Da Vinci Project use cases to reduce provider burden, increase efficiency and allow for more time with patients
Today, Cambia Health Solutions announces industry-first partnerships with two major provider networks to deliver data interoperability use cases as part of the Da Vinci Project. In collaboration with Oregon Health & Science University (OHSU) and MultiCare Connected Care (MCC), Cambia is building resources to enable critical data exchange in real-time, offering better communication, more efficient care, and less administrative burden for providers.
“Implementing value-based care across the industry requires collaboration among entities and fluid exchange of health information among different verticals,” said Laurent Rotival, SVP of Strategic Technology Solutions and CIO, Cambia Health Solutions. “For more than 15 years, Cambia has been working to liberate data in the health care system and we are excited to join OHSU and MCC in making interoperability a reality. Putting the right data in the right hands at the right time will be critical to a person-focused and economically sustainable health care system.”
Founded by health plans, care providers and vendor organizations, the Da Vinci Project is an initiative to improve data exchange in value-based care and help organizations better deliver on clinical quality, cost and care management outcomes. Members of the Da Vinci Project commit to working together to solve interoperability challenges by adopting HL7® Fast Healthcare Interoperability Resources (HL7 FHIR®) as the standard for data exchange across value-based care communities.
Streamlining Medication Reconciliation with MultiCare Connected Care
Value-based care incentives are increasingly requiring proof of 30-day medication reconciliations. Medication reconciliation can reduce medication errors such as omissions, duplications, and dosing errors, or the incidence of adverse drug events after discharge. Providers and care coordinators face the challenge of collecting accurate and complete patient medication records across siloed care settings.
Cambia and MCC are implementing a model where medication reconciliation is delivered directly from and to the electronic medical record. Through this simple workflow, providers can sign off virtually on medication reconciliation, allowing them to focus more on patient outcomes.
“This is a revolutionary project that gives us the opportunity to capitalize on cutting edge technology,” said Zak Ramadan-Jradi, MD, MBA, Executive Director & VP, MCC. “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.”
Automating Authorization Requirements with Oregon Health & Science University
Providers need the ability to access health plan coverage requirements in real-time to efficiently deliver care and make treatment decisions at the point-of-service. Together with OHSU, Cambia is advancing FHIR-based workflows to allow providers to easily 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 daily clinical workflow, reducing the incidence of treatment denials and delays.
“Enabling provider organizations to discover specific payer requirements in real time could reduce administrative burden and improve timely access to care,” said Steven Z. Kassakian, MD, MS, Associate Chief Health Information Officer, OHSU. “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.”
In addition to accelerating adoption of HL7 FHIR, the Da Vinci Project fosters industry-wide collaboration and learning from its diverse set of member organizations. The initiative promotes investments today to ensure that the provider voice is represented in existing and emerging workflows.
“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 Dr. Charles Jaffe, CEO, HL7 International. “The adoption of the HL7 FHIR platform has laid the groundwork for interoperability in the diverse accountable care community.”
To learn more about Da Vinci Project use cases, please visit: http://www.hl7.org/about/davinci/use-cases.cfm.
About Cambia Health Solutions
Cambia Health Solutions, headquartered in Portland, Oregon, is dedicated to transforming health care. We put people at the heart of everything we do as we work to make the health care system more economically-sustainable and efficient for people and their families. Our company reaches nearly 70 million Americans nationwide, including more than two million people in the Pacific Northwest who are enrolled in our regional health plans. To learn more about us, visit CambiaHealth.com or Twitter.com/cambia.
About MultiCare Connected Care, LLC
MultiCare Connected Care (MCC) established in 2014, is a wholly owned subsidiary of MultiCare. MCC is an accountable care organization that supports a Clinically Integrated Network (CIN). This provider network is comprised of both MultiCare employed and select independent providers including physicians, advanced practice providers, hospitals, clinics and health care services such as imaging, labs and pharmacies that coordinate with one another to transform the way care is delivered. This integrated network share the same goal of improving the health of communities in our region. For more information, visit: www.multicareconnectedcare.com.
OHSU is the only academic health center in Oregon and is nationally distinguished as a research university dedicated solely to advancing health sciences. This singular purpose allows us to focus on discoveries that prevent and cure disease, on education that prepares physicians, dentists, nurses and other health professionals for the evolving health care environment, and on patient care that incorporates the latest advances. Based in Portland, we are one of Oregon’s largest employers, operate the top-ranked adult and children’s hospitals in the state, and secure competitive research funding of more than $400 million. As a public organization, we also provide services for the most vulnerable Oregonians and outreach to improve health in communities across the state.
About Da Vinci Project
The Da Vinci Project is a private sector initiative comprised of industry leaders and health information technology technical experts who are working together to accelerate the adoption of HL7® FHIR® as the standard to support and integrate value-based care (VBC) data exchange across communities. The core focus of phase one of the project is to deliver implementation guides and reference software implementations to the public for data exchange and workflows necessary to support providers and payers entering and managing VBC contracts and relationships. To learn more about the Da Vinci Project, visit www.HL7.me/davinci.