The Standard

The HL7 Da Vinci Project recently named eight healthcare technology experts as its 2021 Da Vinci Community Champions. The individuals recognized for this prestigious honor represent the diverse membership of the HL7^® Da Vinci Project, a collaborative multi-stakeholder effort including health plans, hospital systems, accountable care organizations (ACOs) and technology vendors. The awards were announced on July 20, 2022, at the monthly HL7 Da Vinci Project member meeting. This is the second year in which the HL7^® Da Vinci Project has recognized innovative leaders in health IT who are helping to guide the evolution of the HL7 Fast Healthcare Interoperability Resources (FHIR^®) standard.

As a designated HL7 FHIR accelerator program, the Da Vinci Project is a private sector consortium dedicated to improving the healthcare delivery system by accelerating interoperability standards to support value-based care, reduce administrative burden, automate workflow and improve provider teams’ ability to impact health outcomes.

Last year, the Da Vinci Project leadership created the Community Champions Program to recognize and celebrate the talented problem solvers advancing interoperability within the industry. The Community Champion Program puts a spotlight on individuals who display the unique traits of “industry above self, a passion for making the healthcare system work better, supporting others, and promoting change.”

The HL7 Da Vinci Project’s August Community Roundtable to be held August 24  from 4:00 – 5:30 p.m. ET

Da Vinci’s Community Roundtable returns after a summer hiatus with a powerful program highlighting a real-world implementation of Da Vinci’s Prior Authorization Implementation Guides.

“Celebrating HL7 FHIR's Success: From Champions to Prior Authorization Implementers,” will begin with a program update and brief recognition of the 2021 HL7 Da Vinci Community Champions, showcasing individuals making significant contributions to advancing value-based care by leveraging HL7 Fast Healthcare Interoperability Resources (FHIR®) and making the outputs of Da Vinci real.

After the updates, representatives of the 646-bed health system UC Davis Health, the 25.4-million-member payer Centene, and technology solutions vendor InterSystems will discuss their Da Vinci prior authorization journey and the benefits achieved to date.

Presenters for next week’s session include:

• Howard Cohen, Director, Advanced Technology Team, Centene
• Michael B. Marchant, Director, Health Information Exchange, UC Davis Health
• Lynda Rowe, Senior Advisor, Value-based Markets, InterSystems
• Mahesh Siddanati, Vice President, Digital Solutions and Product (Regulatory and Quality), Centene

Attendees will hear first-hand accounts of the considerations, challenges and benefits of working together to establish infrastructure to streamline prior authorization workflows, remove latency and enable real-time data sharing.

HL7 FHIR empowers patients to access health data with third-party apps in a growing number of countries. As nations, locales and regulators across the world look to increase their citizens’ access to health data through third-party apps, they naturally turn to FHIR. The International Patient Access (IPA) standard aims to enable regulators, empower patients, guide app developers, and promises greater consistency across countries for multinational apps and FHIR servers.

• For patients, greater access to health data empowers them to standardly and computably access and retain their digital health data.

• For regulators and national specification authors, the IPA specification provides a starting point to jumpstart a national health API ecosystem, with an emphasis on patient access. The IPA FHIR profiles are the result of an analysis of existing national base profiles, and is the lowest common denominator globally.

• For app developers, IPA outlines the global base set of access and security mechanisms and content format. This increases the size of the addressable market for apps, both in terms of geography and of systems.

• For systems vendors, IPA defines a base set of functionality, enabling less adaptation and custom work when the system is deployed to a new market. More apps and other systems are readily interoperable with the system.
  
• For healthcare systems, adoption of IPA means less expensive and more robust systems, as fewer market-specific customizations are required. Support of IPA will also enable healthcare systems access to a wide ecosystem of interoperable apps.

By Brian Douthit; Charles Jaffe, MD, PhD; Viet Nguyen, MD; and Titus Schleyer, DMD, PhD

Originally starting as an application showcase in 2018, the FHIR Apps Competition has become one of the most popular sessions at the AMIA Annual Symposium. From clinical decision support and health information exchange to problem-oriented displays and back-end data exchange, HL7 FHIR is enabling innovation across a whole range of health IT domains.

AMIA and HL7 recently reinvigorated their partnership to emphasize the importance of health data standards in informatics, and engage the AMIA implementer community in leveraging FHIR for research, patient care and education. The competition is intended to highlight the best and most innovative FHIR implementations – if you are planning to attend the Annual Symposium this year, you don’t want to miss it!

