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CMS Interoperability Rule and Impact of COVID-19

[fa icon="calendar'] Sep 8, 2020 1:16:05 PM / by Shobhit Saran posted in FHIR, interoperability, health IT, Payers, CMS, Da Vinci, ONC, CARIN Alliance, payer data exchange, USCDI

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The Centers for Medicare & Medicaid Services (CMS) released the much-awaited Interoperability & Patient Access Rule in early March this year. This rule establishes policies that aim to break down barriers in the health system across the US for better patient engagement. Government bodies are taking significant efforts for governments-sponsored health plans to adopt interoperability to make healthcare system efficient. Multiple initiatives by the Department of Health and Human Services (HHS) and its CMS and Office of the National Coordinator for Health Information Technology (ONC) aim to improve care-coordination and member experience. CMS had proposed the Interoperability & Patient Access Rule to support regulations of the MyHealthEData initiative, with implementation timelines to drive programs such as BlueButton, BlueButton 2.0 and Data at the Point of Care.

In the times of pandemic, healthcare organizations have realized the importance of having access to data for better care coordination and efficient care delivery. With seamless data access, organizations can:

  • Share health data of beneficiaries with different care teams
  • Identify high-risk population and implement preventive actions to control risk
  • Leverage tele-health with access to patient historical health data
  • Take timely decisions on emergency treatments based on patient medication history
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Integrated Approach for Radiology and Clinical Information to Support Clinical Decision Making

[fa icon="calendar'] Aug 28, 2020 10:17:32 AM / by Shujah Dasgupta posted in FHIR, interoperability, health IT, CMS, ONC, radiology, USCDI

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Limitations in existing healthcare interoperability present a significant barrier to next-gen computing solutions such as Machine Learning (ML) and Artificial Intelligence (AI). New workflow standards aimed at addressing the integration of AI/ML actors to clinicians in delivering better patient care.

One of the main limitations of standards is streamlining access to data from electronic medical record (EMR) applications. There is a growing need for a holistic view of patient data, and the inclusion of the allied healthcare services such as radiology will play a crucial role in building a 360° patient view. This will help healthcare professionals take accurate and informed decision on patient care, and bridge the gap between fragmented and siloed information that is currently limiting hospitals and healthcare systems from gaining insights to drive better health outcomes.

To seek better exchange of health data among providers and patients, the Health and Human Services (HHS) published final rules that put patients first and bring one step closer to achieving Interoperability. The ONC’s (Office of the National Coordinator for Health Information Technology) rule aims to standardize API via HL7 Fast Healthcare Interoperability Resources (FHIR®) R4, a latest version of the FHIR standard, and making its use mandatory under this rule.

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CMS, ONC to Offer Updates on Initiatives that Will Rely on FHIR Standards

[fa icon="calendar'] Aug 20, 2020 4:33:22 PM / by Fred Bazzoli posted in FHIR, HL7 community, interoperability, Payers, CMS, Da Vinci, value based care, ONC, FAST, DRLS

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Community Roundtable scheduled for August 26 will detail progress toward DRLS and FAST

The HL7 Da Vinci Project’s August Community Roundtable features updates on two initiatives that leverage healthcare industry collaborative efforts to advance information exchange using HL7® Fast Healthcare Interoperability Resources (FHIR®).

This is in response to two federal agencies that are seeking to maximize efficiency at scale and overcome barriers and physician burden in the healthcare system.

The agencies – the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ONC)– will provide updates on the progress on these efforts during the August 26 Community Roundtable.

The federal agency efforts aim to build on collaborative efforts underway in the healthcare industry, which are at the heart of the work by the HL7 Da Vinci Project, an accelerator seeking to advance the use of FHIR standards in support of value-based care initiatives.

The CMS Center for Program Integrity began the Documentation Requirement Lookup Service (DRLS) initiative in 2018, working in collaboration with the healthcare industry, in to response to ongoing provider burden experienced when trying to identify coverage-related documentation requirements, including those for prior authorization.

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Healthcare Organizations Are Implementing Da Vinci Project Use Cases to Achieve Real-World Results in Operations

[fa icon="calendar'] Jun 26, 2020 10:41:50 AM / by Fred Bazzoli posted in FHIR, HL7 community, interoperability, Payers, CMS, Da Vinci, value based care, Data Exchange for Qualitiy Measures, implementation guide, ONC, payer data exchange

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Presenters at the May 27 HL7 Da Vinci Project community roundtable provided concrete evidence demonstrating how the use cases represent specific ways to use HL7’s Fast Healthcare Interoperability Resources (FHIR®) standard for specific purposes in value-based care data exchange interactions between providers and payers.

FHIR for Data Exchange for Quality Measurement (DEQM) Use Case

A clear indication of the value of the medication reconciliation process use case was provided by Kirk Anderson, chief technology officer for Cambia Health Solutions, a nonprofit healthcare organization that’s the parent company of Regence, a member of the Blue Cross Blue Shield Association. Initial efforts to use the FHIR use case with MultiCare, a Tacoma, Washington-based healthcare system, resulted in a dramatic boost in the insurer’s ability to get information on members’ prescribed medications from the provider.

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Use Cases Offer Support for Payers in Meeting Final Rule Requirements for Consumers

[fa icon="calendar'] Jun 23, 2020 12:39:22 PM / by Fred Bazzoli posted in FHIR, HL7 community, interoperability, Payers, CMS, Da Vinci, value based care, implementation guide, ONC, payer data exchange

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Join the HL7 Da Vinci Project Community Roundtable June 24 from 4 – 5:30 pm EDT.

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Policy on the Move: Final Federal Interoperability and Patient Access Rules Information and Impact

[fa icon="calendar'] May 14, 2020 2:11:15 PM / by Ticia Gerber posted in FHIR, HL7, health IT policy, interoperability, health IT, CIMI, news, 21st Century Cures, public health, ONC

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This is a time of great health policy discussion and activity, especially given the challenge of COVID-19 and the finalization of significant federal regulations that will now move into the implementation stage. HL7 and its standards, such as Fast Healthcare Interoperabilty Resources (FHIR®), are a strong fiber in these developments. Discussed here are key aspects of the final interoperability, patient access and information blocking rules recently released related to implementing provisions in the 21st Century Cures Act (Public Law 114-155). The intersection of policy, HL7 standards and COVID-19 will be highlighted in this space soon. Stay tuned!

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