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Note: Da Vinci recorded sessions using GoToWebinar expire after one year. 

SubjectVideo LinkPresentersVenueDate

Current State: HL7 Da Vinci Implementation Guide Progress in 2022

Join Da Vinci use case leads and its project manager during the October Community Roundtable and hear first-hand accounts of the material updates and changes made in 2022 across Da Vinci Implementation Guides and begin to look forward to 2023.  

Presenters highlight implementation guide functional additions, the status and phase of the guides to help inform your planning for next year’s FHIR implementation staffing and allocations. 

Vanessa Candelora, HL7 Da Vinci Project Manager and Senior Consultant, Point-of-Care Partners

Dave DeGandi, Burden Reduction Co-Lead, Attribution Co-Lead and Senior Interoperability Strategist, Cambia Health Solutions

Christol Green, Clinical Data Exchange Co-Lead and E-Solutions Senior Business Consultant/Advisor, Elevance Health

Linda Michaelsen, Data Exchange for Quality Measures Co-Lead and Director, Healthcare Interoperability Standards, Optum

Community Roundtable10-26-22

Dive Into Performance Reporting for Value-Based Contracts

As fee for service shifts to value-based care, value-based contracts have emerged as a mechanism that providers and payers may use to better align their contracting structures with broader changes in the healthcare system.

September’s Community Roundtable provides you with front-row access to HL7 Da Vinci Project’s newest use case that aims to develop an HL7 FHIR Implementation Guide to support value-based performance reporting for quality and risk contracts. Proposed by a provider, this use case seeks to solve challenges around the lack of reporting format standardizations, the resource-intensive process, lack of scalability and the complexities of data reconciliation.

The session provides a brief high-level perspective regarding the value-based performance reporting component, and then highlights the genesis, development and project scope of the use case. The opportunities to tackle the challenges of gathering performance data will be a focus of the Humana and Providence presenters.

Heather Kennedy, Principal Interoperability Architect, Humana

Vincent Powell, Manager, Population Health Informatics, Providence

Semira Singh, Director, Population Health Informatics, Providence 

Teresa Younkin, Project Co-Lead, HL7 Da Vinci Project PMO and Senior Consultant, Point-of-Care Partners

Community Roundtable9-28-22

The Future is Now: How You Can Use HL7 FHIR to Reduce Burden and Improve Quality Measurement

Recording: Coming Soon

Slides: Da Vinci AAFP Slides 2022.pptx


Lenel James, BCBSA

Michael B. Marchant, Director, Health Information Exchange, UC Davis Health

Stephen Waldren, MD



AAFP FMX22 - Office of the Future, 

Washington, DC, https://www.aafp.org/events/fmx.html.

 

10-23-22

12:30pm-12:50pm EST

Celebrating HL7 FHIR’s Success: From Champions to Prior Authorization Implementers 

August’s roundtable begins with a program update and brief recognition of the 2021 HL7 Da Vinci Community Champions, showcasing individuals making significant contributions to advancing value-based care by leveraging HL7 FHIR and making the outputs of Da Vinci real.

The main spotlight will be on a real-world implementation of Da Vinci’s prior authorization Implementation Guides and the benefits achieved by the 646-bed health system UC Davis Health, the 25.4-million-member payer Centene, and technology solutions vendor InterSystems. Learn the considerations, challenges and benefits of working together to establish infrastructure to streamline prior authorization workflows, remove latency and enable real-time data sharing.

RECORDING

Note: Recording starts with the Prior Authorization: A Shared Provider/Payer Project. Slides contain introductory content and Da Vinci Community Champion Class of 2021. 


Slides: Da Vinci Community Roundtable August 2022 .pptx


Howard Cohen, Director, Advanced Technology Team, Centene

Michael B. Marchant, Director, Health Information Exchange, UC Davis Health

Lynda Rowe, Senior Advisor, Value-based Markets, InterSystems

Mahesh Siddanati, Vice President, Digital Solutions and Product (Regulatory and Quality), Centene

Community Roundtable8-24-22

Effective Interoperability Governance: The People, Processes and Data

This month’s Community Roundtable provides multiple vantage points to approaching interoperability governance and its complexities in our HL7 FHIR API landscape around people, processes and data. Learn about the meaning of governance and the importance, challenges and lessons learned when applying these guardrails from four different perspectives: an Accountable Care Organization, an academic medical center, a payer and an IT vendor. Critical considerations around process controls, systems and frameworks will also be addressed.

Michael Gould, Business Lead – Interoperability, Blue Cross Blue Shield Association

Michael B. Marchant, Director, Health Information Exchange, UC Davis Health

Lukasz Nosol, Senior Director, Software Development - Enterprise Clinical Integration and Interoperability, Optum

Charlotte Morris, Data Governance Program Director, MultiCare Connected Care

Community Roundtable4-27-22

Ready, Set, Test: Prepare Now to Test Da Vinci Implementation Guides

Calling all product and technical teams!  The March Community Roundtable will answer your questions regarding how to test your use of the HL7 Da Vinci Project Implementation Guides (IGs).  This collaborative work is community built and the community needs you to come test with us.  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.  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

Community Roundtable3-30-22

Use of Da Vinci IGs in COVID Response 

COVID-19 has accelerated the need for solutions that enable healthcare consumers & payers to easily access testing & vaccination data from labs, pharmacies, health plans, & providers. HL7 Da Vinci IGs provided a standardized approach to pulling these data & putting them in the customer’s hands. UnitedHealthcare & Change Healthcare will share how the use of the CDex & PDex IGs enabled consumers to pull test results as well as vaccination data respectively via digital health apps & portals.

