Talk:PCC Proposals 2007-2008

Joint Conference Call 23 October 2007

Present: Larry McNight, Siemens, TC Cochair; Keith Boone, GE Healthcare, TC Cochair; Dr. Richard Kasama, ACP, PC Cochair; Laverne Palmer, HIMSS; Gail Arnett, HIMSS; Audrey Dickerson, HIMSS; Thom Khun, ACP; Maria Rudolph, ACP; Jason Colquitt, Greenway; Laura Bright, Bell Canada; Mike Jolley, Utah Health Information Network; Wendy Scharber, CDC; Sandy Thames, CDC; Tim Morris, CDC; Dr. Brian Oshiro, Intermountain Healthcare; Teri Kiehn, Intermountain Healthcare; Landon Bain, CDISC; Bron Kisler, CDISC; Tone Sutherland, Digichart; Alean Kirnack, SWPartners

Agenda

Discussion
Keith: Described Antepartum Summary Part 2, and indicated that we'll need a new name
Larry: We discussed the use of Antepartum Record as opposed to Summary
Bryan: Will this be coded, or just exchanging text blobs? At IHC, all the information we have is coded. Working in California exchanging information for outcomes.
Keith: We'll be coding, and supporting narrative content in the CDA, have used LOINC and SNOMED In the past.
Richard: One of the reasons we created the nursing subcommittee was to enable unification around terminology.
Audrey: We'll need to look at nursing vocabulary in this space, especially as it pertains to post-partum care.
Bryan: We need to be absolutely clear on definitions used in terminologies.
Richard: For example, Induction has different meanings in Ob/Gyn, Anesthesia, and Chemo
Audrey: Is there a list that defines these terms in the different areas?
Richard: No list, also notes that transplant has different use of the term Induction
Keith: Variety of clinical terminilogies, strong on list of terms, weak on definitions.

Richard: I also see that we indicated that we need to get feedback from ONC, AHRQ, others...
Keith: Actually, we need to give feedback to ONC, they've missed the boat in this area. ONC is strong on federal involvement, but in perinatal care, involvement is less federal, more state oriented in Medicaid programs. We do need to look at what quality organizations are doing in this space.

Keith: Described Family History Exchange...
?: Have we looked at what this involves with respect to HIPAA
Keith: We need to involve IT Infrastructure security experts in this area, especially with respect to confidentiality and consent. We want to be able to share information that is necessary, but not more, to enable providers to make use of it without violating confidentiality, and issues of consent.

Keith: Described Critical Results...
Richard: One idea is that we ensure that information about critical contact address/number goes into the order request right up front.
Keith: That's an excellent idea.

Meeting adjurned at 12:00 CDT

Communication from Gila Pyke,

Incidentally, I don’t know if you’ve seen our standards knowledge management portal. It, and the Canadian CDM related requirements are here: http://www.skmtportal.cred.ca/search.aspx?artid=351