Transcript Slide 1

Use Case 17
Care Theme: HIT Innovations
Use Case: Health Story: New Approaches for Coordinating Long-Term and Cancer Care
Primary Goal: Cancer care is complex and crosses institutional boundaries many times. This story illustrates how innovations
in interoperability for oncology and long term care can coordinate care and improve patient safety.
Key Points:
• HL7 Consolidated Clinical Document Architecture standard (C-CDA)
• DRAFT standards proposed for addition to C-CDA:
• Clinical Oncology Treatment Plan and Summary sponsored by The American Society of Clinical Oncology (ASCO)
• Surrogate EHR Environment (SEE) Transfer of Care Implementation Guide sponsored by IMPACT (Improving
Massachusetts Post-Acute Care Transfers), an ONC grant-funded project
• Full spectrum of data capture from document imaging to light weight editor to certified EHR to NLP
Meaningful Use Relevance: Improving quality, safety, efficiency, and reducing health disparate. Improve care coordination.
HL7 Resources:
• HL7 Clinical Document Architecture (CDA) R2 Normative Edition 2005
• HL7 Implementation Guide for CDA Release 2: IHE Health Story Consolidation, Release 1.1 (C-CDA)
• Clinical Oncology Treatment Plan and Summary – to be balloted (Spring 2013), proposed for C-CDA
• Long Term Care Transfer Summary– to be balloted (Fall 2013), proposed supplement to C-CDA
Demonstration Participants:
• Inofile: ChartMD
• Lantana Consulting Group: SEE Tool
• M*Modal: Fluency Direct and Catalyst
• Verizon: Secure Universal Message Services (SUMS)
• VitalHealth EHR
• Oracle: Health Information Exchange
Care Theme: HIT Innovations
Use Case: Health Story: New Approaches for Coordinating Long-Term and Cancer Care
Clinical Workflow:
1- PCP
2- Oncology, Surgery
3- Tumor Board
4- Visiting Nurse
1. Patient visits PCP to review Mammogram Report. PCP scans the report into ChartMD and uses VitalHealth EHR
to produce and send C-CDA Referral and CCD to surgeon. (Inofile, VitalHealth, Verizon, Oracle)
2. Patient visits Surgeon, Oncologist; Diagnosis is made, surgery indicated, Mastectomy performed
3. Tumor Board reviews case and uses Fluency Direct and Catalyst to develop cancer Treatment Plan (M*Modal)
which is distributed to PCP and Home Health Agency
4. Visiting Nurse sees patient at home and uses prior documents and SEE Tool* to produce a Long Term Care
Transfer Summary (Lantana Consulting Group)
 Access to the full chart, the Treatment Plan and Home Health reports surfaces potential problem
For more information visit: www.healthstory.com