G Shah,
Change Healthcare


HIMSS22 - Spotlight TheaterMarch 15, 10:15 to 10:35 a.m.

How HL7 Da Vinci Measures Quality and Reduces Burden

COVID-19 has accelerated the need for solutions that enable healthcare consumers & payers to easily access testing & vaccination data from labs, pharmacies, health plans, & providers. HL7 Da Vinci IGs provided a standardized approach to pulling these data & putting them in the customer’s hands. UnitedHealthcare & Change Healthcare will share how the use of the CDex & PDex IGs enabled consumers to pull test results as well as vaccination data respectively via digital health apps & portals.

Kirk Anderson
Vice President and Chief Technology Officer
Cambia Health Solutions

Anna Taylor
Director of Operations
Multicare Health System

HIMSS22 - Orange County Convention Center, W311A

March 15, 3 - 4 p.m.

How HL7 Da Vinci Measures Quality & Reduces Burden | HIMSS, ID #67

How to Transform Prior Authorization with Evolving Standards - Spotlight Theater

Listen to an organization’s journey from a prior authorization (PA) burden reduction solution suite to an evolving standards solution leveraging HL7 FHIR, Da Vinci Implementation Guides (IGs), and X12 capabilities. Learn about the problem, market opportunity, and how the IGs can streamline PA to enable collaborative workflows between payers and providers. The takeaway: PA is not just a technology problem - but a workflow and a communication opportunity.

Rajesh Godavarthi, MCG

Heidi Kriz, Regence Health Plans


HIMSS22 - Spotlight Theater

March 15, 4:15 to 4:35 p.m.

Governing Interoperability

How does an organization govern interoperability? Join us for a business and IT strategic change management discussion to discover how organizations are creating a pathway to performance by developing an enterprise-level interoperability road map outlining a governance model and policies to enable business transformation.

Michael Marchant
UC Davis Medical Center

Heather Kennedy
Humana


HIMSS22 - Orange County Convention Center, W308A


March 15, 4:15 - 5:15 p.m. Governing Interoperability  | HIMSS, ID #84

Understanding the Role of FHIR in Patient Cost Transparency - Spotlight Theater

Are you curious about how the No Surprises Act will affect your efforts to provide Patient Cost Transparency? Explore one of the newest Da Vinci Project Use Cases and gain a better understanding of the role of HL7 FHIR in streamlining processes and improving data exchange. This functionality will ultimately enable accurate, real-time access to the cost of medical care prior to delivery, allowing patients to make better health care decisions and be better stewards of their healthcare dollars.

Caitlyn Campi, GuideWell

Maxim Abramsky, Edifecs


March 15, 4:45 to
5:05 PM

HL7 Da Vinci Project: A Key to Meeting Quality Measures - Spotlight Theater

Hear a first-hand account of how organizations are using HL7 Da Vinci Project Implementation Guides to meet quality measures, such as the Medication Reconciliation Post Discharge Quality Measure, identify gaps and reduce burden. Discover how to get involved, join the growing collaborative community, and directly access all of Da Vinci’s free and open resources.

Lynda Rowe, InterSystems

HIMSS22 - Spotlight Theater


March 15, 5:15 to 5:35 PM

The Many Facets of Prior Authorization Burden Reduction - Spotlight Theater

Join us for an extended session that begins with an inside look at an organization’s HL7 FHIR journey and ends with a Da Vinci Project implementer discussion providing multiple perspectives on prior authorization, current prior authorization burden, how the available implementation guides can streamline the processes and the changing nature of how payers and providers interact as they are working together to tackle problems.

Benjamin Orwoll,
MD MS, OHSU

Anna Taylor, MultiCare Health System

Rajesh Godavarthi, MCG

Heidi Kriz,
Regence Health Plans

HIMSS22 - Spotlight Theater



March 16, 12:15 to 13:35 PM 12:45 to 1:05 PM
(Extended Session)

The Role of HL7 FHIR in Patient Cost Transparency - Spotlight Theater

Learn how the new HL7 Da Vinci Patient Cost Transparency use cases will be implemented into an existing HL7 FHIR based point of care platform between payers and providers. The result: EHR data retrieval for best faith estimate queries is enabled, which reduces manual input burden and ultimately will help patients make more informed health care decisions.

David Potochniak,
Optum


Jeffrey Modder,
United Healthcare

HIMSS22 - Spotlight Theater


March 16, 1:15 to 1:35 PM

The Role of HL7 FHIR in Patient Cost Transparency

Are you curious about how the No Surprises Act will affect your efforts to provide patient cost transparency? Explore one of the newest Da Vinci Project Use Cases and gain a better understanding of the role of HL7 FHIR in streamlining processes and improving data exchange. This functionality will ultimately enable accurate, real-time access to the cost of medical care prior to delivery, allowing patients to make better healthcare decisions and be better stewards of their healthcare dollars.

