Chair: Mark Scrimshire
Scribe: Vanessa Candelora
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."
Minutes Approved as Presented
Meeting Minutes from Discussion
|Decision Link(if not child)|
|Management||Review ANSI Anti-Trust Policy|
Call Structure & Name Changes
See Supporting section below!
Is now set for 9/13-9/15
Did not get to review it this week due to the CMS Connecthaton
|2021 CMS HL7® FHIR® Connectathon Track Readout|
CMS Connectathon CConMan: http://conman.clinfhir.com/connectathon.html?event=cms
Last 3 days at CMS Connectathons. approximately 1200 participants and PDex was well represented.
Monday- have session with CMS, presenting payer to payer exchange. Tuesday- overview of IG and RI and testing. Wednesday- over the payer to payer exchanges. Thursday- deep dive on the RI and testing on suite of PDex test scripts. Focus on CMS mandate for 7/1/21.
Feedback was positive. About 90 participants at this specific track.
Provider directory- had questions from providers, had some via chat and zulip. Lots of interest in the implementation of the provider directory and questions on how locations search works. Discussion from other implementators on how to do it on their end.
Formulary- on education of the IG, had about 83 participants. Several questions came up on formulary and identifiers of plans (which there are no standards from but mostly left to the organization). Concern that this may be difficult to implement. Question on the border of the IG, not including med list. Query to search for drugs that are part of the formulary and not specific to what they are taking. Other means of doing it with EHR by US Core. Number of comments in testing as many were observers (showing RI).
Number of persons wanting to know how to get more involved in the HL7 process.
Benefit of CMS connectathon, that it was able to reach a wider audience.
In terms of testing- let testing on Patient Access API session but had interacting on the the provider directory. Many people were new on how to interact with FHIR server and how to make a query. Last day of testing had more participants and interactions. The member matching query had some pass and some fails.
Many great questions on the zoom chat. May be ideal to get that transcript.
CARIN Alliance panel made an announcement to have a directory, lightweight solution, maintain a list found in Github that anyone can submit to , as a way to start the discovery process. Crowd source endpoints for third party to connect.
Is a survey monkey that pulls it into a file and placed into GitHub.
heres the github: https://github.com/onerecord/carinfhirdirectory
(Note- not endorsing CARIN but provide available options)
Consumer side- a lot of items that can be reused from the Payer to Payer and Patient Access API. How can we reuse the Patient Acess API for the payer to payer. May be great to add for the Sept connecthaton. From payer perspective- you have done the heavy lift of identifying the US Core data and converting it to FHIR. Only certain payers are involved in the payer to payer exchange, not across industry. Best to use the Patient Access API for it than build a whole new system.
Bob- had ONC FAST directory- working on a national directory, looking at Pdex directory.
Bob- biggest issue is related to HIPAA and consent. API -member goes through a portal and gets a token to get the information exchange. Limitations that small number of people have portal accounts.
Have asked CMS questions. Is this more toward an operation issues? Is attesting to new plan to have data moved sufficient for consent?
Use the PDex clinical API from the Patient Access API. Requirement is USCDI not entire Patient Access API.
Because the CMS mandate did not specify using a API but have guidance that API is encouraged. The payers involved in the payer to payer exchange requirement are also required to be compliant with the Patient Access API. CMS points to USCDI and USCore.
Patient Access API is required to incorporate data into the patient profile. If building a FHIR repository and getting FHIR data, and may not need to add it to the infrasctructure.
Take a look at the FAQ here.
If you have received the structure data and need to incorporate into the patient record.
One reason payers are looking for simplified solutions for P2P (ie. S3 bucket/ftp) could be that the patient access api work is based on their well-known existing internal data model. Whereas incorporating new mappings is not light-weight work for some organizations. A step one could be to meet the bare bones of the reg, and adapt that solution later to incoporate the data into the payer's data model, and then it could be exported as part of the existing patient access api solution.
Mapping may be internal and external.
Formulary Ticket updates (If time)
Discussion Update from Formulary Searching challenges: Ingredient vs. Name, Generic vs. Brand, Form included, combination drugs when searching ingredient, Drug Alternatives. Corey is writing language to outline what the standard expects from server vs. app, what is supported, what's the responsibility of Pharma / Regs.
Move to next week. CMS connecthaton has delayed it. Once this is done, it will wrap all the STU1 items and need to review all before bringing it to pharmacy WG. Hold 30 minutes for next meeting. Next step is sending it to FM to approved.
Plan Net tickets
Review FAQ Proposed Responses
Plan Net Feedback- DaVinci Plan Net (Directory) STU Balloting Dashboard - In the coming weeks, we'll begin reviewing open JIRA Trackers that may help implementers.
Adjourned at 10:54pm EST.
|PDex Companion Guides|
|CARIN CPCDS to US Core Mapping|
Latest draft CARIN CPCDS Mapping document: CARIN Mapping to FHIR interim 2020 0818 v2.xlsx
DRAFT - PDEX US Core Mapping from CPCDS source: ResourceMappingUSCoreCPCDS-2020-05-29-v26.xlsx
|PDex - US Core |
Source PowerPoint: PDEXandUSCoreRelationship.pptx
|Da Vinci is seeking answers to open questions and clarifications needed on the implementation and operational needs of the upcoming CMS Patient Directed API Rules.|
Find initial questions and corresponding answers shared from our colleagues at CMS here
Implementers can take advantage of tools: See the Reference links on the Payer Data Exchange (PDex) page to access links for Reference Implementations, sandboxes, test scripts, and more!
