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This page is where all Gravity Project materials will be posted.  Project documentation, such as the Glossary and Relevant Work are updated on a regular, ongoing basis.  Project deliverables, such as the Project Charter, Use Cases or other deliverables, will be posted as the most recent version (previous versions will be archived).  Both are included in the Project Documentation and Deliverables section below.

Please note:  Meeting materials and recordings are typically posted within 2 business days following the meeting.

Past Meeting Materials


DateMeeting NameSummary AgendaMeeting Materials
21NOV19Gravity Project Public Community Meeting

Food Insecurity Data Set Identification

  • Overview of Consensus Voting Process
    • Upcoming Schedule and Next Steps

Gravity Project Community Meeting 20191121.pdf


20191121 Meeting Recording

14NOV19Gravity Project Public Community Meeting

Food Insecurity Data Set Identification

  • CPT and HCPCs
  • Diagnosis Modifiers
  • Food Insecurity Working Definition
  • Latest End-to-End Review Feedback
  • Upcoming Schedule and Next Steps

Gravity Project Community Meeting 20191114.pdf


20191114 Meeting Recording

07NOV19Gravity Project Public Community Meeting

Food Insecurity Data Set Identification

  • CPT Final Feedback
  • Diagnosis Updates
  • Food Insecurity Working Definition
  • Latest End-to-End Review Feedback
  • Upcoming Schedule and Next Steps

Gravity Project Community Meeting 20191107.pdf


20191107 Meeting Recording

31OCT19Gravity Project Public Community Meeting

Food Insecurity Data Set Identification

  • CPT Update
  • End-to-End Comment Review and Recap of Food Insecurity Choice Points
  • Upcoming Schedule and Next Steps

Gravity Project Community Meeting 20191031.pdf


20191031 Meeting Recording

24OCT19Gravity Project Public Community Meeting

Food Insecurity Data Set Identification

  • Data Element Submission Status
  • End-to-End Review:  Interventions
  • FHIR Implementation Guide Development Process Part III
  • Upcoming Schedule and Next Steps

Gravity Project Community Meeting 20191024.pdf


20191024 Meeting Recording

17OCT19Gravity Project Public Community Meeting

Food Insecurity Data Set Identification

  • Data Element Submission Status
  • End-to-End Review:  Diagnosis and Goal Submissions
  • Global Definitions Update
  • Case Management CPT(r)
  • FHIR Implementation Guide Development Process Part II
  • Upcoming Schedule and Next Steps

Gravity Project Community Meeting 20191017.pdf


20191017 Meeting Recording

10OCT19Gravity Project Public Community Meeting

Food Insecurity Data Sets

  • Data Element Submission Status
  • End-to-End Review: Screening Submissions
  • Introduction to FHIR Implementation Guide Development Process
12SEPT19Gravity Project Public Community Meeting

Food Insecurity Data Sets

  • Review To-Date Submissions
  • Discussion:  Interventions Update
  • Discussion:  Secondary Diagnoses
  • Upcoming Schedule and Next Steps

Gravity Project Community Meeting 20190912.pdf


20190912 Meeting Recording

29AUG19Gravity Project Public Community Meeting

Food Insecurity Data Sets

  • Review To-Date Submissions
  • Discussion:  Roles
  • Discussion:  Interventions
  • Discussion:  Straw Poll Results
  • Upcoming Schedule and Next Steps

Gravity Project Workgroup Meeting 20190829.pdf


20190829 Meeting Recording

15AUG19Gravity Project Public Community Meeting

Food Insecurity Data Sets

  • Review To-Date Submissions
  • Discussion:  Roles
  • Discussion:  Interventions
  • Upcoming Schedule and Next Steps

Gravity Project Workgroup Meeting 20190815.pdf


20190815 Meeting Recording

01AUG19Gravity Project Public Community Meeting

Food Insecurity Data Sets

  • Use Case End-to-End Comment Review and Consensus Voting
  • To Date Data Element Submissions
  • Additional Data Elements
  • Adjudication Process for Submissions
  • Next Steps

Gravity Project Workgroup Meeting 08012019 FINAL.pdf


20190801 Meeting Recording

18JULY19Gravity Project Public Community Meeting

Food Insecurity Domain Kick-off

  • Introductions for Domain Leads
  • Background on Food Insecurity
  • Approach and Data Element Master List Review
  • Upcoming Schedule

Gravity Project Workgroup Meeting 20190717.pdf


20160718 Meeting Recording

11JULY19Gravity Project Public Community Meeting

Reorientation and Data Element Submission Web Tool

  • Schedule Review, End-to-End Comment, and Consensus Voting Process
  • Reorientation to Gravity Project Goals
  • SDoH Data Element Submission Tool
  • End-to-End Use Case Comment Dispositions To-Date

Gravity Project Workgroup Meeting 20190711 FINAL.pdf


20190711 Meeting Recording

27JUNE19Gravity Project Public Community Meeting

Message Content

  • Review updated schedule
  • Recap Use Cases, Use Case Elements, and Actor-Transaction Diagram
  • Working Session: Zoom In on Message Content
  • Next Steps

