Date
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Attendees
| NACHC Informatics Team | AllianceChicago | OCHIN | CMQCC | Redwood Community Health Coalition |
|---|---|---|---|---|
Roxane Padilla Ta-Yun Yang Lisa Masinter Jena Wallander Gemkow | Seren Karasu AnnMarie Overholser Michelle Whitt | Leslie Kowalewski Elliott Main |
Discussion items
| Person | Topic | Action Items | |
|---|---|---|---|
| Julia | Review of Measures Document
Finalizing Measures for Year 4 | Ta-Yun could send a document or summary describing concepts / codes / data elements / C-CDA document types that describes or informs the pregnancy status | |
| Q&A regarding Data Dictionary | Q: Contraceptive counseling tab: notes “SINC” as the counseling observation, but we only have One Key Question – is that okay? A: Pregnancy intention and pregnancy prevention intention are both desired but only if they are present Q: Diabetes GDM tab- Are you looking for all lab values or a threshold confirming GDM? A: We are actually interested in the lab values in the postpartum period – the expectation is that the GDM diagnosis will be captured to identify patients but if there is another method that captures a significant amount of patients (OGTT is positive without GDM diagnosis code—then please use this method and let us know) Important piece is: was the test done? Q: Notes “EDD” as an observation, would we move that to the patient file or is there a reason it falls into GDM? A: It is only relevant to determine the window of the postpartum screening Q: Postpartum depression tab- Are you looking for all screening obs values or a threshold confirming these diagnoses? A: Either approach is fine provided there is an evidence-based or validated cutoff or set of cutoffs—if you are providing positive/negative or none/mild/moderate/severe kinds of categories a mapping would be very helpful in case we get raw data from others and can validate the normalization approach Q: There is a substance use screening in that tab, and also a separate substance use tab – should we remove substance use screenings from the PPD tab? A: Please remove the duplicate Q: hypertension tabs - Are you looking for all lab values or a threshold confirming hypertension? A: Lab values indicating proteinuria or low platelets are relevant—otherwise they are not needed Q: Breastfeeding tab – not a question, just noting these are very low-yield – usually captured as free text somewhere else A: This is not a formal measure for year 4 – we are just looking at data completeness and form/manner as an investigatory query Q: Preg Intent Prevent tab- is this supposed to capture pregnancy tests? – TBD we will follow up | ||
| Post Partum Visit | How comprehensive does using the formal billing codes for the pp visit - how well does that tell us visits that were really post partum? Are we able to pick up the visit where these important pp follow-up items/questions happened? CPSP visit in CA - would not require all those things - they would have to do all those things for z code to be invoked - we are not pulling that code. Unique to California CPSP "Comprehensive Prenatal Services Program." AllianceChicago also has leveraged provider type OCHIN PP express lane has all the pieces. | ||
| Bundled Payments | If you are not sure if there are bundled payment programs - paid elswhere... finance staff may know... if this yields other coding | ||
| Questions | Are there contraception policies at Catholic hospitals in your network that affect the CHCs? Are there facilities in your network that restrict service provision - are there mitigation strategies? AllianceChicago - there are a lot of centers! Will go find out - there is a midwifery program affiliated with a Catholic hospital that cannot provide contraception counseling. OCHIN = Redwood - Would have to check with members - they do interact with Catholic hospital systems. | ||
| Admin | Contracting Redwood - ArleneArlene Harvest Meeting - AllianceChicago Billing question - Jena - | Template for partner slides - |
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