Difference between revisions of "PCC Roadmap"

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'''''This page is being updated, please revisit soon for more information Aug 7, 2014'''''
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==Overview==
 +
 +
* '''Vision/Mission:''' This is our long term focus. It does not change except under very rare circumstances. The vision and mission statements of PCC can be found on the [[Patient_Care_Coordination | main PCC wiki page]]
 +
 +
* '''Strategic Goals:''' These items constitute our medium term focus and do not necessarily represent any specific project or work efforts, but rather categorize what we focus on. These items are reviewed at least once annually, typically during the fall planning meetings.
 +
 +
* '''Action Ideas:''' These are more specific to projects that we are interested in pursing or already pursuing. This list is not necessarily always kept up to date and may be reviewed/updated multiple times per year. This is more of a landing area for new ideas and work items that our domain needs to track, hence the name "Action Ideas."
 +
 +
==PCC Vision==
 +
The vision of Patient Care Coordination is to continually improve patient outcomes through the use of technology connecting patients and their care providers across healthcare disciplines and care paths.
 +
 +
==PCC Mission==
 +
The mission of Patient Care Coordination is to develop and maintain interoperability profiles to support coordination of care for patients where care crosses providers, patient conditions and health concerns, or time.
 +
 +
==Strategic Goals==
 +
* '''Content'''
 +
** Coordinate with external standards development organizations (SDOs) to develop and promote the use of content templates
 +
** Develop strategies to support multi-level content template guidance to benefit the global community
 +
* '''Workflow'''
 +
** Develop new profiles by reaching outward to other IHE domains to coordinate workflows across care paths
 +
** Develop white papers by researching new areas that could benefit from standards based interoperability guidance
 +
* '''Nursing'''
 +
** Explore and understand the benefit of IHE profile work in the nursing space by partnering with nursing organizations and initiatives
 +
** Develop profiles and white papers to support and explore various nursing specific workflows
 +
 +
 
==Legend==
 
==Legend==
{|
 
|'''Priority:'''
 
; H : Essential Now
 
; M : Essential Future
 
; L : Nice to Have
 
'''Prerequisites:''' List of applicable standards
 
  
'''Coordination:''' Other domains to coordinate efforts with.
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{| style="border:1px solid black;" cellpadding="3" border=1 cellspacing=0
|'''Strategy:'''
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|-
; CP : Develop Content Profile
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|colspan="2" bgcolor="silver"|'''Priority'''
; IP : Develop Integration Profile
+
|-
; Res : Research Applicable Standards
+
|H||High; Essential now
; Promote : Promote Applicable Standards Development Efforts
+
|-
'''Year:''' Earliest Opportunity given prerequisites, priority and skills.
+
|M||Medium; Essential future
|}
+
|-
==Roadmap==
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|L||Low; Nice to have
{| style="width:100%;border:1px solid black;" cellpadding="3" border=1 cellspacing=0
+
|-
!Topic!!Pri!!Standards/Prerequesites!!Coord!!Strategy!!Year
+
| colspan="2" bgcolor="silver" |'''Coordination'''
 +
|-
 +
| colspan="2" | IHE or other group(s) that coordination is required with
 
|-
 
|-
| Referral/Transfer of Care
+
|colspan="2" bgcolor="silver" |'''Type'''
|
 
|
 
|
 
|
 
|
 
 
|-
 
|-
| Discharge Packaging (Discharge to Sub-Acute Nursing Facility/Extended Care Facility/Home Health)
+
|colspan="2" |administrative
|H
 
|XDS-MS Linking w other clinical reports
 
|n/a
 
|CP, IP
 
|2008
 
 
|-
 
|-
|Find Provider for Referral
+
|colspan="2" |outreach
|L
 
|Unknown
 
|Finance
 
|Research
 
|2008
 
 
|-
 
|-
| Referral Notification/Authorization (payer focused)
+
|colspan="2" |profile
|L
 
|X12-837
 
HL7 V3
 
|Finance
 
|Research
 
|2009
 
 
|-
 
|-
|Transfer of Care workflow Initiate/accept/reject/follow-up
+
|colspan="2" |research/white paper
|M
 
|HL7 V3 HL7 Care Transfer Messages (discuss with ITI regarding Referral Request supplement)
 
|ITI
 
|IP
 
|2008 - 2009
 
 
|-
 
|-
|Transfer of Care/FSA
+
|colspan="2" |maintenance
|H
 
|Functional activity,
 
Mood and behavior,
 
Chronic disease management, care planning
 
|ITI
 
|IP
 
CP
 
|2007 - 2010
 
 
|-
 
|-
|
+
|colspan="2" bgcolor="silver" |'''Year'''
Document Types
 
*History and Physical
 
*Operative Notes
 
*Discharge/Transfer Summaries
 
*Progress Notes
 
*Nursing Notes
 
*Flow Sheets
 
* Radiology Report
 
* Cardiology Report
 
* Generic data dumps
 
* Consultants Report
 
* ED Triage Surveillance Report
 
* ED Encounter Report
 
|
 
M,H
 
|
 
*CDA Release 2.0
 
*LOINC
 
*JCAHO (US)
 