Vanessa Candelora
Point of Care Partners, Senior Consultant
Project Manager, HL7 Da Vinci Project

Alice O'Carroll
Interoperability Lead Consultant
Florida Blue


HIMSS22 - Orange County Convention Center, W311A


March 17, 10 - 11 a.m.

The Role of HL7 FHIR in Patient Cost Transparency | HIMSS, ID #214

Governing Interoperability - Spotlight Theater

How does an organization govern interoperability? Join us for a business and IT strategic change management discussion and discover how organizations are creating a pathway to performance by developing an enterprise-level interoperability roadmap outlining a governance model and policies to enable business transformation.

Lukasz Nosol, United Healthcare

Anna Taylor, MultiCare Health System

HIMSS22 - Spotlight Theater


March 17, 12:45 to 1:05 PM

CMS Payer to Payer Mandate: A Working Approach to Compliance - Spotlight Theater

Discover how one plan and vendor are moving forward with achieving payer to payer mandate requirements.

Caitlyn Campi,
GuideWell

Kevin Day, Edifecs

HIMSS22 - Spotlight Theater


March 17, 1:15 to 1:35 PM

Insurance Plan Data Retrieval via Patient and Payer APIs - Spotlight Theater

Walk through a real-world use case showing which health data standards are used alongside HL7 FHIR-based applications within a health insurance payer portal to acquire health data from other health insurance payers. We will also discuss how to leverage FHIR operations, such as “$patient-everything” and “$member-match”, to support clinical data exchange between health insurance payers.

Joshua Lamb, Optum

Dan Bock, Optum

HIMSS22 - Spotlight Theater


March 17, 1:45 to 2:05 PM

The Evolution of Clinical Data Exchange Using HL7 FHIR 

CDex allows for precise requests for individual data points in a granular, targeted fashion, streamlining the process for payers, providers and patients. Join Da Vinci Project implementers who are leveraging HL7 FHIR-based models for payer-to-provider, payer-to-patient and payer-to payer information sharing and learn about the power of extending FHIR APIs as foundational building blocks for interoperability among all stakeholders.

Durwin Day,
Blue Cross Blue Shield Illinois (BCBSIL)

John Kelly, Edifecs

HIMSS22- Innovation Live! Theater


March 17, 2:15 to 2:35 PM

Role of EHRs in Advancing Interoperability

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

The session will showcase how the role of HL7 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. 

Jeff Danford, Sr. Principal Software Engineer, Allscripts 

Seth Paradis, Sales and Business Development Manager, Payer Engagement Division, healow Insights  

Community Roundtable2-23-22

Jump Start Your 2022 Implementation Efforts

As we dive into the new year, join us for January’s Community Roundtable and receive key updates on Implementation Guide progress, education to help you prepare to respond to related rules and regulation, and hear from real-world implementers to aid your 2022 HL7 FHIR journey.

Learn how industry innovators Oregon Health & Science University, MultiCare Connected Care, Regence Health Plans and MCG are leveraging the available HL7 Da Vinci Project Implementation Guides to transform prior authorization, reduce burden and hear how the payer and providers interact as they collaborate to tackle problems, transform processes and improve care delivery. The implementation demonstrates how the HL7 Da Vinci Project is accelerating the adoption of HL7 FHIR as the standard to support and integrate value-based care (VBC) data exchange. 

Vanessa Candelora, Project Manager, HL7 Da Vinci Project, and Senior Consultant, Point-of-Care Partners 

Anna Taylor, M.S., CIPCT, Director of Operations MultiCare Connected Care 

Benjamin Orwoll, M.D., M.S., Assistant Professor of Pediatrics, Division of Critical Care and Department of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health & Science University 

Heidi Kriz, Assistant Director of Medical Policy and PA Transformation Lead, Regence Health Plans 

Rajesh “Raj” Godavarthi, Associate Vice President of Technology and Interoperability, MCG Health, part of the Hearst Health network

Community Roundtable1-26-22

Are you ready for 2022?  Hear Progress and Plans, Available Testing Tools and Implementer Perspectives 


Join us for a year-end joint meeting of the Community Roundtable and Member Forum, the final Da Vinci webinar of 2021.

Da Vinci’s program management office will share insights on the year as well as the latest on strategic planning, and then we will hear from leadership regarding priorities for 2022. 

In support of industry implementation efforts, we will showcase current and new publicly available Da Vinci resources to aid adoption of FHIR-based standards and use cases.

This session will aid your readiness by sharing implementer tools and activities to support your goals to streamline processes and reduce provider and payer burden.

Adopting HL7 Da Vinci’s value-based care standards supports compliance efforts with federal regulations and contributes to more efficient and effective patient care and overall experience.

