Lantana Group Blog

Courtney Panaia-Rodi,
PMP, Director of PMO and
Meenaxi Gosai, Information Analyst

Interoperability

2019 Interoperability Standards Advisory (ISA)

Lantana has engaged in standards development and deployment for over ten years and supported the development of over 70 specifications. We were pleased to take the opportunity to respond and contribute comments on the 2019 Interoperability Standards Advisory (ISA) issued by the Office of the National Coordinator for Health Information Technology’s (ONC). Our key recommendations…

Read More

Transitioning from CDA to FHIR

FHIR, HL7’s latest standard, supports the document paradigm without document restrictions. FHIR includes a RESTful API out of the box, as well as alternate syntaxes (i.e., XML and JSON). The industry will need transition strategies for those invested heavily in CDA while new implementers move directly to FHIR.

Read More

Has the Clock Run Out on Electronic Claims Attachments?

With the shift towards value-based care, payers still need access to clinical information for reimbursement decisions as well as for cost and quality metrics and standardizing enough of the clinical record to satisfy the anticipated attachments reg would be an excellent next step in that direction.

Read More

Patient-Generated Health Data and EHR Integration

  The PGHD Revolution   With the rise in popularity of mobile health apps and wearable technology, the volume of patient-generated health data (PGHD) is rapidly outpacing providers’ ability to incorporate it into care. In fact, almost half of U.S. smart phone owners report using a mobile health tracking app. These new technologies create data…

Read More

Electronic Attachments Tell a Comprehensive Health Story

  Anticipated HHS regulations are expected to provide standards for electronic documents used as attachments to support reimbursement-related transactions. On February 5, I was joined by Mary Lynn Bushman, Sr. EDI Analyst at National Government Services, Inc., in presenting a HIMSS Health Story Project webinar on the attachment standards: their usage, the business case for…

Read More

CDA in the Wild: Conclusion (Installment #8)

Clinical Documents were never meant to hold 10 pounds of coded data. CDA is a 5-pound bag, containing the actual words, either written directly by a clinician or spoken and transcribed, with the minimal coding necessary for the use case.

Read More

Why Payers Should Play with FHIR

This blog introduces participants working on clinical data exchange and value-based care to HL7’s Fast Healthcare Interoperability Resources (FHIR) standard and Connectathon, an event that tests FHIR’s interoperability mettle. Since Connectathon 1 in 2012, the buzz around FHIR has grown exponentially. Word on the street is HL7 has trouble finding hotel conference rooms large enough to fit all attendees! HL7 will host Connectathon 14 in January 2017 in San Antonio.

Read More

Why Payers Should Play with FHIR – Part 2

This is Part 2 of the Why Payers Should Play With FHIR. To read part 1 click here. HL7 holds Connectathons on the Saturday and Sunday before the working group meeting. Plan to arrive the evening before to settle in. Attendees can register as observers or participants. Review the Connectathon 14 wiki page before arriving.…

Read More

greenLantana: The Case Against Commuting

  One of the many benefits of a distributed environment is flexibility. At Lantana Consulting Group, employees establish productive work environments wherever Wi-Fi can reach. Rather than joining millions of commuters across the United States, we embrace the freedom of working anywhere.   This Earth Day, we celebrate our commitment to reducing Lantana’s carbon footprint…

Read More

CDA in the Wild: Coded Data Issues (Installment #6)

  This week, I have left the bush behind and retreated to the comfort of my office. I am attempting to decode the works of the famous biologist Brice Schneuer, who spent the later part of his career dedicated to Wild CDA research.   Although he published many authoritative works on the species, Schneuer jealously…

Read More

Comments on Standards for Claims Attachments

Co-author: Kanwarpreet Sethi   Lantana Consulting Group commented on the testimony provided on February 16, 2016, to the National Committee on Vital and Health Statistics (NCVHS) Subcommittee on Standards, Hearing on HIPAA and ACA Administrative Simplification — Phase IV Operating Rules and Attachment Standard (Part 2). We agree with the many comments urging a low…

Read More

2017 Interoperability Standards Advisory

Lantana Consulting Group submitted comments on March 18, 2016 in response to the Office of the National Coordinator’s (ONC) request for feedback on the 2017 Interoperability Standards Advisory (2016 Advisory). ONC’s consideration of public comments informs the development of the 2017 Advisory and prompts dialogue, debate, and consensus among industry stakeholders. Lantana’s response outlined suggestions…

Read More

Trifolia Release 3: New Functionalities

Co-author: Robin Williams, RN   Trifolia (https://trifolia.lantanagroup.com/) is a web-based tool for standards development work. Trifolia produces HL7 Clinical Document Architecture (CDA) templates and Fast Healthcare Interoperability Resources (FHIR) profiles. Trifolia helps users rapidly develop standards-compliant electronic documents for cost-effective standards implementation. See https://www.lantanagroup.com/resources/trifolia/ for a full description of Trifolia and its existing features.  …

Read More

CDA in the Wild: Narrative Issues (Installment #5)

  A solitary Wild CDA has left its pride. We can only presume it is searching for a mate by its extravagantly complex header and the swish of its long tail of codes. However, research tells us that while a long code tail is nice to have, it is the mating call of the CDA,…

Read More

Consolidated CDA: Pursuing Continuous Improvement

  Recently, I helped a team of HIT vendors implement an experiment to study the new HL7 Consolidated CDA (C-CDA) Care Plan Document template. This template includes constraints on a base standard, called HL7 Clinical Document Architecture (CDA), to meet the requirements for care plan information sharing. The CDA standard is a draft standard for…

Read More

Certification Frequency and Requirements

  Earlier this quarter, ONC and CMS requested information on program requirements for certification frequency for reporting quality measures. Lantana Consulting Group supports eMeasure development and has a sharp interest in the success of quality measure reporting programs as a transformative agent for healthcare. Our feedback centered on certification frequency, minimum requirements, and testing recommendations…

Read More