*CCR (General, discipline-focused)
 
|Lab/Path (IHE Europe)
 
Radiology
 
Cardiology
 
|Research CP
 
|2008 - 2009
 
 
|-
 
|-
|Orders between Providers / Ancillary Services
+
|colspan="2" |Earliest opportunity to tackle
|H
+
|}
|HL7 V3
+
 
HL7 V2 ORU
+
==Action Ideas==
|ITI
+
''Last updated October 2014. These are action "ideas" meaning that specific actions may or may not be occurring for each line item. The purpose of this table is to provide an area in which PCC can collect and expand on ideas.''
Lab
+
{| style="width:100%;border:1px solid black;" cellpadding="3" border=1 cellspacing=0
Radiology
+
!Action Idea!!Priority!!Coordination!!Type!!Year
|Promote/ Adapt Existing IPs
 
|2008 - 2009
 
 
|-
 
|-
|Order Sets and Care Plans
+
| Dynamic Interface Definition (DID)
|L
+
* Support for clinical processes
|XDS Non-Patient Documents
+
* build a plug and play framework
HL7 Templates [Orders/Obs]
+
* Needs research
HL7 Patient Care
+
* Needs outreach to move industry
HL7 EHR
+
* Needs clear boundaries in SDOs involved
Order Sets
+
* Challenge more on the policy side than technical
[Rad/Labs, Unified terminology/code systems]
+
| Medium
|ITI
+
|  
Quality
+
| profile
|Promote
+
| 2015?
|2009 - 2010
 
 
|-
 
|-
|Pay for Performance Data Aggregation
+
| Distributed Care Coordination
|M
+
* What I need to know
|Orders between Providers / Ancillary Services
+
* What (and not how) I need to do to find a particular piece of information
HL7 Templates
+
** could use a form..
HL7 Orders and Observations
+
* What do I want the information for? To better understand context to provide appropriate solution
Minimum Data Sets
+
* System to receive any particular set of information
Doc-IT
+
** Workflow process to support this
HEDIS
+
* EHRs need a way to figure out how to put the pieces together:
|QRPH
+
** What are specific tasks needed to keep such a process running?
|Promote
+
** What are patient safety issues?
|2008 - 2009
+
| High
 +
|  
 +
| profile
 +
|  
 
|-
 
|-
|Query for Medication List from Multiple Providers
+
| Data Collection - Transition of Care
|H
+
* Discharge planning could be use case
|HL7 V3
+
* System are NOT submitting the right amount of data to other systems that need to collect that data
RxHub
+
* Partially education effort
JCAHO
+
* Consider different data for payers and clinical systems
Med Reconciliation
+
* Need to focus on irregularities as that is where the patient safety issues are
(how does this relate to QED use for Medications?  Is one Content focused vs IP)
+
| High
|QRPH
+
|  
|Rsrch QED Relationship
+
| profile
|2008 - 2009
+
|  
 
|-
 
|-
|Public Health Registries & Surveillance
+
| Rewrite PCC TF to conform to new TF Templates
|H
+
* some content does not naturally fit into existing templates
|XDS-MS w immunization structure
+
* consider adding items to a template registry, perhaps even in lieu of rewriting to conform to a new set of TF templates
Related to overall Care Management topic, specifically the Immunization Registry profile
+
| Low
|QRPH
+
|  
|Sync Plans w QRPH
+
| maintenance
|2008 - 2009
+
|  
 
|-
 
|-
|Capture of Clinical Research Data within an EHR
+
| Alignment with HL7 standards development
ability to display Case Report Form for data capture retrieve info from EHR system (Note: Form definition work to be undertaken by CDISC in 2006 independent of ITI RFD profile work)
+
* IHE-HL7 Coordination Committee
|H
+
| High
|CDISC’s ODM
+
| HL7
HL7’s CDA
+
| outreach
eDCI
+
| 2014
HL7 CCOW
 
SAFE (Digital Signature)
 
Clinical Trial Care Report Forms
 
|ITI and QRPH
 
|CP (Clinical Research Data Capture [CRD] profile)
 
