DA VI WHAT IS THE DA VINCI PROJECT AND WHAT ARE PROGRESS UPDATE November 2019 The Da Vinci Project was founded in 2018 by a group of industry leaders focused on payers/provider collaboration needed to identify and enable information exchange to positively impact clinical, quality, cost and care management outcomes. Our members and stakeholders work together to accelerate the adoption of HL7 Fast Healthcare Interoperability Resources (HL7® FHIR®) as the standard to support and integrate value- based care (VBC) data exchange across communities. VBC programs enable providers to see the right data at the right time for specific patient coverage, benefits and care coordination. In Less Than Two Years, Da Vinci Efforts Will Drive Standards for the Exchange of Information Critical to Patient Care Prior Auth and Documentation Requirements Payer Clinical Data Gaps in Care Attribution (Patient Panel) Medical Records for Value-Based Care Quality Measure Reporting Encounter Notifications Payers Providers The project: • Focuses on use cases linked to high volume, manual activities that would benefit from automation • Unlocks data using consistent APIs to empower organizations to achieve transformation to improve outcomes and value • Identifies how and where in workflows critical data for VBC is exposed and captured across partners: care teams, vendors and payers • Positions organizations for success by defining FHIR implementation guides to power and fulfill VBC contract data requirements • Minimizes the development and deployment of unique solutions between trading partners (e.g. a payer and provider) 2019 IMPLEMENTATION GUIDE SCHEDULE Health Record Exchange Framework / Library Documentation Templates and Coverage Rules Gaps in Care & Information Coverage Requirements Discovery Performing Laboratory Reporting Data Exchange for Quality Measures Prior-Authorization Support Risk Based Contract Member Identification Alerts/Notifications: Transitions in Care, ER admit/discharge Patient Cost Transparency Chronic Illness Documentation for Risk Adjustment Payer Data Exchange Use Case Status Health Record Exchange: Patient Data Exchange Payer Coverage Decision Exchange Clinical Data Exchange Payer Data Exchange: Provider Network Payer Data Exchange: Formulary In Ballot Reconciliation Early February or February 2020 Ballot In Build In Discovery WHAT IS THE DA VINCI PROJECT AND WHAT ARE ITS GOALS? Project Process 1. Define requirements: • Clinical • Business • Technical • Testing 2. Create Implementation Guide (IG) 3. Create and test Reference Implementation (RI) (prove the IG works) 4. Pilot the solution 5. Deploy the solution Visit confluence.HL7.org/display/DVP to stay up-to- date on the use case statuses. GET INVOLVED! Da Vinci members are looking for provider and payer organizations that want to test and implement the artifacts for our use cases. Please contact the program team ([email protected]) if you are interested. Visit HL7.me/davinci to learn more. Attend the December Da Vinci Connectathon in Philadelphia! Visit HL7.org/events/da-vinci/2019/12/ to register.
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DA VINCI PROGRESS UPDATENovember 2018
WHAT IS THE DA VINCI PROJECT AND WHAT ARE ITS GOALS?Some are familiar with the Da Vinci project and some have
only heard about it recently since formally announced in Sep-
tember 2018. To level set on the key details:
• Private sector initiative of industry leaders and health IT
technical experts
• Participants work together to accelerate the adoption of
HL7® FHIR® as the standard to support and integrate val-
ue-based care (VBC) data exchange
• Reduce provider burden and payer complexity from ad
hoc design and implementation of data exchange with an
industry-wide common design with modern technology
The goal of the Da Vinci Project is to help payers and pro-
viders positively impact clinical, quality, cost and care man-
agement outcomes.
The payers, health systems, and other industry participants
that are actively involved in the Da Vinci Project identify and
prioritize use cases that involve managing and sharing clini-
cal and administrative data between industry partners.
Since Da Vinci is an HL7 International supported initiative,
new and revised requirements can become open industry
standards.
HOW TO GET INVOLVEDDa Vinci members are looking for provider and payer orga-
nizations that want to test and implement the artifacts for our
use cases. Please contact the program team (davincipmo
@pocp.com) if you are interested.
To be a more informed participant, see HL7.org/davinci or
subscribe to the public Da Vinci listserv at http://www.hl7.
org/about/davinci/index.cfm?ref=common.
