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With meeting notes Includes post meeting notes on: • Order Sets • interRAI To join the meeting: Phone Number: +1 770-657-9270 Participant Passcode: 943377 See wiki* for WebEx link Care Plan (CP) Team Meeting 60 minutes André Boudreau ([email protected]) Laura Heermann Langford ([email protected]) Stephen Chu ([email protected]) 2012-01-04- André to lead *Care Plan wiki: http://wiki.hl7.org/index.php?title=Care_Plan_Initiative_project_2011 HL7 Patient Care Work Group Agenda for Jan. 4th • • • • Plan for WGM Care Plan Meeting Review status of all SBs Review forward plan to complete the DAM (André to propose) Review Pediatric, immunization and Allergy/Intolerance (Susan)- attached Page 2 Participants- Meetg of 2012-01-04 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 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 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 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 Danny Probst [email protected] US Intermountain Healthcare. Data Manager Kevin Coonan [email protected] US MD. Emergency medicine. HL7 Emergency care WG. Gordon Raup [email protected] US CTO, Datuit LLC (software industry). Elayne Ayres [email protected] US 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 Page 3 Participants- Meetg of 2012-01-04 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 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 a General Practitioner ; Chief Medical Officer, Ocean Informatics Seam Heard [email protected] Thomson Kuhn [email protected] US Sr. Systems Architect at American College of Physicians Russell Leftwich [email protected] US Md, Allergist, internal medicine; Chief Medical Informatics Officer, Office of eHealth Initiatives, State of Tennessee US PhD, RN, NANDA International; University of Iowa, Iowa City, IA & Trinity Health Jane Brokel Yes Practicing Family GP, Vancouver, BC. User of EMR. Intense interest and involvement in EHR and EMR standards , functionality and terminology Corinne Gower [email protected] NZ Senior Business Analyst at NZHIS; Senior Advisor at Ministry of Health New Zealand Yu-Ting Yeh [email protected] TW HL7 Taiwan 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, Page 4 Updated Agenda for San Antonio WGM meeting • Thursday 19 January Q1- 9am-10h30 CT (10:00am to 11:30am ET) (Stephen to lead) • Conf call and Webex facilities for remote participants • Welcome and introductions (Stephen) – 10 min. • Review Chronic Conditions 3rd draft (before external review) (Stephen) – 15 min. • Review Perinatology appendices with tables of expected artifacts ( if Laura) – 15 min. • Review Acute condition SB- first draft (TBC-Kevin) – 20 min. • Review of feedback on the Home Care SB (André) – 5 min. • Review of Care Plan DAM status (André) – 5 min. • Review of forward plan to complete the DAM (André) – 15 min. • Conclusion (Stephen) – 5 min. Page 5 STATUS AND PLAN FOR ALL STORYBOARDS Page 6 Updated Status of SBs Owner SB Name Status Date for Complete Draft PCCP Final review Kevin Coonan Acute Condition Started Feb 28th André Boudreau Home Care Under external review Done Feb 15th Stephen Chu Chronic Conditions Reviewed. Third draft underway Jan. 12th Feb 28th Susan Campbell -Pediatric, and Allergy/ Intolerance -Immunization Reviewed. Second draft Jan 12th (immunization) Feb 28th Laura Heermann Langford Perinatology Reviewed. Second draft Jan. 12th Feb 28th Carolyn Silzle Stay healthy/ health promotion Started Feb. 2nd (after meetg review on the 1st Feb 28th Page 7 FORWARD PLAN • See Spreadsheet Page 8 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 Page 9 Forward Plan Discussion Notes • Requirements A living document updated as we go along • Storyboards 6 storyboards • Process flows / activity diagrams Maybe just one full activity diagram (AD) Integrate variants for other SB into the first AD Include self care • Information models and glossary Integrate key concepts like a master integrated care plan and domain specific plans • Business rules and triggers Page 10 Final Discussion Notes • Look into order sets as components of care plan, part of intervention plan Open source, Chris O’Connor (Ray Simkus) • Post meeting notes 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 cost-effective, customized order set solution. PatientOrderSets.com provides its client hospitals with a comprehensive web-based 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 Page 11 Poast Meeting Details - InterRAI • 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 Compatible assessment instrumentation that can be used across care domains Integrated suite of instruments o o o o o o o o o o o o 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 Page 12 REVIEW OF STORYBOARDS (SB) Page 13 Pediatric, immunization and Allergy / Intolerance • Select topic and details that are typical of usual situations • Remove distracting details not relevant to our purpose • Apply the standard format Page 14 FUTURE MEETINGS Page 15 Agenda for Future meetings • • • • Review Stay Healthy SB- first draft (TBC- Carolyn) Review any further comments collected on Home Care SB Review any updates or questions from Pediatric Allergy SB if needed Rest ids to be determined as we go Page 16