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Focus AreaImplementation GuideProject PageScenarios IncludedFuture Enhancements

Imp Guide Status

#Build

#STU

Reference Imp Live

Number of Connectathons (Live/Virtual)

Detail Project Status



Sponsoring Workgroup

Project Number

PSS LinkReference ImplementationZulip Stream
Quality & Risk

Data Exchange for Quality Measures includes Gaps in Care (GIC)

Data Exchange for Quality Measures (DEQM)

Gaps in Care

v1 Medication Reconciliation Post Discharge

v2 Colorectal Cancer Screening and Venous Thromboembolism Prophylaxis Measures


STU4 Published

  •  

DEQM -11

GIC-7

ICF and MITRE leading Active WG Calls 


Clinical Quality Information (CQI)


Co-sponsor: Clinical Decision Support , Patient Care 

1429

1427

GitHub Repository:

DEQM and GIC stream
Coverage, Transparency & Burden Reduction

Coverage Requirements Discovery

Burden Reduction: Coverage Requirements Discovery (CRD)
CRD Future Enhancements

STU2 Published!

  

  •  
17

Active WG Calls for implementer support 

STU1 Published 12/22/2020

STU1.1 early May Ballot (Feb - March 2022). Reconciliation complete. 

STU2 Published 10/20/23

FM1515

PSS for Coverage Requirements Discovery


GitHub Repository:

Endpoints for testing: 

CRD Zulip stream
Coverage, Transparency & Burden ReductionDocumentation Templates and Payer Rules   Burden Reduction: Documentation Templates and Payer Rules (DTR)
DTR Future Enhancements

STU2 Published!


  •  
16

Active WG Calls for implementer support 

STU1.1 early May Ballot (Feb - March 2022). Reconciliation complete. 

STU2 Published 11/7/23

Clinical Decision Support

Co-sponsor: Attachments, Patient Care

1493

PSS for Documentation Templates and Rules


GitHub Repository:

Endpoints for testing: 

Note: "Cannot GET /smart/launch.html" actual means it is up.

DTR Zulip stream
Coverage, Transparency & Burden ReductionPrior Authorization SupportBurden Reduction: Prior Authorization Support (PAS)
PAS Future Enhancements

STU2 Published!

  •  
16

Active WG Calls for implementer support 

STU1.1 early May Ballot (Feb - March 2022). Reconciliation complete. 

STU2 Published 11/21/23

FM

Co-sponsor: Attachments

1490

PSS for Prior-Authorization Support


GitHub Repository:

Endpoints for testing: 

PAS Zulip Stream
FoundationalHealth Record Exchange Framework (HRex)Health Record Exchange Framework (HRex)
HRex Future Enhancements

STU1 Published

N/A4

Active WG Calls (combined with CDex)

STU1 published in March 2022

Clinical Interoperability Council (CIC)

Co-sponsor: Patient Care, Attachments, Financial Management

1494

PSS for eHealth Record Exchange (eHRx) Framework


N/AHRex/CDex Zulip Stream
Clinical Data ExchangeClinical Data Exchange (CDex)Clinical Data Exchange (CDex)

Provider to Provider

Provider to Payer

CDex Future Enhancements

STU2 Published

  •  
13

Active WG Calls

CDex v1.1.0 published in August 2022. 

STU2 published March 2023

Patient Care

Co-sponsor: PIE/Attachments, Structured Documents

1495

PSS for eClinical Data Exchange (CDex)


Sandbox Applications:

GitHub Repository:

Endpoints for testing: 

CDex Zulip Stream
Clinical Data ExchangePayer Data Exchange (PDex)Payer Data Exchange (PDex)

Payer to Provider

Payer to Member

Payer to Payer

PDex Future Enhancements

STU2 Publication - anticipated Nov 2023

  •  
15

Active WG Calls for implementer support and STU2 development

STU1.2 early May Ballot (Feb - March 2022); reconciliation  complete and expect to publish in Q4 2023.

