Chair:  Viet NguyenYan Heras

Scribe: Teresa Younkin 
 

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

The 29th HL7 FHIR Connectathon will take place January 10 – 12, 2022 and will be a virtual event.



October Testing Event

Testing Event Report Out



Discussions


Review IG: https://build.fhir.org/ig/HL7/davinci-ra/index.html

  • Risk Adjustment MeasureReport Bundle profile for the return parameter of $report operation
  • $report operation return
    • patient not found: returns an OperationOutcome with 404 error
    • group not found: returns an OperationOutcome with 404 error
    • patient is found but no MeasureReport for the patient: returns a Parameters resource that includes a parameter element with Patient resource
    • patient is found, Server has two RA models, but patient only has HCC gaps under one RA model: returns a Parameters resource that includes a parameter element with a RA MeasureReport resource (for the RA model that the patient has coding gaps), and another parameter element with Patient resource
    • Note that the parameter element is one to one to patient. It will always return one Parameters regardless of a single patient or a group of patients. If a group has 10 patients, then a Parameters will contain 10 parameter elements

Discussion:

More than 1 HCC can be associated with more than 1 condition. Code is a better resource to use.

Use the measure report to summarize HCC for each person and need to address the hierarchy of the disease as well. Brent Zenobia provided an example:

Was discussed in the CQI workgroup found here: 2021-10-15 Meeting Minutes

CMS Reporting Timelines to explain where a patient's code could be collected. Need to be focused on dates: encounter, submission, DOS of HCC. 

Will be bringing this information to the Patient Care group to discuss. 

Bundle profile discussion:

Bundle resource has different types=collection so it shows there is a 1:many relationship. 

Can have a 0:many for the RA Coding Gap Report in the bundle resource.

Discussion: Report operation was tested on Tuesday

Patient care discussion is 10/28 at 5pm ET.

Yan will report back to the group.








ManagementNext Agenda



Adjournment
adjourned at 

Attendees  

Present

Name

Affiliation


PresentNameAffiliation
PresentNameAffiliation
PresentNameAffiliation
  •  
Stratametrics
  •  
Dale Davidson

  •  
Rachel Foerster

  •  
Kimberly Bradbury
  •  


  •  
Karl EverittEpic
  •  
Tim McNeil

  •  
Steve Gasiorek
  •  
BCBS Alabama
  •  
Thomson Kuhn

  •  
Leah Hannum

  •  
Daniel Tam
  •  
Providence St. Joseph
  •  
Patty CraigTJC
  •  
Dave Foster

  •  
Steven Porteus
  •  

Peter Muir



  •  
Nick Radov

  •  
Bryan Briegel

  •  
Chris Johnson
  •  
Optum
  •  
William Harty

  •  
Preston Lee

  •  
Slater Ong
  •  

Brian Murta

Centene
  •  
Deidre Sacra

  •  
Gary Dickinson

  •  
Mary Ann BoyleHL7
  •  


  •  
Jay BakerEdifecs
  •  
Rob Reynolds

  •  
Jim Taylor 
  •  
POCP
  •  
Joseph QuinnHSX
  •  
Shawn Smith

  •  
Teresa Younkin
  •  
Phranil MethaHealow
  •  
Cigna Evernorth
  •  
Donielle Williams

  •  
Yanyan HuTJC
  •  
MultiCare
  •  
Mariel Brechner

  •  


  •  

Albert Tecson


  •  
BCBST
  •  
Christopher Marchand

  •  
Pranathi K

  •  
Bill LancelleEpic
  •  


  •  
Madhurima DharCozeva
  •  
Vijay Sravani Thotakura

  •  
Joe QuinnSmile 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





Action items

  •  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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