ONC FAST National Healthcare Directory (including end points) solution page that includes links to everything (solution doc, Connectathon, HL7 workgroup, etc.): https://oncprojectracking.healthit.gov/wiki/display/TechLabSC/National+Healthcare+Directory
Attendees - 31
Intepro Solutions Rakesh Mathew Daniel Lilavois Patricia R Harbin Shalabh Gautam Kamaraj Kaliaperumal, Carefirst Bhanu Vemuri Narasimha Murthy Accenture Google Cloud Healthcare Maggie Mellon Courtney Bland
Present Name Affiliation CMS BCBST Deepthi Reddy Mettle Solutions Allscripts Eric Sullivan Inovalon MITRE India Duncan Optum Availity Susan Lestina AHA Bob Bowman CAQH Thomas Kessler CMS Patrick Edwards Briana Barnes Scope Info Tech Kishore Metla Mettle Solutions John Donnelly Lorraine Doo CMS Melanie Jones CMS Rim Cothren Yolanda Villanova CMS Manoj Kumar BCBSFL MITRE Srinivas Konchada Centene Corporation Sheryl Turney Anthem Helina Gebremariam Mike Novales BCBSIL Ric Light Humana Ann Gallagher Optum Chris Klesges Mitre Adam Gronsky Health Fidelity CaseNet Anthem CMS eClinicalWorks Healow Interfaceware Mark Rucci Spectramedix Anthem Cindy Monarch BCBSM Michael Kim Jim Catan Accenture BCBSA Jia Chen Robert Dieterle Jeff Eastman Ernestine Cooper Jason Teeple CIGNA Lloyd McKenzie Mary Winter Rachel E. Foerster Tom Grannan Azuba Tony Benson BCBS AL Independence BC Henry Archibong Inovalon HL7 Consultant Abdul Sattar Anirudh Choudhary Todd Biske ESI Darrell Woelk Doug Stoss Rick Lisseveld Aegis LakshminarayananSaravanan Laurie Burckhardt WPS Health Plan Kevin Lynch Inovalon Joseph Minieri MITRE Durwin Day BCBS IL Pamela West Ravi Thakkar Aetna UO Aetna Swati Nanda Aetna CVS Health Cyrus Kevin MITRE Fred Harmon Ready Computing Blue Cross NC Michael Ryan NCQA HealthSparq CVS/Aetna Dorothy Lee NCQA Khoa Nguyen Suma Addagadde BCBSNC Caitlyn Campi FL Blue Diane Bengtson Sean Mahoney MITRE Balaji Richard Lisseveld Shanna Hartman CMS Kevin Day Edifecs Sai Bagewadi Cognizant Kechia Scott Kerri Wing Krithika Kumar Accenture Don Zacharia Evernorth Pamela Maklari Cognizant @David Bradsher BenMedica @DJ Gallagher @Follis @Nidhi @Emily Lozada Bruce Schreiber Ed Hafner WEDI / Change Healthcare Alberto S. Llanes FEHRM Danny Lacovou
Patricia R Harbin
Google Cloud Healthcare
Chris Johnson Independent Health Scott M. Robertson David Clowers Anthony Omosule Accenture
Present Name Affiliation Nancy Spector AMA Bruce Wilkinson BenMedica Avality BCBSAL MCG ONC Surescripts NCPDP Anupam Thakur BCBSFL Jonathan Hutchins BCBST Anthem Sunitha Godavarthi Christopher Gracon Labcorp James Derrickson Intersystems Cognizant Neetha Joseph Cognizant Kaiser Permanente MITRE Rutika Express Scripts Brody Brodock Allscripts Michael Brody CME Online Theressa Baumann BCBS AL Mona Chandrapal eClinicalWorks Optum Aakash Deliwala eClinicalWorks Mayo Epic Shaheer Stanley Nachimson Anthony Smith UNC Health Howard Cohen Minaei Behnaz FDA BCBSA Shilesh Nair gdit NewWave MaxMD BC Idaho Edward Castagna Altarum Andrea Kent CoverMyMeds Carrie Denny Kim Pham Celine Lefebvre AMA Edifecs Josh Lamb UPMC Keya Shah Casenet Gevity MITRE Mrugen Mehta eClinicalWorks Revathi Jayakumuar Supriya Bapi Bhera Matt Dyer Vyne Sree Vijetha Vegi C-HIT BCBSA Rich Bloch Lumedic Cigna Paul Knapp Ron Urwongse CAQH Anand Raghavan HealthLX Ezequiel Morales Cigna Evernorth Frank McKinney Hanna ? Brett Rauschke Carolyn McKinney Clarissa Winchester BCBS AL JC HealthShare Exchange (HSX) River Wong Rob McClure MD Partners Ronald Wampler CVS Health Aetna Derrick Woolridge Beata Ferraiz Ed Donaldson Consultant with Humana Julie Burgoon Mark Neumuth Aetna Raj Sankuratri Aetna Dr. Cheryl D. Lohman Germantown, MD | Family Physician Barbara Valeno Eshaa Dhall eclinicalworks Angie Brandon Bryan Briegal ACP Beatrice Thompson CVS Health Hema Srinivasa Kristin Ashby Aetna Nag Sanivarapu Abhishek Pandey Shailesh Prabhu Travis Hendrix Dr. First Zakir Guler Jason VanderJagt edifecs Erika Wagner Shamil Nizamov Michael Robinson Christopher Marchand Chris Busch Nathaniel Hosenpud Christopher Roedocker SKYGEN Jeff Brown MITRE Sid Nehal Amin Amit Cudykier C45214 Noah Lincoff Yukta Bellani Evernorth/Cigna Brian Schoonover Optum Tone Southerland OneRecord @Ram Optum @Callie Phillips Kat Sobel NCQA Phung Matthews Benji Graham Daniel Venton @Grace Stambaugh Donnielle Williams Rob Brull Eric Liu, PharmD, MBA
Scott M. Robertson