1 / 16

S&I Framework Update HIT Standards Committee

S&I Framework Update HIT Standards Committee. June 10, 2013. Doug Fridsma, MD, PhD, FACP, FACMI Chief Science Officer & Director, Office of Science & Technology. S&I Framework Operating Metrics . Outputs. Timing. Participation & Process. As of 6/13/2013. 1.

tommy
Download Presentation

S&I Framework Update HIT Standards Committee

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. S&I Framework Update HIT Standards Committee June 10, 2013 Doug Fridsma, MD, PhD, FACP, FACMIChief Science Officer &Director, Office of Science & Technology

  2. S&I Framework Operating Metrics Outputs Timing Participation & Process As of 6/13/2013 1

  3. S&I Initiative Portfolio Snapshot S&I Initiative Portfolio Snapshot Direct Project (S&I Archetype) In production Transitions of Care Companion Guide & PSS completed for September ballot Lab Results Interface IG & Second Errata Published; 2014 CEHRT In Progress Query Health Pilots nearing completion, QRDA III Published, HQMF in Comment Reconciliation Data Segmentation for Privacy Pilots in Evaluation, 2 IGs adopted by HL7, RESTful IG still in SDO adoption process Public Health Reporting Community-Led; RI Framework and CDA guide published; Testing & Pilots in progress; community will be meeting on a monthly basis esMD eDoC UC in Progress; AoR Level 2 UC achieved consensus; IG consensus closed for UC 1, UC 2, AoR L1, and Prov. Dirs. Guidance IG’s Longitudinal Coordination of Care Community-Led; 1st UC Complete; PAS SWG Complete; Created 'Care Plan' Glossary for HITPC & HL7; Use Case 2: Care Plan Exchange in progress; C-CDA updates for Aug/Sept HL7 Ballot in progress Laboratory Orders Interface LOI IG ballot ended on 1/7/13 and reconciliation completed 6/7/13; Lab pilot efforts include LOI and eDOS; LOI IG to be submitted for June reballot along with initial ballot for eDOS IG Health eDecisions Use Case 1: Knowledge Artifact Sharing Model, Schema and IG was approved by HL7, UC 1 now in Pilots – 3 of 4 pilots complete. Use Case 2: CDS Guidance Service achieved consensus. Pursuing solution that will align vMR with C-CDA and QRDA Blue Button Plus Two WGs complete (Payer & Clinical Content); Two WGs (Push & Pull) in progress, at various stages of IG development Structure Data Capture Use Case consensus complete; Standards Analysis ongoing; Forms SWG discussing CDE and Form Structure; Standards SWG kickoff July 3 PDMP Project Standard – NCPDP was selected and consented March 14, 2013 2

  4. S&I Framework Pilots • S&I Pilots websiteindicates geographically where all pilots are located 3

  5. S&I Initiatives Update Status Key: Active Maintenance

  6. Transitions of Care Maintenance Transitions of Care (ToC) IC: John Feikema • Current Status: • The Companion Guide Project Scope Statement was approved for a September Informative Ballot within HL7 Structured Documents WG • Currently working on ensuring all the necessary materials are ready for submission in July • Coordinating ongoing S&I-related C-CDA Project Scope Statements and other potential C-CDA updates • Next Steps: • Monitoring the Structured Documents WG and list serv for ToC/MU2/C-CDA Companion Guide PSS activities and general C-CDA activities 5

  7. LRI Maintenance Laboratory Results Interface (LRI) IC: John Feikema • Current Status: • LRI Pilots were completed and Validation Suite Tool was released for 2014 CEHRT • HL7 OO WG has addressed the outstanding open issues not covered in the first errata for the LRI IG and included those in the recently published second errata • Any additional issues will be included in a possible third errata • Normative version of IG will occur in 2014 • Next Steps: • HL7 OO WG to determine if a third errata will be necessary 6

  8. Query Health Active Query Health (QH) IC: John Feikema • Current Status: • High-level pilots feedback was received in previous weeks and additional technical feedback on HQMF/QRDA will be received in a follow-up meeting with the pilot implementation team (awaiting completion of HQMF implementation at MDPHnet) • AppNET is in the planning stage • Allscripts and HealthShare Montana indicated interest, but there has not been any movement on either in several months • HQMF task force continues to work on outstanding issues. A timeline was established for reaching a “publishable” version of the standard no later than 6/29 • Discussing and brainstorming next steps with various stakeholders for future Query work including Query Basics and Targeted Query • Next Steps: • Meeting upcoming between Doug Fridsma and Joyce Sensmeier the week of 6/17 to discuss IHE involvement and engagement for QH • Gather and summarize detailed technical & standards based pilot feedback from all sites • Monitor HQMF HL7 activity • Outline timeline, scope, and approach for Query Basics and Targeted Query work streams 7

  9. Data Segmentation for Privacy Maintenance Data Segmentation for Privacy IC: Jeanne Burton (formerly Johnathan Coleman) ONC Sponsors: Joy Pritts & Melissa Spring (formerly Scott Weinstein) • Current Status: • The initiative has transitioned into a community-led effort with the Pilots and SDO balloting as main focus. • The pilots will continue their efforts and meet as needed to discuss with the community. • The Direct and Exchange IGs have been adopted by HL7 and are being refined for September ballot. The RESTful IG is still in development and is in consideration for a joint IHE/HL7 balloting process. • Next Steps: • Will host multi-pilot interoperability demo on next DS4P All Hands Call (June 26) • Data Segmentation for Privacy (DS4P) Joint Project Work (HL7-CBCC/Security) Workgroup • HL7 workgroup for refining the DS4P IGs meets on Tuesdays at 4pm EST 8