Insights, Programmatic Status and 2022 Strategic Plans 

    • Jocelyn Keegan, Da Vinci Program Manager and Payer Practice Lead, Point of Care Partners

Da Vinci Use Cases and Resources 

    • Vanessa Candelora, Da Vinci Project Manager and Senior Consultant, Point of Care Partners

Implementation Call to Action 

    • Viet Nguyen, MD, Technical Director, HL7 Da Vinci Project and Clinical Informaticist, Stratametrics, LLC

Da Vinci Steering Committee's Leadership Panel:

    • Kirk Anderson, Chair, Da Vinci Steering Committee and Vice President and Chief Technology Officer at Cambia Health Solutions
    • Michael Myint, Da Vinci Steering Committee member and Physician Executive, Population Health Risk Adjustment and Quality, MultiCare Health System
    • Deepak Sadagopan, Da Vinci Steering Committee member, and Senior Vice President, Value Based Care & Population Health Informatics at Providence
Community Roundtable12-8-21

Harnessing Clinical Data Exchange (CDex) to Improve Performance within Value-Based Care


This month’s Community Roundtable focuses on the “Swiss Army Knife” of Da Vinci IGs: Clinical Data Exchange (CDex). This workhorse IG, which shares provider-generated clinical data with payers or other industry partners, supports automated requests and responses for clinical data, which streamlines processes and reduces provider and payer burden.

The session features a current snapshot of the functionality, benefits and capabilities of CDex. After the level setting, 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.

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

Community Roundtable10-27-21

Fall into the Latest from the HL7 Da Vinci Project

Join the Da Vinci Project’s Community Roundtable to hear an update on key initiatives and see a demonstration of prior authorization burden reduction. 

The session begins with an update from the Project Management Office (PMO) including the status of the Price Cost Transparency and Risk Adjustment Implementation Guides (IGs) as well as resources related to Payer-to-Payer Data Exchange.  Then Change Healthcare and ZeOmega will share how they are bringing market-facing payer & provider APIs forward for prior authorization burden reduction.  Learn how HL7 Da Vinci IGs are enabling interoperability with payers’ provider community, leading to increased transparency (CRD), clinical data automation (DTR), and clinical data exchange (PAS) to improve authorization decision-making. This demonstration will focus on HL7 FHIR assets as we move through the transformation to true interoperability and value-based care.

Vanessa Candelora, Da Vinci Project Manager and Senior Consultant, Point of Care Partners

Craig Knier, Senior Director Product Management, Change Healthcare and co-chair of the WEDI Prior Auth sub-workgroup

Tony Sheng, VP Interoperability Strategy, ZeOmega

Community Roundtable9-22-21

Practical Approaches to Achieving Nationwide FHIR Adoption

August’s Community Roundtable presents an update on ONC’s FHIR at Scale Taskforce (FAST) solutions and opportunities to influence emerging solutions as well as showcasing an implementation pilot for Payer-to-Payer Exchange:

ONC FAST: National Level Solutions to Common Barriers Are Closer to Reality Than Ever

This session will provide a brief overview of the ONC FAST, a high-level update on FAST’s work to date, including identity, endpoint directory and testing solutions, and a deeper dive into the work on scalable security solutions and exchange with or without intermediaries. The session will provide actionable ways you can engage with FAST’s work whether by commenting on draft implementation guides, attending public calls, or participating in Connectathons.


CMS Payer-to-Payer Mandate: A Working Approach to Compliance

The compliance date of 1/1/2022 for the CMS Payer-to-Payer data exchange mandate is quickly approaching. Considering the rule lacks a specific technical standard mandate, several models for compliance have emerged in the industry. Da Vinci has been working with its members and industry to clarify architecture options that achieve interoperability and leverage significant investments in FHIR and Patient API solutions. In this Community Roundtable, two Payers present their implementation approach and demonstrate their technical solution.

ONC FAST:

  • Stephen Konya, ONC
  • Patrick Murta, Humana
  • Luis Maas, EMR Direct


Payer-to-Payer Exchange Demonstration: 

  • Caitlyn Campi, Florida Blue
  • Mitch Mead, BCBS Tennessee
  • John Kelly, Edifecs
Community Roundtable8-25-21

Payer-to-Payer Data Exchange: Rising to the Opportunities and the Challenges 

With an implementation deadline of January 1, 2022, the Interoperability and Patient Access final rule (CMS-9115-F) requires most CMS-regulated payers to exchange certain patient clinical data at the patient’s request, allowing the patient to direct the transfer of their information as they move from payer to payer to help create a cumulative health record with their current payer. CMS guidance and FAQs strongly encourage the use of the HL7 FHIR PDex Implementation Guide. Having a patient’s health information in one place facilitates informed decision-making, enables efficient care, reduces burden on providers and patients during transitions of coverage, and ultimately can lead to better health outcomes.

July's Community Roundtable provides a current snapshot of Da Vinci’s effort to create a nationwide interoperable approach among payers using PDex-based data exchange.  This session provides an opportunity to better understand 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 industry is working together.

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

Community Roundtable7-28-21

Demystifying Attachments to Enable Clinical Data Exchange

June's Community Roundtable led off with Alix Goss providing an overview of attachment models and standards for clinical data exchange capabilities.

Dr. Steven Lane shared the clinician view regarding the challenges, opportunities and benefits.

National Government Services showcased their Attachments implementation and production successes with more than 1500 provider organizations improving multiple workflows and reducing burden.

Da Vinci’s Technical Director presented emerging capabilities for provider-provider and provider-payer clinical data exchange using the CDex implementation guide.

