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HL7 Da Vinci Project October Community Roundtable to Highlight Clinical Data Exchange

[fa icon="calendar'] Oct 21, 2021 4:28:36 PM / by Diana Manos posted in FHIR, Payers, Da Vinci, value based care, FHIR Accelerator, CDex, clinical data exchange

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The Da Vinci Project’s October Community Roundtable, to be held Oct. 27 from 4:00 – 5:30 p.m. EDT, will feature Clinical Data Exchange (CDex)

This “Swiss army knife” of implementation guides (IGs) is responsible for identifying, documenting and constraining specific patterns of exchange so that providers and payers can reliably share patient information and coordinate care.

The scope of the CDex encompasses defining combinations of exchange methods with specific payloads, search criteria, conformance, provenance, and other relevant requirements, to support specific exchanges of clinical information between providers and and/or payers. CDex is also responsible for aiding in risk adjustment and quality reporting--and it helps payers to identify whether a requested service is necessary and appropriate.

The roundtable, titled, “Harnessing Clinical Data Exchange (CDex) to Improve Performance within Value-Based Care,” will give a current snapshot of the functionality, benefits and capabilities of CDex, helping providers to share the clinical data they have generated with payers and other industry partners.

At the roundtable, members of the Providence team will share their strategy for using CDex to support payer value-based care arrangements focusing on their initial target to achieve supplemental data exchange.

Presenters will include:

  • Viet Nguyen, MD, Technical Director, HL7 Da Vinci Project, and Clinical Informaticist, Stratametrics, LLC
  • Semira Singh, Product Manager, Population Health Informatics, Providence
  • Michael Westover, Vice President, Population Health Informatics, Providence

Come to the roundtable and learn how HL7 is making progress on CDex, with its eye on what remains to be conquered to provide the fully maximized data exchange needed to support value-based care. The good news is, HL7® Fast Healthcare Interoperability Resource (FHIR®) is helping to drive interoperability forward, and Da Vinci is poised to accelerate that data exchange in such a way that it will greatly reduce the burden between providers and payers.

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HL7 Da Vinci Project Roundtable Offers Update on Emerging IGs and a Demo of Prior Authorization

[fa icon="calendar'] Sep 16, 2021 3:09:50 PM / by Fred Bazzoli posted in FHIR, Payers, Da Vinci, value based care, prior authorization, FHIR Accelerator, patient cost transparency, burden reduction, Risk Adjustment

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Da Vinci Project's Monthly Meeting to Describe Progress on Price Cost Transparency and Risk Adjustment Initiatives on Wednesday Event, 9/22 at 4:00 pm ET

Important updates on two implementation guide initiatives and a demo of how standards could support prior authorization burden reduction are on the agenda for the next Community Roundtable of the Da Vinci Project.

The roundtable will begin with an update from the project management office of the Da Vinci Project, which will feature updates on the status of the Price Cost Transparency and Risk Adjustment Implementation Guides (IGs). These efforts to use HL7® Fast Healthcare Interoperability Resource (FHIR®) are more complex than previous initiatives. Both efforts anticipate challenges that the industry will face to make healthcare costs more transparent and to accurately reflect patients’ comprehensive conditions and risks related to reimbursement for coverage.

After the update, the prior authorization demonstration will show how FHIR IGs can be used to reduce administrative challenge of anticipating prior authorization documentation requirements, a nagging concern within the industry.

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HL7 Da Vinci Project Roundtable to Discuss Progress on Efforts to Use FHIR at Scale

[fa icon="calendar'] Aug 24, 2021 2:43:55 PM / by Fred Bazzoli posted in FHIR, Payers, Da Vinci, value based care, ONC, payer data exchange, FHIR Accelerator, PDex, ONC FAST

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Recent Initiatives of the ONC’s FHIR at Scale Taskforce (FAST) and Update on Payer-to-Payer Mandate are Key Topics for Wednesday Event, 8/25 at 4:00 pm ET

The success of the HL7® Fast Healthcare Interoperability Resource (FHIR®) standard is becoming increasingly evident.

Successful case studies are emerging. For example, a recently published HL7 case study documents how MultiCare Connected Care and Regence are recognizing significant cost savings by using a FHIR implementation guide standard to definitively ascertain that medication reconciliation has been completed. This case study can be found at https://www.hl7.org/participate/case-studies/index.cfm .

But these isolated successes beg the question – can FHIR be used more broadly, and implemented more widely across the country, handling a multiplicity of interactions across dozens of healthcare organizations simultaneously?

That is the task given to the ONC’s FHIR at Scale Taskforce (FAST), which is seeking to determine solutions and opportunities to influence emerging solutions.

