PCD Cochairs 2012-11-13 Webex

Patient Care Device Cochairs Weekly Meeting

Date: Tuesday, November 13, 2012

Time: 3:00 pm, Eastern Time

Duration: 60 Minutes

Proposed Agenda

1. Review & Approve Agenda

2. Review Previous Meeting Summary previous Discussion Summary from 2012.11.06

3. What and How Much PCD Data is Saved/Archived?

- Discussion with John Donnelly

4. Profiles and TF Updates

5. Standards Coordination

6. IHE International

7. AAMI Proposed Statement of Work

8. Spring F2F

- Dates(April 8, 15)

- Location: ECRI, RSNA (Oakbrook), West Health (SD or DC)

- PC, TC meetings schedule (TC Nov. 28, Dec. 5, Dec. 19), (PC Nov. 13, Dec. 12)

- Co-chairs (Nov. 20, Dec. and Jan. dates?)

9. Connectathon

10. Showcase

11. Recruiting

12. Action Items (Last reviewed July 31)

13. Additional Business

Attachments / Materials

See PCD Cochair Action Items page. Significant changes, other than dates, will be in bold.

Meeting Summary

Participants

Cochairs: John Garguilo, Steve Merritt, Monroe Pattillo, John Rhoads

Guest: John Donnelly, John Zaleski

Chair: Mopnroe

Technical Project Manager: Manny Furst

Discussion

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair: Garguilo	Status/Discussion: Decisions/Issues: Agenda Accepted Action(s):
2	Review Meeting Summaries - Chair: Garguilo	Status/Discussion: Meeting notes reviewed Accepted Decisions/Issues: Action(s):
3	Agenda Items - Chair: Garguilo	Status/Discussion: 3. What and How Much PCD Data is Saved/Archived? - John Donnelly led discussion. How much data (sample rate, status of the patient at beginning or end of event, etc.) should be saved and available retroactively? - John Zaleski indicated that some clinical sites provide requirements. E.g., the anesthesia system requires at least once a minute before surgery begins; charting determines rate during the operation; retrospectively the OR data is available; post surgery about every 5 minutes. Charting becomes part of the medical record; patient condition (e.g., pneumonia, shock, sepsis, infection), use (charting or decision support) and clinical site (ICU, general care) determines sample rate (e.g., 5-15 minutes in ICU depending upon facility policy). Retention of the record and the use in decision support and research can be indefinite. - John Donnelly asked about discharge information and how this relates to the clinical care document. John Zaleski responded that there is an effort to provide a single view of the important integrated data. John Rhoads indicated that PCD has discussed the CCD document but it only supports minimal data. Clinicians will have to guide the development. John Donnelly suggested that the clinician be able to choose between vital signs alone or more robust documentation. John Rhoads suggested that PCD will need to look more deeply into this. - John Zaleski noted that many of the EMR vendors are not capable of accommodating the large volume of medical device data from each critical patient, OR and from the number of these patients. He described various approaches used to meet the anesthesia record’s requirements, including separate systems for this application. The larger issue is handling this volume inbound. 4. Profiles and TF Update: - Nothing to report. 5. Standards Coordination: - Nothing to report. 6. IHE International: - Nothing to report. 7. AAMI Proposal - Manny to ask Todd for the final version. 8. Spring F2F: - Manny to ask Todd about West Health San Diego. Offer either week, with preference to the earlier week (Apr. 8). 9. Connectathon: - Nothing to report. 10. Showcase: - Manny to ask Sandy about Verizon, cell phone coverage. 11. Recruiting: - Nothing to report. 12. Action Items - Nothing to report. 13. Other Business: - None.

Next Meeting

The next meeting will be November 20, 2012 PCD Cochairs 2012-11-20 Webex

<For Decision Meetings, add review line here when minutes are approved; e.g., "(Reviewed & approved by PCD RTM Vent TG 2008-04-16)">

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