Alix Goss, HL7 Da Vinci Program Support and Vice President, Imprado

Steven Lane, MD, Clinical Informatics Director, Privacy, Information Security & Interoperability, Sutter Health

Mary Lynn Bushman, Agile Product Manager, National Government Services INC.

Viet Nguyen, MD, Technical Director, HL7 Da Vinci and Clinical Informaticist, Stratametrics LLC

Community Roundtable6-23-21

Reducing Burden: Da Vinci Quality Measures tied to CMS RFI and HIPAA Exception Request for Prior Authorization

May’s Community Roundtable showcased the intersection of industry and federal regulation to advance interoperability and patient-focused care. 

The Da Vinci PMO provided an update including the latest federal proposed rule Request for Information related to digital quality measurement collection using FHIR.

Learn about Da Vinci’s DEQM and Gaps in Care Implementation Guides to assist you during your review and crafting your RFI response.

Da Vinci leadership discussed current prior authorization burden and the how the available Implementation Guides can streamline the processes. In addition, the PMO  discussed opportunities provided by the newly granted exception to the HIPAA requirement for Da Vinci payers and their trading partners when using the FHIR standard for prior authorization.

Slides: 2021 May Da Vinci Community Roundtable (final).pptx

Kirk Anderson, Vice President & CTO, Cambia Health Solutions

Robert Dieterle, Da Vinci PMO

Jocelyn Keegan, Da Vinci PMO

Linda Michaelsen, Director of Healthcare Interoperability Standards, Optum

Steven Waldren, MD, Co-Chair, Da Vinci Project Clinical Advisory Committee, Vice President and CMIO, American Academy of Family Physicians

Community Roundtable5-26-21
Da Vinci Education & HL7 FHIR Implementation Event

Here is the link to the YouTube playlist with the government presentations:

https://www.youtube.com/playlist?list=PL4DUfomz2RZyOX4Ij8EfnhkNt0Vya11lI

To purchase full agenda, or full day(s)

https://www.pathlms.com/courses?category_ids%5B%5D=423&category_ids%5B%5D=2603&slug=hl7

Presenters are noted in full agenda: 

Da Vinci Education & HL7 FHIR Implementation Event


4-26 to 4-31-21

Highlighting FHIR’s Potential: From Champions to Implementers

March’s roundtable begins with a recognition of the initial class of the 2020 HL7 Da Vinci Community Champion program, which showcases individuals making significant contributions to advancing value-based care by leveraging FHIR and making the outputs of Da Vinci real.

We will also spotlight the April Education and Implementation Event, slated for April 26 – 30.

One example of a real-world implementation will be described in the third presentation, MiHIN InterOp Station and DaVinci Plan Net Experience. The team will share their lessons learned from the deployment of Plan-Net, the PDex – Plan Network Directory Implementation Guide that focuses on Payer Provider Directories.

Presenters:

Sagran Moodley, HL7 Da Vinci Project Steering Chair, SVP, Clinical Data Strategy & Management, UnitedHealthcare

Jocelyn Keegan, HL7 Da Vinci Project Program Manager, Payer Practice Lead, Point of Care Partners

Dr. Tim Pletcher, Executive Director, MiHIN

Wendy Umbriac, Manager, Digital Services Team, MiHIN

2020 Da Vinci Champions:

David DeGandi, Senior Interoperability Strategist, DTS CTO Organization, Cambia Health Solutions

Michael Gould, Business Lead – Interoperability, Blue Cross Blue Shield Association

Gini McGlothin, Senior Quality Management Analyst, Blue Cross Blue Shield Alabama

Linda Michaelsen, Director, Healthcare Interoperability Standards, Optum

Patrick Murta, Chief Interoperability Architect and Fellow, Enterprise Architecture, Humana

Anna Taylor, Director of Operations, Population Health, MultiCare Connected Care

Community Roundtable3-24-21

What it Takes: Learn about MCG Health’s Journey to Help Reduce Prior Auth Burdens and Discover New Da Vinci Use Case


MCG Health will share lessons learned from a technology and business perspective, reflecting on demonstrating value and garnering project support for advancing the use of HL7 FHIR solutions that support prior authorization burden reduction.

The roundtable will also feature presentations on the two newest Da Vinci use cases: Patient Cost Transparency and Risk Based Coding


Raj Godavarthi, Director of Technology & Operations, MCG Health

Marivie Lanter, RN, BSN, Director of Product Management, MCG Health

Alice O’Carroll
Interoperability Team Lead Florida Blue

Cat Douglas
Consultant
Provider Cost Transparency Florida Blue

Vanessa Candelora, Project Manager, HL7 Da Vinci Project

John Graham, Program Manager, Value Based Care, Population Health, Providence St. Joseph Health

Phung Matthews, PharmD, Informatic Analyst, Point-of-Care Partners

Community Roundtable2/24/21

Learn How the HL7 Da Vinci Guides Help with Interoperability Rules: 

Despite the pandemic (and perhaps because of it), the use of FHIR by all parts of Health IT is on the rise. HL7 Da Vinci Project is poised to accelerate data exchange and reduce burden between provider and payers and fuel clinical data needed for patient applications.

