PCCPlan Minutes 2014 10 22

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Attendees: Tone Southerland, Laura Heermann Langford, Denise Downing, Charles Rica, Anne Diamond, Thom Kuhn, Keith Boone, Angelique Cortez, Laura Bright, Celina Roth, Matthew Tiller

Phone in Attendees: George Cole, Chris Lindop, Emma Jones, Guila Pellizzon, Michael McCoy, Vincent Van Pelt, Charles Parisot, John Feikama,

Agenda/Introductions

CDS for Radiology

Presented by Chris Lindop

  • New regulation for radiology mandating use of Clinical Decision Support during imaging ordering.
  • Use case looks at the appropriate time to use the CDSS - have determined the best time is at the order placment and the time of filling the order.
  • Use case currently is written to demonstrate a full stop and change to a different system.
  • Recommendation made to re-write the current use case as part of the problem statement and create a new use case demonstrating a solution.
  • The new use case could help understand the scope of work for IHE (1-2 or more profiles?) requested
  • Would prefer to see this written using the Radiology use case as an example, but the acutal work would be generic and support all order types (i.e. lab, cardiology studies, etc)
  • Encourage use of the CMS terminology of "appropriateness criteria".


Remote Radiology Read

Presented by Chris Lindop

  • Looking closely at how to improve efficiencies in Radiology Workflow. Such as allowing specialized reads for a larger area. Such as a highly specialized MD reading for several facilities, or hared workload across sites, supporting off hours reading in area without 24 hour coverage.
  • Lots of discussion regarding the similarities to the eReferral Profile and the potential for it to be used at the time of read instead of just to refer the entire study.
  • may need to think of this as a supplement to the eReferral profile that would add the missing steps to the existing profile.
  • there are some concerns regarding cross-community workflow - but from the Canadian point of view it is important to get the cross-enterprise working short-term and can address the cross-community issues later.
  • Review of XDW it does not work for this process - need some work/fixes from ITI on XDW for cross community. The key thing is to get the workflow in place.


RECON on FHIR

Presented by Emma Jones

  • Review of the proposal facilitated by Emma
  • Concerns expressed regarding profile work being dependent on FHIR resources but agreed that should not hinder pursuing the project - just acknowledge the risk.
  • Will need to keep an eye on the CDA on FHIR meetings. As the List resource tends to change at almost every meeting.


Basic Study Requesting

Presented by Vincent Van Pelt

  • Question regarding the inclusion of reason for study and billing information to meet US requireents. Discussion resulted in calling out where they fit into this project but calling them out of scope at the time.
  • Question regarding the fit of this request for being a profile or a template definition.
  • There seem to be some overlap of this project with the remote read project. Asked authors to review the other proposals and be prepared for discussion on these tomorrow.


DAF

Presented by Nagesh (Dragon) Bashyam

  • This project is the next step in the follow up from the white paper of last season.
  • Concerns expressed on how we will get folks to sign up to test for it. They are already doing pieces of it. What motivates a system to say "I do DAF". Do they have to do an end to end workflow?
  • Concerns expressed and discussed RT this topic as described being very US specific. Discussed how to manage the US Extension specific needs along with the more generalizable international aspects.
  • Two potential products of this project - a document template filled out and published by IHE International, and then another "constrait" document containing the specifics for the US implementation. (the IG for the IG - IG squared). The IG for the IG contains the US specific items.
  • Will attempt to contact Chris Carr and others tonight to determine ability of IHE USA to work with and accomodate the S&I schedule of having the first paper related to this topic done in 2 months. Can IHE USA support multiple public comments on this project and getting IHE USA approval for the US Extension.


Content Creator/Consumer Harmonization

Presented by Tone Southerland

  • Review of issue at hand and the potential for this to be a very large project. Desire Planning committee input on the work proposed due to the potential scope.
    • There is no direct reference from content consumer creator
    • Need to investigate grouping to minimize direct references.
    • Stylesheets- prefer to defer any work here at the time. They do not help interoperability issues, and are often more difficult to distinguish from content. (This may be a good topic for a whitepaper).

Strategy Discussion

Review of goals set during the July Meeting

  • all proposals discussed today (and tomorrow morning) are aligned with the PCC Strategic Goals
  • discussion on what is desired of the Nursing SubComittee. Opportunities exist with the HIMSS Nursing Informatics Community to share and teach the group about the nursing profiles that exist and promote uptake from within that group.
  • Need to consider the work needed to promote items of nursing interest and IHE relation with other NI interest groups in the overall resource plan for the upcoming year.


Planning Committee Meeting for today ended.

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