burden Reduction IGs

[fa icon="calendar'] Apr 25, 2023 9:35:11 AM / by Leslie Amorós posted in FHIR, interoperability, Da Vinci, prior authorization, FHIR Accelerator, burden reduction

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The Da Vinci Project’s April Community Roundtable to be held April 26 from 4:00 – 5:30 pm ET

Join us for our April Community Roundtable this Wednesday, April 26, from 4 – 5:30 pm, to hear the latest from the HL7 Da Vinci Project and recent industry activity as well as our featured implementation story from athenahealth, Availity and Humana.

Straight from the Spotlight Theater at HIMSS23, this national payer, EHR vendor and health information network will share lessons learned from their collaborative development of an end-to-end prior authorization process leveraging the Da Vinci Burden Reduction Implementation Guides.

Presenters for this session, “A Transformative Trifecta: An End-to-End Prior Authorization Journey,” include:

  • Susan Bellile, Principal, Clinical Solutions, Availity
  • Jocelyn Keegan, Program Manager, HL7 Da Vinci Project; Payer/Practice Lead, Point-of-Care Partners
  • Amy Mattingly, Director, UM Interoperability Product Management, Humana
  • Gillian McCabe, Director, Product Management, Authorization Management, athenahealth

The moderator for the Community Roundtable is Alix Goss, HL7 Da Vinci Project PMO, Vice President and Senior Consultant, Imprado.

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Da Vinci Submits Comments on Interop 3 Proposed Rule & the Attachments NPRM

[fa icon="calendar'] Mar 22, 2023 8:53:09 AM / by Diana Manos posted in FHIR, interoperability, CMS, Da Vinci, FHIR Accelerator, PDex, attachments, policy, interop 3

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Last December, the Centers for Medicaid & Medicare Services (CMS) issued two notices of proposed rulemaking (NPRM) that will greatly influence how FHIR advances.

Da Vinci officially commented March 13 on one the rules, the Advancing Interoperability and Improving Prior Authorization Processes, or “Interop 3,” and submitted comments last week to the other rule, the Attachments NPRM, due on March 20. This rule is a set of HIPAA attachment standards and related definitions for electronic exchange of clinical administrative data to support both prior authorizations and claims adjudication, according to Alix Goss, moderator for the HL7 Da Vinci Project Community Roundtable and HL7 Da Vinci Project PMO, as well as vice president and senior consultant with Imprado.

Da Vinci is not in favor of finalizing the proposed regulations, Goss said. A final rule would require investments across the country that essentially will hardwire the approach making further evolution that much harder and burdensome, and redirecting the industry’s focus, taxing resources.

“Industry payers, providers, clearing houses, vendors, patients and more have to make choices at each step of the interoperability journey, and finalizing these regulations brings complications to the choices already made, and those to come,” Goss said. “We all know that the reality that technology moves faster than policy advancements and we're still working out how to work with this reality.”

Goss advises those who want a deeper dive into these rules to review the January 25 Community Roundtable, where the CMS Office of Burden Reduction and the National Standards group delivered an extensive overview.

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CodeX to Tackle More HL7® FHIR® Patient Care and Research Use Cases with Expanded Steering Committee

[fa icon="calendar'] Mar 16, 2023 5:18:20 PM / by CodeX FHIR Accelerator posted in FHIR, HL7, health IT, FHIR Accelerator, FHIR Community, CodeX, oncology

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Five new Steering Committee members will bring unique insights to an upcoming slate of HL7 FHIR use cases in oncology, cardiovascular health, and genomics.

CodeX, the HL7® Fast Healthcare Interoperability Resources (FHIR®) Accelerator working to advance the adoption of FHIR as the standard to obtain high-quality, computable data for patient care and research, including the domains of oncology, cardiovascular health, and genomics, announced an expanded steering committee and new members of its leadership team.

“These experts in their fields are committed to helping CodeX develop and implement a strategic vision for the future with integrity, fairness, and equity. We embrace the HL7 ethos of collaboration and community to collectively solve interoperability challenges,” said Su Chen, M.D., program manager and clinical director of CodeX & digital health clinical principal at MITRE. In her role, Chen serves as chair of the CodeX Steering Committee.

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How to Improve Patient Matching: A Case Study

[fa icon="calendar'] Mar 15, 2023 3:47:03 PM / by Howard Anderson posted in FHIR, interoperability, Da Vinci, FHIR Accelerator, patient cost transparency, CDex, member attribution

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Hear about real-world lessons learned on applying the member attribution use case to improve patient matching

In this month’s Community Roundtable, the HL7 Da Vinci Project will offer important use case updates plus a real-world case study on improving patient matching. The virtual roundtable, titled “Use Case Progress and Patient Matching Success: How to Improve Interoperability and Patient Safety,” will be held 4:00 to 5:30 p.m. EDT on Wednesday, March 22.

This informative session will highlight use case milestones for Clinical Data Exchange (CDex), Price Cost Transparency (PCT) and Member Attribution (ATR). Plus, it will offer a case study from Opala and MultiCare Connected Care, implementers of Da Vinci’s member attribution use case. This groundbreaking project resulted in a 10% improvement in patient matching. This benefit helped MultiCare further improve patient safety by ensuring clinicians have the full picture about their patients in real time.

