Transcript Slide 1

With WGM discussion notes
To join the meeting:
Phone Number: +1 770-657-9270
Participant Passcode: 943377#
WebEx link (thanks to Canada Health Infoway):
https://infoway-inforoute.webex.com/infoway-inforoute/j.php?ED=179560517&UID=494535562&RT=NCMxMQ%3D%3D.
Care Plan (CP) WGM Meeting
90 minutes
André Boudreau ([email protected])
Laura Heermann Langford ([email protected])
Stephen Chu ([email protected])
2012-01-19 – Laura to lead
*Care Plan wiki: http://wiki.hl7.org/index.php?title=Care_Plan_Initiative_project_2011
HL7 Patient Care Work Group
Updated
Agenda for San Antonio WGM meeting
• Welcome and introductions (Stephen) – 10 min.
• Review Chronic Conditions care Plan Storyboard - 3rd draft (before
external review) (Stephen) – 15 min.
• Review Perinatology appendices with tables of expected artifacts
(Laura) – 15 min.
• Review of feedback on the Home Care SB (André) – 10 min.
• Review of Care Plan DAM/SB status (André) – 10 min.
• Review of forward plan to complete the DAM (André) – 15 min.
• Conclusion (Stephen) – 5 min.
• Thursday 19 January Q1- 9am-10h30 CT (10:00am to 11:30am ET)
(Stephen to lead)
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Participants- Meetg of 2012-01-19 WGM p1
Name
email
Country
Yes
Notes
André Boudreau
[email protected]
CA
Yes
Co-Lead- Care Plan initiative/HL7 Patient Care WG. B.Sc.(Physics), MBA. Owner Boroan Inc.
Management Consultin. Chair, Individual Care pan Canadian Standards Collaborative Working Group
(SCWG). Sr project manager. HL7 EHR WG.
Laura Heermann
Langford
[email protected]
US
Yes
Co-Lead- Care Plan initiative/HL7 Patient Care WG. Intermountain Healthcare. RN PhD,: Nursing
Informatics; Emergency Informatics Association, American Medical Informatics Association; IHE
Stephen Chu
[email protected]
AU
Yes
NEHTA-National eHealth Transition Authority . RN, MD, Clinical Informatics; Clinical lead and Lead
Clinical Information Architecture; co-chair HL7 Patient care WG; vice-chair HL7 NZ
Carolyn Silzle
[email protected]
US
Yes
American Dietetic Association
Susan Campbell
[email protected]
US
Yes
PhD microbiologist. Principal at Care Management Professionals. HL7 Dynamic Care Plan Co-developer
Margaret Dittloff
[email protected]
US
Yes
The CBORD Group, Inc.. RD (Registered Dietitian); Product Manager, Nutrition Service Suite; HL7 DAM
project for diet/nutrition orders; American Dietetic Association
Luigi Sison
[email protected]
US
Information Architect at LOINC and at HL7. Enterprise Data Architect at VA. Developing
standard for Detailed Clinical Models (DCM), information models for Electronic Health
Record (EHR) Diabetes Project, etc.
Peter MacIsaac
[email protected]
AU
HP Enterprise Services. MD; Clinical Informatics Consultant; IHE Australia; Medical Practitioner General Practice
William Goossen
[email protected]
NL
Anneke Goossen
[email protected]
NL
Results 4 Care B.V. RN; Consultant; Co-Chair Technical Committee EHR at HL7 Netherlands; Member
at IMIA NI; Member of the Patient Care Working Group at HL7 International
Ian Townsend
[email protected]
UK
NHS Connecting for Health. Health Informatics; Senior Interoperability Developer, Data Standards and
Products; HL7 Patient Care Co-Chair
Rosemary Kennedy
[email protected]
US
Thomas Jefferson University School of Nursing . RN; Informatics; Associate Professor; HL7 EHR WG;
HL7 Patient care WG; terminology engine for Plan of care;
Jay Lyle
[email protected]
US
JP Systems. Informatics Consultant; Business Consultant & Sr. Project Manager
Ian McNicoll
[email protected]
UK
Ocean Informatics . Health informatics specialist; Formal general medical practitioner; OpenEHR;
Slovakia Pediatrics EMR; Sweden distributed care approach
Maggie Gilligan
[email protected]
US
Kevin Coonan
[email protected]
US
Gordon Raup
[email protected]
US
Yes
CTO, Datuit LLC (software industry).
Elaine Ayres
[email protected]
US
Yes
NIH National Institutes of Health. MS, RD; Deputy Chief, Laboratory for Informatics Development, NIH
Clinical Center ; Project manager for BTRIS (Biomedical Translational Research Information System), a
Clinical Research Data Repository
Yes
Yes
Results 4 Care B.V. RN, PhD; -chair HL7 Patient Care WG at HL7; Detailed Clinical Models ISO TC 215
WG1 and HL7 ; nursing practicioner
Dietician; Owner, Senior Member , Nutra Tech Technology, LLC
MD. Emergency medicine. HL7 Emergency care WG.
