About
Articles by Didi (Blanca)
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Register Now for the Summit of the Southeast
Register Now for the Summit of the Southeast
By Didi (Blanca) Davis
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The 2014 Summit of the Southeast is approaching quickly. Register NOW!
The 2014 Summit of the Southeast is approaching quickly. Register NOW!
By Didi (Blanca) Davis
Contributions
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How can you make your technical architecture more accessible and user-friendly?
In my opinion, the process of a continual feedback loop of innovation and lessons learned is essential to improving technical architectures. The lessons learned should inform and enhance ongoing education and future skills development to enable the changes needed in a rapidly evolving ecosystem. The feedback can inform standards, processes, and emerging trends to allow for improved deployments and outcomes.
Activity
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Many thanks to Pooja Babbrah for your leadership and to Surescripts for co-sponsoring this workgroup. I am really looking forward to the launch and…
Many thanks to Pooja Babbrah for your leadership and to Surescripts for co-sponsoring this workgroup. I am really looking forward to the launch and…
Shared by Didi (Blanca) Davis
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Biggest news of the day! But seriously, this is another huge step forward for TEFCA implementation. These new and updated documents — Public…
Biggest news of the day! But seriously, this is another huge step forward for TEFCA implementation. These new and updated documents — Public…
Liked by Didi (Blanca) Davis
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Awesome accomplishments for the advancement of Public Health use cases Congrats to CRISP Shared Services , APHL - Association of Public Health…
Awesome accomplishments for the advancement of Public Health use cases Congrats to CRISP Shared Services , APHL - Association of Public Health…
Liked by Didi (Blanca) Davis
Experience & Education
Volunteer Experience
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Board Member
Integrating the Healthcare Enterprise (IHE) International
- Present 22 years 11 months
Health
Elected representative for the Quality Research and Public Health (QRPH) Domain. Also, serve on the board operations committee, conformity assessment committee, and the Testing and Tools Committee.
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Board Member
TN HIMSS
- Present 15 years 3 months
Health
Board member representing East TN and HIMSS National HIE Liaison.
http://tnhimss.org/about-2/leadership-2/ -
Clinical Document Architecture (CDA) Management Group (CMG)
HL7 International
- Present 1 year 8 months
Health
The Clinical Document Architecture Management Group (CMG) provides day-to-day oversight of the processes related to Clinical Document Architecture (CDA) products throughout their lifecycle. This includes ensuring CDA product quality, monitoring scope and consistency with Techinal Steering Committee (TSC) principles and aiding in the resolution of CDA related intra and inter-work group issues.
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Speaker, Volunteer, Mentor
RAD= (https://www.linkedin.com/groups/7071864/)
- Present 6 years 10 months
Science and Technology
Honorable Mention - Trailblazer, November 2017
Speaker - Spealers Bureau 2019 to Present -
Confirmation Leader
St. John Neumann Roman Catholic Church
- 11 years 8 months
Social Services
Confirmation Small Group Leader and Retreat Leader
Publications
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How Carequality, The Sequoia Project, and eHealth Exchange Support the Interoperable Exchange of Health Data in the USA
Journal of Digital Imaging
Every organization in the health IT industry plays an important role in overcoming barriers to health information exchange in the United States. It is important to understand imaging interoperability in the overall context of Health Information Exchange (HIE). The rapid evolution of storage, bandwidth and network transport technologies has made the handling of imaging data converge with the primarily text-based healthcare data. The radiology community must understand the overall environment and…
Every organization in the health IT industry plays an important role in overcoming barriers to health information exchange in the United States. It is important to understand imaging interoperability in the overall context of Health Information Exchange (HIE). The rapid evolution of storage, bandwidth and network transport technologies has made the handling of imaging data converge with the primarily text-based healthcare data. The radiology community must understand the overall environment and become a tightly integrated part of it. As the health IT ecosystems continue to evolve, it became clear that there would not be a single health information exchange network to service the nation. Rather, like other industries such as telecom and banking, there would be multiple networks that would need to interconnect. To support compliance to interoperability standards and specifications, The Sequoia Project began collaborating with industry to create testing programs and tooling that supports transport, security and content testing requirements for four production testing programs today. These testing programs validate compliance to standards for transport and security as well standards for the payloads such as clinical documents and imaging data. While once operating under the same umbrella, The Sequoia Project, Carequality and eHealth Exchange (https://ehealthexchange.org/) have been separate companies since 2018. Each plays a unique role in helping patient information move where and when it is needed, each working with a framework of standards published by IHE, DICOM, and HL7 to enable health information exchange.
