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Draft discussion notes included. To join the meeting: Phone Number: +1 770-657-9270 Participant Passcode: 943377 WebEx link is on the wiki (link below) Care Plan (CP) Team Meeting Notes (As updated during meeting) André Boudreau ([email protected]) Laura Heermann Langford ([email protected]) 2011-06-08 (No. 15) Care Plan wiki: http://wiki.hl7.org/index.php?title=Care_Plan_Initiative_project_2011 HL7 Patient Care Work Group Agenda for June 8th • • • • • • Update re S&I group progress (Laura) Feedback from WGM in Orlando- Review meeting notes (All) Storyboards (Laura, Danny, Susan) - deferred Care plan situations update (Susan) - deferred Summer period schedule Next meeting agenda Page 2 Agenda for June 22nd • Storyboards (Laura, Danny, Susan) NOTE: this is our top priority deliverable • Care plan situations update (Susan) • Next meeting(s) agenda Page 3 Future Topics • • • • • • Review of the ISO CONTSYS work on care plan aspects Review of EHR-S FM R2 work by the HL7 EHR WG Care Plan elements from KP, Intermountain, VA, etc. (Laura) Requirements (André) EA Vs Eclipse: EA is preferred by many: Luigi, +++ Comparison of care plan contents (Ian, Laura) To inform the information model Start of spreadsheet (Laura…) • Overarching term to use (Ian M.) • Care Plan Glossary • Forward plan- first cut Page 4 Participants- WGM Meetg of 2011-06-08 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 Peter MacIsaac [email protected] AU HP Enterprise Services. MD; Clinical Informatics Consultant; IHE Australia; Medical Practitioner General Practice Adel Ghlamallah [email protected] CA Canada Health Infoway. SME at Infoway (shared health record); past architect on EMR projects 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 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 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. 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 Yes Intermountain Healthcare. Data Manager Kevin Coonan [email protected] US Yes MD. Emergency medicine. HL7 Emergency care WG. Gordon Raup [email protected] US Susan Campbell [email protected] US Elayne Ayres [email protected] US CTO, Datuit LLC (software industry). Yes PhD microbiologist. Principal at Care Management Professionals. HL7 Dynamic Care Plan Co-developer 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 5 Participants- WGM Meetg of 2011-06-08 p2 Name email Country Notes Yes 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 Lloyd Mackenzie [email protected] CA LM&A Consulting Ltd. Serafina Versaggi [email protected] US Clinical Systems Consultant Sasha Bojicic [email protected] CA Lead architect, Blueprint 2015, Canada Health Infoway Agnes Wong [email protected] CA RN, BScN, MN, CHE. Clinical Adoption - Director, Professional Practice & Clinical Informatics, Canada Health Infoway Cindy Hollister [email protected] CA RN, BHSc(N), Clinical Adoption -Clinical Leader, Canada Health Infoway Valerie Leung [email protected] CA Pharmacist. Clinical Leader, Canada Health Infoway 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. Luigi Sison [email protected] US Brett Esler [email protected] AU Catherine Hoang [email protected] Hugh Leslie [email protected] Seam Heard [email protected] Yes Pen Computer Sys US VA Tom Kuhn Mona Sr. Systems Architect at American College of Physicians ??? ?? Yes Page 6 S&I FRAMEWORK GROUP (TRANSITION OF CARE) Page 7 S&I Framework • Transition of Care sub-group, also some 20 others, uncoordinated • New Web site: http://wiki.siframework.org/ • Close liaison by Laura, and exchange of material • S&IF: Moving very fast, dedicated resources Timeline driven, HITAC Act MU Phase 2 may be delayed; their specs being developed independent of the S&IF work! Quality of deliverables is unknown and may not be a priority given the deadline they have • They like the dynamic care plan and the ad hoc communication of care plans • Not at the technical level • Use CCR, CCD, CDA Page 8 Other Comments • ONC Policy Committee (Susan) They are backing off from the concept of a longitudinal care plan History of encounters Page 9 ORLANDO WGM MEETING Page 10 Discussion- WGM Care Plan Meeting • See updates. • Additional discussion notes: Need to get close to EHR-S FM R2 o We need to understand functional requirements to best define interchanged information o Plan review of relevant R2 contents with EHR WG rep. Will there be links to Orders in the care plan messages? o We need links to events o We need to position interchanged information in the context of continuity of care o In nursing, not all details are documented o We need to keep away from implementation aspects and from the applications that are used to prepare and update care plans Page 11 STORYBOARDS Page 12 2011-05-11 Storyboards • Home Care: André: yes Reviewed and updated • Deferred after WGM Acute Care Plan Storyboard: Danny o In progress Perinatology: Laura Stay healthy: Laura Pediatric and Allergy/Intolerance: Susan • 20110608: André to update Storyboard document with material from Danny and Susan Page 13 FUTURE MEETINGS- SUMMER PERIOD Page 14 Meetings During the Summer Period • We will move to a meeting every second week until the end of August. Schedule is: June 22 July 6 July 20 August 3 August 17 • We will keep the intermediate slot in place in case we want to use them for specific cases like… Review of the ISO CONTSYS work on care plan aspects Review of EHR-S FM R2 work by the HL7 EHR WG Page 15 CONCLUSION Page 16 Action Items as of 2011-06-08 No. Action Items By Whom For When Status Laura (Danny) Active: Underway André Outstanding - Request made Stephen/ William Reformulated Draft a new PSS and review with project group André Deferred 10 Complete a first draft of requirements André Started 12 Complete storyboards Multi Started 14 Send updated summer schedule André 2. Do an inventory of use cases and storyboard on hand 3. Ask William for an update (add in a diff colour to the appropriate pages) 5 Obtain OK from ISO to use their CONTSYS work on Care Plan for our work 9 NB: Completed action items have been removed. Page 17 APPENDIX Page 18