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  1. Interoperability Showcase update
    1. We have a scenario to work with
    2. Referral from PCP to cardiologist, first specialist is not available, second specialist accepts the referral. Outcome is that the patient needs a bypass (360X)
    3. Operation at an acute facility, device interoperability, discharge summary to PCP (not 360X)
    4. Post operation referrals to behavioral health and cardiac rehab - show multiple visits (360X)
  2. Dates for next testing session
    1. We decided on Monday, October 22 and Wednesday, October 24th
    2. We will make sure eClinical Works and Netsmart are aware of the testing dates
    3. Cerner would like to get sample 360X .zip packages shared with them
  3. Update on the Annual ONC meeting - there won't be any opportunities to do a demo or to present, the time is very limited, and the format is not conducive for that.
  4. Dr. Holly Miller and Vassil Peytchev will have a presentation at the HITAC Interoperability Prioritization Task Force on October 23rd. A link to the public meeting will be sent to the list.
  5. Updates to the Implementation Guide
    1. Add discussion on how 360X and eCQM can work together to automate reporting.
    2. Consider a use case of acute to post-acute referrals. where there are multiple possible destinations
      1. One approach is to create multiple referrals, and send them to each possible destination, the first who accepts, gets it, all others get a cancel. Not clear what to do if the one who originally accepts, later declines.
      2. Another approach is to send to one possible recipient as a date-sensitive request, and wait for a response. If there is a decline, send to the next one, etc. With 360X this is possible, because of the potential changes to current workflows that can be enabled. Instead of the post-cute facilities having nursing staff at the acute facilities looking for potential matches, they can staff their incoming referrals office to promptly respond to referral requests.
      3. Other things to consider: What is the appropriate closing of the loop; How is the PCP kept in the loop.
      4. We will get an initial written proposal