Join this month’s roundtable to learn the latest on how the HL7 Da Vinci Project is helping the industry solve health care interoperability problems and meet federal ONC and CMS proposed requirements. Understand how each implementation guide (IG) ties back to specific CMS and ONC rules, giving you the recipe to solve challenges to meet proposed requirements and leverage the power of standards to improve connectivity across all of your patient populations.

In addition, you will hear about the maturity and progress of IGs through connectathons, real world implementations and the HL7 publishing process. The presentations will share how to get involved, join the growing FHIR community and find out how you can directly access all of these free and open resources.

Jocelyn Keegan, HL7 Da Vinci Program Manager

Dr. Viet Nguyen, HL7 Da Vinci Technical Director

Vanessa Candelora, HL7 Da Vinci Project Management Office

Community Roundtable1/27/21

CMS Q&A Session 1/15/21

CMS Patient Access API and Burden Reduction Rules 

RECORDING

CMS:

Lorraine Doo & Alex Mugge


HL7 Connectathon 261/15/21

Achieving Integrated Care Delivery Using FHIR: “Why, How, and Yes it’s a Big Deal”

November brings our final Community Roundtable of the year and brings the community together for a reflection on Da Vinci’s 2020 engagement and a real-world case study focusing on how Humana engaged an enterprise-wide approach for integrated care delivery.

Silver Lining of 2020: Community Roundtable and Industry Engagement

Join this session to learn firsthand the impact and value that the Da Vinci Project is having on advancing interoperability. Hear a year-end review of all the payer, provider, and vendor presentations during the inaugural year of the Da Vinci Community Roundtable.

Humana: Achieving Integrated Care Delivery Using FHIR: “Why, How, and Yes it’s a Big Deal”

Learn how Humana is achieving an integrated care delivery strategy using FHIR and complementary technologies, enterprise evangelization, industry HL7 accelerators such as Da Vinci, scaled agile and a product mindset.

RECORDING 


Combined slide deck: Da Vinci Community Roundtable 2020 Nov 18 (final).pdf

Humana

  • Lisa Stephens, Senior Vice President, Clinical Operations
  • Mike Funk - Vice President, Office of Health Affairs and Advocacy
  • Todd Soderquist, Vice President, Health Care Services Technology
  • Bryan Thomas, Director, Interoperability Product Management
  • Patrick Murta, Chief Interoperability Architect and Fellow, Enterprise Architecture
  • Jeffrey Kinnison – Principal, Enterprise Interoperability
  • Sonja Boyes, Product Manager, Rapid FHIR
  • Phil Britt – Director, Technology Solution Implementation

Da Vinci PMO: 

  • Alix Goss, Da Vinci PMO
  • Jocelyn Keegan, Da Vinci PMO
Community Roundtable11/18/20

Da Vinci's Quarterly Update and Implementation Lessons from Cedars-Sinai, Anthem and CareEvolution

Da Vinci’s Jocelyn Keegan, program manager, and Dr. Viet Nguyen, technical director, will deliver a quarterly update highlighting the progress and real-world use cases of Da Vinci Project efforts. They will also review how the project’s work and available resources, including implementation guides, will help organizations meet the goals of the Patient Access API rules by the Jan. 1, 2021 federal deadline.

Anthem, Cedars-Sinai, and CareEvolution discuss implementing the Data Exchange for Quality Measures and Event Notification implementation guides. Lessons include how they formed their project, implemented the technical requirements, and identified valuable “lessons learned” for future efforts to reduce the burden and increase the scale of data exchange for value-based care.



Anthem, Cedars-Sinai and CareEvolution slides: Anthem_Cedars_CE_DaVinciPresentation.FINAL.pdf

HL7 Da Vinci Quarterly Program Update:

  • Jocelyn Keegan, Program Manager, Da Vinci Project
  • Viet Nguyen, MD, Technical Director, Da Vinci Project

Using Da Vinci Data Exchange for Quality Measures and Event Notification to Enable Payor-Provider Communication:

  • Ray Duncan, MD, FAAP, Executive Director, Tech R&D, Enterprise Information Services, Cedars-Sinai Health System
  • Brandon Raab, Engineer Lead, Enterprise Data & Analytics Solutions, Anthem
  • Vik Kheterpal, MD, Principal, CareEvolution
Community Roundtable10/28/20

Interoperability Breakthroughs to Advance Value-Based Care and Improve Clinical and Financial Outcomes

Interoperability in healthcare is at an inflection point. Great progress has been made, but many challenges remain that limit stakeholders’ ability to fully optimize the delivery of quality, value-based care while also reducing costs. Major FHIR®-centric initiatives have emerged to address these barriers and allow healthcare to embrace interoperability that has fueled innovation and disruption in other industries. Join the HIMSS Interoperability & HIE Community for a virtual discussion about how interoperability is fueling innovation and disruption in healthcare and beyond.


