hair:  Viet Nguyen, Yan Heras

Scribe: Phung Matthews
 

Minutes Approved as Presented 


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Agenda Outline

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Meeting Minutes from Discussion

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ManagementReview ANSI Anti-Trust Policy






Announcement

HL7 Connectathon 28 Sept 13-15 

  • Plan to hold a Risk Adjustment Track!

Visit the Da Vinci HL7 Connectathon page for quick highlights on each tracks. 

Have basic touchstone test scripts and basic operations- $report. 

May have payers bringing up servers.

Other participants to help build JSON examples, that would be great. If you can represent it via a RA profile, then we are moving in the right direction. 


Risk Adjustment IGContinuous Integration (CI) Build site: https://build.fhir.org/ig/HL7/davinci-ra



Discussion

Continue with business requirement and FHIR analysis discussion:

Confirm- that we do not need coverage resource on the report. Meaning that we do not need insurance information from the payers to the providers. 

  • No comments

Brent- notice that main page of RA IG has DEQM reference. Linda will remove it. 

JSON- why are we using JSON and not JSON and XML?

  • some IG have specifications to support JSON, but this IG has not made any distinction on supporting either

$report- pretty simplistic as it will just send over a measure report

Currently on our operation, we have 2 parameters and will be seeking comments to get more feedback. The filtering is left to the app that receives the report. 



Connectathon Planning

Track Kick Off September 9th during this call







ManagementNext Agenda



Adjournment
adjourned at 3:16PM ET

Attendees

Present

Name

Affiliation


PresentNameAffiliation
PresentNameAffiliation
PresentNameAffiliation
  •  
Viet Nguyen
Stratametrics
  •  
Dale Davidson

  •  
Rachel Foerster

  •  
Kimberly Bradbury
  •  

Yan Heras



  •  
Karl EverittEpic
  •  
Tim McNeil

  •  
Steve Gasiorek
  •  
Gini McGlothin
BCBS Alabama
  •  
Thomson Kuhn

  •  
Leah Hannum

  •  
Daniel Tam
  •  
John Graham
Providence St. Joseph
  •  
Patty Craig

  •  
Dave Foster

  •  
Steven Porteus
  •  

Peter Muir



  •  
Nick Radov

  •  
Bryan Briegel

  •  
Chris Johnson
  •  

Linda Michaelsen

Optum
  •  
William Harty

  •  
Preston Lee




  •  

Brian Murta

Centene
  •  
Deidre Sacra

  •  
Gary Dickinson




  •  

Phung Matthews

POCP
  •  
Jay Baker

  •  
Rob Reynolds




  •  

Vanessa Candelora

POCP
  •  
Joseph QuinnHSX
  •  
Shawn




  •  
Phranil MethaHealow
  •  

Ezequiel Morales

Cigna Evernorth
  •  
Donielle Williams




  •  
Anna Taylor
MultiCare
  •  
Mariel Brechner

  •  

Khush Singh






  •  
Susan Langford
BCBST
  •  
Christopher Marchand

  •  
Pranathi K




  •  
Floyd Eisenberg


  •  
Madhurima DharCozeva
  •  
Vijay Sravani Thotakura




  •  
Susan Bellile
Availity
  •  
Kira Whitworth

  •  
Angie Finley




  •  
Brent ZenobiaNovillus
  •  
Travis Hendrix

  •  
Eric Liu




  •  
Amy Neftzger
Optum
  •  
Zahid Butt

  •  
Kim Faison




  •  
Frank

  •  
Khushwinder Singh

  •  
Tushar Shah





Action items

  •  Re-evaluate the name of this use case as "Risk Adjustment" does not define the payment aspect of the primary focus. Need to discuss with CQI WG as well.  
  •  Add to Phase 2 - Ability to remove and provide a reason for status change. e.g. the patient no longer has the condition.

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