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HL7 Da Vinci Project Use Cases Aim to Reduce Documentation Burden in VBC

Jul 16, 2020 4:09:54 PM / by Fred Bazzoli posted in FHIR, HL7 community, interoperability, SMART on FHIR, health IT, implementation, Da Vinci, value based care, implementation guide, prior authorization, coverage requirements discovery, documentation templates and payer rules

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Report from Virtual FHIR DevDays 2020 on HL7 Da Vinci Project Use Cases

Developers are fine-tuning ways to use the HL7 Fast Healthcare Interoperability Resource (FHIR) standard to reduce communication challenges and decision impediments between providers and payers.

Working on use cases involving coverage and burden reduction, the HL7 Da Vinci Project is refining early versions of standards and developing implementation guides for value based care (VBC). Speaking to more than 150 attendees during the virtual HL7 FHIR DevDays event, Dr. Viet Nguyen, Da Vinci Project Technical Director, noted that the coverage and burden reduction use cases are intended to address workflows around provider-payer interactions. FHIR implementation guides are then created based on a set of use cases. 

Coverage Requirements Discovery

One use case, Coverage Requirements Discovery, gives providers real-time access to payer approval requirements, documentation and rules at point of service to reduce provider burden and support treatment planning. In its essence, this would answer a provider’s question about whether a procedure or treatment needs a prior authorization from a payer. The aim is to use CDS Hooks to supply an answer to a clinician posing the request within his or her workflow. Work is continuing on developing an implementation guide for this use case.

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HL7 Da Vinci Project Use Cases Show Progress in Exchanging Information, Achieving Efficiencies

Apr 22, 2020 12:58:18 PM / by Fred Bazzoli posted in FHIR, HL7 community, interoperability, Payers, Da Vinci, value based care, implementation guide, prior authorization

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All Are Welcome to Attend Da Vinci Community Roundtable

Mar 20, 2020 11:16:48 AM / by Jocelyn Keegan posted in FHIR, HL7 community, interoperability, Payers, Da Vinci, value based care, implementation guide, prior authorization

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