RECORDING and SLIDES



Patrick Murta, Chief Interoperability Architect & Fellow, Humana; Co-Chief Architect, FAST, Da Vinci Coordinating Committee Member

Adam Bazer, Senior Manager, Informatics, HIMSS

Amit Trivedi, Director, HIT Standards and Informatics, HIMSS

HIMSS Interoperability & HIE Community10/21/20

Provider Leadership and Partnerships: The Key to Interoperability and Scalability of Value-Based Care

Clinicians and their teams are helping to lead the way with HL7® Da Vinci Project production implementations to enable interoperability and advance value-based care.  Learn how provider organizations are forging the building blocks that leads towards automation.  These reusable building blocks underscore technical and business solutions critical to addressing current pain points with the health care system and creating win-wins for patients, clinicians, administrators, payers and technologists.




Da Vinci slides: Da Vinci Community Roundtable 2020 Sept 23 (final).pdf 


Providence slides: Scalability of VBC Through Interoperability PSJH 2020.pdf


MultiCare and Cambia slides: CommunityForum_200923_MCCJourneytoInteroperability_V1.pdf

Tammy Banks, Providence St. Joseph, Vice President Medicare Strategy, Value Based Care

Semira Singh, Providence St. Joseph, Product Manager Population Health, Value Based Care

Dave DeGandi, Senior Interoperability Strategist, DTS CTO Organization, Cambia Health Solutions

Anna Taylor, MS CIPCT, Director of Operations, Population Health for MultiCare Connected Care

Community Roundtable9/23/20

How CMS, ONC and Industry are Tackling Provider Burden and Enabling Rapid Adoption of FHIR

The latest updates on two initiatives that leverage healthcare industry collaborative efforts to advance information exchange using HL7® Fast Healthcare Interoperability Resources (FHIR®), maximize efficiency at scale and overcome barriers and physician burden in the healthcare system.

The CMS Center for Program Integrity began the Documentation Requirement Lookup Service (DRLS) initiative aims to streamline clinician workflow access to coverage requirements through the development of the DRLS prototype for the Medicare Fee for Service program.

The FHIR at Scale Taskforce (FAST), convened by the Office of the National Coordinator for Health IT (ONC) seeks to identify FHIR scalability challenges and potential solutions, analysis that will address current barriers and will enable rapid industry adoption of FHIR-based solutions at scale.


ONC FAST: Ecosystem Infrastructure for Scalable FHIR Solutions Through Collaboration & Industry Engagement

• Stephen Konya, HHS/ONC
• Patrick Murta, Humana; FAST; Da Vinci
• Paul Oates –Cigna; FAST

CMS Medicare Fee for Service Documentation Requirement Lookup Service (DRLS) Overview and Status
• Ashley Stedding, CMS
• Nalini Ambrose, MITRE
• Larry Decelles, MITRE

Community Roundtable8/26/20

Da Vinci Program Update and Cigna, InterSystems, Rush Health present: 

What It Takes: How to Leverage the HL7 Da Vinci Project to Drive Quality Measurement and Value-Based Care

Following a program update, Da Vinci participants Cigna, InterSystems and Rush discuss the clinical quality measure use case to describe how they formed their project, implemented the technical requirements and how this project holds promise to reduce the burden and increase the scale of data exchange for value-based care.

Cigna – Patrick Haren, Architecture Director

InterSystems – Lynda Rowe, Senior Advisor, Value-based Markets

Rush Health – Kamlesh Patel, Senior Project Manager 

Da Vinci Project Update: Jocelyn Keegan, Da Vinci PM

Community Roundtable7/22/2020

GuideWell, Edifecs and partners demonstrate:

Patient API’s and the CMS Final Rule: A Consumer View

  • Patient Access Rule
  • The Payer Role: Perspective and Impacts
  • Technology Partner Role: Responsibilities and Challenges
  • App Developer Role: Consumer Experience
  • Securely Connecting Applications & Sharing Patient Data
  • Lessons Learned


RECORDING

GuideWell - Amit Shah, Senior Director

Edifecs - John Kelly, Principal Business Advisor

MaxMD - Keith Finlay, Director of Sales and Development

1upHealth - Doug Williams, Chief Product Officer

b.well - Philips Johnson, Chief Technology Officer 

Community Roundtable6/24/2020
 Cambia, HealthSparq and United present: 
  • Data Exchange for Quality Measurement: Medication Reconciliation, From Pitch to Production 
  • Provider Directory: Building a Solid Foundation for the Provider Directory API 
  • Clinical Data Exchange: EMR Integration Service Layer (EISL) Lab Chase Service (LCS)


Healthsparq slides: Healthsparq May 2020 Da Vinci Community Roundtable.pdf

United slides: UHC EISL LCS.pdf


Kirk Anderson, Cambia Health Solutions, VP & Chief Technology Officer

Keith Lomurray, HealthSparq, Director Data Products & Analytics

Nick Radov United Healthcare, Director, Interoperability Standards & Compliance

Sumit Lahiri, United Healthcare, Architect, Clinical Data Services and Technology

Community Roundtable5/27/2020
GuideWell and Edifecs present: Payer Coverage Decision Exchange (PCDE) and Alerts/Notifications use cases

RECORDING

Da Vinci Community Roundtable 2020_04_22.pdf    (Da Vinci Update and CMS slides) 

Da_Vinci_Edifecs_GuideWell_(PCDE+Alerts)_FINAL.pdf (Use case demo slides).  