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Participants- Meetg of 2012-01-19 WGM p2
Name
email
Country
Notes
Yes
MD. Family GP.; Was chair, 2005, Electronic Communications
Working Group of the AU General Practice Computing Group
David Rowed
[email protected]
AU
Charlie Bishop
[email protected]
UK
Walter Suarez
[email protected]
US
Peter Hendler
[email protected]
US
Ray Simkus
[email protected]
CA
Practicing Family GP, Vancouver, BC. User of EMR. Intense interest and
involvement in EHR and EMR standards , functionality and terminology
Serafina Versaggi
[email protected]
US
Clinical Systems Consultant
Brett Esler
[email protected]
AU
Pen Computer Sys
Catherine Hoang
[email protected]
US
VA
Hugh Leslie
[email protected]
AU
Yes
a General Practitioner ; Chief Medical Officer, Ocean Informatics
Seam Heard
[email protected]
Thomson Kuhn
[email protected]
US
Yes
Sr. Systems Architect at American College of Physicians
Russell Leftwich
[email protected]
US
Michael Tan
[email protected]
NL
Corinne Gower
[email protected]
NZ
Susan Matney
[email protected]
US
Audrey Dickerson
[email protected]
US
HIMSS. RN, MS; Standards Initiatives at HIMSS; ISO/TC 215 Health Informatics, Secretary; US
TAG for ISO/TC 215 Health Informatics, Administrator; Co-Chair of Nursing Sub-committee to
IHE-Patient Care Coordination Domain.
Gaby Jewell
[email protected]
US
Senior strategist at Cerner Corp,
Ken Rubin
Mark Shafarman
[email protected]
Md, Allergist, internal medicine; Chief Medical Informatics Officer, Office
of eHealth Initiatives, State of Tennessee
Yes
Publishing Facilitator , Care Provision, PC WG; Senior Project manager,
Nictiz, NL
Senior Business Analyst at NZHIS; Senior Advisor at Ministry of Health
New Zealand
Yes
Medical Informaticist at 3M Health Care; Chair Elect of the SNOMED CT Nursing Special Interest
Group at IHTSDO; Vocab Facilitator for Patient Care TC at HL7 Standards
US
Yes
Co-Chair, HL7 Service Oriented Architecture Work Group; Chief Architect, Federal Healthcare
Portfolio, HP Enterprise Services
US
Yes
Member of HL7 since 1992. Co-Chair, HL7 Template WG; Shafarman Consulting Inc.
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General discussion
• Ken Rubin – SOA update on scheduling
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SOA – initiating collaboration with domains
Defining services to enabling business
To explore how SAO and scheduling can be used in care coordination – how to manage resources
including care team
SOA = black box approach – user asks for something and something comes back, what happens to
make something come back is the business of services
There are protocols for, e.g. how to ask for medication details, and what are returned are
medication information
Question for care services: what are the protocols, how do we ask the services what do we get in
return
Collaborative model – to offer the value of services
• Question – care plan is at stage of planning and is technology agnostic, how does services
fit in?
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Answer – need to work with domains to define how business services/processes work for them and
how do services support care team coordination and scheduling
• Mark Shafarman – V3 already has scheduling and should be considered in care plan
modelling discussions
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Care plan implementation can consider using ACT + mood codes + ActRelationships
• Suggestion – Ken Rubin to present to care plan group SOA and its values to care plan in a
conference call after the WGM
• Andre – will follow up with Ken after the group has completed the SBs and requirements
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REVIEW OF CHRONIC CONDITION
CARE PLAN STORYBOARD
• Reference file from the wiki:
Chronic-Conditions_Care-Plan-Storyboard_V0-5_Revised_2012-01-06.docx
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Discussion Notes- Chronic Condition CP SB
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Walkthrough of the SB
The document is on the wiki
Comments are invited
Discussion to be pursued at the next regular
meeting
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REVIEW OF PERINATOLOGY CARE
PLAN STORYBOARD: APPENDICES WITH
TABLES OF EXPECTED ARTIFACTS
• Reference file from the wiki:
Perinatology StoryBoard v0.4-20120106.docx
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Discussion Notes- Perinatology CP SB
•
•
•
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Walkthrough of the SB
The document is on the wiki
Comments are invited
Discussion to be pursued at the next regular
meeting
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STATUS AND PLAN FOR ALL
STORYBOARDS
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Status of SBs
Owner
SB Name
Status
Date for
Complete Draft
PCCP Final
review
Kevin Coonan
Acute Condition
Draft 1 nearly
completed
Feb 28th
André
Boudreau
Home Care
Under external
review
Done
Feb 15th
Stephen Chu
Chronic Conditions
Reviewed.