FM

Co-sponsor: Attachments

1489

PSS for Payer Data Exchange (PDex)


GitHub Repository:


PDex Zulip Stream
Coverage, Transparency & Burden ReductionPayer Data Exchange (PDex): Formulary

PDex Formulary


PDex-Formulary Future Enhancements

STU2 Published

  •  
14

Active WG Calls 

STU2 Balloted Jan 2022 

STU2 Published August 2022

FM

Co-sponsor: Attachments

1489

PSS for Payer Data Exchange (PDex)


GitHub Repository:

Endpoints for testing: 

PDex Zulip Stream
Coverage, Transparency & Burden ReductionPayer Data Exchange (PDex): Plan Network Directory

PDex Directory/Plan Net


PDex Plan Net Future Enhancements

STU1.1 - Published

  •  
17

STU Update (v1.1.0) Published April 2022

FM

Co-sponsor: Attachments

1489

PSS for Payer Data Exchange (PDex)


GitHub Repository:

Endpoints for testing: 

PDex Zulip Stream
FoundationalDa Vinci Unsolicited NotificationsNotifications (formerly known as Alerts)

Admit

Discharge

Notifications Future Enhancements

STU1 - Published

  •  
7

Active WG Calls for implementer support monthly

STU1 published October 2020

Infrastructure And Messaging Work Group

Co-sponsor: 

Financial Management

1516

PSS for Notifications (formerly known as Alerts)


GitHub Repository:

Notification Zulip stream
Coverage, Transparency & Burden ReductionPayer - Payer Coverage Decision ExchangePayer Coverage Decision Exchange (PCDE)

STU1 -Published

  •  
6

STU1 Published  

Published STU1 - Dec 2020

On Hold. 

FM

Co-sponsor: Attachments

1515

PSS for Payer Coverage Decision Exchange


GitHub Repository:

PCDE Zulip Stream
FoundationalMember Attribution (ATR) List (formerly Risk Based Contract Member Identification)Member Attribution List (aka: Risk Based Contract Member Identification)
Member ATR Future Enhancements

Phase 2 Testing

STU2 Publication - anticipated Dec 2023

  •  
14

Active WG Calls for continuous build for STU2

Call to Action: Need Testers on STU2 balloted in January 2023. Ballot reconciliation complete and expect to publish in Q4 2023

FM

Co-sponsor: Attachments

1517

PSS for Risk Based Contract Member Identification (Updated)


GitHub Repository:

ATR Zulip Stream
Quality & RiskRisk Adjustment Risk Adjustment

Payer to provider

STU2 Focus: Provider to Payer

Risk Adjustment: Future Enhancements

STU2 Ballot Reconciliation

  •  
8

STU1 Published June 2022

Active WG Calls for STU2 (Provider to Payer)

Clinical Quality Information (CQI)


1705

PSS for Risk Adjustment


Reference Implementation using cqf-ruler /HAPI

RA Zulip Stream
Coverage, Transparency & Burden Reduction Patient Cost TransparencyPatient Cost Transparency (PCT)

Provider to Payer (Good Faith Estimate)

Payer to Member and Provider (AEOB)

PCT Future Enhancements

STU1 Published

  •  
7

Active WG Calls

STU1 published March 2023

FM

Co-sponsor: Attachments

1514

PSS for Patient Cost Transparency


GitHub Repository:

Endpoints for testing: 

PCT Zulip Stream
Quality & RiskValue Based Performance ReportingValue Based Performance Reporting (VBPR)Payer/Provider ContractsVBPR: Future Enhancements

STU1 Ballot Sept 2023

  •  
3

Active WG Calls

STU1 Ballot Sep 2023

Clinical Quality Information (CQI)

Co-Sponsor:

Payer/Provider Information Exchange( PIE)

1781VBPR Zulip Stream

GitHub - Use Case Reference Code


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Example Statuses: 

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