Health eDecisions (HeD) All Hands Meeting February 14th, 2013.
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Health eDecisions (HeD) All Hands Meeting February 14th, 2013
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Transcript of Health eDecisions (HeD) All Hands Meeting February 14th, 2013.
Health eDecisions (HeD)All Hands Meeting
February 14th, 2013
Meeting Etiquette• Remember: If you are not speaking, please 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 = frustrated speakers and
participants• This meeting is being recorded
• Another reason to keep your phone on mute when not speaking
• Use the “Chat” feature for questions, comments and items you would like the moderator or other participants to know.• Send comments to All Panelists so they can be
addressed publically in the chat, or discussed in the meeting (as appropriate).
From S&I Framework to Participants:Hi everyone: remember to keep your phone on mute
All Panelists
Agenda
Topic Time Allotted
Announcements 5 minutes
Work Stream 1 Update: HL7 Meeting Update
5 minutes
Work Stream 2 Update: Pilots 5 minutes
Work Stream 3: Use Case 2 65 minutes
Next Steps 5 minutes
Wrap up/Questions 5 minutes
Announcements• Vocabulary and Terminologies sub work will be meeting this
week– Friday 12:30-2:30 EDT– http://wiki.siframework.org/Health+eDecisions+Homepage
HL7 Update • We met with CDS Workgroup
– Finalized comments• We will incorporate comments into the IG• Pilots will pilot a Draft Final of the IG• We will incorporate all pilot feedback (within the scope of ballot
reconciliation)• Final IG will be submitted to HL7 end of April-beginning May as our
DSTU• To see all comments and dispositions consult the HL7 section of
the HeD Reference Wiki page: http://wiki.siframework.org/Health+eDecisions+Reference+Materials
• Plans: – We will continue to use our Wednesday meeting time to continue
work on any the IG, harmonization efforts etc. http://wiki.siframework.org/Health+eDecisions+Homepage )
– We will continue integrating comments into the IG
Continue with pilots
Harmonize metadata
Reconcile ballot comments
HQMF/HeD harmonized artifact model
VMR/QDM harmonized clinical data model
DSTU
Update IG
Revise IG
Normative
Ballot
Feb/Mar
September2~ years
FHIR?
HeD Roadmap for UC 1
Apr/May
Pilots Update – Work Stream 2• 11 Pilot Participants Total• February 11 Meeting (past)
– 2 Organizations presented their plans for the Use Case 1 Pilot• newMentor• OpenCDS
• February 25 Meeting (upcoming)– Zynx scheduled to present– 3 slots open for other presenters
• In the coming weeks– Drafting pilot success criteria and metrics– Pilots sites will be preparing the pilot project documentation and
presenting their pilot plans to the group• To follow the work of pilots please see our wiki page: http://
wiki.siframework.org/Health+eDecisions+Pilots
HeD Pilots Goal
Goal
The goal of this initiative is to produce and consume implementable CDS interventions.1. Event Condition Action Rules (ECA Rules)2. Order Sets3. Documentation Templates
Pilot Scope
4. Health eDecisions will apply defined aspects of the Implementation Guide in a real-world setting.
5. Modify the Implementation Guide to ensure it is usable 6. The real-world pilots evaluate not only the technology, standards and
model (VMR), but also provide a test bed to evaluate the interaction of technology, implementation support, and operational infrastructure required to meet Health eDecisions use case 1 objectives at the stakeholder or organization levels.