Amit Shah, Senior Director of Shared Applications/Services, GuideWell

John Kelly, Principal Business Advisor, Edifecs

Sreekanth Puram, Head of Technology and Product Development, Mettle Solutions

Rohit Shinde, Vice President and Business Unit Lead, healow Insights

Community Roundtable4/22/2020
Da Vinci Update and Demonstration of Prior Authorization Support (PAS) and Clinical Data Exchange (CDex) use cases 

RECORDING

Slides

Alix Goss, Da Vinci PMO

Henry Meyne, Product Line Architect, Availity

Dave Degandi, Senior Interoperability Strategist, Cambia Health Solutions

Community Roundtable3/25/2020
2020 Da Vinci End to End Clinical Scenario Demonstrations

Demo Group 1

Demo Group 2

Demo Group 3

Demo Group 4


Da Vinci Members, narrated by clinical leadsHIMSS Virtual 3/10/2020

Conversation With FHIR® Accelerators

RECORDING

Charles Jaffe, MD, PhD, CEO, HL7 International

Evelyn Gallego, Program Manager, the Gravity Project; CEO and Founder, EMI Advisors, LLC

Jocelyn Keegan, Program Manager, Da Vinci Project, Senior Consultant, Point of Care Partners

Ryan Howells, Program Manager, CARIN Alliance, Principal, Leavitt Partners

Steve Bratt, Project Lead, CodeX, Leader, Health Standards and Interoperability Group, MITRE

HIMSS Virtual3/10/2020

ONC Update/CMS Update 

RECORDING

Alex Mugge, CMS

Steven Posnack, Deputy National Coordination, ONC

HIMSS Virtual3/10/2020

Da Vinci Update: Provider/Payer Collaboration

Da Vinci quick overview and active discussion with Da Vinci members on the role of Da Vinci for solving VBC challenges, announced rules and their transformation to API economy.

http://youtube.com/watch?v=XuJ47lE9GiU
This session begins at 2:25.

Jocelyn Keegan, Da Vinci Program Manager, Point of Care Partners

Sagran Moodley, Da Vinci Steering Chair, United Healthcare, Da Vinci Steering Committee

Hans Buitendijk, Da Vinci Steering CoChair, Cerner Corp.

Kirk Anderson, Da Vinci Steering Committee, Cambia Health

Chuck Jaffe, MD, Da Vinci Steering Committee, HL7

Deepak Sadagopan, Providence St. Joseph

Brian Patty, MD Rush Medical

Virtual Health20 Meetings3/11/2020

Thoughts on New Federal Rules


http://youtube.com/watch?v=XuJ47lE9GiU
This session begins at 3:36.

Don Rucker, National Coordinator, ONCVirtual Health20 Meetings3/11/2020
Readying Industry for Payer-Provider Clinical Data Exchange RECORDING

Jocelyn Keegan, Moderator

Stephen Konya, ONC

Mike Funk, Humana

Dr. Ed Yu, Sutter Health

Alex Mugge, CMS

HIMSS Virtual3/12/2020
MRP: Medication Reconciliation Quality Measure 

Da Vinci members UnitedHealthcare and Pulse8 (part of Allscripts) will showcase the MRP use case and implementation guide with a demonstration of clinical data flow from the TouchWorks EHR to UnitedHealthcare.

RECORDING

Lukasz Nosol,  Director, Architecture, Clinical Integration and Interoperability UnitedHealth Group

Frank Hone,            Senior Manager, Product Management Veradigm (Allscripts)

HIMSS Virtual3/12/2020
Da Vinci Update
CDex Connectathon4/9/2019

Clinical Scenario Q&A 

Overview of the Da Vinci Clinical Scenario for HIMSS20 and instructions for the participants.

RECORDING
HIMSS Virtual 11/25/2019

Da Vinci Connectathon

00:00 - Introductions
01:30 - Prior Authorization Track and Demos by Mitre
10:10 - CQL Demo by Edifecs
12:20 - DTR/PA Demo by MCG Health
16:45 - Payer Data Exchange Track
22:00 - Reference Implementation Demo by HealthLX
27:25 - Demo by Humana and Healow/eClinicalWorks
29:45 - Clinical Data Exchange Track
34:10 - Reference Implementation Demo by Interopion
39:30 - Demo by Humana
42:25 - Demo by Diameter Health
46:00 - Demo by Guidewell and Healow/eClinicalWorks
51:00 - Data Exchange for Quality Measures Track
56:20 - PDex Formularies and Demo by Mitre

RECORDING
Da Vinci Connectathon 5/30/2019
Da Vinci ConnectathonRECORDING
Da Vinci Connectathon5/30/2019
Da Vinci UpdateRECORDING
IBC Connectathon 12/12/2019

Da Vinci Demonstrations

DTR and Prior Auth Demo - 00:01:00 to 00:11:00
MCG Demo - 00:11:00 to 00:14:30
PDex Demo using HSPC Sandbox - 00:14:30 to 00:34:00
CDex Demo using HSPC Sandbox - 00:34:00 to 00:43:00
MaxMD Demo - 00:43:00 to 00:55:15
COL Demo using HSPC Sandbox - 00:55:15 to 00:58:27

RECORDING
FHIR Connectathon5/5/2019


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