View source for January 31st, 2012 CBCC Conference Call

=Community-Based Collaborative Care Working Group Meeting=

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==[[Community-Based_Collaborative_Care| Meeting Information]]==

==Attendees==

* [mailto:Jim.Kretz@samhsa.hhs.gov Jim Kretz]
* [mailto:richard.thoreson@samhsa.hhs.gov Richard Thoreson] CBCC Co-chair
* [mailto:ioana@eversolve.com Ioana Singureanu]
* [mailto:serafina@eversolve.com Serafina Versaggi]
* [mailto:Daniel.Crough@azdhs.gov Daniel Crough]
* [mailto:Madan.Gopal@azdhs.gov Madan Gopal]
* [mailto:kathleen_connor@comcast.net Kathleen  Connor]

'''[[Community-Based_Collaborative_Care|Back to CBCC Main Page]]'''

Serafina Versaggi described the approach used to specify standard-based value sets for coded attributes included in the BH Domain Analysis Model (subject of the May 2012 draft-for-comment ballot).  

*Clinical documentation in the electronic record is the primary source for codes used in billing.  Since billing relies on ICD codes, if electronic record systems capture clinical data using SNOMED-CT natively, a transformation from SNOMED-CT to ICD must be performed. (ICD-9-CM until Oct. 2013 when ICD-10 will be the standard)
**Cross walks between SNOMED-CT and ICD (9 & 10) already exist, as do cross walks between DSM-IV TR and ICD-9-CM, ICD-10
* For some attributes (e.g., problems) our team has not constrained the coding system(s) to the suggested value set (e.g. DSM-IV, SNOMED-CT, etc) but instead simply recommends a valid coding system, or a node in the SNOMED-CT concept hierarchy (sub-hierarchy).
*Problems/diagnoses and procedures with be the subject of revisions of the DAM for the May 2012 ballot (future work)
* We will describe the analysis and mapping at a higher level by adding a slide after slide #3 (Terminology mapping overview)
* It was pointed out that seriously mentally ill patients – acute care and BH care patients - are treated by the same source through two channels. These are currently merged resulting in an increased need for interoperability between specialty and primary care.

====Issue #1: We need access to UB-04 code sets to determine whether there are appropriate values that can be used in various BH value sets, e.g., “referral codes”.====
====Issue #1: Gender identity is politically sensitive and we need more input from other stakeholders.====
====Issue #3: Sexual orientation is politically sensitive and we need more input from other stakeholders.====

==Action Items==
* We need to summarize the vocabulary mapping and any outstanding gaps (SV)
* We need to revise the balloting road map for the work group 

Meeting Adjourned at 1517 EDT



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