Other authorsSee publication -
The RSNA ImageShare — Enabling Secure, Transparent, and Easy Image Exchange
Journal of Digital Imaging
In the early 2000s, the radiology community was awakened to the limitations of electronic media (CDs, DVDs) for exchanging imaging exams. Clinicians frustrated by the time-consuming task of opening discs, while Internet-based exchange of music, photos, and videos were becoming more widespread. The RSNA, which had extensive experience working on interoperability issues in medical imaging, began to look for opportunities to address the issue. In 2007, in the wake of the financial crisis, the…
In the early 2000s, the radiology community was awakened to the limitations of electronic media (CDs, DVDs) for exchanging imaging exams. Clinicians frustrated by the time-consuming task of opening discs, while Internet-based exchange of music, photos, and videos were becoming more widespread. The RSNA, which had extensive experience working on interoperability issues in medical imaging, began to look for opportunities to address the issue. In 2007, in the wake of the financial crisis, the National Institute of Biomedical Imaging and Bioengineering (NIBIB) issued an RFP to address Internet-based exchange of medical images. The RFP defined requirements for the network, including that it needed to be patient controlled and standards based. The RSNA was awarded funding for what came to be known as RSNA ImageShare. Over the next 8 years, the RSNA worked in partnership with several vendors and academic institutions to create a network for sharing image-enabled personal health records (PHR). The foundation of interoperability standards used in ImageShare was provided by Integrating the Healthcare Enterprise (IHE), a standards-development organization with which RSNA has had a long association. In 2018 and 2019, the RSNA looked at what had been accomplished and asked if we could take that next step at a national level and promote a solution by which any standards-compliant party could exchange imaging exams through an HIE mechanism.
Other authorsSee publication -
Author of [An Interview with the Carequality Imaging Use Case Implementers] in [Journal of Digital Imaging]. Read here: [https://rdcu.be/cFWqF]
Journal of Digital Imaging
Imagine you had a cell phone plan that only allowed you to call other customers within the same carrier network. That is the situation most healthcare providers experience when joining a data sharing network. Carequality is a network-to-network trust framework that brings together the entire healthcare industry to overcome this challenge by providing a national-level, consensus built, common interoperability framework to enable health information exchange between and among health data sharing…
Imagine you had a cell phone plan that only allowed you to call other customers within the same carrier network. That is the situation most healthcare providers experience when joining a data sharing network. Carequality is a network-to-network trust framework that brings together the entire healthcare industry to overcome this challenge by providing a national-level, consensus built, common interoperability framework to enable health information exchange between and among health data sharing networks. The RSNA partnered with Carequality in 2019 to develop an implementation guide to enable the Imaging Exchange Use Case. The implementation guide was published in December 2019 for early adopters to sign up as implementers to the Carequality framework. Exchange standards must be clearly laid out so that all implementers can easily follow and be held accountable to enable interoperability of medical imaging. The guide was reviewed and tested by implementers and approved for production use in March 2021. Since the launch of the implementation guide, five Carequality Implementers have participated in Carequality’s Image Exchange Use Case: Ambra Health, Hyland, Life Image, Nuance, and Philips. These implementers recognized a gap in image interoperability and the need for change and collaboration. Carequality has asked each of the implementers to share their thoughts on issues pertinent to becoming an implementer and imaging interoperability with the hope that the reader will gain insight as to the evolution of network-based image exchange.
Other authorsSee publication -
ACO's and HIE's: A Strategic Intersection
The Kiran Consortium, LLC
Whitepaper jointly published with the Kiran Consortium Group, LLC in 2012.
