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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 Outline

Agenda Item

Meeting Minutes from Discussion

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

Image Added



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
  • FHIR IG Substantively Complete - July 5 - completemust be complete and handed over to sponsoring WG for QA review
  • QA Review Period Starts - July 28
  • QA review cycle- Aug6-9th
  • Final IG Content - Aug 99th (final contect to Lynn for inclusion in ballot)
  • Submit Ballot Readiness Checklist - before Aug 11
  • Ballot sign-up by Aug 13
  • Draft IG: http://build.fhir.org/ig/HL7/davinci-deqm/branches/gic-branch/index.html


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 

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