September 10, 2013 CBCC Conference Call

Community-Based Collaborative Care Working Group Meeting

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Attendees

• Bill Braithwaite, MD
• Daniel Crough
• Yes -Brian Handspicker
• Yes -Suzanne Gonzales-Webb CBCC Co-chair
• Yes -MaryAnn Juurlink
• Yes -Steve Eichner
• Yes -Adrianne James
• Yes -[1]
• Jim Kretz
• Tracy Leeper
• Yes-Mike Lardiere

• Richard Thoreson CBCC Co-chair
• Ken Salyards
• Yes -Ioana Singureanu
• Serafina Versaggi
• Kate Wetherby
• Tony Weida

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Agenda

1. (05 min) Roll Call, Approve Minutes & Accept Agenda
2. (15 min) Working Group Agenda - review
3. (15 min) Presentation - follow up/response to last week's presentation - Ioana

1. (5 min) Other Business

Meeting Minutes

Review of September 2013 WGM Agenda

• Request for attendees to review offline, only two attendees on call will be in attendance

Presentation - Ioana

• <add link>
• currently looking at state level and local
• we are currently looking at 'one state,' not my working in one state and patient lives in another state (i.e. in telemedicine) who's privacy policy do we follow? the patient's? the providers...? [
  • are we looking at where the patient's information is stored
  • we will need to make some assumptions that make sense
  • we will make assumptions for now
• several providers in the same sate
• we wills top our analysis at providers from a single state and look at federal rules in a different conversation
• should we focus on the providers disclosing the data?
  • if we focus on those providers, the HIE's are now services for the providers
    • in reality these services can be used by anyone - we can look at this further
  • discloser of protected inforamtion; we don't wwant to preclude tese values in cross-board/cross-state treaments
  • when these vavlue sets are avaialbe, we hope that there are implementers that (29:33)

• mapping to ICD, CPT (or others) would be a useful excercise in any case
• publishing - are there any resouces at the state level that are used for used for interoperability of HIE's or are they each doing their own thing (within state). Is there a master plan within the state? (there is not from state to state).
  • In TX there is a central authority that is issuing those state standards
  • in those states where there is that situation (state-wide), then that informatin should be incorporated. i.e. Single-state wide decision/authority/coordination or central repository of data standards/coordination facility

Value Set analysis Tooling links provided for SNOMED-CT, LOINC and RxNorm Review of SNOMED-CD, LOINC and RxNorms screens and tools

Closing: Review and Engagement Process to create the value set design (walkthroug, work sessions, walkthrough (review changes, revise) --> the objective being to map the value sets that target specific types of information.

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