The Standard

June 26discussion highlights efficiencies, burden reduction and features Blue Cross and Blue Shield Association, Providence and UC Davis Health  

This month’s roundtable focuses on the provider experience, as representatives from an academic health system and a seven-state comprehensive healthcare organization provide firsthand accounts regarding how clinicians and their teams are helping to lead the way with HL7 Da Vinci Project and HL7 Fast Healthcare Interoperability Resources (FHIR®) real-world production implementations of Da Vinci implementation guidesto enable interoperability and advance value-based care.  

Moderated by a representative of the Blue Cross and Blue Shield Association, the discussion unveils how payers’ and providers’ interactions evolve as they collaborate to tackle problems and address current pain points with the healthcare system. The panelists will share considerations, challenges and benefits of working together to establish infrastructure to streamline and automate prior authorization workflows, remove latency, and enable real-time data sharing, ultimately creating win-wins for patients, clinicians, administrators, payers and technologists. 

Industry invited to join and participate in the HL7 Da Vinci Project’s newest use case conference calls

Retrieving a duplicate of remittance advice that was previously issued by a payer is a headache-inducing manual process that can involve the use of web portals, phone calls, faxes and emails.

But implementing an HL7 Fast Healthcare Interoperability Resources (FHIR®) Application Programming Interface (API) could change all that.

The HL7 Da Vinci Project has launched a Postable Remittance Advice Use Case with the goal of publishing an implementation guide (IG) for such an API next year. The API will support the request for a duplicate copy of previously issued remittance advice – paper or electronic – in real time to allow efficient, timely and accurate posting of payments.

Remittance advice is a document that healthcare providers receive from insurance companies after submitting a claim. It provides information on the payment status of the claim, including the amount paid, the patient's responsibility and the reason for any denials or adjustments. The purpose of the remittance advice is to inform the healthcare provider of the remittance details and to allow them to reconcile their accounts and ensure that the payment is accurate.

May 29 Sessionfeatures athenahealth, Availity and Humana and honors HL7 Da Vinci Project Community Champions from 4:00 - 5:30 pm ET

Join us this month to hear real-world HL7 FHIR and Da Vinci implementation stories that will provide you with inspiration and insight into how you can apply the learnings of athenahealth, Availity and Humana to your organization’s efforts to reduce friction, increase efficiency and meet the federal interoperability rules. 

After recognizing the 2023 HL7 Da Vinci Project Community Champions, representatives of Availity and Humana will provide a current snapshot of Da Vinci’s effort to create a nationwide interoperable approach among payers using the Payer Data Exchange (PDex) Implementation Guide, which enables payers to create a member’s health history using clinical resources which can be understood by providers and electronic medical records (EMR) systems. This discussion provides an opportunity to better understand dynamics you’ll encounter in achieving payer-to-payer exchange compliance such as consent and endpoint discovery.  Attendees will gain a foundational understanding of the new regulatory requirements, learn about technical and business challenges and benefits from real-world implementers and gain insight into how industry is working together. 

April 24 Session Focuses on Importance of Testing and Connectathons for Implementation Success

In this timely overview, which allows you to prepare to participate in upcoming May, July and September Connectathons, the HL7 Da Vinci Projectwill highlight a key component of implementation: testing.

Experts and hands-on participants will outline why testing is important, the terms used in testing and how testing events, such as Connectathons, are organized and critical to implementation success. Who should be involved, the value of testing partnerships, what activities are planned, and how you can participate will also be discussed. The session concludes with an invaluable primer on testing tools and resources available for your use.

“Jumpstart Your HL7 FHIR Implementation: Testing and Connectathons Demystified,” is slated for April 24, 4 - 5:30 p.m. ET and features the following presenters:

• Jeff Brown, Healthcare Standards Advisor, Lantana Consulting Group
• Mike Gould, Associate Vice President, Interoperability Strategy, ZeOmega
• Kyle Johnsen, Software Developer, Epic

The session is moderated by Alix Goss, HL7 Da Vinci Project PMO, and Senior Consultant, Point-of-Care Partners.

