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  1. FHIR Specification Feedback
  2. FHIR-30401

Add attribution model identifier to quality program

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    Details

    • Type: Change Request
    • Status: Applied (View Workflow)
    • Priority: Medium
    • Resolution: Not Persuasive with Modification
    • Specification:
      US Quality Measures (FHIR)
    • Raised in Version:
      0.1
    • Work Group:
      Clinical Quality Information
    • Related Page(s):
      Profiles
    • Grouping:
    • Resolution Description:
      Hide

      Clarify that the quality program profile is used to establish a "release" of a quality program, including discussion about use of the DaVinci ATR implementation guide to establish provider attribution models and lists. In particular document that the contract-identifier is not specified as part of the quality program release, it would need to be specified elsewhere as part of the agreement between specific senders/receivers and that is the identifier that would need to be used as input to the DaVinci ATR API calls to retrieve a Group that would subsequently be used as a parameter to $evaluate-measure and $care-gaps operations.

      Include in the guidance that it is a potential (not prescriptive from the perspective of QM IG), and link specifically to the workflows:

      http://build.fhir.org/ig/HL7/davinci-atr/usecases.html#member-attribution-list-workflows-and-definitions

      And note the reference to "contract identifier"

      However, the ATR does not allow use of the contract identifier to look up a group. Would need to add a tracker to ATR to clarify how to use a contract identifier to find a group.

      This discussion should be added to an attribution section of the measure conformance page:

      http://build.fhir.org/ig/HL7/cqf-measures/measure-conformance.html

       

      Show
      Clarify that the quality program profile is used to establish a "release" of a quality program, including discussion about use of the DaVinci ATR implementation guide to establish provider attribution models and lists. In particular document that the contract-identifier is not specified as part of the quality program release, it would need to be specified elsewhere as part of the agreement between specific senders/receivers and that is the identifier that would need to be used as input to the DaVinci ATR API calls to retrieve a Group that would subsequently be used as a parameter to $evaluate-measure and $care-gaps operations. Include in the guidance that it is a potential (not prescriptive from the perspective of QM IG), and link specifically to the workflows: http://build.fhir.org/ig/HL7/davinci-atr/usecases.html#member-attribution-list-workflows-and-definitions And note the reference to "contract identifier" However, the ATR does not allow use of the contract identifier to look up a group. Would need to add a tracker to ATR to clarify how to use a contract identifier to find a group. This discussion should be added to an attribution section of the measure conformance page: http://build.fhir.org/ig/HL7/cqf-measures/measure-conformance.html  
    • Resolution Vote:
      Rob McClure/Bryn Rhodes: 18-0-0
    • Change Category:
      Enhancement
    • Change Impact:
      Non-substantive

      Description

      Add "attribution model identifier" to the quality program profile

      Suggest use of DaVinci ATR to support defining and exchanging the member attribution lists

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              Assignee:
              bryn.rhodes Bryn Rhodes
              Reporter:
              bryn.rhodes Bryn Rhodes
              Watchers:
              2 Start watching this issue

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                Updated:
                Resolved:
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