1 / 33

Health eDecisions (HeD) All Hands Meeting

Health eDecisions (HeD) All Hands Meeting. March 14th , 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

makoto
Download Presentation

Health eDecisions (HeD) All Hands Meeting

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Health eDecisions (HeD)All Hands Meeting March 14th, 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

  5. HL7 Update • We have finalized the HeD Schema • Harmonized with HQMF where applicable • HeD/QDM/vMR harmonization work continues • vMR will be submitting the HeD requested updates to the vMRon March 17th (per HL7 ballot requirements) • We are finalizing the IG based on the schema updates and harmonization activities • Plans: • We will continue to use our Wednesday HeD/CDS meeting time to continue work on any the IG, harmonization efforts etc. http://wiki.siframework.org/Health+eDecisions+Homepage ) • We will continue integrating comments based on the pilots into the IG

  6. Vocabulary and Terminology Sub Work Group Update Presented by Mark Roche

  7. HeD Vocab/Terminology WG (3) • Meetings: • 1x/week, Fridays/ 1-2 hrs • Meeting minutes: http://wiki.siframework.org/Health+eDecisions+Meeting+Artifacts • HeD Vocab guidance document • https://docs.google.com/a/esacinc.com/document/d/1AUIDNHwnc3k3AHPB6pGW1t2kHa-5w_tcmDHUoNQw5vA/edit?pli=1# • Home page: • http://wiki.siframework.org/Terminologies+and+Value+Sets+SWG • Worksheet (working document used by WG) • https://docs.google.com/spreadsheet/ccc?key=0AkVg6OcD6S5NdElOTndjOGhpaEF6UmlfTm05OGVYdWc&pli=1#gid=0

  8. Approach • Identify Data Element (metadata) requirements that support HeD Use Case 1: • Review/Extract metadata from HeD Use Case 1 documentation • Review/Extract metadata from HL7 virtual medical record (vMR) • Cross-reference metadata • Focus on vMR Data Elements • (leverage existing metadata standards/definitions) • Identify and assign Value Sets/Codes to metadata

  9. Mapping Resources

  10. Mapping results documentation

  11. Metadata distribution

  12. vMR DEs

  13. Mapping Complexity • Low • Value sets/enumerated list readily available and clearly defined for given Data Element (DE) • Moderate • Examples: • More than one vocabulary sources/VS • Overlapping coverage of vocabulary sources/VS • High • Insufficient vocabulary/VS sourcesor coverage • Non-existing sources

  14. Example 1: Low complexity • vMR DE “Administrable Substance -> Form” • Source Leveraged: HITSP C80 (.pdf) Document and Table Name + OID

  15. Example 2: Low complexity • vMR DE “AdverseEventBase-> affectedBodySite” • Source Leveraged: HITSP C80 (.pdf) Document and Table Name + OID

  16. Example 2: Mediumcomplexity “Base” Data Element Groupings created: each group member represents distinct overlapping vocabulary source

  17. Example 2: Mediumcomplexity “Base” Data Element Groupings created: each group member represents distinct complementary vocabulary source

  18. Example 3: Mediumcomplexity 18 instances

  19. Examples 1 and 2: Highcomplexity

  20. Next Steps • Address remaining DE with high complexity • Provide feedback to vMR update process • Provide feedback to Value Set authors • Get feedback from Implementers • In the long run, adjust WG outcomes with other S&I initiatives and updates • Alignment between vMRand QDM • Incorporate UC1 Pilot feedback • Monitor evolution of Terminologies and Value Sets

  21. WG Members • Rob McClure, MD (MD Partners, Inc) • Mark Roche, MD (Roche Consulting Inc) • Victor Lee, MD (Zynx) • Becky Angeles (ESAC, Inc) • Aziz Boxwala, MD (MeliorixInc) • Steve Claypool (Wolters Kluwer) • Claude Nanjo (Zynx) • Howard Strasburg, MD (Wolters Kluwer) • George Robinson, PharmD(First Databank Inc,) • SerafinaVersggi (Eversolve) • David Shields (OpenCDS) • John Faughnan, MS (McKesson) • Kim Nolen, PharmD (Pfizer) • NingZhou (Intermountain Healthcare)

  22. Questions

  23. Pilots Update – Work Stream 2 • We will be meeting Monday March 18th, 2013 (1-2:30 EST) • Paul Arnone from Applied Pathways will be presenting • The vocabulary and terminology team will be presenting • The CDC will be presenting their Pilot Project Plan • 2 new vendor participants (consumers) • SuccessEHS and DesignClinicals

  24. HeD Pilots Goal - Modified • Goal • The goal of this initiative is to produce, consume, and where feasible, execute 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. • Demonstrate intent of format specifically structures and semantics are communicated either by direct execution or by translation to native format • Ensure Completeness and consumability of artifact

  25. Pilots Timeline We are Here

  26. What We Covered This Week • All three artifact types will be included in pilot • HeD Schema Framework Tool Demo – Bryn Rhodes • Verifies HeD artifacts wrt use of expressions and vMR (generated from vMR schema) • Does not currently verify terminology usage, but could • For use during Pilot, after that – TBD • Discussed idea of creating transformations to EMR system formats: include in pilot scope if possible

  27. Next Steps • Targeted to be finalized by end of this week: • Schemas • Implementation Guide • Examples • At next week’s meeting (March 18): • ShuMcGarvey will give CDC presentation • Work Plan Presentation • Begin mapping/harmonization and translating activities

  28. Pilots Participants • Wolters Kluwer Health • OpenCDS • ZynxHealth • Medexter Healthcare • newMentor • CDC • NextGen • Practice Fusion • AllScripts • Visumpoint • Design Clinicals • SuccessEHS • Applied Pathways

  29. Work Stream 3 -HeDUse Case 2 Development • Data Element Requirements Review

  30. Next Steps • Work Stream 1 – HL7: • Finalize Harmonization, Schema and IGactivites • Next HL7 meeting March 13th, 2013 3-4 pm EDT (see HeD Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage • HL7 CQI meeting • Harmonizing VMR/QDM • Next Meeting March 12th 2013:, 3-4 pm EDT (see HeD Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage • Work Stream 2 – Pilots: • We are beginning the work of pilots • Next Pilots meeting: March 11th, 1-2:30 pm EDT see HeD home page wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage • Review the posted pilot project plans • Work Stream 3 – Use Case 2: • We will continue reviewing the components of Use Case 2 • Next meeting March 14th 11-12:30 EDT (see the HeD Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage

  31. Questions?

  32. 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 • Christina Arenas: christina.arenas@esacinc.com • Use Case 2: • Dave Shevlin: d.s.shevlin@accenturefederal.com • Virginia Rhiel: virginia.riehl@verizon.net • Harmonization: • Lynette Elliot: lynette.elliott@esacinc.com • Merideth Vida: merideth.c.vida@accenture.com • Anna Langhans: anna.langhans@accenture.com

  33. 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

More Related