esMD PPA Use Case 1 Harmonization WG Meeting

Wednesday, March 21st, 2012

2

Meeting Etiquette• Remember: If you are not speaking keep your phone

on mute• Do not put your phone on hold – if you need to take a call, hang

up and dial in again when finished with your other call – Hold = Elevator Music = very frustrated speakers and participants

• This meeting, like all of our meetings, is being recorded– Another reason to keep your phone on mute when not speaking

• Feel free to use the “Chat” feature for questions, comments or any items you would like the moderator or participants to know.

NOTE: This meeting is being recorded and will be posted on the esMD Wiki page after the

meeting

From S&I Framework to Participants:Hi everyone: remember to keep your phone on mute

• Dates: Wednesday 4/11 – Friday 4/13• Alexandria Westin:

– Address: 400 Courthouse Square, Alexandria, VA, 22314– Phone: 703-253-8600     – Website: www.westin.com/alexandria– Public Transportation:

• King Street Metro (Blue/Yellow Lines) – 3 Blocks• Ronald Reagan National Airport (DCA) – 6 miles

• Booking Accommodations:– See F2F Logistics page on wiki for details– Phone: 1-866-837-4210– Rate: $169/night (excluding tax)

• This rate is only available through 5pm ET on Monday, April 2nd, 2012• Group rate includes free wireless in all guest rooms

S&I Face-to-Face:

Basic Information

3

4

S&I Face-to-Face:

esMD Tentative ScheduleDate Time Agenda

4/11(Wed)

3:00 PM - 6:00 PM PPA Use Case 2 and Structured Content Discussion

4/12(Thurs)

8:00 AM - 10:00 AM PPA Use Case 2 and Structured Content Discussion

10:30 AM - 12:00 PM PPA Use Case 2 and Structured Content Discussion

1:30 PM - 3:30 PMHarmonization of PPA UC 1 (and UC 2/Structured Content, if applicable)

4:00 PM - 6:00 PMHarmonization of PPA UC 1 (and UC 2/Structured Content, if applicable)

4/13 (Fri)

8:00 AM - 10:00 AMAuthor of Record (HL7 RMES group presentation on current AoR to date)

10:30 AM - 12:00 PM

Author of Record (HL7 RMES group presentation on current AoR to date);Continue discussions from previous sessions, if necessary

S&I Face-to-Face: Draft Agenda: Kick-off Session (4/11)

5

• Wednesday, 4/11 from 1:00 PM – 2:30 PM• ONC Leadership to be speaking at the Kickoff:

• Farzad Mostashari, MD, ScM (National Coordinator for Health IT)• David Muntz, MBA (Principal Deputy National Coordinator)• Judy Murphy, RN, FACMI, FHIMSS, FAAN (Deputy National Coordinator

for Programs and Policy)• Doug Fridsma, M.D., Ph.D. (Director, Office of Standards and

Interoperability)

• Kick-off Topics will include:• Thoughts from ONC Leadership• Meaningful Use Stage 2• Status of each S&I Initiative and plans at the F2F• S&I Announcements

S&I Face-to-Face:

Potential Brown Bag Topics

6

• During Thursday’s lunch break, brown bag sessions will be offered for interested participants. Each brown bag will run for approximately 30 minutes. Potential topics include:

• Demo of the S&I Repository/Browser• Data Segmentation for Privacy 101

S&I Face-to-Face:

Draft Agenda: All Hands Session (4/13)

7

• Friday 4/13, 12:30 pm – 3:00• Cross Initiative Updates: This session is intended to give the audience

an overview of what is going on with all S&I Initiatives, and recap what took place in each S&I F2F breakout session.

• Each Initiative (Initiative Coordinators/Workgroup leads) will recap what was accomplished at the F2F and what next steps are

• Other topics to be covered include:• ToC Demonstration• Update on Cross-Initiative Coordination efforts• Overview of Provider Directories• Overview of Mod Specs/Direct efforts• Closing thoughts from Doug Fridsma

• NOTE: All activities will conclude at 3 pm

8

S&I Face-to-Face:

Next Steps for Community Members• Reserve guest rooms at the Westin and make travel plans

– All-Hands Kickoff Session starts at 1:00 PM on Wednesday 4/11– Event concludes at 3:00 PM on Friday 4/13– Information on booking the hotel is available on the Logistics page on the

F2F Wiki page

• F2F Registration is now open– Use the Registration page to indicate whether or not you are attending– Registration form allows you to select which specific workgroup sessions

you will attend

• F2F is entirely in person – no phones or WebEx will be provided. Notes will be taken and posted to the wiki at the end of each day.

For more information, visit the F2F Wiki or email the F2F planning committee at F2F@siframework.org.

9

esMD Housekeeping

• Reorganization of the existing wiki site– Feedback appreciated– Contact support team if you’re having problems

finding anything

• Are you receiving communications from the support team? – If not, please email sweta.ladwa@esacinc.com and

we’ll get you on the mailing lists

10

Recap of Last Week

• Kicked off Harmonization of PPA Use Case 1• Delivered an overview of the harmonization process and

timeline for esMD PPA Use Case 1– The workgroup will initially focus on expanding the data set

requirements into a full data model

• Completed an overview of the PPA Data Model Spreadsheet and its components

• Workgroup commenced data model development efforts– Discussed and updated ‘Unique Transaction ID’ element– Discussed and updated Provider ‘Demographic’ elements

11

Next Steps

• Today’s agenda– Review updates to data model made offline by

support staff– Review addition of ‘Agent’ elements– Discuss concept and use of Objects within data model– Continue with data model development

12

Adding Objects to the PPA Data Model• Grouping certain elements together as a single object enables us to better represent

the cardinality of those data elements

• Objects also enable us to easily represent more complex rules, such as:

— This object is optional, but if it is included all of its member elements are required

• We added an additional tab to the data model entitled PPA Data Model Objects. It includes the following objects:

Object Member Elements

1 Provider Organization Demographics, NPI/ID, Contact Information

2 Individual Provider Demographics, NPI/ID, Contact Information

3 Agent Demographics, OID, Contact Information

4 Security Information Signature Artifact, Public Digital Certificate

• The relevant object then replaces the list of member elements in the Request and Response tabs