Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar...
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Transcript of Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar...
![Page 1: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/1.jpg)
Bridging the ChasmBridging the Chasm Next Steps:Next Steps:
Advancing theAdvancing theClinical Information Clinical Information
Interchange Interchange CollaborativeCollaborative
WebinarJuly 22, 2009
![Page 2: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/2.jpg)
Agenda• 12:00 -12:05 Brief introductions
• 12:05- 12:15 Where we have been [a review of the Bridging the Chasm Conference] and the outcomes of the two-day conference. What is the CIIC?
• 12:15-12:25 Progress in developing support among the participating societies.
• 12:25-12:40 Opportunities for continuing collaboration. Building consensus.
• 12:45-12:55 Q&A
![Page 3: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/3.jpg)
- Benjamin Disraeli
“How much easier it is to be critical than to be correct.”
![Page 4: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/4.jpg)
Introductions Interim CIIC Co-chairs
• Nina Schwenk, MDVP, Mayo Foundation Board of Directors
• James Dove, MDPast-chair, American College of Cardiology
• W. Edward Hammond, PhDProfessor, Duke University
• Charles Jaffe, MD, PhDCEO, HL7
Health Level 7
![Page 5: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/5.jpg)
Introduction to Bridging the Chasm
• April 2009, Washington• Co-Sponsors:
Agency for Healthcare Research & Quality (AHRQ)
Health Level 7• 120 Attendees, representing nearly
100 worldwide professional clinical societies
• Rationale: Provide a bridge between the clinical community & the healthcare IT professionals
![Page 6: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/6.jpg)
Objectives of Bridging the Chasm
• Establish the value of standards and interoperability for the clinical community
• Recognize priorities from a clinical perspective
• Have clinicians clearly articulate their requirements in non-technical terms
• Identify common processes by which the specialty groups can define and communicate information requirements to the HIT community
![Page 7: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/7.jpg)
- Samuel Johnson
"Nothing will ever be attempted, if all possible objections must first be overcome."
![Page 8: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/8.jpg)
Outcomes of Bridging the Chasm
• Commitment of the clinician community to support an ongoing dialog with HIT professionals (Primary Bridge)
• Collaboration with respective healthcare professional societies for common goals (Secondary Bridge)
• Establishment of a framework and model for ongoing initiatives & programs
• Creation of the Clinical Information Interchange Collaborative (CIIC)
![Page 9: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/9.jpg)
- Peter Drucker
“There is nothing so useless as doing efficiently that which should not be done at all.”
![Page 10: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/10.jpg)
The Clinical Information Interchange Collaborative (CIIC)
Vision
To create an environment that enables capturing the needs of the clinical capturing the needs of the clinical
communitycommunity and provides a forum for ongoing dialog with the information technology professionals who serve
this community
![Page 11: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/11.jpg)
The Clinical Information Interchange Collaborative
(CIIC)Charter
The CIIC will bring clinical knowledge to bear in the development of a
transparent, scalable process that ensures more efficient and
effective deployment of electronic systems and enhances clinical workflow, reduces ambiguity,
improves quality and safety and reduces the cost of delivering care.
![Page 12: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/12.jpg)
- Milton Friedman
"If you put the federal government in charge of the Sahara Desert, in 5 years there'd be a shortage of sand."
![Page 13: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/13.jpg)
The Clinical Information Interchange Collaborative
(CIIC)Supporting the Charter
• Office of the National Coordinator
• Healthcare IT Standards Panel (HITSP)
• Agency for Healthcare Research & Quality
• National Quality Forum
• Clinical Decision Support Consortium
• National Library of Medicine
![Page 14: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/14.jpg)
The Clinical Information Interchange Collaborative
(CIIC)Supporting the Charter
• Societies supporting the charter have come from physicians, nurses, research groups, dieticians and physical therapy organizations.
• Support represents common ideals and a commitment for participation.
• No financial commitment is required.
![Page 15: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/15.jpg)
The Clinical Information Interchange Collaborative
(CIIC)Opportunities for Collaboration
• Common Lexicon (data elements)
• Uniform Patient Identifier
• Electronic Health Record usability requirements
• Decision Support (Evidence-based medicine)
• Integration of clinical care & research
• Security & Privacy
![Page 16: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/16.jpg)
- Unknown, but no less verifiable
“If you can't be a good example, then you'll just have to serve as a horrible warning.”
![Page 17: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/17.jpg)
The Clinical Information Interchange Collaborative
(CIIC)Opportunities for Participation
• Leadership
• Governance
• Communications & Public Relations
• Outreach
• Resource Development
• Meetings & Publications
• Project Management
![Page 18: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/18.jpg)
- Not Hofstadter
“Hofstadter's Law: The time and effort required to complete a project are always more than you expect, even when you take into account Hofstadter's Law.
![Page 19: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/19.jpg)
The Clinical Information Interchange Collaborative
(CIIC)Next Steps
• September 23 – Webinar 2: Update on CIIC activities, support & outreach
• October (Dates Tentative) – Two-day face-to-face conference in Washington for Bridge Building
◦ Understanding “Meaningful Use”
◦ Delivering on the Priorities: What is needed and what the CIIC can do.
![Page 20: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/20.jpg)
The Clinical Information Interchange Collaborative
(CIIC)Communications
• CIIC Portal on the HL7 website
◦ Networking
◦ Access to documentation & reports
![Page 21: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/21.jpg)
- Unknown, with an apology to Rudyard Kipling
“If you can keep your head while all about are losing theirs and blaming it on you - perhaps you have underestimated the seriousness of the situation.”
![Page 22: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/22.jpg)
Questions
![Page 23: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/23.jpg)
-Unknown, but not Billy Crystal
“If you can't laugh at yourself, you may be missing the joke of the century.”
![Page 24: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/24.jpg)
Additional Information
![Page 25: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/25.jpg)
The Clinical Information Interchange Collaborative
(CIIC)Mission: Process
• Articulate the requirements for clinical practice and research, including workflow, business process, and terminology that can be harmonized across the broad spectrum of healthcare.
• Bridge the divide between clinical practice and healthcare information technology, utilizing, whenever appropriate, the technical expertise and development framework of Health Level 7 (HL7).
• Develop a consistent view of how information technology should be advanced in support of clinical requirements.
![Page 26: Bridging the Chasm Next Steps: Advancing the Clinical Information Interchange Collaborative Webinar July 22, 2009.](https://reader035.fdocuments.in/reader035/viewer/2022062718/56649e6a5503460f94b6869f/html5/thumbnails/26.jpg)
The Clinical Information Interchange Collaborative
(CIIC)Mission: Technology
• Establish a forum in which the diverse needs of the clinical community are expressed through the adoption of common processes and work environment.
• Create a master repository of specifications that provides a practical and transparent environment for cooperation.
• Ensure a functional methodology for managing the common specifications and adjudicating the inconsistencies wherever possible.
• Coordinate the clinical requirements and specifications in the technical workplace of standards development organizations and the national healthcare IT oversight bodies.