health edecisions ri/ pilots sub-workgroup
DESCRIPTION
Health eDecisions RI/ Pilots Sub-Workgroup. March 25th, 2013. Agenda. Announcements Review and Revisit of Goals Review of RI/Pilot Sub-WG Timeline Pilot project presentations Applied Pathways Updates On IG Review of Wiki tools Discussion Board - PowerPoint PPT PresentationTRANSCRIPT
Health eDecisionsRI/ Pilots
Sub-Workgroup
March 25th, 2013
10/11/2011 1
Agenda
• Announcements• Review and Revisit of Goals• Review of RI/Pilot Sub-WG Timeline• Pilot project presentations
• Applied Pathways• Updates On IG• Review of Wiki tools
• Discussion Board• Comment and Feedback form for Vocab and Terminology work
• Updates on Vendor Activities• Updates on Licensing HeD Schema Framework Tool• Review Action Items, Next Steps
Announcements
• We will be continuing our work … • Next meeting April 1st, 2013 (plan for a 90 minute meeting)
• Continue to work on pilot activities• Begin Mapping/Harmonizing and translation activities
– Determine support needs
• Update timelines
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Pilots
10/11/2011 4
Organization Pilot Lead Email Organization’s Role
Wolters Kluwer Health Sue Johnson/Steve Claypool/Howard Strasberg/Christy May
[email protected]@wolterskluwer.com [email protected] [email protected]
Service Supplier/Artifact Supplier
OpenCDS David Shields [email protected] Service Supplier
Zynx HealthClaude Nanjo (primary)Bernadette MintonVictor Lee
[email protected] (primary) [email protected]@zynx.com Service Supplier/Artifact Supplier
Medexter Healthcare Klaus-Peter AdlassnigKarsten Fehre
[email protected]@medexter.com Service Supplier
newMentor Julie SchererMatt Pfeffer
[email protected] [email protected] Service Supplier/Artifact Supplier
CDC Shu McGarveyLaura Conn
[email protected]@cdc.gov Government /Service Supplier/Artifact Supplier
NextGenDr. Sarah CorleyDr. Jeff FriedlinGary Wietecha
[email protected], [email protected],[email protected] EHR Vendor
Practice Fusion Lauren FifieldMichael Poremba
[email protected] [email protected] EHR Vendor
AllScripts Douglas GentileRobin Williams (primary)
[email protected] [email protected] (primary) EHR Vendor
Design Clinicals Dewy Howell [email protected] EHR Vendor
SuccessEHS Claude Ouimet [email protected] EHR Vendor
Applied Pathways Paul Arnone [email protected] Service Supplier
Support Team• Support Team:
• Pilots Lead: Jamie Parker: [email protected]• Pilot Support: Christina Arenas: [email protected] • Subject Matter Expert: Aziz Boxwala: [email protected]• Subject Matter Expert: Bryn Rhodes: [email protected] • Use Case 1: Dave Shevlin: [email protected] • Implementation Guide: Lynette Elliot: [email protected] • SDO Support: Anna Langhans: [email protected]
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HeD Pilots Goal Goal
The goal of this initiative is to produce, consume and where feasible, execute implementable CDS interventions.1. Event Condition Action Rules (ECA Rules)2. Order Sets3. Documentation Templates
Pilot Scope4. 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.
7. Demonstrate intent of artifact (specifically structures and semantics) are communicated either by direct execution or by translation to native format
8. Ensure Completeness and consumability of artifact
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Timeline
10/11/2011
Goal & Activities Week 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
1-2(4wks)
1/07-2/25 (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
3-4(2 wks.)
2/25-3/25
-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 : - Setup & Develop Pilot Prototypes - Review prototypes
5-10(6 wks. or
less depending
on Pilot activity)
3/4 – 4/15
-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
11-12(2wks)
4/15-5/6 -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
13-14(2 wks.)
5/13-5/29 -Documented ONC Feedback- Next Steps Action Plan
We are Here
Applied Pathways
Demo by: Paul Arnone
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Update on IG
• We have finished the draft IG• All ballot comments have been integrated• Schemas have been updated
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Wiki Tools
• General Monitored Discussion:
http://wiki.siframework.org/HeD+Pilot+Activities#HeD_Pilot_Discussion• Feedback on tools
• Vocabulary and Terminology Work: http://wiki.siframework.org/HeD+Pilot+Tools
• Discussion and Demo
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Vendor Engagement Discussion
• What we can do to help the vendors implement HeD Artifacts• What do the vendors need from us the support team?• What do the vendors need from the content suppliers?