The Da Vinci Steering Committee represents all the ma-
jor stakeholder groups, including commercial payers, pro-
viders, HIT vendors, CMS, and HL7. It approves Da Vinci
Project use cases, contracts and monitors their progress. In
September 2018 we welcomed two new members to com-
plete our project leadership; Dr. Lane and Mike Funk.
Elections for 2019 Steering Committee members will com-
30 Day Med Rec STU1 Done STU1 Done Q4 ’18 Planning Planning Draft Standard
Add’l Measures In Process Q119 Q2 ‘19 Planning PlanningApproved
Q3218
Document Templates & Rules (DTR) In Processs In Process Q2 ‘19 Q219 CMS Approved Q218
eHealth Clinical Data Exchange
(eHRx)
Provider Data In Process Q119 Q2 ’19 Planning PlanningApproved
Q3218Payer Data In Process Q119 Q2 ’19 Planning Planning
USE CASE REVIEW/UPDATE
Authorization Support Encounter NotificationsGaps in Care ExchangeRisk Based
Contract Attribution
2019 Prework
Execution of original plan Expanded scope due to additional funding and successful execution
PROGRESS UPDATENovember 2019
The Da Vinci Project was founded in 2018 by a group of industry
leaders focused on payers/provider collaboration needed to
identify and enable information exchange to positively impact
clinical, quality, cost and care management outcomes. Our
members and stakeholders work together to accelerate the
adoption of HL7 Fast Healthcare Interoperability Resources
(HL7® FHIR®) as the standard to support and integrate value-
based care (VBC) data exchange across communities. VBC
programs enable providers to see the right data at the right time
for specific patient coverage, benefits and care coordination.
2Da Vinci Progress Update November 2018
DA VINCI AS AN INDUSTRY DRIVEN INITIATIVE
ARCHITECTURE UPDATE
Adopt StandardsAdoption of existing and emerging standards with broad sup-
port to create viable solution for Da Vinci goals, particularly:
• FHIR as the core
• NCQA HEDIS
• CDS Hooks
• SMART on FHIR—layering in OAuth security
Leverage the work of others:
• Support existing FHIR versions
• Adopt existing profiles where possible e.g., Argonaut,
US-Core, QI-Core
Build Using the Best Tools• Aegis Touchstone for test environment
• HSPC Sandbox environment to create and support refer-
ence implementations
• Lantana Trifolia to create implementation guides
Design Frameworks• Data Exchange for Quality Measures framework.
• Coverage Requirements Discovery
• Documentation Templates and Rules
Create Reproducible ProcessesCollaborative use case discovery and development fo-
cused on payer/provider workflows and information re-
quirements yielding:
• Quality, balloted implementation guides
• Reference implementations to support sandbox testing
• Test scripts and process
• Deliver balloted standards ready for testing and adoption
Build Using the Best PeopleContinue to use FHIR experts to design and build the stan-
dard implementation guide templates and processes.
Create as Sustainable Presence and Model
1. Create symbiotic relationship with ONC and their
P2 FHIR Task Force
2. Established partnerships with NCQA and HIMSS
3. Press release and communication framework to keep
industry informed
4. Emerging presence across industry events to
demonstrate Da Vinci outputs
5. Produce artifacts that are open source and generally
available to public
In Less Than Two Years, Da Vinci Efforts Will Drive Standards for the Exchange of Information Critical to Patient Care
Prior Auth and DocumentationRequirements Payer Clinical Data
Gaps in CareAttribution (Patient Panel)
Medical Records for Value-Based Care
Quality Measure ReportingEncounter Notifications
Payers Providers
The project:
• Focuses on use cases linked to high volume, manual activities that would benefit from automation
• Unlocks data using consistent APIs to empower organizations to achieve transformation to improve outcomes and value
• Identifies how and where in workflows critical data for VBC is exposed and captured across partners: care teams, vendors and payers
• Positions organizations for success by defining FHIR implementation guides to power and fulfill VBC contract data requirements
• Minimizes the development and deployment of unique solutions between trading partners (e.g. a payer and provider)
2019 IMPLEMENTATION GUIDE SCHEDULE
Health Record Exchange
Framework / Library
Documentation Templates and
Coverage Rules
Gaps in Care & Information
Coverage Requirements
Discovery
Performing Laboratory Reporting
Data Exchange for Quality Measures
Prior-Authorization Support
Risk Based Contract Member
Identification
Alerts/Notifications:Transitions in Care, ER admit/discharge
Patient Cost Transparency
Chronic Illness Documentation for
Risk Adjustment
Payer Data Exchange
Use Case Status
Health Record Exchange: Patient
Data Exchange
Payer Coverage Decision Exchange
Clinical Data Exchange
Payer Data Exchange:
Provider Network
Payer Data Exchange: Formulary
Project Process
Define requirements: Clinical Business Technical Testing
Create Implementation Guide (IG) Create and test Reference Implementation (RI)
(prove the IG works) Pilot the solution Deploy the Solution
In Ballot Reconciliation
Early February or February 2020 Ballot
In Build
In Discovery
WHAT IS THE DA VINCI PROJECT AND WHAT ARE ITS GOALS?
