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May 18th meeting canceled due to WGMs. Next meeting on May 25th. Care Plan (CP) Team Meeting Notes (As updated during meeting) André Boudreau ([email protected]) Laura Heermann Langford ([email protected]) 2011-05-11 (No. 13) Care Plan wiki: http://wiki.hl7.org/index.php?title=Care_Plan_Initiative_project_2011 HL7 Patient Care Work Group Agenda for May 11th • • • • Storyboards- home care (André) Requirements (André) Finalization of Orlando WGM agenda (All) Next meeting date and agenda: May 25th Skip May 18th (WGMs) Page 2 Agenda for May 25th • • • • • • • • Feedback from WGM in Orlando (Laura+) Care Plan elements from KP, Intermountain, VA, etc. (Laura) Care plan situations update (Susan) Storyboards (Laura, Danny, Susan) Requirements (André) EA Vs Eclipse: EA is preferred by many: Luigi, +++ Forward plan- first cut Next meeting agenda • For a future meeting: 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 Page 3 Participants- Meetg of 2011-05-11 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 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 Yes 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 Yes JP Systems. Informatics Consultant; Business Consultant & Sr. Project Manager 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 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 Intermountain Healthcare. Data Manager Kevin Coonan [email protected] US Gordon Raup [email protected] US Susan Campbell [email protected] US Elayne Ayres [email protected] US Yes MD. Emergency medicine. HL7 Emergency care WG. 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 4 Participants- Meetg of 2011-05-11 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 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. Luigi Sison [email protected] Page 5 STORYBOARDS Page 6 Feedback on Chronic Care Plan Storyboard 2011-05-04 • Want to ensure Readability Clinical accuracy, validity Coverage (focus on the 80%, not the exceptions) Remember: storyboards get improved over time, as the project advances • By clinicians • As we progress in the DAM process • Ask the PC list/members Page 7 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 Page 8 REQUIREMENTS Page 9 Requirements Document • Draft started by André, documenting notes and discussions from meetings up to now • Incorporates wiki material from past years There was a DSTU ballot in late 2007 • Focus is from a business and clinical perspective Page 10 ORLANDO WGM Page 11 Orlando WGM Topics • Thursday May 19th, Q1, 9h00 to 10h30, duration 1.5 hour. Teleconference and webex facilities provide for remote participation • Who to lead: Laura • Revised Agenda: Background: history, need for a DAM (André) Approach followed /deliverables – André Status of Care Plan DAM project - André o Requirements, include inventory of existing material and standards, started Storyboard review: we have 2 - Laura o Discuss process to review storyboards and participants Readability Clinical accuracy, validity Coverage (focus on the 80%, not the exceptions) Remember: storyboards get improved over time, as the project advances Identifying key material and people from other Patient Care work (Pressure Ulcer, DCM) and other WG (Emergency Care, Care Provision, Care Statement, Structured Document, CDA consolidation, etc.) – All participants Major concerns of participants - Laura Request for contacts to help understand approach and models used in various countries for care plans - Laura Page 12 Note from Stephen • The session scheduled for Care Plan topic discussion is: Orlando WGM - May 19, Q1 0900-1030 • Since some key members have indicated their inavailability to travel to Orlando, we have organised conference call facilities for this specific quarter. Any one interested in participating remotely can dial in and join the discussion. The dialing in details are as follows: Call number: 770-657-9270, PIN 398644 I will organize with Andre to provide webex access. Details to follow. Page 13 CONCLUSION Page 14 Action Items as of 2011-05-11 No. Action Items By Whom For When Status Laura (Danny) Active: Underway André Outstanding - Request made Audrey/Laura Outstanding 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 13 Prepare Orlando WGM: agenda, material 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 and share the published version of the CEN Continuity of care P1 and P2; obtain ok from ISO 9 All May 13 Agenda finalized 14 NB: Completed action items have been removed. Page 15 APPENDIX Page 16