Other authorsSee publication
Projects
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Data Usability Taking Root Movement
Be part of a cross-industry community of practice co-sponsored by AHIMA to support and implement data usability guidance published by The Sequoia Project Interoperability Matters Data Usability Workgroup. Data usability guidance leverages existing standards to address pain points from end users on the frontline. It’s one thing to get health data to the right place at the right time; it’s quite another to make sure that data is complete and useful. Together, we can improve the completeness and…
Be part of a cross-industry community of practice co-sponsored by AHIMA to support and implement data usability guidance published by The Sequoia Project Interoperability Matters Data Usability Workgroup. Data usability guidance leverages existing standards to address pain points from end users on the frontline. It’s one thing to get health data to the right place at the right time; it’s quite another to make sure that data is complete and useful. Together, we can improve the completeness and usability of data.
Planned deliverables include a round table for early supporters, the Data Usability Taking Root Summit, technical assistance & implementation community of practice, and testing platform and support services. -
Interoperability Matters: Data Usability Workgroup
The Sequoia Project Data Usability Workgroup will develop specific and pragmatic implementation guidance on clinical content for healthcare stakeholders in order to facilitate health information exchange. This guidance, in the form of an implementation guide covering identified priority use cases, will be readily adoptable by health information exchange vendors, implementers, networks, governance frameworks, and testing programs. The implementation guidance will target improvements necessary to…
The Sequoia Project Data Usability Workgroup will develop specific and pragmatic implementation guidance on clinical content for healthcare stakeholders in order to facilitate health information exchange. This guidance, in the form of an implementation guide covering identified priority use cases, will be readily adoptable by health information exchange vendors, implementers, networks, governance frameworks, and testing programs. The implementation guidance will target improvements necessary to enable semantic interoperability of health information. Semantic interoperability will improve the usability of data received by end users within their workflows. The Implementation Guide will build on existing work, including, but not limited to, FHIR Implementation Guides, C-CDA Templates, ONC and other standards such as USCDI, and the recommendations of the joint Carequality-CommonWell Document Content Workgroup and in coordination with related standards development organizations and industry initiatives. Input from all relevant stakeholders will be essential to developing a credible implementation guide for a specific use cases and ensuring stakeholder participation is a crucial organizational objective for the Workgroup.
Use Cases:
Provider-to-provider health information exchange
Provider-to-Public Health Agency information exchange
Healthcare entity-to-consumer information exchangeOther creators -
Testing Lead, TEFCA Recognized Coordinator Entity (RCE) On assignment with: Office of the National Coordination for Health IT U.S. Department of Health and Human Services
The QHIN Conformance Testing Process outlined in the QHIN Onboarding & Designation SOP leverages the Sequoia Interoperability Testing Platform (“ITP”), built around the specifications defined in the QHIN Technical Framework (QTF) Version 1, information outlined in the Common Agreement and relevant SOPs, and related test materials adopted by the RCE.
The Sequoia ITP verifies that a QHIN’s or Applicant QHIN’s system both complies with all specifications and requirements of the QTF and has…The QHIN Conformance Testing Process outlined in the QHIN Onboarding & Designation SOP leverages the Sequoia Interoperability Testing Platform (“ITP”), built around the specifications defined in the QHIN Technical Framework (QTF) Version 1, information outlined in the Common Agreement and relevant SOPs, and related test materials adopted by the RCE.
The Sequoia ITP verifies that a QHIN’s or Applicant QHIN’s system both complies with all specifications and requirements of the QTF and has the ability to interoperate with other QHINs. -
eHealth Exchange Content Testing Program
- Present
Worked with the eHealth Exchange Content Testing Workgroup members and Co-chairs, Omar Bouhaddou, Chief Health Informatics Officer, InnoVet Health contractor to Department of Veterans Affairs, Veterans Health Information Exchange (VHIE/VLER Health) and Tone Southerland, Director, Interoperability, IQVIA. Published enhanced content testing program requirements and test methods after a successful pilot was completed December 2016. The requirements were adopted in January 2017, however the HL7…
Worked with the eHealth Exchange Content Testing Workgroup members and Co-chairs, Omar Bouhaddou, Chief Health Informatics Officer, InnoVet Health contractor to Department of Veterans Affairs, Veterans Health Information Exchange (VHIE/VLER Health) and Tone Southerland, Director, Interoperability, IQVIA. Published enhanced content testing program requirements and test methods after a successful pilot was completed December 2016. The requirements were adopted in January 2017, however the HL7 C-CDA specifications were in need of updating as no erratum had been processed for the latest C-CDA R1.1 or C-CDA R2.1 specifications. Didi Davis worked with contracted staff to publish the Erratum and value sets publicly for vendors and implementers to leverage. Sequoia sponsored and facilitated the open source development of the content testing tools known as the Sequoia Interoperability Testing Platform to support the 2018 Enhanced Content Testing Program on behalf of the eHealth Exchange. The program is still required by all eHealth Exchange implementers and improvements to standards continue to be fed back to HL7.
