HL 7 DA VINCI PROJECT HIMSS Update March

HL 7 DA VINCI PROJECT HIMSS Update March 2020

Project Challenge To ensure the success of the industry’s shift to Value Based Care Collaboration: Transform out of Controlled Chaos: Minimize the development and Develop rapid multi-stakeholder deployment of unique solutions. process to identify, exercise and Promote industry wide standards implement initial use cases. and adoption. Success Measures: Use of FHIR®, implementation guides and pilot projects. 2

Program Timeline 1 st Da Vinci Focused Connectathon @ Guidewell Da Vinci Founded Initial 2 Use Cases Balloted Q 2 2018 Q 4 2017 Q 1 2018 HIMSS 20 Demonstrations Q 4 2018 Q 3 2018 Initial Working Session @ Optum Labs Q 2 2019 Q 1 2019 Progress To Date Q 1 2020 Q 4 2020 Q 3 2020 Initial Production Deployments Planned HIMSS 19 Demonstrations Concept Proposed Q 2 2020 Q 4 2019 Q 3 2019 Expect Initial Published IGs By Sept 19 HL 7 12 IGs Progressing Balloting Future 3

Multi Stakeholder Membership PROVIDERS EHRs PAYERS * * * * * VENDORS * * * INDUSTRY PARTNERS * * DEPLOYMENT * For current membership: http: //www. hl 7. 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. 4

Use Case Focus Areas Prior-Authorization Support Payer Data Exchange: Formulary Payer Data Exchange: Directory Payer Coverage Decision Exchange Patient Cost Transparency Risk Based Contract Member Identification Chronic Illness Documentation for Risk Adjustment Process Improvement Payer Data Exchange Clinical Data Exchange Notifications Patient Data Exchange Clinical Data Exchange Documentation Templates and Rules Coverage / Burden Reduction Coverage Requirements Discovery Clinical Data Exchange Member Access Gaps in Care & Information Quality Improvement Data Exchange for Quality Measures Performing Laboratory Reporting Published Use Case HL 7 Standards Progress Balloting Build Future 5

Standard Phase Future Build Ballot Published Connectathon <1 2 -4 5+ Live <1 1 -3 >4 Progress Gaps in Care & Information Clinical Data Exchange Payer Data Exchange Directory Payer Data Exchange Price Cost Transparency Notifications Coverage/Burden Reduction Formulary Coverage Requirements Discovery Documentation Templates and Rules Prior-Authorization Support Clinical Data Exchange for Quality Measures Clinical Data Exchange Member Access Quality Improvement Use Case Maturity Coverage Decision Exchange Patient Data Exchange Process Improvement Performing Laboratory Reporting Risk Based Contract Member Identification Risk Adjustment for Chronic Illness Documentation

Da Vinci Demonstration Lara’s Patient Journey Benefits of Implementing Da Vinci Hospital Create transparency and reduce burden for patients, providers and payers across all sets of patient experience PCP Saves money and time by minimizing the development of one-off solutions Leverage the collective expertise and efforts of industry experts and HL 7 FHIR Lara ER Cardiologist 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 patient outcomes and support VBC Booth Activities Payer B Payer A JOIN US - BOOTH 8060 & 7292 Stats Number of Members 46 Members Demonstrating 22+ Number of Demos 1 Panel Discussions 5 Use Cases in Flight 14 7

See Progress, Test, Implement BOOTH 7292 & 8060 FIND KEY RESOURCES • Live Demos • Member Panels • End to End Clinical Scenario • • • HL 7 Confluence Site - https: //confluence. hl 7. org/display/D VP/ View Full Schedule hl 7. me/davincinews Listserv Sign Up Background collateral Active Use Case content Implementation Guides Reference Implementations • Calendar of Activities & Updates Where to find Da Vinci in Industry - https: //confluence. hl 7. org/display/D VP/Da+Vinci+2020+Calendar Use Case Summary and Links to Call In & Artifacts - https: //confluence. hl 7. org/display/D VP/Da+Vinci+Use+Cases Reference Implementation Code Repository - https: //github. com/HL 7 Da. Vinci 8

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

Da Vinci Program Manager: Jocelyn Keegan, Point of Care Partners jocelyn. keegan@pocp. com Da Vinci Technical Lead: Dr. Viet Nguyen, Stratametrics LLC vietnguyen@stratametrics. com