Stream: cds hooks
Topic: CMS Proposal for real-time benefits tools
Josh Mandel (Nov 27 2018 at 22:29):
Based on CMS's proposal this week for real-time benefits tools (to be offered by Part D plans and integrated into e-rx workflows) I put together a quick write-up explaining how CDS Hooks can address the requirements: https://github.com/jmandel/realtime-benefits-with-cds-hooks/blob/master/README.md
Josh Mandel (Nov 27 2018 at 22:29):
Would love any feedback, here or in GH :-)
David Hay (Nov 28 2018 at 19:05):
Nice examples! Mind if I steal them for a preso I'm giving next week..
Kalyani Yerra (Dec 04 2018 at 18:23):
Based on CMS's proposal this week for real-time benefits tools (to be offered by Part D plans and integrated into e-rx workflows) I put together a quick write-up explaining how CDS Hooks can address the requirements: https://github.com/jmandel/realtime-benefits-with-cds-hooks/blob/master/README.md
This is very similar to the Coverage requirements Discovery use case of the DaVinci Project?
Isaac Vetter (Dec 05 2018 at 22:09):
Doesn't this proposal also, mostly, duplicate a service that NCPDP is defining?
Josh Mandel (Dec 11 2018 at 04:14):
Re: NCPDP, We discussed this a bit on the Argonaut call last week. It might, but the scope is pretty squarely aligned with CDS Hooks. I'd be curious to know more about the NCPDP approach; do you have a link @Isaac Vetter ?
Josh Mandel (Dec 11 2018 at 04:18):
Re: Coverage Requirements (http://hl7.org/fhir/us/davinci-crd/2018Sep/index.html), it's very closely aligned, and seems like the right place to start. If we can describe how to return the basic pricing info (required by the CMS proposal) and define a subset of the CRD scope for consistent EHR vendor support, that'd sound like a pretty good outcome to me @Kalyani Yerra .
Isaac Vetter (Dec 11 2018 at 21:51):
Hey Josh! I _think_ that NCPDP is planning on voting on their RTPB (Real Time Prescription Benefit) specification at their February, 2019 meeting. If that happens and the spec successfully ballots, then it would be possible to be published sometime in CY 2019.
Isaac Vetter (Dec 11 2018 at 21:52):
There is a draft IG available upon registering a free account at NCPDP -
Isaac Vetter (Dec 11 2018 at 21:52):
1. Create an account on the NCPDP Collaborative site
2. Upon logging in, drill into the MC: Maintenance and Control work group
3. Then the Real Time Prescription Benefit Standard Task Group
4. Then the 20181205 Real Time Prescription Benefit Standard IG draft
Last updated: Apr 12 2022 at 19:14 UTC