Project Process1. Define requirements:
• Clinical• Business• Technical • Testing
2. Create Implementation Guide (IG)3. Create and test Reference Implementation (RI)
(prove the IG works)4. Pilot the solution5. Deploy the solution
Visit confluence.HL7.org/display/DVP to stay up-to-date on the use case statuses.
GET INVOLVED!Da Vinci members are looking for provider and payer organizations that want to test and implement the artifacts for our use cases. Please contact the program team ([email protected]) if you are interested. Visit HL7.me/davinci to learn more.
Attend the December Da Vinci Connectathon in Philadelphia! Visit HL7.org/events/da-vinci/2019/12/ to register.
2Da Vinci Progress Update November 2019
2Da Vinci Progress Update November 2018
DA VINCI AS AN INDUSTRY DRIVEN INITIATIVE
ARCHITECTURE UPDATE
Adopt StandardsAdoption of existing and emerging standards with broad sup-
port to create viable solution for Da Vinci goals, particularly:
• FHIR as the core
• NCQA HEDIS
• CDS Hooks
• SMART on FHIR—layering in OAuth security
Leverage the work of others:
• Support existing FHIR versions
• Adopt existing profiles where possible e.g., Argonaut,
US-Core, QI-Core
Build Using the Best Tools• Aegis Touchstone for test environment
• HSPC Sandbox environment to create and support refer-
ence implementations
• Lantana Trifolia to create implementation guides
Design Frameworks• Data Exchange for Quality Measures framework.
• Coverage Requirements Discovery
• Documentation Templates and Rules
Create Reproducible ProcessesCollaborative use case discovery and development fo-
cused on payer/provider workflows and information re-
quirements yielding:
• Quality, balloted implementation guides
• Reference implementations to support sandbox testing
• Test scripts and process
• Deliver balloted standards ready for testing and adoption
Build Using the Best PeopleContinue to use FHIR experts to design and build the stan-
dard implementation guide templates and processes.
Create as Sustainable Presence and Model
1. Create symbiotic relationship with ONC and their
P2 FHIR Task Force
2. Established partnerships with NCQA and HIMSS
3. Press release and communication framework to keep
industry informed
4. Emerging presence across industry events to
demonstrate Da Vinci outputs
5. Produce artifacts that are open source and generally
available to public
In Less Than Two Years, Da Vinci Efforts Will Drive Standards for the Exchange of Information Critical to Patient Care
Prior Auth and DocumentationRequirements Payer Clinical Data
Gaps in CareAttribution (Patient Panel)
Medical Records for Value-Based Care
Quality Measure ReportingEncounter Notifications
Payers Providers
KEY PROJECT MILESTONES
2019 AccomplishmentsImplementation Guide (IG) Build Out Process• Progressed 13 use cases through HL7 ballot process • Held two Da Vinci Connectathons and Working Session
Meetings and three HL7 Connectathons
Progressed Da Vinci Awareness in Industry• In February at HIMSS19 demonstrated initial three
Da Vinci implementation guides ɣ 14 members and partners ɣ 23 Presentations to over 500 attendees
• PMO and members brought Da Vinci updates to over 50 different associations, conference and meetings
• Delivered relevant updates and held open meetings at HL7 work group meetings
• Da Vinci use cases called out by name in February CMS NPRM
• Held three HL7 sponsored webinars
Members & Public• Established and held open community calls for
members to share learning and best practices
Ensure Industry Input into Progress• Established Clinical Advisory Council• Created deployment category of membership• Grew membership from 28 to 42 members• Eight of new members are provider organizations
ɣ AMA Medical Group ɣ Cedars-Sinai ɣ Children’s Health ɣ MultiCare Connected Care ɣ Oregon Health & Science University (OHSU) ɣ Providence St. Joseph Health ɣ Texas Health Resources ɣ Weill Cornell Medicine