• Which content suppliers can meet this need?• Are we ready to start matching content suppliers to vendors?
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EHR Area of Interest Potential Match
Design Clinicals Order Sets Zynx
AllScripts ECA Rules –NQMF Rule (for Ambulatory Setting)
NewMentor (have catalog for rules in ambulatory setting)
Practice Fusion Anything MU centered CDC (also may need Artifact supplier to help) Wolters Kluwer NewMentor (MU rule as example)
Success EHS
Next Gen ECA Rule (potential) CDC
Licensing –HeD Schema Framework Tool• We have requested an update/guidance on this issue. • There is some confusion if this should be licensed through ONC or
HL7• We will continue to monitor this and update you all as we get final
word
10/11/2011 12
Action Items & Next Steps
• Begin pilot work!!!
Meeting Reminder
• Pilots Work stream meets (next meeting: March April 1st, 2013) • Every Monday• 1-2:30 pm EDT See Wiki homepage for meeting details: http://
wiki.siframework.org/Health+eDecisions+Homepage
10/11/2011 14
Appendix A: Success Criteria
NOTE: This is a work –in-progress we will need to re-evaluate this after Pilot Project Plans• Discuss Pilot Success Criteria:
• Individual Criteria• Initiative Criteria
• EHR Involvement - DONE• Production (at least one of each artifact and consumption of those artifacts)
– Addressed as part of the Pilot Project Plans (who will be doing which artifacts)• Successful implementation of artifacts
– EHR involvement» Validate artifact – perhaps Pilots focuses on this ?» Execute the artifact
• Cross initiative function» Potential Alignment with eDOC and esMD » SDC
• Alignment with MU 3 objective» 10% knowledge based engine (align 402b)» ACTION ITEM: Review MU3 Criteria» Determine the delivery model we want to pilot
• External (i.e. cloud service)• Assets are portable (can be run locally)
• Discuss this with the group10/11/2011 15
Appendix B
In Scope/Out of Scope
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Scope of Use Case 1
• This Use Case defines the requirements to build a standard for the contents of CDS Knowledge artifacts. The use case focuses on the following artifact types: Event Condition Action (ECA) Rules, Order Sets, and Documentation Templates. To support this purpose the Use Case has one scenario: A CDS Knowledge Artifact Supplier makes computable CDS Knowledge Artifact available to CDS Artifact Integrator (From HeD Use Case: CDS Artifact Sharing)
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In Scope
• Standards to structure medical knowledge in a shareable and executable format for use in CDS
• In Scope Artifact Types (definitions for these artifact types can be found in Appendix A)
– Event Condition Action Rules– Order Sets – Documentation Templates
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Out of Scope• Tools:
– Authoring tools, source “content” management.– Terminology server and mapping tools including management of concept coordination.– Semantic processing of text, including structured string processing and natural language processing.
• System Functions– Messaging Layer– Means of sharing– Security
• Authoring, creation and maintenance of clinical decision support knowledge• Knowledge Repository Design• Search and query mechanisms• Implementation in systems• User presentation, Transport layers• Market factors: regulatory incentive/mandate, liability shield, IP shield (patent/licensing litigation),
certification body, marketplace design, test procedures, FDA rules• Clinical Decision Support Services (this will be covered in Use Case 2 CDS Guidance Services)• CDS Content Development Activities, including the distribution and sharing of artifacts• Context-Aware information retrieval (HL7 Information Button) – This will be covered in UC 2 (CDS
Guidance)
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Pre and Post Conditions• Pre-Conditions
– CDS Artifact Supplier makes CDS artifacts available for search and consumption by CDS Artifact Integrators _ ACTION ITEMS (Clarify this –what is a precondition for this to be useful)
– CDS Artifact integrator has the means to obtain the knowledge artifact from a CDS Repository (e.g. they have either browsed or queried the CDS Repository for available artifacts)
– CDS Artifact Integrator Selects Artifacts of Interest to Use in their CDS System
• Post Conditions– The CDS Knowledge Artifact Supplier has sent the CDS Knowledge Artifact to the
requesting CDS Artifact Integrator– CDS Artifact has been received by CDS Integrator and is available for processing– CDS Artifact is available for mapping, structural transformations and local adaptation– Strategy
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20
Decision: In the pilot activities we will not directly address these as part of our pilot. We will focus the pilot activities on those tasks which occur between the pre and post condition