Guest speakers will include:

  • Crystal Kallem, project manager, HL7 Da Vinci Project, and senior consultant, Point-of-Care Partners
  • Jocelyn Keegan, program manager, HL7 Da Vinci Project, and payer practice lead, Point-of-Care Partners
  • Meghan Quint, vice president of solutions and customer success, Opala
  • Anna Taylor, AVP, population health and value-based care, MultiCare Connected Care

The moderator will be Alix Goss, HL7 Da Vinci Project PMO, who is vice president and senior consultant at Imprado.

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Are You Preparing for the Proposed Prior Authorization and Attachments Rules?

[fa icon="calendar'] Feb 16, 2023 5:11:35 PM / by Diana Manos posted in FHIR, health IT policy, interoperability, CMS, Da Vinci, prior authorization, FHIR Accelerator, attachments

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Learn about the rules, how innovators are reaping the benefits of HL7 FHIR APIs and the value of automation at this month’s  Da Vinci Project Community Roundtable

In this month’s Community Roundtable, the HL7 Da Vinci Project is exploring healthcare interoperability with a full line-up of speakers. The virtual roundtable, titled, “Advancing Interoperability via FHIR APIs: An Industry Discussion on Progress, Proposed Rules and the Value of Automation,will be held Wednesday, Feb. 22, from 4:00 - 5:30 PM EST.

The session will break down the latest federal proposed rules impacting interoperability, the Prior Authorization and Attachments Rules, published last December. Continuing where the January Roundtable left off, Da Vinci guest speakers will address the complex rules and explain their significance in moving forward with FHIR APIs to seamlessly exchange information between payers and providers. CMS is awaiting March comments on the rule, and this roundtable will be a good prep for those who are preparing to comment on this landmark regulation impacting interoperability and seeking to invest in FHIR.

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CMS Officials and Da Vinci Leaders Present a Community Roundtable on the Proposed Federal Rules and How Da Vinci Implementation Guides Meet Them

[fa icon="calendar'] Jan 20, 2023 1:45:01 PM / by Leslie Amorós posted in FHIR, health IT policy, interoperability, CMS, Da Vinci, prior authorization, FHIR Accelerator, attachments

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The Da Vinci Project’s January Community Roundtable to be held January 25 from 4:00 – 5:30 p.m. ET

With the issuance of the new federal prior authorization and attachments rule proposals last month, the innovative interoperability work advanced by the HL7 Da Vinci Project is once again being recognized as a path forward for game-changing industry transformation that will reduce burden, increase automation and improve care.

The Intersection of Federal Regulation and The HL7 Da Vinci Project, January’s Community Roundtable, features an overview and frequently asked questions about the rules and their accompanying RFIs from CMS officials. Da Vinci leaders then will share an overview of the implementation guides that are suggested in the proposed rules and how they meet the rules’ objectives.

At the January 25 session, which is scheduled from 4:00 – 5:30 p.m. ET, attendees will learn how to access the resources, participate in community feedback and start getting involved.

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HL7 Gravity Project: An Ongoing Evolution

[fa icon="calendar'] Nov 28, 2022 5:08:40 PM / by Gravity Project PMO posted in FHIR, interoperability, health IT, implementation guide, Gravity, Social Determinants of Health, SDOH

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Highlighted here is a preview of what’s on the horizon as the Gravity Project matures and
recent examples of Gravity standards integration.

The Gravity Project®, an HL7® FHIR Accelerator, is evolving the way it advances social care data integration as a strategy to promote health equity while maintaining continuity with the mission and consensus-based processes that are core to the project. The project is a national public-private collaborative developing, testing, and implementing consensus-based social determinants of health (SDOH) data standards for use across the health, social services, public health, and research sectors. The Gravity community embodies a truly inclusive representation of over 2,500 stakeholder members of its public work groups and governance committees across the healthcare, health IT, community-based, federal and state agency, payer, academic, and patient/ consumer advocacy sectors.

In 2021, HL7 was awarded a cooperative agreement with the Office of the National Coordinator for Health Information Technology (ONC) to prioritize and expedite the development of standards specific to five gap areas including SDOH. Under this collaborative agreement, the Gravity Pilots Affinity Group was launched in September 2022 as a peer-to-peer learning forum for real-world testing of Gravity terminology and technical standards. Pilot sites are invited to demonstrate the use of social care coded terminologies (e.g., LOINC®, SNOMED-CT®, ICD-10®) and/or the HL7 SDOH Clinical Care FHIR Implementation Guide (SDOH CC IG), share implementation lessons learned with other pilot participants, seek/find partnerships for testing, and gain real-world experience.

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November Community Roundtable Highlights Da Vinci Implementation Progress and 2023 Plans

[fa icon="calendar'] Nov 21, 2022 4:57:19 PM / by Leslie Amorós posted in FHIR, interoperability, Da Vinci, value based care, FHIR Accelerator

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The Da Vinci Project’s November Community Roundtable to be held November 30 from 4:00 – 5:30 p.m. ET

During November's Community Roundtable, HL7 Da Vinci Project leaders representing providers, payers and EHR vendors will offer an insightful program discussing real-world implementations of Da Vinci’s Implementation Guides.

Significant Progress: HL7 Da Vinci Project Year-end Review and 2023 Plans,” begins with a review of this year’s program accomplishments and continues with a panel of industry and HL7 Da Vinci Project leaders sharing the impact of corresponding regulations and the proven guides that reduce burden and enable efficient value-based care workflows.

In particular, they will discuss the reality and progress of Da Vinci implementations in a world where HL7 FHIR APIs are becoming the de facto norm for data sharing for clinical data exchange and prior authorization. The session concludes with a preview of the project goals and activities planned for 2023.

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