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Difference between revisions of "January 31st, 2012 CBCC Conference Call"

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* [mailto:ioana@eversolve.com Ioana Singureanu]
 
* [mailto:ioana@eversolve.com Ioana Singureanu]
 
* [mailto:serafina@eversolve.com Serafina Versaggi]
 
* [mailto:serafina@eversolve.com Serafina Versaggi]
* [mailto: Daniel.Crough@azdhs.govDaniel Crough]
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* [mailto:Daniel.Crough@azdhs.gov Daniel Crough]
 
* [mailto:Madan.Gopal@azdhs.gov Madan Gopal]
 
* [mailto:Madan.Gopal@azdhs.gov Madan Gopal]
 
* [mailto:kathleen_connor@comcast.net Kathleen  Connor]
 
* [mailto:kathleen_connor@comcast.net Kathleen  Connor]
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'''[[Community-Based_Collaborative_Care|Back to CBCC Main Page]]'''
 
'''[[Community-Based_Collaborative_Care|Back to CBCC Main Page]]'''
  
==Agenda and Minutes==
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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).   
#''(05 min)'' Roll Call, Accept Agenda (WGM Meeting Minutes approval deferred.
 
#''(45 min)'' '''Behavioral Health CCD''' Discussion - ADD link to presentation
 
  
Serafina Versaggi described the approach used to specify standard-based value set for coded attribute The primary source of billing codes is the clinical data.
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*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)
Problems,diagnosis, and procedures with be the subject of revisions of the DAM for the May 2012 ballot:
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**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
** SNOMED-CT crosswalk to ICD-10 exists and should be reused.
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* 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).
** DSM-IV is already cross-mapped to ICD-9
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*Problems/diagnoses and procedures with be the subject of revisions of the DAM for the May 2012 ballot (future work)
* In some cases (e.g. problems) our team has not constrained by the coding system (e.g. DSM-IV, SNOMED-CT, etc) but simply recommended a valid coding system.
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* We will describe the analysis and mapping at a higher level by adding a slide after slide #3 (Terminology mapping overview)
* We will a slide after slide #3 to describe the analysis and mapping at a higher level  
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* 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.
* Seriously mental patient – acute care and BH care are covered by the same source through two channels. These are currently merged resulting in an increased need for interoperability between specialty and primary care.
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====Issue #1: We need access to UB-04 code sets for “referral codes”.====
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====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 #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.====
 
====Issue #3: Sexual orientation is politically sensitive and we need more input from other stakeholders.====
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==Action Items==
 
==Action Items==
 
* We need to summarize the vocabulary mapping and any outstanding gaps (SV)
 
* We need to summarize the vocabulary mapping and any outstanding gaps (SV)
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[[Community-Based_Collaborative_Care|Back to CBCC Main Page]]
 
[[Community-Based_Collaborative_Care|Back to CBCC Main Page]]
  
[[Category:Work_Group]]
 
[[Category:Domain_Experts_Steering_Division]]
 
 
[[Category:CBCC]]
 
[[Category:CBCC]]

Latest revision as of 06:20, 26 September 2013

Community-Based Collaborative Care Working Group Meeting

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Meeting Information

Attendees

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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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