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Care Plan (CP) Meeting 90 minutes

With meeting 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=168011982&UID=494535562&RT=NCMxMQ%3D%3D.

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Care Plan (CP) Meeting 90 minutes

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  1. With meeting notes To join the meeting: Phone Number: +1 770-657-9270Participant Passcode: 943377# WebExlink (thanks to Canada Health Infoway): https://infoway-inforoute.webex.com/infoway-inforoute/j.php?ED=168011982&UID=494535562&RT=NCMxMQ%3D%3D Care Plan (CP) Meeting 90 minutes André Boudreau (a.boudreau@boroan.ca) Laura Heermann Langford (Laura.Heermann@imail.org) Stephen Chu (stephen.chu@nehta.gov.au) 2012-03-14 André to lead *Care Plan wiki:http://wiki.hl7.org/index.php?title=Care_Plan_Initiative_project_2011 HL7 Patient Care Work Group

  2. Agenda- March 14th (Lead: André) • Review changes to Pediatric immunization SB (Susan) • Review Coordination of care concepts (Susan) • Review Care Plan BPMN first results (Luigi) • Review Care Plan Class Model first results (Luigi) • William’s Guidelines for DAM Information Modeling • Next meeting agenda • If time permits: Postponed • Review and augment draft of requirements (André) • Coordination of care • Care management matrix • Do a few past meetings • Update work plan

  3. Participants- Meetg of 2012-03-14 p1

  4. Participants- Meetg of 2012-03-14 p2

  5. Review of Storyboards • Reference file from the wiki: Chronic-Conditions_Care-Plan-Storyboard_V0-5_Revised_2012-01-06.docx

  6. Changes to Pediatric Immunization SB (Susan) • See • Pediatric_Immunization_Care_Plan_Storyboard_v0_4_20120306.doc (available on wiki) • The SB was simplified • We have to look at immunization beyond pediatrics • Influenza immunization • Part of preventive care • See the various notes and general comments in the updated version (on the wiki) • Pediatric_Immunization_Care_Plan_Storyboard_v0_5_20120314a.doc

  7. Coordination of Care (Susan) • See document by Susan: • Coordination of Care using a Care Plan- refinements-SEC-20120229.docx • Available on the wiki (Ref Material section) • Focus should be on supporting the process of care planning, not on the static plan • There are many different roles in care management • Nurse case manager • Social case manager • Disease case manager • Care coordinator • Care navigator • Care coordination may be viewed as just logistical in some contexts but it is more than just logistical. It is about the proper execution of the workflow, combining people and machine actions • In our Requirements statement, we need to document this range of complexity • Our Glossary needs to clarify the meaning that we want to give to these various terms. Semantics vary by culture and language

  8. Care Plan DAM Modeling • Luigi

  9. BPMN Model (Luigi) • Enterprise Architect SW (EA) is used • Review of a first draft of the BPMN for the encounters A and B of the Chronic care SB • We use roles, not individuals or systems in the model • The other 2 encounters will be added in the next round

  10. Class Model (Luigi) • Discussion • We need good definitions (Glossary of terms) • The class model is being built in parallel to the BPMN model in Enterprise Architect SW (EA)

  11. Forward Plan

  12. Status of 7 SBs – 2012-03-14

  13. Ongoing and Future Work, and Outstanding Items- as of 2012-03-14 • Acute Care SB to be completed - (Kevin) • Care Plan DAM Requirements (André and Care Plan Group) • BPMN models including information exchange (Luigi and CP Group) • Information model and glossary (Luigi and CP Group) • Business rules and triggers (TBD) • Action plan for balloting (CP Group and Co-Chairs) • Target:

  14. William’s Guidelines for DAM Information Modeling (2012-03-07) • See example from CIC/PC on Diabetes • Use expression of data elements instead of a glossary with a list of words • Diabetes: data element name, definition, permissible values, permissible values definitions, reference, and optional items • For the DAM, develop a class diagram with just names. • For example, if we encounter a scale: give the scale a class name and stop. Next create a DCM for the scale that can hold all knowledge, data elements, coding, data types, meta information and so on • DCM: variable, value set, description, example, data type, vocabulary, code for variable, code for value, comments • CP Group discussion (2012-03-14) • We will still build a Glossary to clarify the meaning of our terms/ concepts • We will give example of value sets to illustrate meanings

  15. Last updated: 2011-02-09 HDF- Domain Analysis Overview Source: HDF_1.5.doc, page 37

  16. 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

  17. Next meeting Agenda- March 28th (Lead: André) • EHRS FIM on Immunization profile (Steve) • Review Care Plan BPMN (Luigi) • Review Care Plan Class Model (Luigi) • Next meeting agenda • If time permits • Review and augment draft of requirements (André) • Coordination of care • Care management matrix • Analyze a few past meetings • Update work plan

  18. Appendix

  19. Updated Proposed Modeling Approach • Two streams of parallel modeling • From Storyboards to Business Process Modeling (BPM) • One single model, using the chronic care SB • Modeling focused on Patient movement and interchange of care plan data • No details on care activities at a given site (e.g. hospital, physician office, etc.) • From Storyboards to UML Class Model / Entity-Relationship Diagram) • Focused on care plan information • Identification of other relevant information without detailed modeling (e.g. patient demographics, local organization policies and rules) • Include good definitions of concepts • Tie to the PC data element specifications • Take advantage to existing definitions • e.g. ISO CONTSYS model • HL7 Vocabulary: patient, care plan, • Build definitions as we move forward • Laura: How will we capture different coordination of care processes: care manager, primary care physician; simple vs complex care

  20. Care Plan Requirements

  21. Updated Discussion- Requirements Structure/Approach • See new structure • EHR-S FM R2 contents integrated • For EHR-S FM R2 December 2011 ballot package, see EHR WG wiki • http://wiki.hl7.org/index.php?title=EHR • Agree that it will become a collector of all our thoughts regarding the care plan • We will take a bit if time at each meeting to review notes from the past and enrich the requirements

  22. Forward Plan Discussion Notes 2012-01-19 WGM • 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- André to follow-up • 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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