Attention! Da Vinci will be revisiting the PCDE use case in 2022 and directing our resources to other use cases at this time. We appreciate all who contributed to PCDE thus far. If you have questions, are looking to implement, or need any support that you cannot find here, please reach out to us on this Zulip Channel, we will continue to monitor for questions.
Objective:
Support the portability of coverage by exchanging information between payers to define decision making and supporting documentation with regard to treatment for chronic illnesses without the need to burden the provider and/or patient or risk a discontinuity of care.
Workflow (click on the image to enlarge it)
Benefits
Supports continuity of treatment when patients enroll with a new payer by enabling a transfer of “current active treatments” between the prior payer and the new payer
Reduces the need for providers and/or patients to resubmit supporting documentation to the new payer in order to continue patient treatment
Reduces interruption in care plan and medication adherence
Reduces waste and rework by all parties
Sponsoring Workgroup: Financial Management
Payer Coverage Decision Exchange Implementation Guide:
STU Ballot Reconciliation:
Reference Implementation:
Test Scripts: Touchstone_DaVinciPCDE_Scripts
Zulip Channel: https://chat.fhir.org/#narrow/stream/273550-DaVinci-PCDE
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Project Milestones
Milestone | September Ballot Deadlines (2019) |
|---|---|
Publish IG STU1 | December 2020 |
| Ballot Project Milestone Goals coming soon. | H2 2021 |
PCDE Team:
| Role | Name | Organization | |
| Project Co-Lead | Dr. Nita Thingalaya | IBC | Nita.Thingalaya@ibx.com |
| Implementation Guide Lead | Lloyd McKenzie | Gevity | loyd@lmckenzie.com |
| Implementation Guide Co-Author | Jean Duteau | ||
| Reference Implementation Co-Lead | @Joe Minieri | MITRE | jminieri@mitre.org |
| Reference Implementation Co-Lead | MITRE | mayT@mitre.org | |
| Business Process SME | Robert Dieterle | Enablecare | rdieterle@enablecare.us |
| 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: