HL7 DA VINCI PROJECT OVERVIEW AND UPDATE WEDI 2020 - May 7, 2020

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HL7 DA VINCI PROJECT OVERVIEW AND UPDATE WEDI 2020 - May 7, 2020
HL7 DA VINCI PROJECT
OVERVIEW AND UPDATE

            WEDI 2020

             May 7, 2020
HL7 DA VINCI PROJECT OVERVIEW AND UPDATE WEDI 2020 - May 7, 2020
Project Challenge

            To ensure the success of the industry’s shift to Value Based Care

Transform out of Controlled Chaos:           Collaboration:                Success Measures:
  Develop rapid multi-stakeholder     Minimize the development and     Use of FHIR®, implementation
   process to identify, exercise and deployment of unique solutions.     guides and pilot projects.
     implement initial use cases.    Promote industry wide standards
                                              and adoption.

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HL7 DA VINCI PROJECT OVERVIEW AND UPDATE WEDI 2020 - May 7, 2020
Da Vinci 2020 Multi-Stakeholder Membership

       PROVIDERS                  EHRs                                                             PAYERS

                        *                                *                     *               *                            *

*                                                                                                                         *                    *
                        *                               *                                                                                      *
                        *
                                                        *                *                           *

                                                             VENDORS                                                                DEPLOYMENT

                                           *                   *
                                                    *                *                   *
    INDUSTRY PARTNERS

                        For current membership: http://www.hl7.org/about/davinci/members.cfm
       *
                                                                                                                      *Indicates a founding member of the Da Vinci Project.
                                                                                   Organization shown in primary Da Vinci role, Many members participate across categories.
                                                                                                                                                                              3
HL7 DA VINCI PROJECT OVERVIEW AND UPDATE WEDI 2020 - May 7, 2020
Program Timeline
                                                                    1st Da Vinci
                                                                    Focused
                                                                    Connectathon
                                                                    @ GuideWell
           Da Vinci
           Founded                  Initial 2                                                   HIMSS20
                                    Use Cases                                                   Demonstrations          Expect Initial
                                    Balloted                                                                            Published IGs
Q4                    Q2               Q4                 Q2                       Q4               Q2                      Q4
2017                  2018             2018               2019                     2019             2020                    2020

       Q1                     Q3                Q1                      Q3                   Q1                  Q3
       2018                   2018              2019                    2019                 2020                2020
                        Initial
                        Working                                                                        Initial Production
                        Session @                                                                      Deployments
                        Optum
                        Labs
                                                       HIMSS19
Concept                                                                        By Sept19
                                                       Demonstrations
Proposed                                                                       HL7 12 IGs
                                                                               Progressing
                              Progress To Date                                 Balloting                                Future

                                                                                                                                     4
HL7 DA VINCI PROJECT OVERVIEW AND UPDATE WEDI 2020 - May 7, 2020
Use Case Focus Areas

                      Quality Improvement
                                                        Clinical Data             Payer Data                               Payer Data
 Data Exchange for                                       Exchange                 Exchange                                 Exchange
 Quality Measures

                                                                                                      Member Access

                                                                                                                                              Clinical Data Exchange
                                                    Payer Data Exchange:    Payer Data Exchange:                          Clinical Data
  Gaps in Care &                                         Formulary                Directory                                Exchange
   Information

                                                      Payer Coverage             Patient Cost
                                                                                                                          Notifications
                                                     Decision Exchange          Transparency
                      Coverage / Burden Reduction

     Coverage
   Requirements
    Discovery
                                                                                                                      Patient Data Exchange
                                                                              Chronic Illness
                                                    Risk Based Contract
                                                                             Documentation for
                                                    Member Identification
  Documentation                                                               Risk Adjustment
Templates and Rules                                                                                                   Performing Laboratory
                                                               Process Improvement                                          Reporting

Prior-Authorization                                                           Published
      Support                                           Use Case              Balloting
                                                      HL7 Standards
                                                                              Build                Aligned with specific
                                                        Progress
                                                                              Future               ONC or CMS rule                                                     5
HL7 DA VINCI PROJECT OVERVIEW AND UPDATE WEDI 2020 - May 7, 2020
Standard Phase        Future            Build         Ballot         Published

                                      Connectathon

                                           Live
HL7 DA VINCI PROJECT OVERVIEW AND UPDATE WEDI 2020 - May 7, 2020
Da Vinci Demonstration
                                                                           Lara’s Patient Journey

                                                   Benefits of Implementing Da Vinci
                                                           Create transparency and reduce burden for patients,
                                                           providers and payers across all sets of patient experience
     Hospital           PCP                                Saves money and time by minimizing the development of
                                                           one-off solutions
                                                           Leverage the collective expertise and efforts of industry
                                                           experts and HL7 FHIR
                                                           Reduce burden and waste by focusing on known high
                                                           volume, manual activities that can be automated,
                                                           Allow efficient, effective real-time data exchange to effect
ER              Lara          Cardiologist                 patient outcomes and support VBC

                                                                    Booth Activities                      Stats
                                                    Number of Members                                      46
                                                    Members Demonstrating                                  22+
                                                    Number of Demos                                        30+
     Payer B           Payer A                      Panel Discussions                                       5
                                                    Use Cases in Flight                                    14

                https://confluence.hl7.org/display/DVP/Da+Vinci+2020+Calendar                                             7
HL7 DA VINCI PROJECT OVERVIEW AND UPDATE WEDI 2020 - May 7, 2020
Da Vinci Implementation Guides

