With meeting notes
Includes post meeting notes on:
• Order Sets
• interRAI
To join the meeting:
Phone Number: +1 770-657-9270
Participant Passcode: 943377
See wiki* for WebEx link
Care Plan (CP) Team Meeting
60 minutes
André Boudreau (a.boudreau@boroan.ca)
Laura Heermann Langford (Laura.Heermann@imail.org)
Stephen Chu (stephen.chu@nehta.gov.au)
2012-01-04- André to lead
*Care Plan wiki: http://wiki.hl7.org/index.php?title=Care_Plan_Initiative_project_2011
HL7 Patient Care Work Group
Agenda for Jan. 4th
•
•
•
•
Plan for WGM Care Plan Meeting
Review status of all SBs
Review forward plan to complete the DAM (André to propose)
Review Pediatric, immunization and Allergy/Intolerance
(Susan)- attached
Page 2
Participants- Meetg of 2012-01-04 p1
Name
email
Country
Yes
Notes
André Boudreau
a.boudreau@boroan.ca
CA
Yes
Co-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
Laura.Heermann@imail.org
US
Yes
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
stephen.chu@nehta.gov.au
AU
Yes
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
Carolyn.silzle@choa.org
US
Yes
American Dietetic Association
Susan Campbell
bostoncampbell@mindspring.com
US
Yes
PhD microbiologist. Principal at Care Management Professionals. HL7 Dynamic Care Plan Co-developer
Margaret Dittloff
mkd@cbord.com
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
lsison@yahoo.com
US
Information 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
peter.macisaac@hp.com
AU
HP Enterprise Services. MD; Clinical Informatics Consultant; IHE Australia; Medical Practitioner General Practice
William Goossen
wgoossen@results4care.nl
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
agoossen@results4care.nl
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
ian.townend@nhs.net
UK
NHS Connecting for Health. Health Informatics; Senior Interoperability Developer, Data Standards and
Products; HL7 Patient Care Co-Chair
Rosemary Kennedy
Rosemary.kennedy@jefferson.edu
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
jaylyle@gmail.com
US
JP Systems. Informatics Consultant; Business Consultant & Sr. Project Manager
Ian McNicoll
Ian.McNicoll@oceaninformatics.com
UK
Ocean Informatics . Health informatics specialist; Formal general medical practitioner; OpenEHR;
Slovakia Pediatrics EMR; Sweden distributed care approach
Danny Probst
Daniel.Probst@imail.org
US
Intermountain Healthcare. Data Manager
Kevin Coonan
Kevin.coonan@gmail.com
US
MD. Emergency medicine. HL7 Emergency care WG.
Gordon Raup
graup@datuit.com
US
CTO, Datuit LLC (software industry).
Elayne Ayres
EAyres@cc.nih.gov
US
NIH 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
Page 3
Participants- Meetg of 2012-01-04 p2
Name
email
Country
Notes
Yes
MD. Family GP.; Was chair, 2005, Electronic Communications
Working Group of the AU General Practice Computing Group
David Rowed
drowed@bigpond.net.au
AU
Charlie Bishop
charlie.bishop@isofthealth.com
UK
Walter Suarez
walter.g.suarez@kp.org
US
Peter Hendler
Peter.Hendler@kp.org
US
Ray Simkus
ray@wmt.ca
CA
Serafina Versaggi
serafina.versaggi@gmail.com
US
Clinical Systems Consultant
Brett Esler
brett.esler@pencs.com.au
AU
Pen Computer Sys
Catherine Hoang
catherine.hoang2@va.gov
US
VA
Hugh Leslie
hugh.leslie@oceaninformatics.com
AU
a General Practitioner ; Chief Medical Officer, Ocean Informatics
Seam Heard
sam.heard@oceaninformatics.com
Thomson Kuhn
TKUHN@acponline.org
US
Sr. Systems Architect at American College of Physicians
Russell Leftwich
Russell.Leftwich@tn.gov
US
Md, Allergist, internal medicine; Chief Medical Informatics Officer, Office
of eHealth Initiatives, State of Tennessee
US
PhD, RN, NANDA International; University of Iowa, Iowa City, IA &
Trinity Health
Jane Brokel
Yes
Practicing Family GP, Vancouver, BC. User of EMR. Intense interest and
involvement in EHR and EMR standards , functionality and terminology
Corinne Gower
Corrine@paradise.net.nz
NZ
Senior Business Analyst at NZHIS; Senior Advisor at Ministry of Health
New Zealand
Yu-Ting Yeh
yutingyeh@mail2000.com.tw
TW
HL7 Taiwan
Audrey Dickerson
adickerson@himss.org
US
HIMSS. 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
gjewell@cerner.com
US
Senior strategist at Cerner Corp,
Page 4
Updated
Agenda for San Antonio WGM meeting
• Thursday 19 January Q1- 9am-10h30 CT (10:00am to 11:30am ET)
(Stephen to lead)
• Conf call and Webex facilities for remote participants
• Welcome and introductions (Stephen) – 10 min.
• Review Chronic Conditions 3rd draft (before external review)
(Stephen) – 15 min.
• Review Perinatology appendices with tables of expected artifacts ( if
Laura) – 15 min.
• Review Acute condition SB- first draft (TBC-Kevin) – 20 min.
• Review of feedback on the Home Care SB (André) – 5 min.
• Review of Care Plan DAM status (André) – 5 min.
• Review of forward plan to complete the DAM (André) – 15 min.
• Conclusion (Stephen) – 5 min.
Page 5
STATUS AND PLAN FOR ALL
STORYBOARDS
Page 6
Updated
Status of SBs
Owner
SB Name
Status
Date for
Complete Draft
PCCP Final
review
Kevin Coonan
Acute Condition
Started
Feb 28th
André
Boudreau
Home Care
Under external
review
Done
Feb 15th
Stephen Chu
Chronic Conditions
Reviewed.
Third draft
underway
Jan. 12th
Feb 28th
Susan
Campbell
-Pediatric, and Allergy/
Intolerance
-Immunization
Reviewed.
Second draft
Jan 12th
(immunization)
Feb 28th
Laura
Heermann
Langford
Perinatology
Reviewed.
Second draft
Jan. 12th
Feb 28th
Carolyn Silzle
Stay healthy/ health
promotion
Started
Feb. 2nd (after
meetg review
on the 1st
Feb 28th
Page 7
FORWARD PLAN
• See Spreadsheet
Page 8
Last updated: 2011-02-09
HDF- Domain Analysis Overview
act 3: Domain Analysis Ov erv iew
Business
Requirements
Source: HDF_1.5.doc, page 37
Project
Approved
Analyze Use
Cases
Analyze Business
Context
(from 3.4.2 Use Case Analysis)
«outcome»
(from 3.4.1 Business Context Analysis)
«outcome»
Use Case Analysis
Story board
(from 3.7 Artifacts)
(from 3.7 Artifacts)
Analyze Process Flow
(from 3.4.3 Process Analysis)
Process Flow
(from 3.7 Artifacts)
Glossary
Analyze Information Exchanged
(from 3.7 Artifacts)
(from 3.4.4 Information Analysis)
Information Model (Analysis)
(from 3.7 Artifacts)
Analyze Business Rules
«optional»
Business Rules Description
(from 3.4.5 Business Rules Analysis)
(from 3.7 Artifacts)
Business Trigger Analysis
(from 3.7 Artifacts)
Publish DAM
DAM Approv al
Page 9
Forward Plan Discussion Notes
• Requirements
 A living document updated as we go along
• Storyboards
 6 storyboards
• Process flows / activity diagrams
 Maybe just one full activity diagram (AD)
 Integrate variants for other SB into the first AD
 Include self care
• Information models and glossary
 Integrate key concepts like a master integrated care plan
and domain specific plans
• Business rules and triggers
Page 10
Final Discussion Notes
• Look into order sets as components of care plan, part of intervention plan

