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Chair:  Viet Nguyen , Yan Heras , Gay DolinGini McGlothin

Scribe: Dana Marcelonis
 

Attendees

Present

Name

Affiliation

  •  
Viet NguyenStratametrics
  •  
BCBS AL
  •  
Linda MichaelsenOptum
  •  
Namaste Informatics
  •  

  •  
Providence St. Joseph
  •  
NCQA
  •  
Chris JohnsonBCBS AL
  •  
BCBS AL
  •  
Dave FosterEdifecs
  •  
Grace StambaughVeradigm
  •  
BCBSM
  •  
Humana
  •  
Cigna
  •  
Cigna
  •  
Kamal TayalDrFirst
  •  
Leslie SmartHumana
  •  
Edifecs
  •  
Iris Health Solutions
  •  
Carradora
  •  

  •  
Peter Muir
  •  
Centene
  •  
MITRE
  •  
Optum
  •  
Optum
  •  
Availity
  •  
BCBS FL
  •  
Tom WillisMoxe Health
  •  
Express Scripts
  •  
Cindy MonarchBCBSM
  •  
Eric Haas
  •  
Jason TeepleCigna
  •  
Cigna
  •  
Diameter Health
  •  
Andrea KentCoverMyMeds
  •  
Bob HarringtonAllscripts
  •  
Anthem
  •  
Independent Health
  •  
eClinicalWorks
  •  
ZeOmega
  •  
UHC
  •  
Epic
  •  
Bart CarlsonAzuba Health
  •  
Edward CastagnaAltarum
  •  
Cigna
  •  
Humana
  •  
Rachel E. FoersterRachel Foerster & Associates
  •  
Ryan WeberUHC
  •  
Sandy BeggsIBC
  •  
Optum
  •  
BCBST
  •  
Sutter Health
  •  
Chuck GalliIBC
  •  
iParsimony
  •  
Sreekanth PuramMettle
  •  
WPS Health Solutions
  •  
eClinicalWorks
  •  
Dani Hochleutner
  •  
ZeOmega
  •  
Christopher MarchandDiameter Health
  •  
Joe Bormel
  •  
BCBSM
  •  
Matt AdamsonZeOmega
  •  
Steven BenjaminRegence
  •  
Epic
  •  
ZeOmega
  •  
Edifecs
  •  
Tibco
  •  
Intersystems
  •  
SachinZeOmega
  •  
Douglas Ansel
  •  
Joseph Bormei
  •  
Dynamic Health IT
  •  
Beverly BucktaPfizer
  •  
Jason RankinAthenahealth
  •  
Kenneth Salyards
  •  
NCQA
  •  
Dynamic Health IT
  •  
Telligen
  •  
IBX
  •  
Tanya MorganCigna
  •  
Adrianna Preston-SicariAthenahealth
  •  
Denise
  •  

  •  
Kate BeckHealthfirst
  •  
Jim AdamsonArkansas Blue Cross
  •  
Madhav GoneHealthfirst
  •  
Mrugen MehtaeClinicalWorks
  •  
Tonya HaneyBlue Cross MN
  •  
Vishnu
  •  
Ping JiangJoint Commission
  •  
Database Consulting Group
  •  
AMA
  •  
Providence St. Joseph
  •  

  •  
Brittany NoonanDiameter Health
  •  
Interpro
  •  
Availity
  •  
Cambia
  •  
Jim McKinleyAlabama Medicaid
  •  
Express Scripts

Anthem
  •  
Laura Bright
  •  
Patty Craig
  •  
Pharmacy HIT
  •  
Meenakshi Grandhi
  •  
Michael Fasulo
  •  

  •  
Mitra Biglari
  •  
Gayathri JayawardenaESAC
  •  
Janice KarinMA HEalth Data
  •  
Jennifer SeemanESAC
  •  
Robert SamplesESAC
  •  
Abdullah RafiqiESAC
  •  
Carie HammondAEGIS
  •  
Dipti GandhiJoint Commission
  •  
Anna TaylorMulticare
  •  
Matthew TillerESAC
  •  
Corey SpearsInfor
  •  
Nagesh BashyamDrajer
  •  
Rob Reynolds
  •  
Scott Fradkin
  •  
David DeGandiCambia
  •  
Yanyan HuJoint Commission
  •  
Cody Danielshak Epic
  •  
Healow
  •  

  •  
Tina Borders

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



HL7 Patient Access API and Implementation Event - Aug 17-19
  • Virtual
  • Registration: https://www.hl7.org/events/fhir/implementation/2020/
  • 1st day kick-off and educational sessions
  • 2nd day interop-a-thon
  • Focus on IGs that support CMS Patient Acess API requirements
    • Da Vinci Payer Data Exchange (PDex), Da Vinci Formulary, Da Vinci Provider Directory (Plan Net)
    • CARIN Blue Button and Real Time Benefit Check IGs


Digital Quality Summit - July 22-23

https://www.ncqa.org/about-ncqa/sponsorship-events/digital-quality-summit/agenda/



September Ballot Deadlines

HL7 FHIR Connectathon - Sept 9-11

  • Virtual
  • Connectathon proposal due July 21: 2020-09 DaVinci Gaps in Care/Member Attribution
  • Planning to have a separate Gaps in Care track, but will still coordinate with Clinical Reasoning track
  • RBC Member Identification IG included in one scenario for attributed group of patients - team to work with David DeGandiand Nagesh Bashyam to flesh out further details
  • Agree on 5-10 patients, set of measures (measure resource as well as any measure-related data on those patients)
    • Query patients available on attribution server
    • GIC query
    • Vendor query (such as Diameter Health - Karen L. Zapata and GIC team will follow up)
  • Team to follow up with Centene as potential particpants


Supplemental Examples
  • Potential candidates:
    • CMS 127 Pneumococcal Vaccine - team planning to include in Examples and Connectathon
    • Measures that have had previous testing, more data available
      • 124 - Cervical Cancer Screening and 125 - Breast Cancer Screening have been tested at a few Connectathons now
    • 111 - ER discharge time
    • 153 - Chlamydia Screening for Women
    • Diabetic eye screening?





ManagementNext AgendaNo call next week due to Digital Quality Summit
Adjournment
Adjourned at 

Supporting Documents

Outline Reference

Supporting Document

Minute Approval
Meeting Presentation MaterialsGaps in Care_meeting_07162020.pptx


Action items


Create Decision from template