Chair: Viet Nguyen, Yan Heras
Scribe: Vanessa Candelora
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."
Meeting Minutes from Discussion
|Decision Link(if not child)|
|Management||Review ANSI Anti-Trust Policy|
Da Vinci Testing Event- October 26-27th, 2021
|January 2022 Ballot|
Notice of Intent to Ballot (NIB) was approved by CQI WG on 10/8 and submitted
|Reviewed - note newly added deadline for Oct 31.|
|October Testing Event|
Topic to discuss with CQI:
Is it possible that you could create a report in 2022 for a measure who's period in 2021?
Agreed on expectation.
Does it need to start within the period or end within the period?
Madhurima Dhar (COZEVA) to Everyone
One question: can the coding system "http://cms.gov/cms-hcc/" be used to create a Resource Condition; basically want to understand can Condition resource will be valid with a CMS-HCC# as code instead of "http://snomed.info/sct" which is for SNOMED-CT
Or "http://cms.gov/cms-hcc/" can only be used for Measure Report? Where to find the documentation on this?
The Medicare Advantage models are here: https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Risk-Adjustors
Next Step: Yan to follow-up with Rob McClure on this.
Where do you put HCC in a resource?
ask in community: without it being in a measure resource, but another resource for sharing HCCs that can travel with the patient. Condition? It's different that applying it here which is not all confirmed HCCs.
Brent Zenobia to Everyone
The ACA (HHS-HCC) model is located here: https://www.cms.gov/files/document/updated-2022-benefit-year-final-hhs-risk-adjustment-model-coefficients-clean-version-508.pdf <https://r20.rs6.net/tn.jsp?f=001IcU5d3nGd0G4Q58i3IGI_S73HOkO-1CIWmIcnvUT_ChTwWmqNi0hGQgblr06kyEFRXId77Tw2wIV4YWIRHQBWqWnXrFX5e-ekqFcNOPybhMwVqqvbMmOrWaNXB04j0I7yq7BSiYabvMQIjeBw712rnmgoaj5OTtRL8sjXGwKA_aCMagMVmoyt4vMMZrm6qPh1eOHHkvYIuT0jHa76ABspSJjaDB5CaToj3_lqbtdx-mKb7oj5W9W8SPuy9x_wC71r4E01r70WFVDSw5wDo7IjrgkQRWTOZC2&c=ASevCXIA1Ta73BOn5zvDb-EmgGeC9f4Z9YR8D3Cwz1TRk8Q8vvCkwA==&ch=j3ruWVXld9VHaU5AtBU5iFV_vibkGOVOEpUv9I3nU7PfGoUT_XmV1A==>
definition of CodeableConcep
|Adjournment||adjourned at 4:00PM ET|
|Stratametrics||Dale Davidson||Rachel Foerster||Kimberly Bradbury|
|Karl Everitt||Epic||Tim McNeil||Steve Gasiorek|
|BCBS Alabama||Thomson Kuhn||Leah Hannum||Daniel Tam|
|Providence St. Joseph||Patty Craig||TJC||Dave Foster||Steven Porteus|
|Nick Radov||Bryan Briegel||Chris Johnson|
|Optum||William Harty||Preston Lee||Slater Ong|
|Centene||Deidre Sacra||Gary Dickinson||Mary Ann Boyle||HL7|
|Jay Baker||Edifecs||Rob Reynolds||Jim Taylor|
|POCP||Joseph Quinn||HSX||Shawn Smith||Teresa Younkin|
|Phranil Metha||Healow||Cigna Evernorth||Donielle Williams||Yanyan Hu||TJC|
|BCBST||Christopher Marchand||Pranathi K||Bill Lancelle||Epic|
|Madhurima Dhar||Cozeva||Vijay Sravani Thotakura||Joe Quinn||Smile CDR|
|Availity||Kira Whitworth||Angie Finley||Rachel Foerster|
|Brent Zenobia||Novillus||Travis Hendrix||Eric Liu||Karen iapoce|
|Optum||Zahid Butt||Kim Faison|
|Frank||Khushwinder Singh||Tushar Shah|
- Add to Phase 2 - Ability to remove and provide a reason for status change. e.g. the patient no longer has the condition.