IP Referred to ITI domain (Retrieve Form for Display)
 
|2006 - 2008
 
 
|-
 
|-
|Care Management
+
| Harmonize PCC Content templates w/CCDA
* Immunization Registry
+
* Dependent on progress in IHE-HL7 Coordination Committee
* Cancer Registry
+
| High
* Clinical Decision Support
+
| HL7
* Chronic Disease Management
+
| maintenance
|H
+
|  
|CDC Standards for Vital Statistics
 
HSSP Decision Support Service
 
Evidence research from medical colleges and other entities
 
|QRPH
 
|CP, IP
 
|2007 - 2010
 
 
|-
 
|-
|Emergency Medical Services (EMS) to Emergency Dept Data Transfer
+
| Care Plan and RECON work
|M
+
| Medium
|Data Elements for Emergency Department Systems (DEEDS) v1.0
+
| HL7
CDA/CRS (HL7/CCD),
+
| research
National Emergency Medical Services Information System (NEMSIS) v2.2,
+
|  
HITSP Emergency Response IS and related constructs
 
|n/a
 
|CP
 
|2008 - 2009
 
 
|-
 
|-
|#4 Self-referred ED Event (no pre-announcement of pt arrival)
+
| FHIR based work
|H
+
* need to better understand where to apply in PCC
|Data Elements for Emergency Department Systems (DEEDS) v1.0
+
* applies to QED
CDA/CRS (HL7/CCD and/or HITSP C32)
+
| Medium
Pt consent/granting role-based access controls
+
| HL7
|ITI
+
| research
|CP
+
|  
|2008 - 2009
 
 
|-
 
|-
|ED to Surveillance Registry
+
| Nursing - Quality Perspective
|H
+
| Low
|State or national specified list of disease states for public health reporting
+
| QRPH
|QRPH
+
| profile
|CP
+
|  
|2008 - 2009
 
 
|-
 
|-
|ED to PCP transfer
+
| Nursing Communication Workflow
|M
+
* Transitions of care/home care services
|XDS-MS CDAR2
+
* Care orders and updates, communication w/providers and patients
|n/a
+
* Care coordination - hand offs between nurses and other care providers
|CP
+
| High
|2008 - 2009
+
|  
 +
| profile
 +
|  
 
|-
 
|-
|Document Section Encoding
+
| Formalize Nursing Sub-committee structure
Pediatrics (Immunizations, Growth charts)
+
* create vision and mission statements
Public Health Survelliance (Immunizations, etc)
+
* create strategic goals
Chronic Disease Mgmt
+
* Provide list of associations of source and contact to distribute
Revised to: Immunization, Vital Signs, and Laboratories
+
* Networking /outreach
|.
+
* Solicit members from each nursing member
|HL7 CCD
+
| High
CDA R2
+
| HIMSS/ACP
HL7 V3 Clinical Statement Model
+
| administrative
HL7 V3 Patient Care Structures
+
|  
HL7 V3 Pharmacy
 
LOINC
 
JCAHO
 
|.
 
|CP
 
|2008 - 2009
 
 
|-
 
|-
|Patient Selection Query
+
| Liaison to organizations outside of PCC
* Clinical trial qualifications
+
| High
* Transfer to Extended Care Facility [ECF] assessment
+
| Domain Coordination Committee
* Chronic disease mgmt candidate
+
| outreach
* Disease survelliance candidate
+
| 2014
|.
 
|HL7 V3 Care Record Query
 
|n/a
 
|.
 
|2009 - 2010
 
 
|-
 
|-
|Cardiac electrophysiology admission discharge summary for the referring cardiologist (from Harry Solomon)
+
| National Extensions - engage with stakeholders and countries
|.
+
|  
|XDS-MS CDA R2 / CRS
+
|  
|CARD
+
| outreach
|Refer to Cardio domain
+
|  
|2009 - 2010
 
 
|-
 
|-
|Personalized Health Care
+
| Outreach and recruitment of new committee participants
* Customization of health treatment/plans to individuals
+
* IHE NA Connectathon
|M
+
* How do we reach organizational innovators and communicate to them benefits of participating in PCC?
|Human Genome specification standards
+
| High
HITSP Personalized outcomes
+
|  
|n/a
+
| outreach
|CP
+
| 2014
IP
 
|2008 - 2009
 
 
|-
 
|-
 +
| Coordinate Patient Plan of Care and Patient-centered Coordination Plan supplement development with AORN Syntergy for peri-operative structured nomenclature (incorporation of the C-CDA project results topic moved this to a lower priority)
 +
| Medium
 +
| AORN
 +
| research
 +
| 2013
 
|}
 
|}
 +
 +
 +
[[PCC_Roadmaps_Archived | See archived versions of PCC Roadmaps here]]