Third draft
completed
Done
Feb 28th
Susan
Campbell
-Pediatric Allergy
-Immunization
Reviewed.
Second draft of
both
Immunization
done
Allergy: Feb 1st
Feb 28th
Laura
Heermann
Langford
Perinatology
Reviewed.
Second draft
Carolyn Silzle
Stay healthy/ health
promotion
Draft 1 nearly
completed
Feb 28th
Feb. 2nd (after
meetg review
on the 1st)
Feb 28th
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FORWARD PLAN
• See Spreadsheet
Page 12
Last updated: 2011-02-09
HDF- Domain Analysis Overview
act 3: Domain Analysis Ov erv iew
Business
Requirements
Source: HDF_1.5.doc, page 37
Project
Approved
Analyze Use
Cases
Analyze Business
Context
(from 3.4.2 Use Case Analysis)
«outcome»
(from 3.4.1 Business Context Analysis)
«outcome»
Use Case Analysis
Story board
(from 3.7 Artifacts)
(from 3.7 Artifacts)
Analyze Process Flow
(from 3.4.3 Process Analysis)
Process Flow
(from 3.7 Artifacts)
Glossary
Analyze Information Exchanged
(from 3.7 Artifacts)
(from 3.4.4 Information Analysis)
Information Model (Analysis)
(from 3.7 Artifacts)
Analyze Business Rules
«optional»
Business Rules Description
(from 3.4.5 Business Rules Analysis)
(from 3.7 Artifacts)
Business Trigger Analysis
(from 3.7 Artifacts)
Publish DAM
DAM Approv al
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Forward Plan Discussion Notes
• Suggestion from William – WRT HDF processes:
good to follow
 But do not use glossary
 Capture data definitions/metadata as data element
specification
 William to send standard examples of data element
specification to the group
• Work plan discussed as per work plan excel file
contents:
 Itemised deliverable components, need to work on and
agree on deliverable dates
 Target DAM ballot date: possible September 2012
 To be discussed and confirmed in next conf calls Feb 1
• Good storyboards will make the mapping and
modelling of process flows a lot easier
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FUTURE MEETINGS
• Conference calls between now and May 2012 – see wiki
• 90 min., Wednesday 5-6:30pm US Eastern, fortnightly (every 2 weeks)
• Starting Feb. 1st
• Webex supplied by Canada Health Infoway
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Revised
Next Meeting Agenda – Feb 1st – 90 min.
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Review Stay Healthy SB- first draft (Carolyn)
Review Acute Care SB (Kevin)
Review any further comments collected on Home Care SB (André)
Review Pediatric Allergy and Immunization SBs (Susan)
Review Perinatology SB (Laura)
Start summary of requirements (André)
Advance work plan (André)
Agenda of next meeting (André)
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APPENDIX
• Various material
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Order Sets
• PatientOrderSets.com
• Order sets are evidence-based checklists that allow healthcare professionals to
quickly and easily identify appropriate treatments for medical conditions in all
hospital departments. With a network of over 165 client hospitals,
PatientOrderSets.com has reached a tipping point. The collaborative platform
allows hospitals to share knowledge and resources, resulting in a costeffective, customized order set solution.
• PatientOrderSets.com provides its client hospitals with a comprehensive webbased order set technology that includes:
 A reference library of hundreds of evidence-based order sets that can
easily be customized by hospitals.
 Libraries of hospital-customized order sets that allow hospitals to share
and learn from each other
 Advanced order set project implementation tools and methodologies
EntryPoint software that allows clinicians to complete order sets using
computers and/or mobile tablet devices
 Analytic software that lets clinicians view comparative data on their use of
order sets
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InterRAI Assessment Tools
• http://www.interrai.org/section/view/?
• interRAI is a collaborative network of researchers in over 30 countries
committed to improving health care for persons who are elderly, frail, or
disabled. Our goal is to promote evidence-based clinical practice and policy
decisions through the collection and interpretation of high quality data about
the characteristics and outcomes of persons served across a variety of health
and social services settings.
• InterRAI as tools to do assessments
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Compatible assessment instrumentation that can be used across care domains
Integrated suite of instruments
o
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interRAI
interRAI
interRAI
interRAI
interRAI
interRAI
interRAI
interRAI
interRAI
interRAI
interRAI
interRAI
HC - Home Care
CHA - Community Health Assessment
CA - Contact Assessment
LTCF - Long Term Care Facility
AL - Assisted Living
AC - Acute Care
PAC - Post-Acute Care
MH - Mental Health
CMH - Community Mental Health
ESP - Emergency Screener for Psychiatry
PC - Palliative Care
ID - Intellectual Disability
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