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Health eDecisions (HeD) All Hands Meeting

Health eDecisions (HeD) All Hands Meeting. February 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

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Health eDecisions (HeD) All Hands Meeting

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  1. Health eDecisions (HeD)All Hands Meeting February 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 met with CDS Workgroup • Finalized comments • We will 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? Revise IG Reconcile ballot comments DSTU Update IG Harmonize metadata Continue with pilots

  7. Pilots Update – Work Stream 2 • 11 Pilot Participants Total • February 11 Meeting (past) • 2 Organizations presented their plans for the Use Case 1 Pilot • newMentor • OpenCDS • 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. Timeline We are Here

  10. newMentor Pilot • Lead: Julie Scherer, COO • Will produce Rule or Documentation Template • Planning to provide input on usability of IG • Interested in working with Artifact Consumers • Willing to work with clinical experts (e.g., CDC) to get content in exchangeable form • Offered to collaborate with OpenCDS • 3-way collaboration between newMentor, CDC and NextGen was proposed

  11. OpenCDS • Lead: David Shields • Will consume a Rule and deploy it to OpenCDS • Will accept patient data in real time and return result message as specified by the rule • Interested in compiling rule into DROOLS (possible collaboration with WK) • Possible collaboration with newMentor

  12. Work Stream 3: Use Case 2 • Working Session

  13. UC2 Data Requirements CDS Request (patient data + context) Clinical Mapping Data + DSS / Clinical Context? CDS Response (guidance and/or other response elements) Supporting Reference Actions Supporting Evidence + ?

  14. UC2 Data Requirements • When evaluating the requirements for UC1, we need to ask: • What is missing to support UC2? • What is not applicable to UC2? • Homework (by EOD 2/19) • Review the Clinical Mapping Data Elements, asking the questions above and submit your feedback on the wiki (link to be included in follow-up e-mail)

  15. Request Data Requirements CDS Request (patient data + context) • The Data Elements SWG has been evaluating the Clinical Mapping Data requirements from UC1 for the patient data • DSS and Infobutton were recommended as a starting point for the context data • Does anyone have experience with these and want to assist with the analysis to determine which components are applicable? • What other references are available for clinical context data elements? Clinical Mapping Data + DSS / Clinical Context?

  16. Response Data Requirements CDS Response (guidance and/or other response elements) • The Supporting Evidence, Supporting Reference, and Actions buckets of data from UC1 were recommended as a starting point for the CDS Response • Other suggestions from the community? Supporting Reference Actions Supporting Evidence + ?

  17. Next Steps • Work Stream 1 – HL7: • Develop Work Plan for incorporating ballot resolutions into IG • Next HL7 meeting February 20th, 2013 3-5 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 21st, 2013 11-12:30 EDT (see the HeD Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage

  18. Questions?

  19. 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: • CemMangir: cmangir@deloitte.com • ShalinaWadhwani: shwadhwani@deloitte.com • Use Case: • Merideth Vida: merideth.c.vida@accenture.com • Dave Shevlin: d.s.shevlin@accenturefederal.com

  20. 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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