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PDMP & Health IT Integration Standards and Harmonization

PDMP & Health IT Integration Standards and Harmonization. May 20 th , 2014. Agenda. Review: Solution Planning Workgroup Session I Current-State Transaction: Standards Landscape. May 20 th , 2014. HIE/ Pharmacy Intermediary. 2. 5. 2. 7. 4. Out of State PDMP. In-State PDMP.

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PDMP & Health IT Integration Standards and Harmonization

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  1. PDMP & Health IT IntegrationStandards and Harmonization May 20th, 2014

  2. Agenda

  3. Review: Solution Planning Workgroup Session ICurrent-State Transaction: Standards Landscape May 20th, 2014

  4. HIE/Pharmacy Intermediary 2 5 2 7 4 Out of State PDMP In-State PDMP EHR or Pharmacy System Hub 1 8 8 3 7 6 3 Hub PMP/HITI User Stories with Alternate Workflows EHR or Ph. to In-State PMP: 1a: EHR to In-state PMP 1b: Ph. to In-state PMP 2a: EHR to In-state PMP via HIE 2b: Ph. to In-State PMP via HIE 3a: EHR to In-state PMP via Hub 3b: Ph. Intermediary to In-State PMP via Hub EHR or Ph. to Out-of-State PMP: 1a+4: EHR to out-of-state PMP via In-state PMP 1b+4: Ph.to out-of-state PMP via In-state PMP 2a+4: EHR to out-of-state PMP via HIE & In-state PMP 2b+4: Ph. to out-of-state PMP via Ph. Int& In-state PMP 2a+5: EHR to out-of-state PMP via HIE 2b+5: Ph. to out-of-state PMP via HIE 3a+4: EHR to out-of-state PMP via Hub & In-State PMP 3b+4: Ph. to out-of-state PMP via Hub & In-State PMP 1a+8: EHR to out-of-state PMP via In-State PMP & Hub 1b+8: Ph. to out-of-state PMP via In-State PMP & Hub 3a+6: EHR to out-of-state PMP via Hub 3b+6: Ph. To out-of-state PMP via Hub

  5. Summary of Transactions

  6. Current In-State EHR Workflow (Direct) Transaction 1a PMIX? EHR System In-State PDMP PMIX? Legend Request Response

  7. Current In-State EHR Workflow (HIE) Transaction 2a HL7 A04 NCPDP SCRIPT with PMIX Wrappers Third Party Software HL7 QRY^T12 HL7 ADT feeds NCPDP SCRIPT (Med History) HL7 QRY^T12 EHR System HIE In-State PDMP HL7 OBX XML Report NCPDP SCRIPT (Med History) HL7 DOC^T12 - CCD XML Response NCPDP SCRIPT with PMIX Wrapper HL7 DOC^T12 Legend Request Response

  8. Current In-State Pharmacy Workflow (Direct) Transaction 1b Pharmacy IT System In-State PDMP Legend Request Response

  9. Current In-State Pharmacy Workflow (Pharmacy Int. / Switch) Transaction 2b NCPDP SCRIPT (Medication History) ? Pharmacy System Pharmacy Intermediary/ Switch In-State PDMP NCPDP SCRIPT (Medication History) ? Legend Request Response

  10. To be Answered: • Reality of certain system-to-system transactions • Pharmacy IT to PDMP Hub • Pharmacy IT to HIE • Direct connection from EHR to PDMP Hub • HIE direct connection to Out-of-State PDMP • Complete pairing of transactions to standards across all viable interchange functions, focusing on HIT integrated PDMP data access • Identify (if applicable) generally accepted solutions for each transaction involved in the integration of PDMP data within HIT System

  11. Harmonization Timeline Overview and Initiative Progress

  12. PDMP Harmonization Timeline (Today) 3/25 Harmonization Kick-off 7/29 Harmonization Close Candidate Standards List End-to-end Review & Community Consensus Standards Evaluation Solution Plan UCR-Standards Mapping Gap Mitigation Plan Create IG Template IG Development HITSC Evaluation* Solution Planning IG Development

