PCD PC&TC 2011-12-14 Webex

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Patient Care Device Domain

Meeting Purpose

Joint PC/TC Regularly Scheduled Meeting

WebEx Information

Topic: PCD Joint Planning and Technical Committee Meeting

Regularly Scheduled Meeting Time

Date: Wednesday, December 14, 2011

Time: 11:00 am, Eastern Time (New York)

Duration: 60 Minutes

Proposed Agenda


1. Agenda Approval
2. Review Discussion Summaries: Joint Planning and Technical Committee December 7 PCD PC&TC 2011-12-07 Webex
3. Work Items for the TC:
- TF implications (Todd)
- Pharmacy Domain: Medication Administration Clinical Integration White Paper (Todd)
- Device Specializations - General Content Profile (Todd)
- Pump WG: Device Specialization - Infusion Pump (Todd)
- MEM WG: Device Cybersecurity (Axel and ITI)
- PCC Domain: Cross Enterprise TeleHomeMonitoring Workflow Definition (XTHM-WD)(Ken)
o Follow up with John Donnelly regarding invitation to work with PCC.
- ITI Domain: Enterprise ACM (Monroe)
- RTM WG: Really Consistent Time White Paper (Paul, will be deferred a year)
- Pulse Oximetry Integration with Clinical Applications (Greg and Ioana, discussed Nov. 30 TC)
- MEM WG: Recruit CMMS Vendors (Steve Merritt and Richard Swim, discussed Nov. 30 TC)
4. Existing Workitems, Cycle 6
5. Elliot Sloane: Updates on ONC, CONNECT, IHE International, and IHE USA
6. Connectathon
7. HIMSS12
8. Action Item Review
9. Next and Recent Meetings
10. Additional Business

Action Items from Previous Meetings

See PCD Planning Committee Action Items.

Significant changes, other than dates, will be in bold.


Chair: Ken Fuchs
Jon Blasingame, Todd Cooper, Bikram Day, Paul Elletson, Al Engelbert, Robert Flanders, Ken Fuchs, John Garguilo, John Rhoads, Paul Schluter, Erin Sparnon, Richard Swim, Khalid Zubaidi, Manny Furst
Guest: Elliot Sloane


Discussion Summaries do not require formal approval, while minutes of meetings where votes are taken do. Participants are encouraged to review and bring up significant issues with discussion summaries of previous meetings. Votes will be taken to approve meetings where votes took place; these may be email ballots.

Item Topic Discussion
1 Introductions & Agenda Review
- Chair

Decisions/Issues: Agenda will focus on Detailed Proposals offered by Todd and Updates offered by Elliot.

Agenda approved with narrow focus.


2 Discussion Summary or Approval of Minutes
- Chair
Discussion Summary of previous meeting was accepted with correction: rSO2 instead of SpO2.



3 Agenda Items
- As Noted

Elliot Sloane provided the following updates:

- At mHealth he learned that HIMSS launched the mHealth.org site. PCD may want to consider requesting links from there to PCD. There was a great deal of interest in device connections to mHealth. The exhibit floor demonstrated a Qualcomm product with a number of connected devices. It is intended to be somewhat vendor agnostic. Todd added that he read that the manufacturer has the ability to determine where the data goes.
- ONC CONNECT appears to be slowed. They appear to be focused on DIRECT efforts that require states to have SMTP based secure email solutions for physicians. This is unstructured documents that can also support attachments of documents (e.g., CDA). This provides a low cost way to comply with CMS requirements and qualify for the $16K incentive awards. There are vendors saying they can move the data into an EMR. ONC believes this is for a small rural physician. This should be similar to a VPN to CONNECT and eventually communicate to the VA and TriCare. There are no minimum data requirements. States are to have this in place by the end of the year. Elliot added that there are free practice management systems and Costco is offering one for about $500/month. He suggested that packaging some chronic disease vital signs for this application would be useful.
o Device demonstration for attendees at the Connectathon meeting on Wednesday.
o Todd asked how PCD can increase ONC’s awareness of PCD’s device data. Elliot suggested that DIRECT may be a way to do this. It is problematic in being so unstructured. He noted that grants will be available for chronic disease management. He noted that Stage 2 MU will be reviewed and then Stage 3 MU will be coming but PCD’s contributions don’t appear to be visible. Paul added that Continua is looking at Restful data and this would be more powerful than email.
- Elliot will present at the Wednesday Connectathon meeting and asked for slides.
- IEEE: IEEE appears supportive and John Garguilo was asked to follow up and provide specific items for the agreement.
- IHE USA: Web site should open soon for membership and there will not be a fee to join. Collaboration with ONC is on their agenda.

Todd summarized three Detailed Proposals (two have been distributed to date):

- Device Specialization – Infusion Pump Profile: This will be discussed in more detail later today during the Pump WG later today. Todd noted that he addressed the question of whether this should be a profile or something different. His intention is to pull the “foundational” profiles (e.g., DEC) and others such as PIV, IPEC under one umbrella, leveraging existing profiles.
- Device Specialization – General Content Module Specification: This is a specification, not a profile, that defines the ability to bind a document to a message or interface.
- Medication Administration Clinical Integration Strategy White Paper: The WP development will be led by PCD and is a joint effort with the Pharmacy Domain. This will look at existing profiles in multiple domains, how they fit together and what is needed to integrate them into a holistic solution to medication administration. Todd hopes to have portions ready for discussion at HIMSS12 and completed next summer.



Next Meetings

The next meetings are:

PC December 21, 2011 PCD PC 2011-12-21 Webex

TC January 4, 2012 PCD TC 2012-01-04 Webex

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