Care Plan (CP) Meeting Wednesday, August 8, 2012 1700-1830 EDT Laura Heermann Langford...

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Care Plan (CP) Meeting Wednesday, August 8, 2012 1700-1830 EDT Laura Heermann Langford ([email protected]) Stephen Chu ([email protected]) *Care Plan wiki: http://wiki.hl7.org/index.php?title=Care_Plan_Initiative_project_2011 HL7 Patient Care Work Group To join the meeting: Phone Number: +1 770-657-9270 Participant Passcode: 943377# With meeting discussion notes

Transcript of Care Plan (CP) Meeting Wednesday, August 8, 2012 1700-1830 EDT Laura Heermann Langford...

Page 1: Care Plan (CP) Meeting Wednesday, August 8, 2012 1700-1830 EDT Laura Heermann Langford (Laura.Heermann@imail.org) Stephen Chu (stephen.chu@nehta.gov.au)

Care Plan (CP) Meeting Wednesday, August 8, 20121700-1830 EDT

Laura Heermann Langford ([email protected])

Stephen Chu ([email protected])

*Care Plan wiki: http://wiki.hl7.org/index.php?title=Care_Plan_Initiative_project_2011

HL7 Patient Care Work Group

To join the meeting:

Phone Number: +1 770-657-9270Participant Passcode: 943377#

With meeting discussion notes

Page 2: Care Plan (CP) Meeting Wednesday, August 8, 2012 1700-1830 EDT Laura Heermann Langford (Laura.Heermann@imail.org) Stephen Chu (stephen.chu@nehta.gov.au)

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August 8, 2012 Agenda/Minutes

Agenda Review – update as needed

Modeling work - Luigi and Enrique no longer available for this meeting.

Baltimore Working Group Meeting F2F Agenda

Page 3: Care Plan (CP) Meeting Wednesday, August 8, 2012 1700-1830 EDT Laura Heermann Langford (Laura.Heermann@imail.org) Stephen Chu (stephen.chu@nehta.gov.au)

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Participants- Meeting of 2012-07-25Name email Country Yes Notes

Laura Heermann Langford

[email protected] US X Co-Lead- Care Plan initiative/HL7 Patient Care WG. Intermountain Healthcare. RN PhD,: Nursing Informatics; Emergency Informatics Association, American Medical Informatics Association; IHE

Stephen Chu [email protected] AU X NEHTA-National eHealth Transition Authority . RN, MD, Clinical Informatics; Clinical lead and Lead Clinical Information Architecture; co-chair HL7 Patient care WG; vice-chair HL7 NZ

Carolyn Silzle [email protected] US American Dietetic Association

Susan Campbell [email protected] US X PhD microbiologist. Principal at Care Management Professionals. HL7 Dynamic Care Plan Co-developer

Kevin Coonan [email protected] US MD. Emergency medicine. HL7 Emergency care WG.

Nancy Wilson Roman US X

Enrique Meneses [email protected] US

Serafina Versaggi [email protected] US Clinical Systems Consultant

John Farmer [email protected] US

Chris White [email protected] US

Luigi Sison [email protected] USInformation Architect at LOINC and at HL7. Enterprise Data Architect at VA. Developing standard for Detailed Clinical Models (DCM), information models for Electronic Health Record (EHR) Diabetes Project, etc.

Page 4: Care Plan (CP) Meeting Wednesday, August 8, 2012 1700-1830 EDT Laura Heermann Langford (Laura.Heermann@imail.org) Stephen Chu (stephen.chu@nehta.gov.au)

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Modeling Discussion Notes

Notes from July 25 Luigi and Enrique were able to meet face to face Models done to date were reviewed and exchanged Possible approaches to complete were reviewed and discussed Determined to follow the narrative storyboard -> use case-> process model -> information model approach Luigi and Enrique will be splitting the work according to storyboards for the above stated process.

o (Luigi = home care, acute care)o (Enrique = pediatric, Perinatal, stay healthy)

Requesting next meeting be 1.5 hours devoted to modeling work

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To Do – From Prior meeting discussions

Create Glossary (to include care plan, care paths, protocols, …) Diagram how care plans relate to each other (context associations, express

the relationship of multiple care plans) HL7 and ISO definition of care plans and include with glossary Look at the “across-specific point care plans” impacts, in bound and out

bound risks Review links from Susan re: Marshfield Clinic and S&I Framework

Discussion – Care Coordinator = system actor vs human actoro Propose: Coordinator of Services = human actor

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Other Discussion Notes

• Susan mentioned work done by Marshfield clinic re: the use of data for quality improvement – dsahboard, drill down into underlying data etc.

