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Health eDecisions (HeD) All Hands Meeting

Health eDecisions (HeD) All Hands Meeting. February 21st, 2013. Meeting Etiquette. Remember: If you are not speaking, please keep your phone on mute Do not put your phone on hold. If you need to take a call, hang up and dial in again when finished with your other call

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Health eDecisions (HeD) All Hands Meeting

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  1. Health eDecisions (HeD)All Hands Meeting February 21st, 2013

  2. Meeting Etiquette • Remember: If you are not speaking, please keep your phone on mute • Do not put your phone on hold. If you need to take a call, hang up and dial in again when finished with your other call • Hold = Elevator Music = frustrated speakers and participants • This meeting is being recorded • Another reason to keep your phone on mute when not speaking • Use the “Chat” feature for questions, comments and items you would like the moderator or other participants to know. • Send comments to All Panelists so they can be addressed publically in the chat, or discussed in the meeting (as appropriate). From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute  All Panelists

  3. Agenda

  4. Announcements • Vocabulary and Terminologies sub work will be meeting this week • Friday 12:30-2:30 EDT • http://wiki.siframework.org/Health+eDecisions+Homepage • CQI (HL7) Meeting • Working on Harmonizing vMR and QDM • Tuesdays from 3-4pm EDT • http://wiki.siframework.org/Health+eDecisions+Homepage

  5. HL7 Update • We met with CDS Workgroup to review the HeD/HQMF harmonization activities • Documentation Template (FLAC Pain Score example) • We continue incorporate comments into the IG • Pilots will pilot a Draft Final of the IG • We will incorporate all pilot feedback (within the scope of ballot reconciliation) • Final IG will be submitted to HL7 end of April-beginning May as our DSTU • To see all comments and dispositions consult the HL7 section of the HeD Reference Wiki page: http://wiki.siframework.org/Health+eDecisions+Reference+Materials • Plans: • We will continue to use our Wednesday meeting time to continue work on any the IG, harmonization efforts etc. http://wiki.siframework.org/Health+eDecisions+Homepage ) • We will continue integrating comments into the IG

  6. HeD Roadmap for UC 1 2~ years September Ballot Apr/May Feb/Mar VMR/QDM harmonized clinical data model Normative HQMF/HeD harmonized artifact model FHIR? We are Here Revise IG Reconcile ballot comments DSTU Update IG Harmonize metadata Continue with pilots

  7. Pilots Update – Work Stream 2 • 11 Pilot Participants Total • We did not meet this week • We have 2 more potential pilots • Design Clinicals (Medication Tracking and monitoring) • Visumpoint- (model translation) • February 25 Meeting (upcoming) • Zynx scheduled to present • 3 slots open for other presenters • In the coming weeks • Drafting pilot success criteria and metrics • Pilots sites will be preparing the pilot project documentation and presenting their pilot plans to the group • To follow the work of pilots please see our wiki page: http://wiki.siframework.org/Health+eDecisions+Pilots

  8. HeD Pilots Goal • Goal • The goal of this initiative is to produce and consume implementable CDS interventions. • Event Condition Action Rules (ECA Rules) • Order Sets • Documentation Templates • Pilot Scope • Health eDecisions will apply defined aspects of the Implementation Guide in a real-world setting. • Modify the Implementation Guide to ensure it is usable • The real-world pilots evaluate not only the technology, standards and model (VMR), but also provide a test bed to evaluate the interaction of technology, implementation support, and operational infrastructure required to meet Health eDecisions use case 1 objectives at the stakeholder or organization levels.

  9. HeD Use Case 2 Development Data Element Requirements

  10. UC2 Data Requirements CDS Request (patient data + context) Clinical Mapping (UC1) Context (DSS/Infobutton) CDS Response (guidance and/or other response elements) Supporting Reference (UC1) Actions (UC1) Supporting Evidence (UC1) System Responses (e.g., Errors) Assessment

  11. Request Data Requirements CDS Request (patient data + context) • The Clinical Mapping data requirements will be leveraged from Use Case 1, but this portion of the work is on hold while other parallel efforts are underway • DSS and Infobutton were used as a starting point for the Context data • The Data Elements SWG evaluated these on 2/20. Community, please provide detailed review by COB 2/26 • What is missing? • What other references are available for Context data elements? Clinical Mapping (UC1) Context (DSS/Infobutton)

  12. Response Data Requirements CDS Response (guidance and/or other response elements) • Based on previous discussions, we plan to leverage several “buckets” of data from Use Case 1 • We will review these today. Community, please provide detailed review by COB 2/26 • Other elements proposed last week: System Responses and Assessment data • Volunteers requested to help with initial definitions of these requirements Supporting Reference (UC1) Actions (UC1) Supporting Evidence (UC1) System Responses (e.g., Errors) Assessment

  13. Next Steps • Work Stream 1 – HL7: • Continue HeDHQMF Harmonization Activities and IG updates • Next HL7 meeting February 27th, 2013 3-5 pm EDT (see HeD Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage • HL7 CQI meeting • Harmonizing VMR/QDM • Next Meeting: February 26th, 3-4 pm EDT (see HeD Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage • Work Stream 2 – Pilots: • We will be discussing Pilot Plans (please work on your project pans) • Next Pilots meeting: February 25th, 1-2:30 pm EDT see HeD home page wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage • Review UC 1 for background information for UC 2 • Work Stream 3 – Use Case 2: • We will continue reviewing the components of Use Case 2 • Next meeting February 28th, 2013 11-12:30 EDT (see the HeD Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage New

  14. Questions?

  15. Contact Information • For questions, please contact your support leads • Coordinator: • Ken Kawamoto: kensaku.kawamoto@utah.edu • Co-Coordinators: • Aziz Boxwala: aziz.boxwala@meliorix.com • Bryn Rhodes: bryn@veracitysolutions.com • ONC Leadership: • Alicia Morton: alicia.morton@hhs.gov • Project Management: • Jamie Parker: jamie.parker@esacinc.com • Becky Angeles: rebecca.angeles@esacinc.com • Harmonization: • Cem Mangir cmangir@deloitte.com • Shalina Wadhwani: shwadhwani@deloitte.com

  16. Useful Links • Wiki • http://wiki.siframework.org/Health+eDecisions+Homepage • Use Case 1& 2 • http://wiki.siframework.org/Health+eDecisions+Use+Case • UC 2: Use Case 2: http://wiki.siframework.org/UC+2+-+CDS+Guidance+Service • Pilots • http://wiki.siframework.org/Health+eDecisions+Pilots • HL7 Ballot Submission: • http://wiki.siframework.org/Health+eDecisions+Reference+Materials#Ballot • UC 1 Harmonization and IG: • http://wiki.siframework.org/Health+eDecisions+Harmonization+and+Standards+%28Implementation%29 • HeD Glossary • http://wiki.siframework.org/HeD+Glossary

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