November 20, 2012 CBCC Conference Call

Attendees

• Daniel Crough
• Suzanne Gonzales-Webb CBCC Co-chair
• Adriane James
• Jim Kretz
• John Moehrke Security Co-chair
• Richard Thoreson CBCC Co-chair
• Ken Salyards
• Serafina Versaggi

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Agenda

1. (05 min) Roll Call, Approve November 13 Minutes and Accept Agenda
2. (20 min) Security projects - CBCC Collaboration - Healthcare Classification Scheme
3. (30 min) Next steps - Behavioral Health Summary - Safety Net

Meeting Minutes

Security projects - CBCC Collaboration - Healthcare Classification Scheme

The group is trying to decide what role it will play in the developing the Healthcare Classification Scheme. Kathleen Connor is working on this and hopefully we can make it work within the two groups. Kathleen has a long history with this work group and hopefully we can work through the information modeling that our group is doing in order to help Mike develop this HCS model. There is a structuring that shows where to put the codes in order to manage the data. Serafina presented the 4 page document that Kathleen and Mike worked on for the HCS ballot content.

Some members of the CBCC group will be joining the weekly Security Workgroup call to help with the HCS ballot. This is an informative ballot. We’re not the prime movers on this topic before the meeting in January. We’re just trying to talk to Kathleen and try to understand. The security observation template is being worked on by Kathleen. The next time cycle will be something that we put together and there will be participation from Kathleen. This group is in monitoring mode through January. Our work will go into a May ballot. This is meant to be a CDA implementation guide. This is where our work with go. Hopefully, we can keep this work moving.

Next steps - Behavioral Health Summary - Safety Net

SAMHSA is trying to figure out where to go from here in this area. What happens when things start being paid for by Medicaid etc. Everything is up for grabs, so the department will have to consider what to do when people are let out of facilities. We’re trying to find out how much interest there will be in sharing data elements across the systems (not just healthcare). Who would be interested in this? Daniel thinks that the health IT folks would be interested. The problem in behavioral health is that since people get help across many different systems, we don’t know how to share the data. We’re looking for information that is used for coordinating care and not have to collect the same information twice. This is where the payoff will be in regards to getting by with fewer resources.

For the May Ballot – trying to go normative with our privacy consent CDA and trying to on the other CDA in terms of summary record community based client centric information exchange. The Behavioral Health CDA as a DSTU. People are asking for it now, so that is good. That is what we want to happen. We will take lessons learned and try to go normative ballot. Make the link between HL7 and be able to link up the name. The DAM will have to be referenced by the implementation guide and will have to be updated. We’re hoping to have enough information by May and if we have to we’ll put it out for ballot again. These are all iterative and are works in progress. Pam Hyde is trying to get prevention into the HIT mix. For example, before going to marijuana to heroin. Early intervention/preventing serious problems. All of SAMHSA data at this time is non-standard, so hopefully this will help to standardize some of the data.

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