Card Plan Minutes 2011.04.02

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Attendees

  • Alan Katz
  • David Slotwiner
  • Gerald Serwer
  • Andrew Keller
  • James Tcheng
  • William Weintraub
  • Peter Tilkemeier
  • John Donnelly
  • Tom Dolan
  • Bryan Jennings
  • Harry Solomon
  • Elliot Ostrow
  • Nick Steblay
  • Nick Gawrit
  • Ken Hoyme
  • Dan Roman

Minutes

  1. Technical Committee Report
    • CIRC
      • Public comment ready
      • Needs review by ACC Informatics Committee
      • Integration of non-invasive imaging procedure discrete data, including ACC/AHA Key data elements into the EMR
      • Structures key data elements in CDA, maps to codified SNOMED/LOINC terms
      • Applicable to other domains
      • Basis for extension to invasive procedures as 2011-12 work item
      • The TC will need a face-to-face meeting on May 24/25 - potentially at Heart House
    • 3D Echo whitepaper (http://wiki.ihe.net/index.php?title=Cardiology_Technical_Committee#3D.2F4D_Echo_Workflow_Whitepaper)
      • Phase 2 clinician review
      • Draft updated with initial feedback from Drs. Keller/Katz/Serwer on Feb 15th
      • Phase 2 clinician review requested on:
        • Tissue Doppler Imaging use case
        • Future use-cases
      • Timeline
        • April 24: Receive comments from Planning Committee (Drs. Katz, Keller and Serwer)
        • May 8: Updated document with comments from Planning committee addressed to Technical Committee for review
        • June: Detailed review by the Technical committee
        • July 12: Submission to RSNA
        • July 20 : PUBLISH
    • Technical Framework Maintenance (ftp://ftp.ihe.net/Cardio/TF_Maintenance/2.Assigned_CPs/)
      • CP001: Add PCC relevant content. No text yet, not relevant for connectathon testing
      • CP007: Clarification for Card-2: This profile could be reviewed and sent out for ballot. It would trigger a new release of the TF-Vol2
      • CP008: Clarifications in STRESS supplement needed. There is no text yet. One of the issues is the clarification of supported SOP Classes. If we want this to go in for #**Connectathon testing we should start to look into this. This might trigger a republishing of a Supplement
      • CP009: IDCO HL7 profiling conventions. Maybe handled through PCD. Not essential for Connectathon testing
      • CP010: HL7 Profiling conventions. Candidate to postpone until Rad CP213 is ready. The Rad CP majorly changes this section. Not relevant for Connectathon testing.
      • Newly Submitted: Clarification on Actor Grouping in REWF. There is text yet, that could be reviewed. Could be nice to clarify before connectathon. Would trigger re-publishing of REWF Supplement
    • IHE Cardiology Connectathon
      • 2011 Connectathon
      • Very low vendor sign-up
      • No cardiology test-cases tested
      • 2010-new profile (REWF/IEO/DRPT)test-scripts have NOT been developed.
      • Also means no testing possible @ European connectathon in May 2011
    • 2012 Connectathon
      • 2010 profile test case tooling still to be completed for January 2012
      • Mallinkrodt will need some evidence of vendor interest
      • TC core organizations need to “pre-commit” to attend in August
      • ACC will have to use the unspent allocation ($15K) from 2010 plus 2011's budget ($40K) and increase it to cover the CIRC (2011) profile test-cases
  2. Proposed Calendar for Next Year
    • April 22 - Public comment period opens
    • May 24-25 - Public comment processing face-to-face
    • June 20 - 3D Echo and EP white papers, TF maintenance - Vol2/Stress/REWF
    • August 1 - Submit proposals Open
    • Septembter 1 - Submit proposals Close
    • September 15 - Draft short list of proposals
    • October 15 - Complete technical analysis of short list
    • November 1 - PC selects final proposals
    • November 1 - Domain board report - due to Co-chairs on December 8
    • November 15 - TC profile development kick-off meeting
    • January 5 - Provide board report to Steering Committee
    • January 12 - 2012 Connectathon
    • Potential Work Items
      • Extention of CIRC
      • Build on EP white paper to make full profile
      • MU Phase 2 profile
      • Radiology is looking to change the eligibility and authorization process that requires 3rd party approval of tests
        • Similar to ACC AUC efforts
        • ITI should build framework
        • Rad and Card should build content
        • This type of profile development would require interaction with payors and is new territory for IHE. There has been discussion of creating an Administrative Domain.
        • Tom to discuss on Co-Chairs call (Tuesday mornings)
      • Keller/Katz AHRQ proposal to share images on EDGE server
        • Would help reduce number of studies
        • Possible profile work for 2012
    • Call for HIMSS profiles for 2012 is in May
  3. IHE Cardiology Marketing and Promotion
    • EP Promotion
      • Very good meeting with IHE and HRS/EP leaders organized by Bryan Jennings @ HIMSS
      • Very positive engagement with leading EP Physician group
      • Speaker and poster exposure @ HRS annual meeting with networked EP lab
      • IHE-Cardio-HRS physician meeting presentation by Dr. Katz/Bryan Jennings @ ACC
    • IHE-Outreach @ NCDR Users Meeting
      • Reachout to NCDR user/vendor community to promote RFD and CIRC CDA-based profiles to standardize data-collection interfacing, and leverage point-of-care data collection for pre-populating registry submission forms
      • Poster and presentation sponsored by NCDR @ Data managers meeting March 31-April 1
      • ftp://ftp.ihe.net/Cardio/NCDR.11/
      • Awareness raised with purchasing and vendor community
      • About 30 hospital registry managers were briefed and took IHE material
    • Promotion Focus 2011 – Report from TC F2F March 21
      • Discussion with Chris Carr and IHE-RAD group during TC F2F meeting March 21-23 2011
      • HIMSS is the primary show for IHE-Cardiology demonstration – not sufficient IT-attendance @ ACC/HRS
        • Need to create cardiology demo/track
      • ACC show 2011 – get PC Physicians to go to EHR-pavillion area and request those companies to participate in IHE.
      • ACC show 2012 – Small mini HRS/SIIM like demo to reinforce (reuse HIMSS demo) each year and get in Annual meeting press, via ACC
      • Get more IHE-C in Cardiology trade-press – publish our white-papers,
      • Include IHE interoperability based on RAD document in ACC EHR buying guide: http://www.cardiosource.org/Advocacy/Issues/Health-Information-Technology.aspx
      • Could also possibly link to the IHE product registry on the ACC site
  4. EP Whitepaper Update
    • This paper will get as close to a full profile as possible to enable future development
    • 3 Workflow Cases
      • Finalize data for EP lab - CDA
      • Review by nurse monthly - adds to CDA
      • Submit structured results
    • April 13 - 2nd draft to TC
    • July 20 - Publish
    • Continuing to raise vendor interst/engagement