Cambia Health Solutions has formed partnerships to provide healthcare interoperability for prior authorizations, medication reconciliation as part of the Da Vinci Project.
Cambia Health Solutions has formed partnerships with Oregon Health and Science University and MultiCare Connected Care to provide healthcare interoperability use cases as part of the Da Vinci Project.
The Da Vinci Project is a private-sector initiative to improve healthcare interoperability by adopting HL7 Fast Healthcare Interoperability Resources as the standard for data exchange across value-based care communities.
Over 20 EHR vendors, health plans, and healthcare organizations, such as Allscripts, Epic, Cerner, and Surescripts, founded the Da Vinci Project in January 2018.
“As the home of the Da Vinci Project, HL7 is encouraged by the level of collaboration we’ve seen across multiple payers and providers,” said HL7 International CEO Charles Jaffe. “The adoption of the HL7 FHIR platform has laid the groundwork for interoperability in the diverse accountable care community.”
For the Da Vinci Project partnership with OHSU, Cambia is using FHIR-based workflows to allow providers to request and receive information on prior authorizations. By establishing electronic versions of administrative and clinical requirements, prior authorization can be integrated into the provider’s clinical workflow.
“Enabling provider organizations to discover specific payer requirements in real time could reduce administrative burden and improve timely access to care,” said OHSU Associate Chief Health Information Officer Steven Kassakian.
“Automatic authorizations could lower costs by increasing operational efficiencies and promoting better outcomes. We look forward to working with Cambia to help simplify data exchange, improve patient care, and develop national standards,” Kassakian added.
For the partnership with MCC, Cambia is implementing a model where medication reconciliation is delivered directly from and to the electronic health record. Through this workflow, providers can sign off virtually on medication reconciliation.
“This is a revolutionary project that gives us the opportunity to capitalize on cutting edge technology,” MCC Executive Director and VP Zak Ramadan-Jradi.
“It will allow us to be able to receive relevant data from the health plan that will be delivered to the provider’s fingertips at the appropriate point of care to enhance the patient experience through improved coordination of care. We are excited to be a leader in this venture and to explore this opportunity to participate in transforming health care,” Ramadan-Jradi added.
Da Vinci Founded by Over 20 Healthcare Organizations
The Da Vinci Project fosters industry-wide collaboration and learning from its members and promotes investments to ensure that the providers are represented in existing and emerging workflows.
“Da Vinci responds to a need to establish a rapid multi-stakeholder process for addressing value-based care delivery use cases that can be implemented on a national basis. The objective is to minimize the development and deployment of unique solutions between trading partners (e.g. a payer and provider),” HL7 International said on its website.
“Members have established a governance model that will ensure equal representation from stakeholders and offer transparency,” the website explained.
“The founders represent a diverse body of stakeholders with experience across the specific VBC [value-based care] business challenges, emerging FHIR standards and practiced at agile development. Founding organizations are drawn from payers, providers and vendors committed to making value-based care a reality,” it added.
More than 20 EHR vendors, health plans, and healthcare organizations founded the Da Vinci Project in September 2018. Founding members included Allscripts, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield Association, Blue Cross and Blue Shield of Alabama, Blue Cross of Idaho, Cambia Health Solutions, Cerner, Cognosante, Edifecs, Epic, Health Care Service Corporation, HL7 International, HealthLX, Humana, Independence Blue Cross, Optum, Rush University Medical Center, Surescripts, UnitedHealthcare, and Zeomega.
The Da Vinci Project operates independently but collaborates with HL7 work groups to provide feedback into FHIR interoperability standards. HL7’s leadership team provides support to ensure, where appropriate, that the project’s implementation guides will be passed through the HL7 process to become open industry standards.
The founding members have established a formal governance model for Da Vinci, which includes both steering and operating committees. The Da Vinci operating committee is responsible for the project’s day-to-day activities. The steering committee approves recommended business case priorities, consultant resources, contracts required, and obligations necessary to complete projects based on the recommendations received by the operating committee.
Date: March 25, 2019
Source: HIT Infrastructure