The Da Vinci Project’s April Community Roundtable to be held April 27 from 4:00 – 5:30 p.m. ET

Why does interoperability require governance? Find out at this month’s April HL7 Da Vinci Community Roundtable.

This month’s session, Effective Interoperability Governance: The People, Processes and Data, features multiple vantage points to approaching interoperability governance and its complexities in our HL7 FHIR API landscape around people, processes and data.

Learn about the meaning of governance and the importance, challenges and lessons learned when applying these guardrails from four different perspectives: an Accountable Care Organization, an academic medical center, a payer and an IT vendor. Critical considerations around process controls, systems and frameworks will also be addressed.

Presenters include:

• Michael Gould, Business Lead – Interoperability, Blue Cross Blue Shield Association 
• Michael B. Marchant, Director, Health Information Exchange, UC Davis Health
• Charlotte Morris, Data Governance Program Director, MultiCare Connected Care
• Lukasz Nosol, Senior Director, Software Development - Enterprise Clinical Integration and Interoperability, Optum

Two CodeX HL7 FHIR Accelerator use case teams are hosting monthly public calls to involve a broad community in early prototype development and pilot planning activities currently underway.

Da Vinci is creating the foundation to solve large scale industry problems.

The HL7 January FHIR Connectathon  was a success, with all examples from the implementation guides (IGs) tested, including over 20 test cases.

The HL7 Da Vinci Project, through its efforts that include Connectathons, “continues to focus on solving real-world data exchange challenges between payers and providers,” said Vanessa Candelora, Da Vinci’s project manager and senior consultant with Point-of-Care Partners, at the Jan. 26 Da Vinci Community Roundtable. “Da Vinci is creating the foundation to solve large scale industry problems, including, risk and quality data sharing and workflow; unlocking data or freeing data needed for patient costs; and reducing provider burden.”

Candelora called HL7 Connectathons, “a fundamentally human-powered endeavor,” praising Da Vinci as “a really great community,” with a multi-stakeholder membership that includes providers, payers, vendors, industry partners and EHRs. “We continue to grow and learn from each other in this party of the willing.”

Candelora added that founders of Da Vinci are pleased with the amount of work the group has accomplished in such a short time. “They really couldn't have envisioned the impact and the progress that this project has made,” she said.

The healthcare industry is in a state of rapid innovation. From aggregated health data apps to telemedicine and digital front doors, the pandemic has propelled consumer demand for innovative and enhanced healthcare solutions. Additionally, The Centers for Medicare and Medicaid (CMS) and The Office of the National Coordinator for Health Information Technology (ONC) mandates on interoperability and HL7 Fast Healthcare Interoperability Resources (FHIR®) have accelerated this innovation by helping bring multiple healthcare stakeholders together to provide better access to quality health data across the board.

Within this context, digital healthcare interoperability has now become a digital supply chain challenge as healthcare providers must retrieve data or information from systems of record, such as electronic health record (EHR) systems, into destination systems and consumers across multiple organizational boundaries while ensuring security and data privacy.

The pandemic taught us that innovation is key in healthcare - organizations with unique digital experiences thrived while those that struggled to adapt suffered. Consumer expectations have also soared in recent years as patients and members expect a frictionless digital experience from their healthcare organizations and access to their data across the healthcare ecosystem. Interoperability - the ability to share the right data across stakeholders, is a key, if not the most important, building block of this movement.

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

Invite your product and technical teams to register for March's HL7 Da Vinci Project Community Roundtable Ready, Set, Test: Prepare Now to Test Da Vinci Implementation Guides.

This essential primer will delve into the IGs and help you identify what you want to test, who needs to be involved, and the tools involved in the testing process so that you are prepared for HL7 and CMS Connectathons.

This session will provide brief updates on Implementation Guides (IGs) and use cases as well as resources to aid testing and Connectathon preparation efforts.

With this basic knowledge you can create your own roadmap to readiness while helping improve industry interoperability.

• Vanessa Candelora, HL7 Da Vinci Project Manager, and Senior Consultant, Point-of-Care-Partners
• Robert Dieterle, Da Vinci Sr. Advisor and Chief Executive Officer, EnableCare, LLC
• Yan Heras, HL7 Da Vinci Project Lead and Technical Advisor, and Principal Informaticist, Optimum eHealth