Agenda

Attendance

• Keith Boone
• Kathy Walsh
• Dave Pyke
• Elysa Jones
• Josh Mandel
• Rob McClure
• Stacy Kinkead
• Al Seely
• Ankit Agarwal
• Ben Hanley
• Brian Harris
• Mark Scrimshire
• Scott Robertson
• Steve Nichols
• Andrea Pitkus
• Carl Anderson
• William Moroz
• Nancy Spector
• Mike Yaskanin
• Sean Zitello
• Ben Levy
• Hans Buitendijk
• Stacy Kinkead
• Aaron Seib
• Sonja Zeigler
• Brent Moen

Current Work/Announcements

News / Announcements

• If you are new to the project and want to be included in an onboarding meeting, please email Keith Boone ([email protected]) and Katie Iser ([email protected]) requesting this and including your GitHub and level of commitment.
• Updated text for Measures over the weekend
• Gino added exampeles to github repo; not linked to from the IG narrative yet
• Connectathon planning underway

Hot Topics

• Discussion about new CDC modules including "Healthcare Supply Pathway" module

  • This looks a lot like a questionnaire; but if it was going to be a measure, could think about shoehorning.

  • Josh: Is this something we consider in-scope?

  • Dave: From my conversations with Carequality members, health systems are willing to report this information to state-level public health authorities; they have concerns about competing hospitals learning this information, and concerns about higher-level orgs (above the state) misrepresenting information

  • Keith: Who shares and when is a policy issue, so it's out of scope for Saner. For reporting, this CDC module could fit into a reporting schema and I don't see why we'd prevent it, but for priorities, we should focus on the first two measures out and demonstrable. Re: experimentation, we might think about supporting these newer measures, e.g. with Questionnaires

  • Summing up discussion:

    1. Policy decisions are out of scope; Saner is focused on technology
    2. We want to get the initial CDC and FEMA modules working first, with MeasureReport, before we take on new forms
    3. When we get to the newer CDC modules, or information on lab supply availability, this will require exploration -- possibly we'll want to use QuestionnaireResponse for this, or possibly MeasureReport

  • Andrea: How does this reporting apply to centralized labs that aren't affiliated with a hospital?

    • Keith: Sometimes important to report by location rather than an organization
• IDs for Hospitals - See https://chat.fhir.org/#narrow/stream/226195-Covid-19-Response/topic/IDs.20for.20US.20Hospitals
  • Medicare Facility ID: https://data.medicare.gov/Hospital-Compare/Hospital-Genera
    • Lots of discussion about facility IDs. Bottom line: CDC doesn't make a list of NHSN Facility IDs public, though CMS does make their CMS Certification Numbers (for... same/overlapping facilities) public
    • For CDC, we know NHSN Facility IDs are the preference, and we should define a Location.identifer.system for these
      • Added https://github.com/AudaciousInquiry/fhir-saner/issues/57 to capture the need
      • Added https://github.com/AudaciousInquiry/fhir-saner/issues/58 to capture additional identifier needs
      • Rob: Please ask HL7's vocab management team ("HTA" ==HL7 Terminology Authority) to identify / define these URLs; we can fast-track.
  • Zip+4
  • ArcGIS Homeland Infrastructure Foundation-Level Data (HIFLD) hospital data file: https://hifld-geoplatform.opendata.arcgis.com/datasets/hospitals
• Yes/No/Choose One answer (Questionnaire type) responses:
  • New measures are more like questionnaires
  • N95 Days Supply is also more like a questionnaire

Action Items

• Ai team to set up orientation meetings for new participants to get up to speed
• Ryan and Keith to make sure unassigned items are accounted for