December 7, 2010 CBCC Conference Call

Community-Based Collaborative Care Working Group Meeting

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Attendees

• Mike Davis Security Co-chair
• Jon Farmer
• Suzanne Gonzales-Webb CBCC Co-chair
• Michelle Johnston
• Mary Ann Juurlink
• Jim Kretz
• Rob McClure
• John Moehrke Security Co-chair
• Milan Petkovic
• Diana Proud-Madruga
• Pat Pyette
• Richard Thoreson CBCC Co-chair
• Ioana Singureanu
• Serafina Versaggi
• Tony Weida
• Craig Winter

Agenda

1. (05 min) Roll call, approve minutes November 30th, call for additional agenda items & accept agenda
2. (55 min) Report out
   • CBCC WG Input for Policy Advisory Committee - forwarded to HL7 HQ for submission by December 10th deadline
   • CDA R2 Implementation Guide for Consent Directives - submit to TSC for DSTU publication
   • SHIPPS Project Status
     • December 9th Structure Documents Work Group Meeting - Collaboration Opportunity
       • SDWG will present a new eMeasures PSS. There may be an opportunity to collaborate with SDWG & the National Quality Forum (NQF) on this project in conjunction with SHIPPS
       • Richard will present the SHIPPS PSS to the SDWG to see if they are interested in participating and to see how the eMeasures and SHIPPS project relate to each other
       • Call Information:
         • Structured Documents Work Group
         • Thursday, December 9, 2010 10 AM Eastern
         • Phone Number: 770-657-9270 begin_of_the_skype_highlighting              770-657-9270      end_of_the_skype_highlighting; Passcode: 310940
         • https://iatric.webex.com/iatric/j.php?S=350919562
     • Project Insight - milestones added to project plan

Minutes

1. Action Items

Action item: Milestones laid out in Project Insight (Mary Ann)

Action item: Email regarding new HIT Policy Quality Measures workgroup to be sent to list (Serafina)

Action item: Review Mike’s mapping specifically the DAM attributes that relate to privacy (Pat)

Action item: Provide link to standards document as sample for privacy analysis (Suzanne)

ONC Policy Committee Response

• Ioana created a response for Karen Van Hentenryck regarding the HL7 confidentiality code set. This was posted on GForge CBCC as well notification sent to appropriate lists for comments. Comments were received and the response updated with an official CBCC copy sent to Karen on Monday 06, 2010. The CBCC response is to become part of the submission to the ONC Policy Advisory Committee.

• Question regarding Canadian implementation of the ‘Data Consent Version 1.0’ was posted by Mary Ann on the Infoway Standards Collaborative Privacy and Security Forum. Pat provided a link to the DSQ pilot implementation in Quebec which has implemented a combination of Data Consent V1.0 and custom messages. Consent Directives Management System Quebec approach October 2008 [ http://forums.infoway-inforoute.ca/webx?293@@.eefb19c] Basically;
  • The genesis of consent directives stem from the original work with the pharmacy CeRx standard
  • Implementation of consent is rudimentary e.g. mostly has to do with confidentiality, which is not a complete solution for consent within the Canadian jurisdictions
  • Consent process in Quebec – I want to restrict access
  • The pharmacy CeRx solution does not meet jurisdictional consent requirements fully.

CDA R2 Implementation Update for Consent Directives

Last week’s discussion has an Action item for security – having to do with leading work on the confidentialitybyaccessKind value set. This was dropped by the end of last week’s meeting as it was decided to provide guidance with respect to the confidentiality code set in the implementation guides.

A comment was made that there is a dislike for the value set as it is inconsistent e.g. seems to be 2 different value sets crunched together. Tackled before but gave up on it.

SHIPPS Project

eMeasures to be presented at the Structured Documents meeting December 09, 2010. This is being co-sponsored by Structured Documents, NQF and Clinical Decision Support. As well on the agenda the SHIPPS Scope Statement, which will be presented by Richard. This is an opportunity to see the relationship between the 2 projects, eMeasures and SHIPPS. Seemingly the SHIPPS project is the Foundation for a meaningful implementation of eMeasures.

• All projects will have to segment records, e.g. there is a lot of reason to segment records (privacy, enabling security, quality reporting) in order to automate the ability to perform reporting from EHR data.
• The purpose of the upcoming meeting is to understand the potential for collaboration with the Structure Document folks and to see if they are interested to sign on as an interested party or a co-sponsor for the SHIPPS project.
• 2 Specifications based on document architecture both DSTU
  • HTFM eMeasures - encoding measures (pending changes to be made to the RIM)
  • QRDF – reporting quality (currently only patient centric reporting capacity vs population centric)
• SHIPPS will be taking eMeasures further than current DSTU

Action item: Scope statement for eMeasures Serafina to track it down Action item: Project Insight: milestones laid out in Project Insight in order to demonstrate the approach we are taking with analyzing the current behavioral health quality measures from HEDIS and NQF initially.

• Emaill regarding new HIT Policy Quality Measures workgroup that has been formed looking for input for quality measures for stage 1 and 2 meaningful use by 23rd Sept. Measure concept list we can track for our analysis and perhaps provide input as well. Serafina to send out link to list.