Objective:
Support the real-time exchange of alerts that impact patient care and value based or risk based services.
Define the technical aspects of the data exchange and create a framework for alerting/notifications related to patient care.
Workflow (click on the image to enlarge it)
Benefits
- Increases communication between provider and payer teams about patients in at risk contracts
- Creates trigger to activity with a particular patient
- Reduces need for rework of services and/or, improves safety by providing opportunity to share critical payer data to caregiver
- Improves quality of information shared by using FHIR standard
Sponsoring Workgroup: Infrastructure And Messaging Work Group
Unsolicited Notifications Implementation Guide:
STU1 Ballot Reconciliation:
- JIRA Dashboard - Da Vinci Notifications STU Balloting Dashboard
Reference Implementation:
- Login to HSPCs Logica Sandbox at: https://sandbox.logicahealth.org/DaVinciAlertsEHR/apps
App: FHIR Alert sender
Receiver URL: https://davinci-alerts-receiver.logicahealth.org
Contact Viet Nguyen (vietnguyen@stratametrics.com) for login credentials
- Experience shared Recording from Video Presentations - Implementation Lessons from Cedars-Sinai, Anthem and CareEvolution
Da Vinci Notification Sender Simulation: (Client Facade to simulate Sender) at: http://ehaas.pythonanywhere.com/
Test Scripts: Touchstone_DaVinciNotification_Scripts
Zulip Channel: https://chat.fhir.org/#narrow/stream/205917-Da-Vinci.20Alerts
Conference Call Sign Up
Da Vinci Conference Call Sign Up Instructions
Conference Call Schedule & Dial-Ins
Wednesdays at 12pm Eastern
Please join my meeting from your computer, tablet or smartphone.
https://global.gotomeeting.com/join/663817509
You can also dial in using your phone.
United States: +1 (571) 317-3122
Access Code: 663-817-509
Project Milestones
Milestone | Timeframe |
|---|---|
Publish IG STU1 | Oct 2020 |
| Implementer Support | 2021 |
| Begin IG advancement phase 2 (STU2) | TBD |
See below for historical milestones met
Notifications Team:
| Role | Name | Organization | |
| Project Lead | Ulrike Merrick | Vernetzt, LLC | rikimerrick@gmail.com |
| Implementation Guide Lead | Eric Haas | HealtheData INC | |
| Reference Implementation Co-Lead | HealthLX | ||
| Reference Implementation Co-Lead | Dmytro Hasilin | HealthLX | dmytro.hasilin@hevelian.com |
| Project Co-Lead | Cambia Health | david.degandi@cambiahealth.com | |
| Business Process SME | Linda Michaelsen | Optum | |
| Program Manager | Jocelyn Keegan | Point of Care Partners | jocelyn.keegan@pocp.com |
| Technical Director | Dr. Viet Nguyen | Stratametrics | vietnguyen@stratametrics.com |
| Project Manager | Vanessa Candelora | Point of Care Partners | vanessa.candelora@pocp.com |
Historical Milestones Met:
Framework:
| Scenario | Associated Domain Expertise WG | related existing FHIR IGs | Projected timeline for WG | Interested parties |
| Encounter/Visit Notification (Admit/Discharge) | PA | none | Feb 2020 ballot | |
| Immunizations | PH | |||
| Public Health Notification | PH | eCR <ADD LINK> | ||
| Birth/Death | PH | Vital Records etc <ADD LINK> | ||
| Referral | PH, PC | BeSR <ADD LINK> | ||
| Lab Results | OO, PH (reportable results) | US Realm Lab Result <ADD LINK> | ||
| Ordered Device/Biometric/Patient (i.e. Fit Bit) | OO | |||
| Problem with Treatment – such as drug recall, device recall/issue | Pharmacy | |||
| Treatment Start/End | Pharmacy | |||
| Pharmacy (Pickup, Restock, Dispense) | Pharmacy | |||
| Notification of New Condition | PC? | |||
| Changes in Care Team | PA?, PC? | |||
| Scheduled Appointment/Pre-Admit | PA | |||
| Change in Social Determinants of Health | PA?, PC?, PH | |||
| Work Comp Initial/Visits/Services | FM?, PH, PC? | |||
| Coverage Start/End | FM | |||
| Notification of Prior Authorization (Pended to Approved/Denied) | FM |