Register Now for March 27 Session

Fresh from the HIMSS24 stage, the presenters at the March HL7 Da Vinci Project Community Roundtable will explore existing pain points of scaling HL7 FHIR between payers and providers, the advantages of leveraging FHIR exchange networks, and the challenges that come with it to ensure security and privacy of health data.

“Interoperable FHIR: Networked FHIR Exchanges Learnings and Industry Reflections,” this month’s program, is slated for March 27, 4 - 5:30 p.m. ET.

Panelists will focus on specific use cases and stakeholders to compare different approaches.

In addition to the presentation, Da Vinci program leadership will present updates and reflections from recent months, including top themes from ViVE and HIMSS events.

Panelist include:

• Jim Adamson, Business Transformation Manager, Arkansas Blue Cross and Blue Shield
• Dave DeGandi, Interoperability Strategist, Cambia Health Solutions
• Bill Howard, Board Chair, eHealth Exchange
• Jocelyn Keegan, Program Manager, HL7 Da Vinci Project, and Payer/Practice Lead, Point-of-Care Partners
• Karuna Relwani, Business Lead Interoperability, Blue Cross Blue Shield

The Community Roundtable is moderated by Alix Goss, HL7 Da Vinci Project PMO, and Senior Consultant, Point-of-Care Partners.

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 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

Sessions Begin Today at HIMSS22

They say it takes a village to raise a child, but did you know it also takes a village to pursue interoperability? The HL7 Da Vinci Village is at HIMSS22 in Orlando this week, March 14-18. Also featured at the conference will be approximately 20 Da Vinci member organizations, presenting in 60-minute general education sessions and 20-minute Spotlight Theater and Innovation Live sessions—all aimed at helping to solve interoperability challenges.

Kiosk Village

HL7 Da Vinci Project Kiosk Village will be located in the Interoperability Showcase, Hall E Booth, #8240 at Kiosks 9 -16. Stop by to learn more about The Da Vinci Project’s efforts and how you can access resources.

Marketplace Kiosks at the HL7 Da Vinci Village include:

• Kiosk 12 & 13: HL7 Da Vinci Project
• Kiosk 9: healow Insights
• Kiosk 10: Cognizant
• Kiosk 11: InterSystems Corporation
• Kiosk 14: Anthem, Inc.
• Kiosk 15: Edifecs
• Kiosk 16: Optum

Member Booth HL7 Da Vinci Office Hours

Learn more by stopping by member booths when HL7 Da Vinci Project PMO staff are on hand to answer questions. They include:

• Change Healthcare, Booth # 1531, Wednesday, March 16, 10:30 – 11:15 a.m.                   
• Edifecs, Booth # 5171, Wednesday, March 16, 4 – 4:30 p.m.    
• MCG, Booth # 8185, March 15, 3:30 – 4 p.m.
• Smile CDR Inc., Booth #3901, March 15, 4:15 – 4:35 p.m.

Executives From Allscripts, healow Insights Will Share Their Latest Efforts Using FHIR Guidelines

The Da Vinci Project’s February Community Roundtable to be held Feb. 23 from 4:00 – 5:30 p.m. ET

In this month’s Community Roundtable, the HL7 Da Vinci Project is exploring how EHRs are key to interoperability success with a discussion on electronic health record (EHR) vendors featuring Allscripts and healow Insights. 

The session will showcase how the role of HL7® Fast Healthcare Interoperability Resource (FHIR®) and the Da Vinci implementation guides are impacting their product roadmaps and related integration efforts to improve workflow, maximize efficiencies and improve patient care. Guest speakers will include:

• Jeff Danford, Sr. Principal Software Engineer, Allscripts
• Seth Paradis, Sales and Business Development Manager, Payer Engagement Division, healow Insights

The Da Vinci Project’s January Community Roundtable to be held Jan. 26 from 4:00 – 5:30 p.m. ET