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Sequoia RSNA Image Share Validation Program
- Present
The Image Share Validation Program provides a conformity assessment program that sets the standard for consistency in the marketplace. The Image Share Validation Program tests the compliance of vendor systems using quality standards determined most effective for accurate and efficient exchange of medical images. Beginning in 2018, the validation program will expand to include additional security and document sharing metadata to enable better discoverability and improve interoperability of…
The Image Share Validation Program provides a conformity assessment program that sets the standard for consistency in the marketplace. The Image Share Validation Program tests the compliance of vendor systems using quality standards determined most effective for accurate and efficient exchange of medical images. Beginning in 2018, the validation program will expand to include additional security and document sharing metadata to enable better discoverability and improve interoperability of medical images.
The RSNA Image Share Validation Program benefits patients and providers with improved efficiency, reduced costs, enhanced quality of care, and standards-based interoperability to spur innovation. -
HIP TN NwHIN Activation Status
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Onboarding support through activation to the Nationwide Health Information Network (NwHIN). The nationwide health information network is a set of standards, services and policies that enable secure health information exchange over the Internet. The network will provide a foundation for the exchange of health information across diverse entities, within communities and across the country, helping to achieve the goals of the HITECH Act. This critical part of the national health IT agenda will…
Onboarding support through activation to the Nationwide Health Information Network (NwHIN). The nationwide health information network is a set of standards, services and policies that enable secure health information exchange over the Internet. The network will provide a foundation for the exchange of health information across diverse entities, within communities and across the country, helping to achieve the goals of the HITECH Act. This critical part of the national health IT agenda will enable health information to follow the consumer, be available for clinical decision making, and support appropriate use of healthcare information beyond direct patient care so as to improve population health.
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eHealth Exchange (formerly NHIN/NwHIN) Specification Publication - 2011 Edition
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Worked with Deloitte team as Subject Matter Expert helping to resolve change proposal requirements with general updates to the standard specifications for the Nationwide Health Information Network. The nationwide health information network is a set of standards, services and policies that enable secure health information exchange over the Internet. The network will provide a foundation for the exchange of health information across diverse entities, within communities and across the country…
Worked with Deloitte team as Subject Matter Expert helping to resolve change proposal requirements with general updates to the standard specifications for the Nationwide Health Information Network. The nationwide health information network is a set of standards, services and policies that enable secure health information exchange over the Internet. The network will provide a foundation for the exchange of health information across diverse entities, within communities and across the country, helping to achieve the goals of the HITECH Act. This critical part of the national health IT agenda will enable health information to follow the consumer, be available for clinical decision making, and support appropriate use of healthcare information beyond direct patient care so as to improve population health.
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2010 CareSpark NwHIN Activation
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Project Management and documentation support for Regional Health Information Exchange in Northeast TN/Tri-Cities Region. Activation status achieved and partner testing with the Centers for Medicare/Medicaid Services (CMS), the Social Security Administration (SSA) and the Veterans Health Administration (VHA).
