February 18, 2013 CBCC Conference Call

Community-Based Collaborative Care Working Group Meeting

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Attendees

• Bill Braithwaite, MD
• Daniel Crough

• Suzanne Gonzales-Webb CBCC Co-chair

• Adrianne James
• Jim Kretz
• [mailto: Harry Rhodes]
• Richard Thoreson CBCC Co-chair
• Ken Salyards
• Serafina Versaggi
• Kate Wetherby

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Agenda

1. (05 min) Roll Call, Approve Minutes & Accept Agenda
2. (15 min) Behavioral Health Elements - Report out on Session #1, #2
3. (15 min) Security and Privacy DAM Updates
4. (15 min) Item3
5. (5 min) Other Business

MINUTES

Behavioral Health Elements - Report out on Session #1, #2

There is concern on the acceptance of DSM-5

• What do we do from DSM4 to DSM5; relaying 'This is how we are pointing toward/leaning toward DSM-5'
• No one has changed their requirements to accept DSM-5 diagnostics codes for therapy/psychiatric care; this could take a year or more
• Always need to know the timeframe for the codes—codes are not deleted, an ICD code was relevant during 1992-1998, etc.
  • when something for billing code purposes, CPT codes are used (they are the same number as DSM
  • For our IM, how do we want to represent these value sets?
  • maybe would come up with some codes that are relevant for principal diagnosis

Everyone take a look at the ballot and take a look at DSM4 and how we have handled this before. It there is something relevant in DSM5 let us know so that we’re aware of it.

Serafina needs assisstance with direction on current work

• Serafina will contact Steve Davis about item #4 from Mike Dennis.
• Send an email and copy everyone asking for guidance on his comments as soon as possible.
  • Note: Mike Dennis is on vacation will return next week.

Housing Standards

• Richard would like to rely on the HIMSS standard as this is workable for us since it is real time information on where a person is living.
• (who?) Should put together an IM by getting one or two experts and have them comment on it.
  • confirming that we have the correct stages of homelessness etc.

Behavioral Health Domain Analysis Model Ballot Comments At this point all they have are comments from the various meetings including items from past discussions.

• What do we need to include for the domain analysis model? For example Sexual Orientation.
• We have AdministrativeGender, but we do not have sexual attraction and secual activity (NOTED GAP).
  • It would be a good idea to have a meeting to discuss these things with Mike Dennis when he returns from vacation.

Kate has information directly from LBGT community (LBGT coalition for HL7, 140+ groups working with/on LBGT issues ) can be used to clear up the sexual orientation questions

• LBGT is not looking for sexual attraction or sexual activity to be added at this time
• Serafina requesting definition for sexual activity-specifically element definition and the value set
• Recommendation: Stop working on sexual orientation for now, review information that Kate is sending to Serafina

All work discussed will be forwarded out to Serafina before the end of the week

ACTION ITEMS:

1. Richard owes to Serafina: HMIS documentation definitions, paragraphs (idea to expand use cases include exchange w/external agencies, criminal justice, homelessness) to assist Serafina to set the tone of the front matter, add dates from feedback of sessions
2. Richard: on point to contact people at SAMSHA involved and try to get them to join the upcoming webinars.
3. Kate owes Serafina: LBGT information items
4. Serafina/Richard will organize a meeting to go through the list of comments. Need comments and clarification on things like the value set definitions etc. Also need clarification on comments from Mike Dennis

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