1. SNOMED Cross-Walk Development Meeting
July , 2016
National Harbor, MD

2. Background – What is SNOMED CT?
Systematized Nomenclature of Medicine - Clinical Terms
Provides for consistent information interchange and is fundamental to an interoperable EHR
Becoming the gold standard for documenting diagnoses, procedures, and other clinical information to allow for the shift towards value
Value Sets are a subset of SNOMED CT codes developed to help with implementation

3. Background – Why Now?
SNOMED CT codes will be used for documentation in the Enhanced MTM Model Test (EMTM)
CMS foreshadowed in the 2017 Final Call Letter that SNOMED CT codes will be forthcoming
Success requires consensus on consistent and standardized definitions for the industry that describe pharmacists’ patient care process and recognition of Value Sets used to code for those services

4. Short Term Goals
Elevate and engage individual organizations to finalize their own internal MTM services/interventions/ activities mapping to SNOMED CT
Describe MTM Services and obtain consensus for clinical/MTM term definitions
Reconcile where use of SNOMED CT codes:
Align
Do Not Align
Gaps

5. Longer Term Goals
Develop a consensus-based, standardized framework to report meaningful MTM data
Promote interoperability and improved efficiencies in analyzing data pertaining to MTM
Provide an ongoing process for refining the standardized framework as MTM services evolve over time

6. Participants – 33 Stakeholder Organizations

7. MTM Terms to Define Medication Therapy Management
Medication Therapy Interventions
Pharmaceutical Care
Medication Therapy Problems
Adverse Medication Reaction/Event
Medication Care Plan
Medication Goals
Adherence/Compliance
Medication Action Plan
Targeted Medication Review (TMR)
Medication Education/Counseling
Medication Reconciliation
Medication Synchronization
Comprehensive Medication Review (CMR)
Personal Medication Record
Medication Therapy Recommendations

8. Value Set Gaps
Participants identified 179 gaps in the draft Value Sets that were addressed by the PHIT Collaborative as follows:
17 SNOMED CT codes we added to existing Value Sets
42 SNOMED CT codes were added to new Value Sets that were created
44 SNOMED CT codes already existed in Value Sets and were duplicates
4 SNOMED CT code requests are considered “pre-coordinated” 20 SNOMED CT code requests do not exist and must be requested through the National Library of Medicine
49 SNOMED CT code requests require additional information or clarification prior to proceeding.

9. Draft Consensus Recommendations and Next Steps
Consensus recommendations under review by participant organizations until August 5, 2016
Public comment period
August 15 - September 16
Provide CMS with initial recommendations by October 2016

10. JCPP Organizations: The Ask
Review and comment on draft proceedings
Disseminate proceedings during public comment period to pertinent stakeholders
Support recommendations when finalized
Show support to CMS on the need to use consensus definitions
Show support to CMS on accepting the PHIT Collaborative Value Sets
Continue to support the process of refining definitions and Value Sets as the practice of pharmacy evolves