Blog

Attendance

Administrative topics

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

Home Health Referrals

We had a short labor day weekend. Work on the IHE Supplement is continuing, with the goal of it to be ready for the October 21-24 Face to face IHE meeting.

The "360X on TEFCA" survey has its first responses, and Matt will distribute it to other QHINs.

Attendance

Administrative topics

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

General Topics/SDOH

360X-SD is still being prepared for trial-use publication.

The 360X over TEFCA survey is ready at https://forms.gle/sniA4BaxHTXazx5GA - please fill it out!

Attendance

Administrative topics

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

Home Health Referrals

Work on the IHE Supplement is continuing. We reviewed the timelines of the various specifications. The next Home Health call will be on August 30 (Labor Day weekend), we will review the state of the spec then, and solicit more reviews over email.

Attendance

Administrative topics

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

SDOH Referrals

Reviewed timelines for publishing the various specifications. Matt Bishop provided updates on various state initiatives on FHIR-based and other SDOH referral initiatives. New York plans to require FHIR, California has no specific requirements on a format.

Potential Project: 360X overt TEFCA

We reviewed and updated the proposed survey. Matt Becker will investigate the best ways to spread the word.

Attendance

Administrative topics

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

Home Health Referrals

Reviewed timelines for publishing the various specifications.

Attendance

Administrative topics

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

SDOH Referrals

Final edits for the 360X-SD IHE profile are taking place. Work on the SDOH.RSQ (referral status query) is also continuing.

Discussion of potential project: 360X over TEFCA

We had a discussion on a survey to gauge the interest in taking on developing a specification for using 360X over TEFCA.

The survey can be found at https://forms.gle/tdu2GZcMutMJZdEN6

Administrative topics

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

Review of the IHE PCC face-to-face meeting

The PCC committee reviewed the progress of 360X-HH and the Referral Status Query. Updates on the expected due dates for the various stages of all specifications are on the ONC Confluence page

Home Health Referrals

Work on the specification continues. The goal is to have it published for public comment before the next IHE PCC face to face meeting.

Attendance

Administrative topics

Announcement

The IHE face-to-face meeting in Oak Brook is coming up on July 15-18. If anyone is planning to attend in person, please fill out the Google form (if you are an IHE member), or send an email to the list to be added as a guest (if you are not an IHE member). Online participation is open to everyone and the details will be sent to the mailing list.

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

SDOH Referrals

Ongoing work on SDOH.RSQ (referral status query) with the goal of having volume 1 for a base unconstrained IG and an US-specific IG constrained to Gravity profiles ready for the IHE meeting.

Obtain a date for publishing the 360X-SD profile for public comment

Update the ONC confluence page for 360X-SD

Discussion of potential new projects

Referrals for procedures

This can be a new named option for the base 360X specification, where we describe how a specific procedure is conveyed via the HL7 v2 message to the recipient.

360X on TEFCA

We had a discussion on the potential benefits for enabling 360X over TEFCA. There are two main areas that need to be addressed:

• the communication protocol on how the referral request and subsequent packages will be exchanged
• endpoint directory enhancements to enable addressing the referral to the appropriate endpoint, and to provide an indication that a particular endpoint supports 360X.

At the next SDHO/General call on 7/26 we will discuss creating a survey for QHINs about interest in this project and possible approaches.

Administrative topics

Announcement

The calls on July 5 will be cancelled. The calls on July 12 (SDOH) and the following weeks will continue as scheduled.

The IHE face-to-face meeting in Oak Brook is coming up on July 15-18. If anyone is planning to attend in person, please fill out the Google form (if you are an IHE member), or send an email to the list to be added as a guest (if you are not an IHE member). Online participation is open to everyone and the details will be send to the mailing list.

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

Home Health Referrals

We had in-depth discussion on plan of care vs care plan.

Plan of Care

• One of the OASIS documents
• covers two 30-day periods
• needs to be submitted in very strict timelines established by CMS to the responsible clinician for signature.

Care Plan

• Documented in the OASIS Visit Note during the initial visit

Attendance

Administrative topics

Announcement

The calls on June 21 and July 5 will be cancelled. The call on June 28 will be for Home Health. The calls on July 12 (SDOH) and the following weeks will continue as scheduled.

The IHE face-to-face meeting in Oak Brook is coming up on July 15-18. If anyone is planning to attend in person, please fill out the Google form (if you are an IHE member), or send an email to the list to be added as a guest (if you are not an IHE member). Online participation is open to everyone and the details will be made available before July 15.

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

SDOH Referrals

We reviewed the current state of the SDOH Referral Status Request Query (SDOH-RSQ) profile. The capability statements for the consumer and producer actors provide the foundations for the details on how to execute the FHIR queries needed. A second profile will link the query mechanism with the Gravity resource profiles for a US-specific implementation Guide.

At the next call on July 12 we will be reviewing the state of the 360X-SD specification (about to be published for trial implementation)  and the SDOH-RSQ profile (about to be published for public comment).

Attendance

Administrative topics

Announcement

There will be no call on June 21, 2024. You should have received the cancelation notice through the mailing list.

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

Home Health referrals

Work on the transactions in the IHE Profile implementation guide is continuing. We reviewed the intended renaming of all 360X-related transactions to follow the "start with a verb" strong recommendation from IHE. The Visit on Hold transaction renaming to Send Visit on Hold Notification is an example of that process.

Since there will be no call in two weeks, there will be an email to the mailing list during the week of June 17 with updates on the specification and call for review/suggestions.

Attendance

Administrative topics

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

SDOH Referrals

We reviewed the upcoming tasks on SDOH-related standards. The 360X-SD specification needs to be prepared for publishing for trial implementation. Everyone is invited to give it a look-over at https://www.ihe.net/uploadedFiles/Documents/PCC/IHE_PCC_Suppl_360XSD_Rev1-0_PC_2024-04-10.pdf and propose any clarifications, fixing possible typos or any other improvement. At the next SDOH call on June 14 we will review any suggestions.

We continued the discussion of the current state of the SDOH Referral Status Query, which is being developed as a IHE FHIR IG. The development will result in two FHIR IGs

• The IHE International IG will only describe the required support for searching based on a Task resource, without profiling any resource profiling, or vocabulary binding. This will establish the transaction framework that national or regional implementations can reuse.
• The IHE US IG will reference the Gravity profiles and value sets, and use the transaction described in the International IG

The latest approved change proposals for the base 360X IHE profile are ready to be incorporated, and we discussed the process of publishing the 360X IHE profile as final text. We determined that it is worth the effort to initiate the uplift of the PCC technical framework to web publishing, and making 360X the fist web-published PCC profile on https://profiles.ihe.net. This process will happen over the summer.

Mark Mollenkopf (Feeding America) mentioned being at a Food as Medicine conference last week that was attended by folks from USDA, Veterans  Health Administration, and HHS. They presented as a panel and were actively seeking questions and ideas that could move SDOH work along. Mark offered on today’s call that if this team had questions and ideas in support of the 360X-SD work, he would help surface those in conversations and work that Feeding America is doing with HHS. Feeding America and HHS announced a public-private partnership in February 2024.
https://www.hhs.gov/about/news/2024/02/02/hhs-hosts-first-ever-food-medicine-summit-launches-three-public-private-partnerships.html

Garry Miller contributed to this thinking that funding and policy support would help overcome some of the implementation barriers. Key point of the early work will be to show providers that improvements via 360XSD can have a measurable impact for patients. If they can get behind it, because they see value, this can help accelerate the adoption/implementation of the new standards.

Matt Bishop commented that easing the process of SNAP/WIC applications with options for API submissions can show a measurable impact on getting help to patients/clients.

Attendance

Administrative topics

Announcement

The call on May 24 will be cancelled (week of HL7 WG meeting, and Friday before Memorial Day weekend).

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

SDOH Referrals

We continued the discussion of the current state of the SDOH Referral Status Query, which is being developed as a IHE FHIR IG. Looking at the the ServiceRequest and workflow-related Task resources in Gravity, we have to make sure that there are two points to cover:

• The IHE International profiles need to accommodate various non-US needs, therefore we can't reference Gravity resources directly due to the requirements on US Core and specific US-based value sets. The IHE spec will work with base-standard ServiceRequest and Task, and will have a US-specific part that will reference the Gravity resources and value sets
• We have to make sure that the Referral Recipient owns the workflow Task, so that the query can be based on it. Gravity explicitly allows for the Task to live on the recipient's FHIR server.

The work on getting the 360X-SD published for trial implementation will start after Memorial Day.

The latest approved change proposals for the base 360X IHE profile are ready to be incorporated, and the process of publishing the 360X IHE profile as final text will develop over the summer.

Attendance

Administrative topics

Announcement

The call on May 24 will be cancelled (week of HL7 WG meeting, and Friday before Memorial Day weekend).

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

IHE Committee meeting

At the face to face meeting this week the IHE PCC committee reviewed the 360X-HH profile (see below), the SDOH-RSQ profile, and the status of the 360X-SD public comment. The IHE ITI committee reviewed the ITI Scheduling FHIR profile.

SDOH Referral Status Query (SDOH-RSQ)

This FHIR-based profile is complementary to the the 360X-SD profile. The review of the current status pointed out that the Gravity Project resource profiles are tightly coupled with US-Core, and the IHE general purpose profile will need to be more generic. One option is to simply define the search parameters for the query, and have a US-specific section that references the Gravity Project resources.

360X-SD Public Comment

There are no current issues submitted, and with the impending end of the comment period, the work on publishing the profile for trial implementation will commence after Memorial Day.

Home Health referrals

The 360X-HH Profile was reviewed at the IHE meeting. The current suggestion is to have the capability for "Deferred referral" designated as a named option. This will allow implementations to be clear that they support this particular transaction. The initial information for some of the 360X-HH - specific transactions will be available for review at the next Home Health call on June 7.

Attendance

Administrative topics

Action items

The 360X-SD IHE profile has been published for public comment at https://www.ihe.net/uploadedFiles/Documents/PCC/IHE_PCC_Suppl_360XSD_Rev1-0_PC_2024-04-10.pdf. Please review and send comments (including "I approve") using the form at https://www.ihe.net/PCC_Public_Comments/

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

SDOH Referrals

We discussed the current state of the SDOH Referral Status Query, which is being developed as a IHE FHIR IG. The goal is to have volume 1 completed for the face to face meeting. That, and the comments for the 360X-SD IHE profile will be discussed at the next IHE face-to-face meeting. The tentative time slots for 360X topics are:

• 360X-HH (Home Health) 11 am - 1 pm Eastern time on Wednesday, May 8,
• 360X-SD (SDOH comment review + Referral Status Query) 10 am - 11 am  Eastern Time on Thursday, May 9.

The conference call information will be sent to the mailing list as soon as it becomes available.