2020-10-13 Meeting Notes

Date

13 Oct 2020

Attendees

Discussion items

Minutes

• Julia Skapik (Deactivated) summarized purpose: Bring together partner and their data challenges with CA terminology solution/service to see what we can take off their plate
• Use Case:  Working with a sponsor in San Fran - project looks at the connection, if any, between quality measures and whether or not people are receiving contraceptive measures and what their experience is. Using definitions that are based on quality measure - measure focused solely on whether the reproductive aid - receiving highest or moderate level. NACHC operational perspective - be more responsive to patient preferences, help orgs implement and close care gaps.
• Would patients like the service of preventing pregnancy
• Outcome be completed 
• What was the outcome more broadly - contraceptive services (NACHC needs to report what their method and preference is)

• Some of these are captured and some aren't - significant data gaps.
• Method of gathering data is via medications - problematic because they are a combination and different doses - different doses/route/strengths.
• The method of data capture makes it difficult to tease out information from site to site – duplication is an issue 

• Chris and Michelle discussed issues they’re seeing:
  1. Issues with manual mapping – HC do not know what is retired/no longer active, cannot map to that term. HealthEfficient doesn’t need everything mapped, but want to map to groupers.
• SCOPE: Address COVID19 and Million Hearts Project
• Chris: Issue across both projects is that we don’t have access to standardized codes for medications that we are looking for. We have done some investigation and the health centers (HC) don’t always use NDC codes. The HC can create their own custom set of commonly used meds. They put them in in non-standardized ways and don’t have the NDC code or with different NDC codes - sometimes they have the same NDC code for different medications. We cannot count on having standardized codes for that.
• Codes are used inconsistently and are not always stored (ECW will store Medispan but not Multum codes)
• Current process is not sustainable

• HealthEfficient needs to work with vendor (Bridge IT) to see if they can connect on the backend, once queries are complete rather than on center level.
  1. Chris confirmed this approach but wasn’t positive on HC receptiveness/abilities
• GOAL: To enable more efficient mapping and enable consistent assignment of groupings.
• Raymonde Uy (Unlicensed) confirmed they want to standardize this across the board but aren’t sure they’re in the place to decide that for their partners

Action items:

• Raymonde Uy (Unlicensed) to send over data dictionaries for contraceptives and COVID (COMPLETE)
• HealthEfficient will send over sample data to the group
• CA to load and map sample data set John Gresh sent over (COMPLETE)
• Regroup with partner on Monday (10/19)
• CA to build out all Contraceptive & COVID19 elements from spreadsheets Raymonde Uy (Unlicensed) sends over

Outstanding items from previous meetings:

• CA to combine duplicate value sets to reflect multiple code systems per value set, if applicable
  1. Combine ICD and SNOMED codes into one element (losing a distinct OID)
  2. Have two elements (ie Cardiac Defibrillator/Pacemaker Presence(ICD-10-CM) and Cardiac Defibrillator/Pacemaker Presence(SNOMED CT)) à grouping those to “Cardiac Defibrillator/Pacemaker Presence” à grouping that to Cardiovascular Disease à grouping that to larger “Data Class”
• Raymonde Uy (Unlicensed) : There are two ways that we can address this (we can also add this to agenda for Friday):
• CA to build out partner users for web based access
• John Gresh to test JDBC