Spotlight Users Group

The Consortium continues to host a series of user group webinars focusing on relevant & important use cases, questions, and your input & recommendations for improvements to the Spotlight solution. 

Please join us online for another informative session.

For additional information please contact Lin Li

WEBINAR

In this session, we will start with an overview of contemporary health care interoperability.  We will cover the basics of APIs, FHIR, and complementary technologies and the operational capabilities they bring. Examples of how other industries have used similar technologies and approaches will be high-lighted.

Once the foundation is set, we will then proceed into how the health care space is adopting the technology.  We will cover how the HL7 FHIR accelerators use the FHIR ‘building blocks’ to create use cases and implementation guides.  We will walk through several practical examples of using these technologies to help with real world problem such as prior authorization. 

Learning Objectives:

• Foundational understanding of APIs and FHIR and complementary technologies
• Understanding of how these approaches are being used across the industry to solve real world problems
• Steps for evaluating if/how FHIR should be on your roadmap
• Speaker: Patrick Murta, Chief Interoperability Architect and Fellow

ADVANCE DIRECTIVES DEEP DIVE

The Data Governance Collaborative (DGC) at MHDC is a collaboration between payer and provider organizations convened to discuss, design, and implement better ways to standardize and share health related data. The DGC incorporates industry standards and automation as much as possible for exchange among payers, providers, patients/members, and other interested parties who need this data.

The DGC regularly holds deep dives into specific topics related to health data and interoperability. These topics will fall into two categories: 1) types of data and 2) types of care with special needs. These meetings are public and bring the community together to look at data collected, industry workflows, and improvements that could be made related to data standardization and interoperability. 

The next DGC deep dive will cover advance directives and related workflows and data. Massachusetts supports four types of advance directives: 

1. Health care proxy 
2. Living will
3. Medical Orders for Life-Sustaining Treatment (MOLST)
4. Comfort Care/Do Not Resuscitate (CC/DNR)

In addition, other types of advance directives are available throughout the United States and maybe discussed as appropriate. 

This meeting will focus on data collection and workflows. We will look at industry activity around standardization of advance directives nationally and how they might apply to Massachusetts as well as interoperability of forms and related data. 

We look forward to your help gathering information about the current state of and future needs of advance directives and related data within the healthcare ecosystem. Please join us.

For those of you looking for the next SDOH deep dive, we feel that allowing the industry move forward a bit before our next discussion makes sense. We will hold the second installment in a few months. 

Community Care Cooperative’s Journey from Start-Up to Industry Leader:

A Modern Robinhood Tale

WEBINAR

During this webinar, you will hear about how a group of Federally Qualified Health Centers (FQHCs) joined together to start a new MassHealth Accountable Care Organization, including how they figured out how to bring together the finance needed to take ACO financial risk and how to create & operationalize a model of care. 

Furthermore, you will also hear about current efforts the organization is now undertaking, including efforts to address White Supremacy and institutionalized racism, partnering with other community-based organizations to improve patient care and starting new lines of business. 

Learning Objective:

• Understand how community-based organizations can work together to create scale and value
• Understand how big data supports localized population health
• Understand how large health systems and insurers can unknowingly undermine community-based primary care
• Understand upstream issues of racism in the health care system

Spearker: Christina Severin, President & CEO

How is Consumer Engagement through Price Transparency?

WEBINAR

Only in healthcare do we routinely make purchases with no idea what we are actually going to pay. That’s why pressure for price transparency for consumers is rapidly intensifying. The rule requires group health plans and health insurance issuers in the individual and group markets to provide easy-to-understand personalized information on enrollee cost-sharing for healthcare services and to publicly disclose the rates they pay healthcare providers for specific services. 

In other words, we are quickly moving to a market where people can and will make informed healthcare choices based on price as one of several factors. Far from being just a burden—transparency is actually a tremendous opportunity to differentiate yourself as a healthcare leader in the 21^st century.

Under this final rule, about 200 million Americans will gain access to real-time price information, enabling them to know how much their healthcare will cost them before going in for treatment. In this session, we will start with an overview of the Payer Price Transparency rules. We will cover the basics of each of the requirements, data required to be available and key dates.

Learning Objectives:

• Foundational understanding of Payer Price Transparency components and deadlines
• Understanding of the required machine readable files, key content items and data governance
• View a price transparency tool that is used by many health plans and TPA’s across the country

Speakers: