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January 31st, 2012 CBCC Conference Call

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Community-Based Collaborative Care Working Group Meeting

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Meeting Information


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Agenda and Minutes

  1. (05 min) Roll Call, Accept Agenda (WGM Meeting Minutes approval deferred.
  2. (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. Problems,diagnosis, and procedures with be the subject of revisions of the DAM for the May 2012 ballot:

    • SNOMED-CT crosswalk to ICD-10 exists and should be reused.
    • DSM-IV-TR also has a ICD-9-CM cross-walk
  • In some cases (e.g. problems/diagnoses) our team has not constrained the coding system(s) to a suggested value set (e.g. DSM-IV, SNOMED-CT, etc) but instead simply recommends a valid coding system.
  • We will add a slide after slide #3 to describe the analysis and mapping at a higher level
  • 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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