Latest revision as of 07:33, 22 October 2014

This page is being updated, please revisit soon for more information Aug 7, 2014


Overview

  • Vision/Mission: This is our long term focus. It does not change except under very rare circumstances. The vision and mission statements of PCC can be found on the main PCC wiki page
  • Strategic Goals: These items constitute our medium term focus and do not necessarily represent any specific project or work efforts, but rather categorize what we focus on. These items are reviewed at least once annually, typically during the fall planning meetings.
  • Action Ideas: These are more specific to projects that we are interested in pursing or already pursuing. This list is not necessarily always kept up to date and may be reviewed/updated multiple times per year. This is more of a landing area for new ideas and work items that our domain needs to track, hence the name "Action Ideas."

PCC Vision

The vision of Patient Care Coordination is to continually improve patient outcomes through the use of technology connecting patients and their care providers across healthcare disciplines and care paths.

PCC Mission

The mission of Patient Care Coordination is to develop and maintain interoperability profiles to support coordination of care for patients where care crosses providers, patient conditions and health concerns, or time.

Strategic Goals

  • Content
    • Coordinate with external standards development organizations (SDOs) to develop and promote the use of content templates
    • Develop strategies to support multi-level content template guidance to benefit the global community
  • Workflow
    • Develop new profiles by reaching outward to other IHE domains to coordinate workflows across care paths
    • Develop white papers by researching new areas that could benefit from standards based interoperability guidance
  • Nursing
    • Explore and understand the benefit of IHE profile work in the nursing space by partnering with nursing organizations and initiatives
    • Develop profiles and white papers to support and explore various nursing specific workflows


Legend

Priority
H High; Essential now
M Medium; Essential future
L Low; Nice to have
Coordination
IHE or other group(s) that coordination is required with
Type
administrative
outreach
profile
research/white paper
maintenance
Year
Earliest opportunity to tackle

Action Ideas

Last updated October 2014. These are action "ideas" meaning that specific actions may or may not be occurring for each line item. The purpose of this table is to provide an area in which PCC can collect and expand on ideas.

Action Idea Priority Coordination Type Year
Dynamic Interface Definition (DID)
  • Support for clinical processes
  • build a plug and play framework
  • Needs research
  • Needs outreach to move industry
  • Needs clear boundaries in SDOs involved
  • Challenge more on the policy side than technical
Medium profile 2015?
Distributed Care Coordination
  • What I need to know
  • What (and not how) I need to do to find a particular piece of information
    • could use a form..
  • What do I want the information for? To better understand context to provide appropriate solution
  • System to receive any particular set of information
    • Workflow process to support this
  • EHRs need a way to figure out how to put the pieces together:
    • What are specific tasks needed to keep such a process running?
    • What are patient safety issues?
High profile
Data Collection - Transition of Care
  • Discharge planning could be use case
  • System are NOT submitting the right amount of data to other systems that need to collect that data
  • Partially education effort
  • Consider different data for payers and clinical systems
  • Need to focus on irregularities as that is where the patient safety issues are
High profile
Rewrite PCC TF to conform to new TF Templates
  • some content does not naturally fit into existing templates
  • consider adding items to a template registry, perhaps even in lieu of rewriting to conform to a new set of TF templates
Low maintenance
Alignment with HL7 standards development
  • IHE-HL7 Coordination Committee
High HL7 outreach 2014
Harmonize PCC Content templates w/CCDA
  • Dependent on progress in IHE-HL7 Coordination Committee
High HL7 maintenance
Care Plan and RECON work Medium HL7 research
FHIR based work
  • need to better understand where to apply in PCC
  • applies to QED
Medium HL7 research
Nursing - Quality Perspective Low QRPH profile
Nursing Communication Workflow
  • Transitions of care/home care services
  • Care orders and updates, communication w/providers and patients
  • Care coordination - hand offs between nurses and other care providers
High profile
Formalize Nursing Sub-committee structure
  • create vision and mission statements
  • create strategic goals
  • Provide list of associations of source and contact to distribute
  • Networking /outreach
  • Solicit members from each nursing member
High HIMSS/ACP administrative
Liaison to organizations outside of PCC High Domain Coordination Committee outreach 2014
National Extensions - engage with stakeholders and countries outreach
Outreach and recruitment of new committee participants
  • IHE NA Connectathon
  • How do we reach organizational innovators and communicate to them benefits of participating in PCC?
High outreach 2014
Coordinate Patient Plan of Care and Patient-centered Coordination Plan supplement development with AORN Syntergy for peri-operative structured nomenclature (incorporation of the C-CDA project results topic moved this to a lower priority) Medium AORN research 2013


See archived versions of PCC Roadmaps here