Gravity Project Workgroup Meeting 20190627 FINAL.pdf


20190627 Meeting Recording

20JUNE19Gravity Project Public Community Meeting

Use Case Elements and Actor-Transaction Diagrams

  • Review updated schedule
  • Recap Use Cases, Use Case Elements, and Actor-Transaction Diagram
  • Working Session:  Use Cases 1, 2, 3
  • Next Steps

Gravity Project Workgroup Meeting 20190620 FINAL.pdf


20190620 Meeting Recording

06JUNE19Gravity Project Public Community Meeting

Actors, Assumptions, Pre/Post Conditions

  • Review Patient Story 1 and Use Case edits
  • Introduce new Personas and Patient Story submissions
  • Review draft Actors, Use Case 1 Actor-Transaction Diagram, and Assumptions
  • Q&A
  • Next Steps

Gravity Project Workgroup Meeting 20190606 FINAL.pdf

20190606 Meeting Recording

30MAY19Gravity Project Public Community Meeting

Patient Story 1 and Use Cases

  • Deep Dive Patient Story 1
  • Deep Dive Use Case Narratives
  • Confluence Walk Through
  • Q&A
  • Next Steps

20190530 Meeting Recording

23MAY19Gravity Project Public Community Meeting

Use Case Kick-Off & Use Case Process Overview

  • Use Case Overview
  • Gravity Use Case Development Approach
  • Gravity Use Case Components:  Personas, Patient Story, and Use Cases
  • Q&A
  • Next Steps

20190523 Meeting Recording

16MAY19Gravity Project Public Community Meeting

Introduction to Data Elements

  • Data Element Content (the WHAT and WHY)
  • Data Element Submission Template (the HOW)
  • Q&A
  • Next Steps 

Gravity Project Workgroup Meeting 20190516 FINAL.pdf

20190516 Meeting Recording

09MAY19Gravity Project Public Community Meeting

Introduction to Concepts and Coding Systems

  • The Coding Problem (the WHY)
  • The Coding Solution (the WHAT)
  • Q&A
  • Next Steps 

Gravity Project Workgroup Meeting 050919 FINAL.pdf

20190509 Meeting Recording

02MAY19Gravity Project Kickoff Meeting
  • Introductions
  • Project Background (the WHY)
  • Project Scope (the WHAT)
  • Project Approach (the HOW)
  • Q&A
  • Next Steps

Project Documentation and Deliverables


Document NameDescriptionDocument Date / Document Version
Use Case Package

The Gravity Project use cases focus on three priority social domains, food security, housing stability and quality, and transportation access, captured across three core health care activities:

  • Screening: This refers to activities where SDH data from individual patients are initially captured, whether through a self-administered, provider-administered, or health plan-administered questionnaire. These activities may also be repeated at certain intervals to monitor changes in social risks.
  • Assessment/Diagnosis: These include activities where providers (clinical and community-based) and health plans analyze the data obtained through screening to determine a patient’s social risks and needs.
  • Treatment/Interventions: These refer to actions undertaken by providers (clinical and community-based) and health plans to help address identified social needs. These include referrals, case management, care planning, counseling and education, and provision of services and orders.
30SEPT19 / v1.2
Personas

Personas are detailed descriptions of individuals (the "who") that will supplement the Use Case Package being developed as part of this project.  The Personas will be relevant to three social determinants of health domains: food insecurity, housing instability and quality, and transportation access. All other domains are out of scope for Phase 1 of this project.

23MAY19 / v1
Patient StoriesPatient Stories describe how Personas engage with a service, technology, or setting over a period of time to accomplish a specific goal. These will supplement the Use Case Package being developed as part of this project.  The Patient Stories will be relevant to three social determinants of health domains: food insecurity, housing instability and quality, and transportation access. All other domains are out of scope for Phase 1 of this project.30MAY19 / v1
Use CasesThe Use Cases describe the interactions between personas (users) and systems (technical solutions).  The Use Cases will be relevant to three social determinants of health domains: food insecurity, housing instability and quality, and transportation access. All other domains are out of scope for Phase 1 of this project.23MAY19 / v1

Data Element Submission Template

This is a data element submission template in spreadsheet format used to gather and review social risk concepts relevant to three determinants of health domains: food insecurity, housing instability and quality, and transportation access.

16MAY19 / v1

Gravity Project Charter

The Project Charter describes the purpose, scope, and timeline of the Gravity Project, It includes details regarding challenges and risks, governance, and the glide path to interoperability.14MAY19 / v1.5

Gravity Project Glossary

This glossary includes terms and acronyms that are used in relation to health care information technology and data standards.

02MAY19 / ongoing updates

Work Relevant to Social Determinants of Health

This page highlights related SDH projects and initiatives that inform the work of the Gravity Project.  Types of related projects include publications, organizations, standards, standards based initiatives, collaboratives, guides, state based initiatives, screening tools and indicators, and related policies.

02MAY19 / ongoing updates


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