• All active use cases calls are public for anyone in industry to attend
In 2020, We Plan To:• Continue to publish/progress implementation guides
ɣ Two draft standard for trial use – STU 2 ɣ 11 draft standard for trial use – STU 1
• Da Vinci booth presence at HIMSS20 with over a dozen members and partners
• Target relevant industry events for presentations• Initiate 2-3 new use cases• Share initial outputs from Clinical Advisory Council • Provide members with the right tooling for
implementation• Track and support initial pilots and early adopters of
Da Vinci IGs• Hold and support three or more connectathon events,
stand alone and with HL7 • Grow deployment members and tools
Implementation GuideIG
StatusRI
LiveNumber of
Connectathons
Quality Improvement
Data Exchange for Quality Measures 3 5
Gaps in Care & Information 1
Burden Reduction
Coverage Requirements Discovery 3 5
Documentation Templates and Payer Rules 2 4
Prior Authorization Support 2 2
Member Access
Health Record Exchange Framework (HRex) 2 * *Clinical Data Exchange (CDex) 2 3
Payer Data Exchange (PDex) 2 3
Payer Data Exchange (PDex): Formulary 2 2
Payer Data Exchange (PDex): Plan Network Directory 1 2
Payer - Payer Coverage Decision Exchange 2 2
Patient Cost Transparency 0 Clinical Data Exchange
Alerts: Notification (ADT), Transitions in Care, ER admit/discharge
1 2
Health Record Exchange: Patient Data Exchange 0
Health Record Exchange: Patient Data Exchange 0
Performing Laboratory Reporting 0
Process Improvement
Risk Based Contract Member Identification 1
Chronic Illness Documentation for Risk Adjustment 0
IG PROGRESS TRACKER
KEY0 Planning
1 Build
2 STU1 Ballot Reconciliation > Publish
3 STU2 Ballot Reconciliation > Publish
* Not Meaningful / Foundational IG
3Da Vinci Progress Update November 2019
2Da Vinci Progress Update November 2018
DA VINCI AS AN INDUSTRY DRIVEN INITIATIVE
ARCHITECTURE UPDATE
Adopt StandardsAdoption of existing and emerging standards with broad sup-
port to create viable solution for Da Vinci goals, particularly:
• FHIR as the core
• NCQA HEDIS
• CDS Hooks
• SMART on FHIR—layering in OAuth security
Leverage the work of others:
• Support existing FHIR versions
• Adopt existing profiles where possible e.g., Argonaut,
US-Core, QI-Core
Build Using the Best Tools• Aegis Touchstone for test environment
• HSPC Sandbox environment to create and support refer-
ence implementations
• Lantana Trifolia to create implementation guides
Design Frameworks• Data Exchange for Quality Measures framework.
• Coverage Requirements Discovery
• Documentation Templates and Rules
Create Reproducible ProcessesCollaborative use case discovery and development fo-
cused on payer/provider workflows and information re-
quirements yielding:
• Quality, balloted implementation guides
• Reference implementations to support sandbox testing
• Test scripts and process
• Deliver balloted standards ready for testing and adoption
Build Using the Best PeopleContinue to use FHIR experts to design and build the stan-
dard implementation guide templates and processes.
Create as Sustainable Presence and Model
1. Create symbiotic relationship with ONC and their
P2 FHIR Task Force
2. Established partnerships with NCQA and HIMSS
3. Press release and communication framework to keep
industry informed
4. Emerging presence across industry events to
demonstrate Da Vinci outputs
5. Produce artifacts that are open source and generally
available to public
In Less Than Two Years, Da Vinci Efforts Will Drive Standards for the Exchange of Information Critical to Patient Care
Prior Auth and DocumentationRequirements Payer Clinical Data
Gaps in CareAttribution (Patient Panel)
Medical Records for Value-Based Care
Quality Measure ReportingEncounter Notifications
Payers Providers
MEMBERS
For current membership, visit HL7.org/about/davinci/members.cfm
Indicates a founding member of the Da Vinci Project.