  10. Public Health Reporting Active Public Health Reporting (PHR) IC: Walter Suarez (Community-led) • Current Status: • Completed Public Health Reporting Reference Implementation Framework: • Reference document on interoperability standards for the following public health program (domains):  Adverse Events; Cancer;  Communicable Disease Case Reporting;  Early Hearing Detection and Intervention (EHDI);  Healthcare Associated Infections (HAI); Immunization; and Vital Records • Completed PHRI CDA Guide: Specifies CDA structure for public health report for communicable diseases and adverse events • Testing and Pilots Demonstration Attestation in progress • Next Steps: • Continue planning for PHRI Phase 2 which includes cross-participation in SDC initiative • Exploring collaboration with San Diego and North Carolina Beacon communities for Testing/Pilots 9

  11. Longitudinal Coordination of Care Active Longitudinal Coordination of Care (LCC) IC: Evelyn Gallego ONC Sponsor: John Feikema • Current Status: • Developing the Interoperable Care Plan Exchange Use Case • Revising the C-CDA to support Transitions of Care and Care Plan Exchange for the HL7 Fall Ballot cycle • Aligning Care Plan exchange efforts with various HL7 WGs (Patient Care WG, SOA Care Coordination Services) • Coordinating Care Plan standard development activities with other SDO and Federal Care Plan activities (HL7 Patient Care WG, IHE Patient Care Coordination Technical Committee, AHIMA LTPAC HIT Collaborative, CMS esMD) • Next Steps: • Identify and manage Pilots for the transitions of care and care plan implementation guides  • Participate in the LTPAC HIT Summit (mid-June) • Develop and submit recommendations to HL7 WGs for Care Plan exchange alignment 10

  12. Laboratory Orders Interface Active Laboratory Orders Interface (LOI) IC: John Feikema • Current Status: • LOI IG completed DSTU ballot comment reconciliation for all 400 comments and will be pursuing out-of-cycle ballot on June 19th • Note – eDOS IG and LOI IG will be balloted at the same time in June • LOI Vocabulary WG finalizing Ask at Order (AOE) document to include in eDOS IG • Pilots progress – LOI Tool for testing is almost complete and will be referenced by upcoming pilots • Next Steps • Prepare LOI IG to be submitted for second ballot by June 19th along with the initial ballot for eDOS IG 11

  13. Health eDecisions Active Health eDecisions IC: Ken Kawamoto ONC Sponsors: Alicia Morton & Jacob Reider • Current Status: • Currently we support 3 work streams • Work stream 1: HL7 ballot for UC 1 • Updating the IG based on the work of Pilots • Work stream 2: Pilot • NewMentor and Allscripts completed the NQF 68 Million Hearts Rule • CDC and Allscripts – completed the San Diego Pertussis rule • Wolters Kluwer and VA – completed the Urinary Tract Documentation template • Zynx Health and DesignClinicals are in the final wrap up stage of the Heart Failure order set • Work stream 3: Use Case 2 • Submitted Project Scope Statement to HL7 for September meeting • Finalized Harmonization activities: • We will create implementation guidance that leverages vMR as the base model but is aligned with C-CDA and QRDA (semantics, terminologies, and templates) to the highest extent possible. • Pursue both SOAP and REST for the updated DSS IG for September 2013 • Next Steps: • Continue to prepare UC 2 IG for HL7 ballot in September • Work to finalize the IG for UC 1 • Finish the last remaining pilot for UC1 and incorporate feedback from pilots into UC1 IG 12

  14. Blue Button Plus Initiative Active Blue Button Plus Initiative IC: Pierce Graham-Jones • Current Status: • The BlueButton Website (http://bluebuttonplus.org) launched in March and includes Push Implementation Guidance, Privacy & Security Guidance, and Clinical Content Guidance. • Draft Pull Guidance is available on the Pull API Documentation site (http://blue-button.github.io/blue-button-plus-pull/). • Blue Button+ successfully demonstrated sending patient health information via Direct to multiple providers and provider partners during HIMSS 2013. • Energized by this success, workgroups are now focused on data holder adoption (for vendors, providers and payers). • Next Steps: • Document high-level tasks and work plan for standing up a Pull Reference Implementation; share with community.  • Prepare for new Presidential Fellows and Initiative Coordinator transition in mid-June. • Announce All Hands Meeting in late June to communicate the plan for moving forward with the BlueButton+ initiative. 13

  15. Structured Data Capture Active Structured Data Capture (SDC) IC: Evelyn Gallego ONC Sponsor: Farrah Darbouze • Current Status: • Evaluation of identified Candidate Standards against HITSC criteria is close to complete • May need to include additional standards that were recently identified by WG members • Technical work streams kickoffs : • Forms SWG kickoff was kicked off in June 5 - Led by AHRQ, NLM • Working on define Common Data Element (CDE) Structure guidance • Working on define Form/Template including form structure, layout, and attributes • Standards SWG kickoff planned for July 11 - Led by S&I Support team • Focus - EHR Interaction with form/template guidance • Focus - Auto-population of form/template guidance • Next Steps: • Continue Forms SWG activities & Launch Standards SWG (Technical Work stream) • Finalize Standards Evaluation and continue with Technical feasibility of each Standard by mapping against identified Use Case requirements for further evaluation • Update SDC Project Plan based on NLM/AHRQ updates to Forms SWG planning artifacts. • Launch Pilot Engagement activities (June 13, 2013) 14

  16. Questions/Discussion Questions/Discussion ONC website: www.healthit.gov/ S&I Framework Wiki: http://wiki.siframework.org/ 15

More Related