Progress by the ONC FAST effort is of prime importance to the dissemination of FHIR solutions to solve information exchange challenges in healthcare. The panel’s progress over the past year will be one of the topics of the Da Vinci Project’s monthly Community Roundtable event, to be held from 4 to 5:30 p.m. ET on Wednesday, August 25.

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Payer-to-Payer Data Exchange Highlight of HL7 Da Vinci Community Roundtable

[fa icon="calendar'] Jul 23, 2021 9:22:40 AM / by Fred Bazzoli posted in FHIR, Payers, Da Vinci, value based care, payer data exchange, FHIR Accelerator, PDex

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HL7 Da Vinci Roundtable  on July 28 from 4:00 to 5:30 p.m. ET to Feature Payer-to-Payer Data Exchange

Join the Da Vinci Project next Wednesday at its July Community Roundtable titled "Payer-to-Payer Data Exchange: Rising to the Opportunities and the Challenges." The session will focus on the use of HL7's 's Fast Healthcare Interoperability Resources (FHIR®) for payer-to-payer data exchange, highlighting the Payer Data Exchange (PDex) use case.

Presenters for the session include:

  • Michael Gould, business lead - interoperability at Blue Cross Blue Shield Association
  • Patrick Murta, chief interoperability architect & solutions architecture fellow, Humana
  • Heather Kennedy Tanner, director of enterprise architecture, BlueCross BlueShield of Tennessee
The roundtable will feature a current snapshot of Da Vinci's efforts to create a nationwide interoperable approach among payers using PDex-based data exchange. Discover the dynamics you'll encounter in achieving payer-to-payer exchange compliance such as consent and endpoint discovery. You will gain a foundational understanding of the regulatory requirements, learn about technical and business challenges and benefits from real-world implementers, and gain insight into how the industry is working together. 
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March Community Roundtable Celebrates Da Vinci Community Champions and Showcases MiHIN's Payer-Provider Directories' FHIR Deployment

[fa icon="calendar'] Mar 18, 2021 4:44:44 PM / by Fred Bazzoli posted in FHIR, HL7 community, interoperability, Payers, Da Vinci, value based care, FHIR Accelerator, Da Vinci Champions, PDex

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Monthly Event is Scheduled for 4:00 to 5:30 p.m. ET on Wednesday, March 24, 2021

Advancing the use of HL7’s Fast Healthcare Interoperability Resources (FHIR®) takes both strong proponents advocating for the cause and pioneering organizations that lead the industry by putting concepts into practice.

Both aspects important to FHIR adoption will be on display at the March Community Roundtable of the Da Vinci Project, scheduled for Wednesday, March 24, from 4 to 5:30 p.m. ET. The roundtable has become a staple of the Da Vinci Project’s efforts to highlight successful deployments of its implementation guides, intended to help healthcare organizations manage value-based care initiatives.

MiHIN Shares Lessons Learned with Plan-Net

An example of a real-world implementation will be provided by the Michigan Health Information Network (MiHIN). A team from the organization will share lessons learned from its deployment of Plan-Net, the Payer Data Exchange (PDex)-Plan Network Directory Implementation Guide that focuses on Payer-Provider Directories. FHIR offers the potential to automate this typically manually intensive process for all parties, and MiHIN will describe its journey to putting the implementation guide into place to achieve this.

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HL7 Da Vinci Project Recaps Standards Progress, Looks to Document Value of Implementation Guides

[fa icon="calendar'] Mar 10, 2021 9:14:05 AM / by Fred Bazzoli posted in FHIR, HL7 community, interoperability, Payers, Da Vinci, value based care, prior authorization, Gaps in Care, FHIR Accelerator, patient cost transparency, risk-based coding

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Project Achieves a Tipping Point as Adoption Begins in Earnest to Meet Upcoming and Proposed Federal Regulation and Solve Interoperability Challenges

The Da Vinci Project made significant progress in 2020 in advancing the maturity of implementation guides, and now looks to increasingly demonstrate the value of its implementation guides (IGs) across production implementations this year.

Members of the HL7 FHIR® Accelerator group helped push forward work on several implementation guides that were published in 2020, but further refinement lies ahead, said project managers who presented a progress report on the Da Vinci Project at its January Community Roundtable.

In addition to the update on progress with publishing new standards, the presentation offered members a tour of the Da Vinci Project’s enhanced Confluence website, as well as an invitation for more organizations to consider membership to help ensure implementation guides meet the needs of the entire healthcare community.

This year, there will be a growing need to use the HL7 Fast Healthcare Interoperability Resources (FHIR®) standard, as application programming interfaces (APIs) emerge to meet federal information exchange requirements and business needs of value-based care.