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Timeline
10/11/2011
Goal & Activities Est. Duration
Dates Deliverables
Kickoff /Establish Goals & Partnerships: - Review HeD Initiative Goals - Review Piloting Process & Resources - Define Value Statement - Define HeD Pilot Goals & Success Metrics - Establish & Approve Pilots - Develop Pilot Briefs
4 weeks 1/07-3/4 (we missed 2 meetings in January pushing our Dates back)
-Wiki Capturing Pilot Deliverables-Established Partnerships-Documented Value Statements and Success Metrics-Documented Pilot Briefs
Pilot Configuration: - Establish Pilot Test Environment & Resources - Establish Pilot Implementation & Testing Process - Develop & Review Pilot Configuration
2 weeks 3/4-3/18
-Use Case is Updated with HL7 Comments (3/4)-Approved Pilot Briefs -Committed Pilot Resources-Documented & Reviewed Pilot Configuration Guide-Weekly Feedback on Use-Cases & IG Alignment
Pilot Development : - Set up & Develop Pilot Prototypes - Review prototypes
6 wks. or less
depending on Pilot activity
3/11 – 4/22 -Use Case is Updated with HL7 Comments (3/4)-Weekly Pilot Development Status Updates-Weekly Feedback on Use-Cases & IG Alignment-Updates to Pilot Configuration Guides
Pilot Testing & Showcase : - Complete Testing - Prepare Solution Showcase
2 weeks 4/22-5/6 -Weekly Pilot Testing Updates & KPIs-Showcase-Prepare for HL7
Pilot Wrap-up : - Develop Lessons Learned an ONC Feedback - Review Initiative Goal Alignment - Establish Next-Steps
2 weeks 5/13-5/29 -Documented ONC Feedback- Next Steps Action Plan
We are Here
newMentor Pilot
• Lead: Julie Scherer, COO• Will produce Rule or Documentation Template • Planning to provide input on usability of IG• Interested in working with Artifact Consumers• Willing to work with clinical experts (e.g., CDC) to get content
in exchangeable form• Offered to collaborate with OpenCDS• 3-way collaboration between newMentor, CDC and NextGen
was proposed
OpenCDS
• Lead: David Shields– Will consume a Rule and deploy it to OpenCDS– Will accept patient data in real time and return result message
as specified by the rule– Interested in compiling rule into DROOLS (possible collaboration
with WK)– Possible collaboration with newMentor
Work Stream 3: Use Case 2
• Working Session
UC2 Data Requirements
CDS Response (guidance and/or other response elements)
CDS Request (patient data + context)
Clinical Mapping Data
ActionsSupporting Reference
Supporting Evidence
+DSS / Clinical Context?
+?
UC2 Data Requirements
• When evaluating the requirements for UC1, we need to ask:– What is missing to support UC2?– What is not applicable to UC2?
• Homework (by EOD 2/19)– Review the Clinical Mapping Data Elements, asking the
questions above and submit your feedback on the wiki (link to be included in follow-up e-mail)
Request Data Requirements
• The Data Elements SWG has been evaluating the Clinical Mapping Data requirements from UC1 for the patient data
• DSS and Infobutton were recommended as a starting point for the context data– Does anyone have experience with these and want to assist with
the analysis to determine which components are applicable?– What other references are available for clinical context data
elements?
CDS Request (patient data + context)
Clinical Mapping Data
+DSS / Clinical Context?
Response Data Requirements
• The Supporting Evidence, Supporting Reference, and Actions buckets of data from UC1 were recommended as a starting point for the CDS Response– Other suggestions from the community?
CDS Response (guidance and/or other response elements)
ActionsSupporting Reference
Supporting Evidence
+?
Next Steps
• Work Stream 1 – HL7:– Develop Work Plan for incorporating ballot resolutions into IG– Next HL7 meeting February 20th, 2013 3-5 pm EDT (see HeD
Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage
• Work Stream 2 – Pilots:– We will be discussing Pilot Plans (please work on your project pans) – Next Pilots meeting: February 25th, 1-2:30 pm EDT see HeD home
page wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage
– Review UC 1 for background information for UC 2• Work Stream 3 – Use Case 2:
– We will continue reviewing the components of Use Case 2 – Next meeting February 21st, 2013 11-12:30 EDT (see the HeD
Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage
Questions?
Contact Information
• For questions, please contact your support leads– Coordinator:
• Ken Kawamoto: [email protected]
– Co-Coordinators:• Aziz Boxwala: [email protected]• Bryn Rhodes: [email protected]
– ONC Leadership: • Alicia Morton: [email protected]
– Project Management:• Jamie Parker: [email protected] • Becky Angeles: [email protected]
– Harmonization: • Cem Mangir: [email protected]• Shalina Wadhwani: [email protected]
– Use Case:• Merideth Vida: [email protected]• Dave Shevlin: [email protected]
Useful Links
• Wiki– http://wiki.siframework.org/Health+eDecisions+Homepage
• Use Case 1& 2– http://wiki.siframework.org/Health+eDecisions+Use+Case – UC 2: Use Case 2:
http://wiki.siframework.org/UC+2+-+CDS+Guidance+Service • Pilots
– http://wiki.siframework.org/Health+eDecisions+Pilots • HL7 Ballot Submission:
– http://wiki.siframework.org/Health+eDecisions+Reference+Materials#Ballot • UC 1 Harmonization and IG:
– http://wiki.siframework.org/Health+eDecisions+Harmonization+and+Standards+%28Implementation%29
• HeD Glossary – http://wiki.siframework.org/HeD+Glossary
