Chair: Mark Scrimshire
Scribe: Crystal Kallem
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)|
Review ANSI Anti-Trust Policy
Single meeting on Fridays from 1:00-2:00 PM ET (reduced to 1 hour)
Upcoming Conference Call Adjustments
NEW! PDex Directory/Plan Net discussions will occur during the 2nd meeting of each month (last half of this call). Upcoming discussions:
Please make note of changes to the meeting schedule in the upcoming weeks. These updates will be reflected in the HL7 Conference Center. Be sure to update your local calendars!
Crystal to see if we can shift this call to occur from 1:30 - 2:30 pm ET on a regular basis after the May WGM.
Planning Da Vinci IG Implementation Testing?
Learn More here: Open Testing Tools - Build and Validate with Touchstone
CMS Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule (CMS-0057-P)
Administrative Simplification: Adoption of Standards for Health Care Attachments Transactions and Electronic Signatures, and Modification to Referral Certification and Authorization Transaction Standard Proposed Rule (CMS-0053-P)
May Ballot Cycle
Need help navigating? Review the HL7 Balloting Resources for Da Vinci Newcomers
Upcoming HL7 Meetings, New Orleans, Louisiana
HL7 FHIR Connectathon, May 6-7, 2023
HL7 Working Group Meeting, May 8-12, 2023
New WGM+: These sessions at the May Working Group Meeting will help augment the typical standards development work happening in HL7's Working Groups and broaden the audience of those who wish to participate. Our theme for the meeting is policy as a driver of interoperability. WGM+ Agenda now available!
Register here before Friday, April 7th to take advantage of the early bird rate.
|Non-Financial Claims & Encounters Requirement|
A Discussion took place on Thursday March 16th at the CARIN Alliance meeting around an approach to present the required non-financial views of Claims and Encounters.
Next meeting on March 30th at 2 pm ET. Dial in: https://leavittpartners.zoom.us/j/99147637652?pwd=RHlIa2p2dVc1MjhER2F5TldsTGo2dz09
Check out the discussion on Zulip. Zulip Channel: https://chat.fhir.org/#narrow/stream/204607-CARIN-Blue.20Button.20IG
CARIN has done good work building out profiles to support claims data. PDex deals with mechanism for payers to access the data. Trying to find a path for payers that avoids extra work (e.g., creating new profiles and doubling data that needs to be published). Would like to avoid a complex processing component. Worth paying attention to this discussion.
Lloyd offered a couple options. Follow up discussion will occur on March 30th to discuss these options.
|PDex IG Tickets|
|Implementer Support||Implementation Questions|
Adjourned at 1:17 pm ET
|PDex Companion Guides|
|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
For questions, reach out to us on Zulip:
|Formulary STU 1.1.0 Overview|
Karen Barbeau David Hill (Dave) Diederik Muylwyk IQVIA Damian Smith Tulsi Shanna Hartman
Present Name Affiliation Present Name Affiliation Onyx Jarrett Cox Yukta Bellani Evernorth/Cigna Kanchan Kavimandan Lantana HealthLX Kelli Fordahl Evernorth MITRE Margaret Coutts Evernorth Gevity Traci O'Brien EnableCare Spenser Utley Epic Rachel E. Foerster RFA Ltd Susan Cromwell IBM Stanley Nachimson Nachimson Advisors Barbara Doyle BCBST Andra Preisler AHA Vanessa Candelora POCP, Da Vinci PMO Ben McMeen Evernorth United James Derrickson Intersystems SmileCDR Divya Pahilwani @Joe Quinn SmileCDR Damian Smith Evernorth Lantana, FM Co-Chair Brandon Raab Ron Wampler CVS/Aetna Stephan Roorda IBM IBM Dana Marcelonis POCP Jamie Smith, PhD Sonja Ziegler Optum Sue Cromwell IBM Sean Mahoney MITRE ONC Neha Bryan Briegel IBM Watson Health Balaji Narayanan Onyx BCBSAL Kate Dech Evernorth/Cigna Joel Hanson CVS/Aetna Nehal Amin CVS Health Priyanka Aetna Sean Mahoney Brett Atwood Prabal Basu Evernorth Courtney Bland Michelle Benz Vijay CVS Health Teresa Younkin POCP Artem Sopin Edifecs Tom Loomis Evernorth Doug Williams Serafina Versaggi Karen Landin Amol Vyas Cambia Health Jim Iverson Andrea Priesler AHA Spencer Utley Epic Caleb Suggs UPMC Anthony Omosule Casey Trauer Smile CDR Court Collins Christol Green Janice Hsieh Aetna Dan Cinnamon Erin Huston Courtney Bland CVS/Aetna Kyle Brew Malcolm McRoberts Mike C Onyx Naveen Mani Anthem Michael Cox Onyx Crystal Kallem POCP, Da Vinci PMO Kassie Mintesnot Lantana Bruce Wilkinson Benmedica Peter Gunter VA Muhammad Muddassar Ali Jacki Hemenway UPMC Lakshmi Aetna Mike Evans Sheljina Ibrahim Elevance Health Shamil Nizamov SmileCDR Clarissa Winchester BCBSAL Manish Agarwal Mudasir Rick Geimer Lantana Carie Hammond Aegis Michelle Barry Availity Mike Cabral Peraton Rosaline Shaw Elevance Health Aetna Michael Gould ZeOmega Victor Michele CareEvolution Vency Menezes CNSI Jaspreet Kaur Donna Haid Daniel Lilavois Aetna/CVS Health CMS Shital Patil Miriam Joanna Chan Lantana Parth Gabhawala Aetna/CVS Health Nick Radov UnitedHealthcare Farheen Khalil Kevin Prince BCBS SC Sanket Raval Aetna/CVS Brandon Stewart Lantana Jeff Helman AEGIS Gregg Johnson BCBS SC Mark Roberts Leavitt Partners/ CARIN Alliance Scott Robertson Kaiser Permanente Ryan Howells Leavitt Partners/ CARIN Alliance Matthew Mosier Onyx Wendy Gereke AEGIS Nathaniel Hosenpud Ryan Moehrke AEGIS Tanner Fuchs CAHQ CORE Raj Sankuratri Aetna Rick Lisseveld AEGIS Ming Dunajick Lantana Igor Sirkovich Nitin Sahasrabudhe CVS/Aetna Linda
David Hill (Dave)