Open source, Chris O’Connor (Ray Simkus)
• Post meeting notes




PatientOrderSets.com
Order sets are evidence-based checklists that allow healthcare professionals to
quickly and easily identify appropriate treatments for medical conditions in all hospital
departments. With a network of over 165 client hospitals, PatientOrderSets.com has
reached a tipping point. The collaborative platform allows hospitals to share
knowledge and resources, resulting in a cost-effective, customized order set solution.
PatientOrderSets.com provides its client hospitals with a comprehensive web-based
order set technology that includes:
• A reference library of hundreds of evidence-based order sets that can easily be
customized by hospitals.
• Libraries of hospital-customized order sets that allow hospitals to share and learn
from each other
• Advanced order set project implementation tools and methodologies
• EntryPoint software that allows clinicians to complete order sets using computers
and/or mobile tablet devices
• Analytic software that lets clinicians view comparative data on their use of order
sets
Page 11
Poast Meeting Details - InterRAI
• http://www.interrai.org/section/view/?
• interRAI is a collaborative network of researchers in over 30 countries
committed to improving health care for persons who are elderly, frail, or
disabled. Our goal is to promote evidence-based clinical practice and policy
decisions through the collection and interpretation of high quality data about
the characteristics and outcomes of persons served across a variety of health
and social services settings.
• InterRAI as tools to do assessments


Compatible assessment instrumentation that can be used across care domains
Integrated suite of instruments
o
o
o
o
o
o
o
o
o
o
o
o
interRAI
interRAI
interRAI
interRAI
interRAI
interRAI
interRAI
interRAI
interRAI
interRAI
interRAI
interRAI
HC - Home Care
CHA - Community Health Assessment
CA - Contact Assessment
LTCF - Long Term Care Facility
AL - Assisted Living
AC - Acute Care
PAC - Post-Acute Care
MH - Mental Health
CMH - Community Mental Health
ESP - Emergency Screener for Psychiatry
PC - Palliative Care
ID - Intellectual Disability
Page 12
REVIEW OF STORYBOARDS (SB)
Page 13
Pediatric, immunization and Allergy /
Intolerance
• Select topic and details that are typical of usual
situations
• Remove distracting details not relevant to our
purpose
• Apply the standard format
Page 14
FUTURE MEETINGS
Page 15
Agenda for Future meetings
•
•
•
•
Review Stay Healthy SB- first draft (TBC- Carolyn)
Review any further comments collected on Home Care SB
Review any updates or questions from Pediatric Allergy SB if needed
Rest ids to be determined as we go
Page 16