                                                                                 # Times                                                                                   # Times
                     IG                                   Status                 Tested                        IG                                     Status               Tested

                                    Quality Improvement                                    Payer Data Exchange (PDex): Plan Network
                                                                                                                                         STU 1 Ballot 1 based on FHIR R4     4
                                                                                           Directory
Data Exchange for Quality Measures (DEQM)      STU 2 Ballot 1 based on FHIR R4     7
                                                                                           Payer-Payer Coverage Decision Exchange        STU 1 Ballot 1 based on FHIR R4     4
Gaps in Care                                   Active Development                 N/A
                                                                                           Patient Cost Transparency                     Planning                            N/A
                              Coverage/ Burden Reduction
                                                                                                                             Clinical Data Exchange
Coverage Requirements Discovery (CRD)          STU 1 Ballot 2 based on FHIR R4     7
                                                                                           Notifications                                 STU 1 Ballot 1 based on FHIR R4 4
Documentation Templates & Rules (DTR)          STU 1 Ballot 2 based on FHIR R4     6
                                                                                           Patient Data Exchange                         Planning                          N/A
Prior Authorization Support (PAS)              STU 1 Ballot 1 based on FHIR R4     4
                                                                                           Performing Laboratory Reporting               Planning                          N/A
                                      Member Access
                                                                                                                             Process Improvement
Health Record Exchange Framework (HRex)        STU 1 Ballot 1 based on FHIR R4    N/A
                                                                                           Risk Based Contract Member Identification     STU 1 Ballot 1 based on FHIR R4 2
Clinical Data Exchange (CDex)                  STU 1 Ballot 1 based on FHIR R4     5       Chronic Illness Documentation Risk
                                                                                                                                         Planning                          N/A
                                                                                           Adjustment
Payer Data Exchange (PDex)                     STU 1 Ballot 1 based on FHIR R4     5

Payer Data Exchange (PDex): Formulary          STU 1 Ballot 1 based on FHIR R4     4
HL7 DA VINCI PROJECT OVERVIEW AND UPDATE WEDI 2020 - May 7, 2020
Da Vinci Project: Sample Project Timeline

                                              Represents 4 weeks
                                                  2 - 4 sprints

IG Development                                                   Specify profiles, …
                                             IG Framework                  Create Draft IG             Revise and Finalize IG
                                              FHIR Gap Analysis
   Assemble Team                   Requirements

                                              RI Tech
                   Project start             Approach
                                                                         Build Initial RI              Test RI          Update Final RI
RI Development
                                                                Build Data Set
                                                                                 Build Test Set

            Week          0              2              4            6                 8          10             12        14             16

                                                            Work with appropriate HL7 workgroup for IG sponsorship and input

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HL7 DA VINCI PROJECT OVERVIEW AND UPDATE WEDI 2020 - May 7, 2020
See Progress, Test, Implement

VIEW                    FIND                         KEY RESOURCES

• Live Demos            • Listserv Sign Up           HL7 Confluence Site -
• Member Panels         • Background collateral      https://confluence.hl7.org/display/D
• End to End Clinical   • Active Use Case content    VP/
  Scenario              • Implementation Guides
                        • Reference                  Where to find Da Vinci in Industry -
View Full Schedule        Implementations            https://confluence.hl7.org/display/D
hl7.me/davincinews      • Calendar of Activities &   VP/Da+Vinci+2020+Calendar
                          Updates
                                                     Use Case Summary and Links to
                                                     Call In & Artifacts -
                                                     https://confluence.hl7.org/display/D
                                                     VP/Da+Vinci+Use+Cases

                                                     Reference Implementation Code
                                                     Repository - https://github.com/HL7-
                                                     DaVinci
HL7 Da Vinci Project: Website

                                11
HL7 Da Vinci Project: Confluence

                    Once
                    credentials are
                    approved, log
                    in for full
                    access and
                    editing
                    capabilities.

                                      12
Select “watch”,
Click on Spaces     on each page
to access           of interest, to
Directory to find   receive email
Da Vinci space.     when updates
                    occur.

                    De-select
                    “watching” to
                    stop email
                    updates.

                                      13
Self-register for Da Vinci’s Public Listserv on Welcome page.

                                                                14
Calendar landing page
provides current and past
calendar entries. Plus
publicly available
recordings.

                            15
Dashboard can be sorted by any column. To sort, select up/down arrows
                                                            within title row.

Blue text indicates link or
artifact available such as IG,
RI, PSS, or project page.

                                                                                                         16
Use Case scope / overview
                                              slide deck.

Summary of use case call schedule and meeting details. (scroll
down on Confluence page)

                                                                     17
Each use case has its own
  landing page with overview
  details.

  Subpages are broken into
  meeting documentation and
  supporting materials.

Add calls to your calendar manually or through HL7’s Conference Call Center.

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Questions?

                             Next Up:
 Dr. Viet Nguyen will lead us through
    deep dives into uses case tied to
              ONC/CMS Final Rules
Da Vinci Program Support
for Member Onboarding, Training and
     Use Case Implementations:

        Alix Goss, Imprado
        alix@imprado.com
           717-805-0467
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