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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
  •  
Bill Lakenan
  •  
Jeffrey Danford
  •  
Rose Almonte
  •  
Tommi Rainey
  •  
Phung Matthews

Minutes Approved as Presented 


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Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

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



PowerpointGaps in Care_meeting_07162020.pptx

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


HL7 FHIR Connectathon - Sept 9-11

  • Will be held virtually
  • Connectathon proposal due July 21th
  • Proposal draft- 
  • Coordinate track with Member Attribution
  • Continue to build and add details and descriptions, referencing ATR IG
    • Plan for 2nd week of August to finalize track
  • End to End Gaps in Care example
    • synchronizing a set of patients for attribution list
      • May Connectathon may have past measure linked with Synthea
    • need to add coverage on Synthea model
    • potential measure to use CMS130v8 Colorectal Cancer Screening
  • EvaluatedResource Population Referencing scenario
    • MITRE working internally on their infrastructure for measure highlighting. They are not considering Gaps in Care right now.
  • Member Attribution scenario
    • Being worked on and may provide link from past work
  • Task leading to Connectathon- series of steps to help prep for track completion
    • Reference implementation task- first step is ready and will aim to get up to step 5 ready for Connectathon


September Ballot Deadlines

Gaps in Care
  • New contents are available for review and placed in a green box context
    • CI Build location: 
    • Note following updates- any minor edits can be sent to Yan. Please submit as a tracked edit and be turned in before CQI Friday meeting. 
      • Framework
        • Gaps in Care Reporting
      • Examples Use Cases
        • Gaps in Care- example broken down into 3 steps
      • FHIR Artifacts- 
        • Profiles and Extensions- Bundle, composition, etc
          • Individual report- added extension
        • Operations
        • Terminology
        • Capability Statements
      • Change Notes
        • Changes and updates for version 2.1.0
    • Request to add as a Note to Balloters at CQI meeting
      • Request feedback on future directions/consideration on type of Gaps in Care toward continuous quality measure


Examples for Implementers
  • Discussion on developing a supplemental guide for implementers and adding examples of a given type of measure or an example of a composite
  • May be revisited later on





ManagementNext Agenda

Adjournment
Adjourned at 

Supporting Documents

Outline Reference

Supporting Document

Minute Approval
Meeting Presentation MaterialsGaps in Care_meeting_07162020.pptx


Action items


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