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Honors & Awards
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2022 HIMSS Most Influential Women in Health IT Award
HIMSS
The HIMSS Most Influential Women in Health IT Awards recognize influential women at all stages of their career progressions. These awards celebrate individuals who harness the power of information and technology to transform health and healthcare; are unique among power lists and award programs; and are inclusive of all women of influence, no matter where they may be in the health information and technology field. https://lnkd.in/emAU5CTs
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2021 DirectTrust Interop Hero (https://directtrust.org/interop-hero)
DirectTrust
DirectTrust is pleased to announce the Interoperability Hero Initiative, recognizing the efforts of organizations, teams, or individuals to advance interoperability. Nominees have made significant contributions in one or more of the following categories:
Advancing Interoperability
Alternative to Fax
Collaboration with Others
Identity-Proofing
Organizational Efficiencies
Patient Engagement and Perspectives
Success Stories
Use of Trust Framework
Utilizing Direct…DirectTrust is pleased to announce the Interoperability Hero Initiative, recognizing the efforts of organizations, teams, or individuals to advance interoperability. Nominees have made significant contributions in one or more of the following categories:
Advancing Interoperability
Alternative to Fax
Collaboration with Others
Identity-Proofing
Organizational Efficiencies
Patient Engagement and Perspectives
Success Stories
Use of Trust Framework
Utilizing Direct with Other Standards/Networks (FHIR, Query, etc.)
Unique Use Cases
Each quarter, we will open nominations for the Interoperability Heroes, and recognize those who meet the criteria in conjunction with announcing our quarterly metrics. -
RADxx Honorable Mention - Trailblazer
RADxx Women (https://radxx.ambrahealth.com/radxx-awards/radxx-winners-2017/)
The RADxx awards honor outstanding individuals who have helped to lead the way or are emerging fresh voices, in imaging informatics. These individuals are physicians or work in the field in other roles such as operations, administration or IT. They have actively helped raise awareness for medical imaging informatics. Congratulations to all our winners and distinguished nominees!
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TN HIMSS Chapter Ambassador Award
HIMSS
Awarded Chapter Ambassador Award as Chapter Advocate both 2012 and 2013 years.
Languages
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Spanish
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Organizations
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HIMSS
TN HIMSS Board Member
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HL7 International
CDA Management Group Co-chair
The Clinical Document Architecture Management Group (CDA-MG) provides day-to-day oversight of the processes related to Clinical Document Architecture (CDA) products throughout their lifecycle. This includes ensuring CDA product quality, monitoring scope and consistency following Technical Services Committee (TSC) governance principles and aiding in the resolution of CDA related intra- and inter-work group issues…
The Clinical Document Architecture Management Group (CDA-MG) provides day-to-day oversight of the processes related to Clinical Document Architecture (CDA) products throughout their lifecycle. This includes ensuring CDA product quality, monitoring scope and consistency following Technical Services Committee (TSC) governance principles and aiding in the resolution of CDA related intra- and inter-work group issues. https://confluence.hl7.org/plugins/servlet/mobile?contentId=6000795#content/view/6000795
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Texas Health Services Authority (Statewide HIE) Increasing Adoption of Direct Messaging Workgroup is sharing with the community a “tool kit” on…
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To our #HIMSS25 exhibitors, sponsors, and premiere supporters: thank you for your invaluable contribution to this year's event. Your commitment to…
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The Department of Health and Human Services (DHHS) seeks visionary leaders to fill four critical executive roles within the Office of the Secretary…
The Department of Health and Human Services (DHHS) seeks visionary leaders to fill four critical executive roles within the Office of the Secretary…
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This is exciting news! Check out this post to learn how Alcidion has launched its Portable Patient Summary within its #FHIR-native platform, meeting…
This is exciting news! Check out this post to learn how Alcidion has launched its Portable Patient Summary within its #FHIR-native platform, meeting…
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¡Comenzó el #CaribbeanConnect2024 en Jamaica! 🌎 🏥 🇯🇲 Día 1 🌐🌎 Con las exposiciones del Ministro de Salud de Jamaica, Dr. Christopher Tufton…
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88% of Canadians say accessing their personal health information online would enable them to better manage their health. Learn more about Canadians’…
88% of Canadians say accessing their personal health information online would enable them to better manage their health. Learn more about Canadians’…
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Surescripts recently surveyed over 500 clinicians to learn what they see as the biggest pain points in #healthcare, and what could be done to resolve…
Surescripts recently surveyed over 500 clinicians to learn what they see as the biggest pain points in #healthcare, and what could be done to resolve…
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Interesting, many thanks to HIMSS #InteroperabilityCommittee for calling out The Sequoia Project Data Usability work efforts in this paper…
Interesting, many thanks to HIMSS #InteroperabilityCommittee for calling out The Sequoia Project Data Usability work efforts in this paper…
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