Intersection of Clinical and

Administrative Data Task Force

Sheryl Turney, Co-chair

Alix Goss, Co-chair

June 9, 2020

2

Task Force Roster

Name Organization

Sheryl Turney (co-chair) Anthem, Inc.Alix Goss (co-chair) Imprado/NCVHSAnil Jain IBM Watson HealthArien Malec Change HealthcareAndy Truscott Accenture

Leslie LenertMedical University of

South Carolina

Ram Sriram NISTSasha TerMaat EpicAbby Sears OCHINJim Jirjis HCA

Denise Webb Individual

Name Organization

Rich Landen Individual/NCVHS

Debra Strickland Conduent/NCVHS

Jacki Monson Sutter Health/NCVHS

Gus Geraci Individual

Jocelyn Keegan Point-of-Care Partners

Tom Mason ONC

Aaron MiriHITAC/University of

Texas Austin

Steve Brown VA

Mary Greene/Alex Mugge

CMS

Alexis Snyder HITAC/Patient Rep

3 Today’s Agenda:

• Roll Call and Welcome

• Summary and Action Plan

• America’s Health Insurance Plans (AHIP) Presentation and Discussion

• Premier Presentation and Discussion

• Privacy and Security Ideal State and Guiding Principles Introduction and Next Steps

• Public Comment Vision: Support the convergence of clinical and

administrative data to improve data interoperability to

support clinical care, reduce burden and improve

efficiency—furthering implementation of “record once and

reuse.”

Overarching Charge: Produce information and

considerations related to the merging of clinical and

administrative data, its transport structures, rules and

protections, for electronic prior authorizations to support

work underway, or yet to be initiated, to achieve the vision.

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Summary and Action Plan

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Last Meeting

• CMS presented on the Documentation Requirement Lookup Service (DRLS)

• We discussed the Guiding Principles and Ideal State work, including the design for future state

work.

• Considered how to focus on highest value areas and ‘create a pathway to automation’ for PA

• We reviewed updates to the Data Classes

• We reviewed next steps and the updated timeline, emphasizing that draft recommendations

would be ready by July and would be presented at the 9/9 full HITAC meeting

6

America’s Health Insurance Plans (AHIP) Presentation and Discussion

7

Premier Presentation and Discussion

8

Privacy and Security Ideal State and Guiding Principles Introduction

9 Draft ICAD TF Timeline

Month/Date Deliverables/Action Items

June 16, 2020

EHRA Presentation

X12 Presentation

Ideal State and Guiding Principles Discussion

June 23, 2020

AHIMA Presentation

CAQH CORE Presentation

Prior Authorization Recommendations Introduction

June 30, 2020

Process Mapping Discussion (BPM+ work)

Integrated Federal Data Model Discussion

Prior Authorization Recommendations Continued Review

July 7, 2020

Data Classes Wrap-up

Ideal State/Guiding Principles Wrap-up

Finalize Prior Authorization Recommendations

July 14, 2020 Convergence of Clinical and Administrative Data: Deep Dive

July-August 2020 Develop Draft Recommendations and Report Outline

August 4, 2020 Full TF Review and Discussion of Initial Draft Recommendations

September 9, 2020 Present Draft Recommendations to HITAC for feedback

October 21, 2020 Finalize Recommendations and Report

10 Next Steps

• Members or groups continue feedback on workbook and updates to Google

document

• Next Week:

• Presentation from the EHR Association (EHRA)

• Presentation from X12

• Ideal State and Guiding Principles Discussion

• Longer Term:o Additional industry presentations

o American Health Information Management Association (AHIMA)o CAQH Committee on Operating Rules for Information Exchange (CORE)

o Moving from Prior Authorization example to broader discussion of integrationo Draft recommendations and report

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Public Comment

To make a comment please call:

Dial: 1-877-407-7192(Once connected, press “*1” to speak)

All public comments will be limited to three minutes.

You may enter a comment in the

“Public Comment” field below this presentation.

Or, email your public comment to onc-hitac@accelsolutionsllc.com.

Written comments will not be read at this time,

but they will be delivered to members of the Task Force and made part of the Public Record.

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Next Task Force Meeting:

June 16th, 20203:00PM Eastern

13

MeetingAdjourned