LRI/LOI Pilots

1. LRI/LOI Pilots May 1, 2012

2. Participants Pilot I Project Participants • Allscripts • Atlas Development • CAP • Cerner • Halfpenny Technologies • KHIE • LabLynx • RML Coordination of Effort • Validation Suite • Vocabulary Group • Implementation Guide Analysis • Support Team • Others Pilot II Project Participants Conversations • Lab System and EHR Vendor (2) • Lab System Vendor (1) • EHR Vendor (3) • Commercial Laboratories (2) • Provider Based Commercial Labs (3) Pilot I Project Participants • Allscripts • Cerner • Optimum Insight • RML

3. LRI Validation Suite WGUpdate for LRI Pilot WG May 1, 2012

4. Phase 1 Core Test Messages

5. Phase 2 Test Messages* • Anatomical Pathology/Surgical Pathology Study • Example of A4 result • Two draft messages completed (Skin biopsy and Inguinal Lymph Node biopsy) • HIV 1 Ab [Presence] • Example of Reflex testing • Draft message completed • A toxicology test • Example of Screening followed by Reflex testing • Draft Screening message for Amphetamines [Presence] in Urine with negative result completed; Reflex draft message needed • Other test messages could include urine test for Cannabinoids, Cocaine, Opiates, Phencyclidine *Will start including in Validation Tool and Test Plans in June 2012

6. Phase 2 Test Messages (cont’d) • Cytology Panel with four components • Example of combination of A2 and A4 results in a panel • Specimen source (identifier) in cervical or vaginal smear or scraping by Cyto stain – example of A2 result • Cytology report of cervical or vaginal smear or scraping Cyto stain thin prep – example of A4 result • Recommended follow-up (identifier) in cervical or vaginal smear or scraping by Cyto stain – example of A2 result • Cytology study comment on cervical or vaginal smear or scraping by Cyto stain – example of A4 result • Draft message needed

7. Phase 2 Test Messages (cont’d) • Human Genome – CFTR gene mutations found [Identifier] • Example of A3 result • Draft message completed • Complete Urinalysis (panel test) – lowest priority test • Example of A2 result • Draft message completed - to be modified using “+” or “++ “for bilirubin result value • Example of A4 results • Urine sediment comments

8. Needed from Pilots • Testers and feedback for current version of Validation Suite tool http://lri.sipilotdevelopment.org/lri-dstu/ • Volunteers for 1-on-1 Webex testing • Especially EHR systems • Validation Suite to be ready in June 2012

9. Pilot I Project Updates • Allscripts • Atlas Development • CAP • Cerner • Halfpenny Technologies • KHIE • LabLynx • RML

10. Value Proposition • Create value proposition statements for • Ambulatory Providers • Laboratories (does this vary by type) • Vendors • EHR • LIS • HIE • System Integrators • Value possibilities • Setup cost (each party) • Support cost (each party) • Reduced errors • Reduced TAT • Improved care delivery

11. Next Steps / Questions • Next Steps • Continue recruiting Pilot II partipants • Work on expanded scenarios for validation suite • Schedule • Pilot calls for coordination every other week at same time 5/1, 5/15, 5/29, … • Continue work with Validation Suite on 5/22 • Start participation in LOI and compendium effort based on LOI calendar • For questions, please feel free to contact • Bob Dieterle: rdieterle@enablecare.us