Marshfield Clinic (Wisconsin) homegrown E.H.R. that is quality data driven.https://fedgov.webex.com/ec0605ld/eventcenter/recording/recordAction.do?theAction=poprecord&actname=%2Feventcenter%2Fframe%2Fg.do&apiname=lsr.php&renewticket=0&renewticket=0&actappname=ec0605ld&entappname=url0107ld&needFilter=false&&isurlact=true&entactname=%2FnbrRecordingURL.do&rID=15818342&rKey=bc14120d8f6fb9a1&recordID=15818342&rnd=3161672308&siteurl=fedgov&SP=EC&AT=pb&format=short

CMS Page listing coordinated care model source informationhttp://www.innovations.cms.gov/areas-of-focus/seamless-and-coordinated-care-models/

• Susan/Laura agreed to update team on work occurring at the US ONC S&I Framework 2 meetings from now.

• Email update from Susan The ONC group working on this is located at:http://wiki.siframework.org/Longitudinal+Coordination+of+Care. 

LTPAC and Longitudinal Care Plan are the two most related.  LTPAC has the data elements.  LCP is basically beating around the bush to do what we are trying to do in this group in HL7.  We are currently working on a white paper to try do describe what a longitudinal care plan is.  Unfortunately, it doesn’t work from first principles and grow logically.  Instead it uses the Home Care Plan of Care as the starting point because that is what CMS wanted.

Page 7: Care Plan (CP) Meeting Wednesday, August 8, 2012 1700-1830 EDT Laura Heermann Langford (Laura.Heermann@imail.org) Stephen Chu (stephen.chu@nehta.gov.au)

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Baltimore Working Group F2F Agenda

Agenda for the F2F meeting was created. Posted at http://wiki.hl7.org/index.php?title=CarePlan:Agendas_and_Minutes.   

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FUTURE MEETINGS• Conference calls between now and September 2012 – see wiki

• 90 min., Wednesday 5-6:30pm US Eastern, fortnightly (every week)• Will be using Mikogo for screen sharing • Next meeting August 8, 2012

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Next meeting – Aug 22 (Lead: ? (Laura TBD)

Agenda for Aug 22

Update on US ONC S&I Framework

Other topics:o Follow up on documents related to requirement work done by Andre is needed.

o Stephen/Laura will look to see if Andre’ has posted his documents and if not will contact him to obtain copies.

Schedule TBD

o Requirements Definition

o Stephen Hufnagel: EHRS FIM on Care Plan Items

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APPENDIX

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Past Participants-Name email Country Yes Notes

André Boudreau [email protected] CACo-Lead- Care Plan initiative/HL7 Patient Care WG. B.Sc.(Physics), MBA. Owner Boroan Inc. Management Consultin. Chair, Individual Care pan Canadian Standards Collaborative Working Group (SCWG). Sr project manager. HL7 EHR WG.

Laura Heermann Langford

[email protected] US X Co-Lead- Care Plan initiative/HL7 Patient Care WG. Intermountain Healthcare. RN PhD,: Nursing Informatics; Emergency Informatics Association, American Medical Informatics Association; IHE

Stephen Chu [email protected] AU X NEHTA-National eHealth Transition Authority . RN, MD, Clinical Informatics; Clinical lead and Lead Clinical Information Architecture; co-chair HL7 Patient care WG; vice-chair HL7 NZ

Carolyn Silzle [email protected] US X American Dietetic Association

Susan Campbell [email protected] US X PhD microbiologist. Principal at Care Management Professionals. HL7 Dynamic Care Plan Co-developer

Margaret Dittloff [email protected] US The CBORD Group, Inc.. RD (Registered Dietitian); Product Manager, Nutrition Service Suite; HL7 DAM project for diet/nutrition orders; American Dietetic Association

Luigi Sison [email protected] USInformation Architect at LOINC and at HL7. Enterprise Data Architect at VA. Developing standard for Detailed Clinical Models (DCM), information models for Electronic Health Record (EHR) Diabetes Project, etc.

