Pediatric Data Standards SIG Overview

1. Pediatric Data StandardsSIG Overview Atlanta, GA September 20, 2007

2. Why We Exist Numerous National HIT Initiatives Underway to Support President’s Goal to Make EHR Systems Accessible by 2014 Problem: Children represent nearly one third of the U.S. population. They can receive care through HIT systems from a variety of individuals in a variety of settings. Initiatives are largely adult-focused. Opportunity: Work through HL7 to improve quality of data standards for child health care.

3. Adopt Standards Desired Outcomes Support safe care for children Health InformationTechnologyvendors Enable pediatric performance measurement by improving interchange of standardized information Child health practitioners, clinicians and hospitals Reduce system implementation costs due to duplication and customization PeDSSIG is Part of National Pediatric HIT Community Identify Requirements Influence Adoption Validate Standards HL7 Health Level Seven (HL7) Pediatric Data Standards SIG • Nationwide Health Information Network • Office of the National Coordinator • Alliance forPediatricQuality American Health Information Community AAPCouncil on Clinical Information Technology HIT Standards Panel Certification Commission for HIT Support workgroups, buildconsensus and adoption • HIMSS Pediatric Health Informatics & Technology SIG Systematized Nomenclature of Medicine Vendor PediatricConsortia

4. AAP PeDSSIG HL7 CCHIT EMR Position Papers Pediatric EHR Functions EHR-FM Standard EHR Vendor Certification Criteria Vendor Compliance & Certification; Provider Adoption Alliance Support and Endorsement Example: HIT Workflow

5. What We Look Like Founded: 2003 Parent: Patient Care Technical Committee Leadership: Andy Spooner, MD and David Classen, MD Support: Alliance for Pediatric Quality provides Administrative Co Chair and some financial support Participation: Primarily CMIOs, physicians, medical informatics experts and vendor representatives Distribution: 100+ on email distribution list Operations: Work group meetings, monthly calls, webcasts and project meetings as needed Recruitment: Presentations at national conferences, HIMSS PHIT SIG, AAP, CHCA, NACHRI, vendors, etc.

6. Emphasis To-Date • Functional Standards • EHR-S FM includes critical child health functions • Child Health-FP registered with HL7 • Contributing to PHR-S FM • Exploring derived profiles (e.g. neonatology) • Messaging Standards • Immunization Activity Diagrams and Story Boards part of Care Provision DSTU • Quality Reporting Document Architecture (QRDA) project exploration • Terminology Standards • Exploring opportunities

7. HL7 EHR System Functional Model Example – Pediatric Impact E.g. Function requested by PeDSSIG (#1) is now a standard Red text represents PeDSSIG edits to the EHR-S FM as reflected in the HL7 Child Health Functional Profile for EHR systems

8. Influence adoption of pediatric requirements Improve data standards for child health care Earn commitment from pediatric stakeholders Goal DRAFT HL7 Pediatric Data Standards SIG Tactical Plan2008

9. Questions?David Classen, MDdclassen@fcg.comAndrew Spooner, MDandrew.spooner@cchmc.orgJoy Kuhljoy.kuhl@chca.com