  13. Harmonization Weekly Timeline

  14. Initiative Progress & Current Status Standards Evaluation • Narrowed down candidate standards via mapping to Use Case Requirements • Identified and analysed gaps for all narrowed down standards in the Gap Mitigation Plan Solution Planning • Determining standards currently in general use per transaction workflow • Select harmonized standard solution based on current and recommended standards landscapes Implementation Guide Development • Develop Implementation Guide (IG) based on selected solution

  15. Solution Planning Work Group Approach Goal is to prescribe a solution that would mitigate impact to the way PDMPs share data today.

  16. IG Development Process UCR Mapping Standards Evaluation Solution Plan IG Development Input from Community members Finalized Standards from Solution Plan Creation of Schemas Implementation Guide Incorporate Community input Actions Hold additional Working Sessions Support Team 17

  17. IG Development Template UCR Mapping Standards Evaluation Solution Plan IG Development Previous S&I IGs SME Input Other IG examples HL7 Examples HITSP Outline To develop the IG template we use: ..and eventually iterative feedback from the initiative communities to understand what is best included in an IG document 18

  18. Introduction of PDMP & Health IT IG Template • The S&I Framework Implementation Guide (IG) template is intended to provide high-level direction for content development and organization • IG Template consists of four main sections: • Introduction • Implementation Approach • Suggested Enhancements • Appendices

  19. IG Outline: Introduction Provides initiative background Explains the scope of initiative and purpose of IG Offers guidance on navigating the IG and understanding conventions used to express conformance, cardinality, etc. Defines Actors and their role(s)

  20. IG Outline: Implementation Approach Describes the technical details surrounding transactions, (standards), system/data requirements/components, and pre/post conditions Outlines recommended constraints on selected base standards Presents the Solution Plan to include pre-conditions/assumptions as well as post-conditions that need to be in place for implementation

  21. IG Outline: Suggested Enhancements Identify gaps in base standards referenced in IG Outlines additional work that might be required Suggests options toward problem resolution and solutions Identifies possible owners for additional work and suggested follow-on action

  22. IG Outline: Appendices Covers Acronyms and Key Terms used in IG Includes consolidated list of conformance statements, highlighting those that are constraints on base standards References Other IG-specific elements

  23. Next Steps • Review: Implementation Guide Template • Next Solution Planning WG meeting is Thursday, May 22 from 12:00pm – 1:00pm ET • Next All Hands meeting is Tuesday, May 27 from 12:00pm - 1:00pm ET • Reminder: All PDMP & HIT Integration Announcements, Meeting Schedules, Agendas, Minutes, Reference Materials, Harmonization materials, Use Case, Project Charter and general information will be posted on the PDMP Wiki page • http://wiki.siframework.org/PDMP+%26+Health+IT+Integration+Homepage

  24. Contact Information • For questions, please feel free to contact your support leads: • Initiative Coordinators: • Johnathan Coleman jc@securityrs.com • Sherry Green sgreen@namsdl.org • ONC Leads: • Mera Choi mera.choi@hhs.gov • Jennifer Frazier Jennifer.Frazier@hhs.gov • Helen Caton-Peters Helen.Caton-Peters@hhs.gov • SAMHSA Leads • Jinhee Lee Jinhee.Lee@samhsa.hhs.gov • Kate Tipping Kate.Tipping@samhsa.hhs.gov • Support Team: • Project Management: • Jamie Parker jamie.parker@esacinc.com • Ali Khan Ali.Khan@esacinc.com (Support) • Use Case Development: • Ahsin Azim Ahsin.Azim@accenturefederal.com • Presha Patel presha.patel@accenture.com • Standards Development Support • Alex Lowitt alexander.s.lowitt@accenturefederal.com • Harmonization Support • Divya Raghavachari divya.raghavachari@accenturefederal.com • Atanu Sen atanu.sen@accenture.com • Vocabulary and Terminology Subject Matter Expert: • Mark Roche mrochemd@gmail.com

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