Peter MacIsaac [email protected] AU HP Enterprise Services. MD; Clinical Informatics Consultant; IHE Australia; Medical Practitioner - General Practice

William Goossen [email protected] NL Results 4 Care B.V. RN, PhD; -chair HL7 Patient Care WG at HL7; Detailed Clinical Models ISO TC 215 WG1 and HL7 ; nursing practicioner

Anneke Goossen [email protected] NL Results 4 Care B.V. RN; Consultant; Co-Chair Technical Committee EHR at HL7 Netherlands; Member at IMIA NI; Member of the Patient Care Working Group at HL7 International

Ian Townsend [email protected] UK NHS Connecting for Health. Health Informatics; Senior Interoperability Developer, Data Standards and Products; HL7 Patient Care Co-Chair

Rosemary Kennedy [email protected] US Thomas Jefferson University School of Nursing . RN; Informatics; Associate Professor; HL7 EHR WG; HL7 Patient care WG; terminology engine for Plan of care;

Jay Lyle [email protected] US JP Systems. Informatics Consultant; Business Consultant & Sr. Project Manager

Ian McNicoll [email protected] UK Ocean Informatics . Health informatics specialist; Formal general medical practitioner; OpenEHR; Slovakia Pediatrics EMR; Sweden distributed care approach

Maggie Gilligan [email protected] US Dietician; Owner, Senior Member , Nutra Tech Technology, LLC

Kevin Coonan [email protected] US x MD. Emergency medicine. HL7 Emergency care WG.

Gordon Raup [email protected] US CTO, Datuit LLC (software industry).

Elaine Ayres [email protected] USNIH National Institutes of Health. MS, RD; Deputy Chief, Laboratory for Informatics Development, NIH Clinical Center ; Project manager for BTRIS (Biomedical Translational Research Information System), a Clinical Research Data Repository

Rob Savage [email protected] US CDC Immunization

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Past Participants-Name email Country Yes Notes

David Rowed [email protected] AU MD. Family GP.; Was chair, 2005, Electronic Communications Working Group of the AU General Practice Computing Group

Charlie Bishop [email protected] UK

Steve Hufnagel US

Peter Hendler [email protected] US

Ray Simkus [email protected] CA Practicing Family GP, Vancouver, BC. User of EMR. Intense interest and involvement in EHR and EMR standards , functionality and terminology

Brett Esler [email protected] AU Pen Computer Sys

Catherine Hoang [email protected] US VA

Hugh Leslie [email protected] AU a General Practitioner ; Chief Medical Officer, Ocean Informatics

Seam Heard [email protected]

Thomson Kuhn [email protected] US Sr. Systems Architect at American College of Physicians

Russell Leftwich [email protected] US Md, Allergist, internal medicine; Chief Medical Informatics Officer, Office of eHealth Initiatives, State of Tennessee

Michael Tan [email protected] NL Publishing Facilitator , Care Provision, PC WG; Senior Project manager, Nictiz, NL

Corinne Gower [email protected] NZ Senior Business Analyst at NZHIS; Senior Advisor at Ministry of Health New Zealand

Susan Matney [email protected] US Medical Informaticist at 3M Health Care; Chair Elect of the SNOMED CT Nursing Special Interest Group at IHTSDO; Vocab Facilitator for Patient Care TC at HL7 Standards

Audrey Dickerson [email protected] USHIMSS. RN, MS; Standards Initiatives at HIMSS; ISO/TC 215 Health Informatics, Secretary; US TAG for ISO/TC 215 Health Informatics, Administrator; Co-Chair of Nursing Sub-committee to IHE-Patient Care Coordination Domain.

Gaby Jewell [email protected] US Senior strategist at Cerner Corp,

Ken Rubin US Co-Chair, HL7 Service Oriented Architecture Work Group; Chief Architect, Federal Healthcare Portfolio, HP Enterprise Services

Mark Shafarman [email protected] US Member of HL7 since 1992. Co-Chair, HL7 Template WG; Shafarman Consulting Inc.