November 22, 2011 CBCC Conference Call

Community-Based Collaborative Care Working Group Meeting

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Attendees

• Kathleen Connor Financial Management Co-chair
• Suzanne Gonzales-Webb CBCC Co-chair
• Jim Kretz
• John Moehrke Security Co-chair
• Ioana Singureanu
• Richard Thoreson CBCC Co-chair
• Serafina Versaggi

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Agenda

1. (05 min) Roll Call, Approve Minutes & Accept Agenda
2. (50 min) Behavior Health CCD Project - Joint with Financial Management (FM)

Minutes

Back to CBCC Main Page Today's discussion focused on the purpose and content of the Informative ballot related to the Behavioral Health "CCD"

• Ballot will be comprised of the requirements analysis for recommended content for a Behavioral Health CCD (BH CCD)
  • The analysis will define the scope (in scope/out of scope) and requirements describing the minimum or core data to be exchange between Behavioral Health providers and Behavioral Health and primary and specialty care providers
• We are following the same process used to develop the DSTU Composite Security and Privacy Domain Analysis Model (DAM) and CDA R2 for Consent Directives

1. Perform requirements analysis to draft a domain analysis model - referring to State of Arizona Department of Health Services Demographic and Outcome Data Set User Guide (DUG), Federal Health Information Model (FHIM) Behavioral Health domain, SAMHSA Treatment Episode Data Set (TEDS) and SAMHSA National Outcome Measures (NOMs)
2. Review/refine DAM
3. Map DAM content to the structure of a CDA/CCD document

• Because we will look at the upcoming publication Implementation Guide for CDA Release 2.0 Consolidated CDA Templates (US Realm),December 2011 to ensure that we are in synch with current U.S. Meaningful Use efforts., the Informative draft shouldn't be too focused on specifics for BH
  • The Consolidated Implementation Guide is slated for publication following a vote on the Structured Documents WG call. Date is not yet scheduled, but anticipated to be either December 1 or December 8, 2011.
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• In addition to the domain analysis content, Richard requested the creation of an additional artifact(spreadsheet format) that can be used to solicit input from SAMHSA stakeholders to ensure that we have covered the minimum/core data requirements
  • The spreadsheet should describe the minimum/core content along with associated rationale(s) for inclusion in the domain analysis model Informative draft. We will also flag these concepts as "essential now" or "essential future".
• Richard requested that we capture the billing aspects associated with the core concepts as well
• John Moehrke raised concern that the discussion around billing created scope creep. We should be describing workflows and databases as if they are documents
  • Standards of care and workflows are above what HL7 typically is concerned with, e.g., describing what goes into a pregnancy episode of care. There is not a message or a document to describe those "nine months". But we need to figure out what is the appropriate role for HL7
  • There are professional organizations that define these concepts - much like quality measures are defined
• Ioana clarified that we are not trying to define billing as a separate workflow, but billing as a reason to collect certain core data elements for reporting purposes
• Richard is concerned about being cognizant of what's coming down the pike from CMS related to "bundled services"
  • For behavioral health, this may mean capturing information related to "complementary services, e.g., housing, social services related to BH, etc
• Further discussion will be held during Wednesday, 11/23 Behavioral Health CCD call, sponsored by Financial Management - 1:00 PM Eastern
  • Reminder will be sent to the CBCC and FM lists with call coordinates
• Serafina offered a motion to adjourn; seconded by Jim

Meeting was adjourned at 3:03 PM Eastern