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Reducing Industry Burden Focus of February’s HL7 Da Vinci Project Community Roundtable

[fa icon="calendar'] Feb 15, 2021 4:37:09 PM / by Fred Bazzoli posted in FHIR, HL7 community, interoperability, Payers, implementation, Da Vinci, value based care, implementation guide, prior authorization, FHIR Accelerator

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Join the Webinar Highlighting MCG Health’s Prior Authorization Journey and Da Vinci’s Two New Use Cases for 2021 on Wednesday, February 24 from 4:00 - 5:30 pm ET.

Healthcare organizations increasing their exposure to value-based care find many tasks complicating the transition, and reducing the burden of those changes is key to thriving under new reimbursement schemes.

New payment approaches incentivize both payers and providers to become more efficient, and that means reducing the number of manual interventions in exchanging data. In addition, value-based care is uncovering new reasons to make information more easily available, to bring new efficiencies to the system.

Examples of these capabilities will be featured in the HL7 Da Vinci Project’s Community Roundtable on February 24. The title for the event is "What it Takes: Learn about MCG Health’s Journey to Help Reduce Prior Auth Burdens and Discover New Da Vinci Use Cases."

The upcoming roundtable will offer an inside understanding of the 18-month effort at MCG Health to advance the use of the HL7 Fast Healthcare Interoperability Resource (FHIR®) standard in solutions that support burden reduction in facilitating the prior authorization process.

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CMS New Rules to Address Prior Authorization for Patient and Provider Interests

[fa icon="calendar'] Feb 8, 2021 12:23:17 PM / by Shobhit Saran posted in FHIR, interoperability, health IT, Payers, CMS, Da Vinci, prior authorization, ONC, payer data exchange, Patient Access API

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The Centers for Medicare & Medicaid Services (CMS) released the much-awaited Interoperability & Patient Access Rule in March 2020. The objective is to reinforce this rule by further improving health information exchange and obtaining member health records at a single location to reduce burden on payers, providers and members.

The enforcement date for this rule is January 1, 2023, and will be applicable to Medicaid programs, the Children’s Health Insurance Programs (CHIP) and Qualified Health Plan (QHP) issuers on the individual market Federally Facilitated Exchanges (FFEs). However, it will not be applicable to Medicare Advantage (MA) plans.

The CMS proposed rule will include policies to enhance the current Application Programming Interfaces (APIs) from its interoperability rule such as patient access API and payer to payer API. There are a few new APIs and requirements proposed to improve the overall prior authorization process.

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HL7 Da Vinci Project Roundtable to Discuss How Implementation Guides Can Help with Interoperability Rules

[fa icon="calendar'] Jan 22, 2021 11:01:13 AM / by Fred Bazzoli posted in FHIR, HL7 community, interoperability, Payers, CMS, Da Vinci, value based care, ONC

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Monthly Event is Scheduled for 4:00 to 5:30 p.m. ET on Wednesday, January 27, 2021

In the first community roundtable of 2021, project managers of the HL7 Da Vinci Project will provide updates for how the project’s implementation guides can be used to solve interoperability challenges and meet federal rules.

The roundtable is intended to highlight how Da Vinci Project implementation guides can help organizations reduce burden, advance data exchange and enable better patient access to data.

Participants from the HL7 Da Vinci Project include Jocelyn Keegan, program manager; Viet Nguyen, MD, technical director; and Vanessa Candelora, project manager. The Da Vinci team will show the progress of Implementation Guides (IGs), which give guidance for using the HL7’s Fast Healthcare Interoperability Resources (FHIR®) coding. The team will also provide linkages to specific federal rules and policies, giving you the recipe to solve challenges in alignment with federal rules and leverage the power of standards to improve connectivity across all of your patient populations.

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Humana Explains How FHIR-enabled Interoperability Fits Into Its Strategic Vision

[fa icon="calendar'] Jan 8, 2021 9:11:31 AM / by Fred Bazzoli posted in FHIR, HL7 community, interoperability, Payers, Da Vinci, value based care

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Presentation at HL7 Da Vinci Project’s Community Roundtable Outlines Wide-Ranging Corporate Effort to Democratize and Liberate Data

For Humana, achieving interoperability is more than a nice-to-have way to exchange data every once in a while. It’s something that the company – and the entire healthcare industry – needs to operate efficiently and effectively for patients and clinicians.

It expects that the use of the HL7 Fast Healthcare Interoperability Resources (FHIR) standard will be crucial for achieving widespread interoperability. Current information exchange approaches offer a patchwork solution that works in isolated instances. FHIR’s promise is that it can provide standardized solutions that every industry participant can use.

“Exchange works at small scale because (information) roadways are rebuilt every time a connection is made,” said Patrick Murta, Humana’s chief interoperability architect and solutions architecture fellow, speaking at the November Community Roundtable for the Da Vinci Project, an accelerator program of HL7 seeking to expand the use of FHIR to support information exchange needed for successful value-based care.

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