hair:  Viet Nguyen, Yan Heras

Scribe: 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






Announcement

Da Vinci Testing Event- October 26-27th, 2021

Click here for event details- registration coming soon!

Testing event will continue on what we worked on at the connectathon. 

Main goal- to identify more participating system to join us at the event. 


Ballot TimelineProject Tracking - Phase One

Project tracking page will help us track our progress and let us know when are next milestones. 

October 31st is date when we need to provide our intent for ballot.

Please sign up for ballot review- will open up Nov 8. 

Next one- November 12- putting much where all the IG should be done

Then need to bring it up to the CQI workgroup- most likely 11/19 due to holidays

Testing event table- help us track what testing is needed. 


Connectathon

HL7 Sept connectathon Report-Out

Did not go into the more detailed data on the supporting evidence but will be focused on our next testing.

so far tested the 80% of the report operation and not the full report yet for a result report. 

Need more touchstone test script defined to test the results. 

Fixed issue on the parameter count but not the measure count. Due to the test cases are written for certain parameters existed. 

Discovered discrepancy when patient or group is missing. If patient is not found, should we return a 404 error outcome. Should the patient behavior be similar to the group missing. 

If it can't find a patient, perhaps return a report that is empty. If patient has no HCC, return a report with no parameters.

In the evaluated measure, if there is no measure then it returns an operation outcomes as it needs the resource to submit the report

Topics for further discussion- Patient not found, no MeasureReports for patient, two RA models but patient falls under one, group not found

update to the code set to state open gap, closed gap and pending

Do not have other flag of superceded, not superceded, no hierarchy applied. It should fall under the HCC flag. Named under RA hierarchy type. 

Superceded only if higher HCC code is closed. 

Should this be more of  a status vs a type. 

Will need to find a data element to identify this. 


October Testing Event

Planning

  • Identifying teams that would participate
  • Reference Implementation
  • Test data


Discussions

(CI Build)

Discuss issues discovered during Connectathon











ManagementNext Agenda



Adjournment
adjourned at 04:04PM 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

  •  
Slater Ong
  •  

Brian Murta

Centene
  •  
Deidre Sacra

  •  
Gary Dickinson

  •  
Mary Ann BoyleHL7
  •  

Phung Matthews

POCP
  •  
Jay Baker

  •  
Rob Reynolds

  •  
Jim Taylor 
  •  

Vanessa Candelora

POCP
  •  
Joseph QuinnHSX
  •  
Shawn

  •  
Teresa Younkin
  •  
Phranil MethaHealow
  •  

Ezequiel Morales

Cigna Evernorth
  •  
Donielle Williams

  •  
Yanyan Hu
  •  
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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