Note: Da Vinci recorded sessions using GoToWebinar expire after one year.
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
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
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.
Payer-to-Payer Exchange Demonstration:
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
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
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.
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
|Da Vinci Education & HL7 FHIR Implementation Event|
Here is the link to the YouTube playlist with the government presentations:
To purchase full agenda, or full day(s)
Presenters are noted in full agenda:
|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.
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
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
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
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
CMS Q&A Session 1/15/21
CMS Patient Access API and Burden Reduction Rules
Lorraine Doo & Alex Mugge
|HL7 Connectathon 26||1/15/21|
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.
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.
Combined slide deck: Da Vinci Community Roundtable 2020 Nov 18 (final).pdf
Da Vinci PMO:
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.
Da Vinci slides: Da Vinci Community Roundtable 2020 Oct 28 (final).pptx
Anthem, Cedars-Sinai and CareEvolution slides: Anthem_Cedars_CE_DaVinciPresentation.FINAL.pdf
HL7 Da Vinci Quarterly Program Update:
Using Da Vinci Data Exchange for Quality Measures and Event Notification to Enable Payor-Provider Communication:
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.
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 Community||10/21/20|
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
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.
FAST Slides: FAST_DV Roundtable_8.26.pdf
ONC FAST: Ecosystem Infrastructure for Scalable FHIR Solutions Through Collaboration & Industry Engagement
• Stephen Konya, HHS/ONC
CMS Medicare Fee for Service Documentation Requirement Lookup Service (DRLS) Overview and Status
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.
Da Vinci Update slides: Da Vinci Community Roundtable 2020_07_22_Program Update (FINAL).pdf
Cigna, InterSystems and Rush slides: Da Vinci Overview and Quality for 2020_07_02 Community Roundtable Final.pdf
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
GuideWell, Edifecs and partners demonstrate:
Patient API’s and the CMS Final Rule: A Consumer View
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
| Cambia, HealthSparq and United present: |
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
|GuideWell and Edifecs present: Payer Coverage Decision Exchange (PCDE) and Alerts/Notifications use cases|
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
|Da Vinci Update and Demonstration of Prior Authorization Support (PAS) and Clinical Data Exchange (CDex) use cases|
Alix Goss, Da Vinci PMO
Henry Meyne, Product Line Architect, Availity
Dave Degandi, Senior Interoperability Strategist, Cambia Health Solutions
|2020 Da Vinci End to End Clinical Scenario Demonstrations||Da Vinci Members, narrated by clinical leads||HIMSS Virtual||3/10/2020|
Conversation With FHIR® Accelerators
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
ONC Update/CMS Update
Alex Mugge, CMS
Steven Posnack, Deputy National Coordination, ONC
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.
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 Meetings||3/11/2020|
Thoughts on New Federal Rules
|Don Rucker, National Coordinator, ONC||Virtual Health20 Meetings||3/11/2020|
|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
|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.
Lukasz Nosol, Director, Architecture, Clinical Integration and Interoperability UnitedHealth Group
Frank Hone, Senior Manager, Product Management Veradigm (Allscripts)
|Da Vinci Update||CDex Connectathon||4/9/2019|
Clinical Scenario Q&A
Overview of the Da Vinci Clinical Scenario for HIMSS20 and instructions for the participants.
Da Vinci Connectathon
00:00 - Introductions
|RECORDING||Da Vinci Connectathon||5/30/2019|
|Da Vinci Connectathon||RECORDING||Da Vinci Connectathon||5/30/2019|
|Da Vinci Update||RECORDING||IBC Connectathon||12/12/2019|
Da Vinci Demonstrations
DTR and Prior Auth Demo - 00:01:00 to 00:11:00