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Chair:  

Scribe: Dana Marcelonis
 

Attendees

Present

Name

Affiliation

  •  
Robert DieterleEnablecare
  •  
Stratametrics
  •  
Nita ThingalayaIBC
  •  
Cambia Health Solutions
  •  
Gregory MagazuCaseNet
  •  
Jeanie SmithBCBSFL
  •  
Corey SpearsInfor
  •  
Optum
  •  
Ashley SteddingCMS
  •  
Barbara AntunaAIM Specialty Health/ Anthem
  •  
Mary Kay McDanielCognosante
  •  
Michael GouldIBC
  •  
Laurie BurckhardtWPS Health Systems
  •  
Serafina Versaggi
  •  
Sreenivas MallipeddiMCG Health
  •  
Susan BellileAvaility
  •  
Susan LangfordBCBST
  •  
BCBSAL
  •  
Tracey McCutcheonKPMG
  •  
Dawn PerreaultBCBSM
  •  
CMS
  •  
Anupam ThakurBCBS FL
  •  
Anthem
  •  
Allscripts
  •  
BCBSM
  •  
Chris JohnsonBCBSAL
  •  
MITRE
  •  
ZeOmega
  •  

  •  

  •  
Cigna
  •  
eClinicalWorks
  •  
Tibco
  •  
Eddy NievesEpic
  •  
Christopher Gracon


  •  
Centene
  •  
Andrea KentCoverMyMeds
  •  
BC Idaho
  •  
Keya ShahCasenet
  •  
Neena Dakua
  •  
Cara BerryAvaility
  •  
NCPDP

Present

Name

Affiliation

  •  
John BialowiczBCBSM
  •  
Nandini GangulyScope Info Tech/ EMDI
  •  
Peter Muir
  •  
CAQH
  •  
Pallavi TalekarScope Info Tech
  •  
Kelly TaylorCMS
  •  
Karen L. ZapataAnthem
  •  
Brandon RaabAnthem
  •  
Cindy MonarchBCBSM
  •  
Michael CabralCMS
  •  
Nick RadovUHC
  •  
Epic
  •  
James Derrickson
  •  
Laurie WoodromeLabcorp
  •  
Ric LightHumana
  •  
Harvey KuangExpress Scripts
  •  
BCBS AL
  •  
Gevity
  •  
Julia ChanCW Global Consult
  •  
Ken Lord
  •  
Edifecs
  •  

  •  
Roland Gamache
  •  
Alberto S. LlanesAnthem
  •  
Mark ScrimshireNew Wave
  •  
EMR Direct
  •  
Patrick MurtaHumana
  •  
Ranjith KandurAnthem
  •  
MITRE
  •  
Joe MinieriMITRE
  •  
Dave Foster
  •  
Providence
  •  
Betty SullivanAllscripts
  •  

  •  
June Bronnert
  •  
Cynthia GinsburgCMS
  •  
Eshaa DhalleClinicalWorks
  •  
Ronald MacDurmon
  •  
Cigna
  •  
Edifecs
  •  
Cigna
  •  
Mona ChandrapaleClinicalWorks
  •  
Sonja ZieglerOptum
  •  
Celine LefebvreAMA 
  •  
 Ben Largley
  •  
Dawn PerraeultBMBSMI 
  •  
Emily TenEyck CAQH
  •  
Joe QuinnOptum 
  •  
Lindee Chin Edifects 
  •  
Lorraine Doo CMS 
  •  
Padame Metal Solutions 
  •  
Rajesh g
  •  
Josh Lamb
  •  
Edifecs
  •  
Sreekanth
  •  
Bapi Bahera
  •  
Charlie Genova
  •  
Gregg JohnsonPalmetto GBA
  •  
MITRE
  •  
Robin FreePalmetto GBA
  •  
Thomas KehoePalmetto GBA
  •  
Toni WheelerCGS Admin
  •  
Mrguen MehtaeClinicalWorks
  •  
David Lowry
  •  
Alex DelagePalmetto GBA
  •  
Roc ViaCGS Admin


Minutes Approved as Presented 


This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."


Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)
ManagementReview ANSI Anti-Trust Policy



HIMSS20 Clinical Scenarios
  • Mettles and Guidewell/Edifecs will be demonstrating PCDE use case at HIMSS20
  • HIMSS20 Clinical Scenario
    • PCDE: Sub-Scenario #5 - Medicare Advantage - patient changes from old payer to new payer: 
    • clinFHIR.com
      • Can add your current server with- May used the endpoint noted above
      • Patient Viewer - search for patient
      • Resource explorer - able to view the resources that have been uploaded
      • Click on resource references graph for visual bringing the PCDE mind map to life
        • Click on Condition - can view narrative
    • This work is a good foundation to support the work we want to do to create additional examples in a supplemental guide
    • Can Mettle or Edifecs show a demo during next week's meeting?
  • Da Vinci Formulary IG - any meetings or progress on this?
    • IG is published and complete
    • If there's feedback on what should we do for next version, enter JIRA item or bring up on HL7 Pharmacy workgroup
    • Has been tested at multiple Connectathons
    • What's the maturity level? Bring up with FMG
    • Author is Saul Kravitz
    • Formulary is included in HIMSS Scenario #2
  • HIMSS scenario confluence pages need to break out what's in May's spreadsheet - May will follow up with Viet

ManagementNext agenda



 Adjournment

Adjourned at 2:46pm ET


Supporting Documents


Action items


Create Decision from template