PCC Roadmap: Difference between revisions

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!Topic!!Pri!!Standards/Prerequesites!!Coord!!Strategy!!Year
!Topic!!Pri!!Standards/Prerequesites!!Coord!!Strategy!!Year
|-
|-
| Referral/Transfer of Care
| Referral/Transfer of Care Workflow
|  
|  
|  
|  
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|
|
|-
|-
| Discharge Packaging (Discharge to Sub-Acute Nursing Facility/Extended Care Facility/Home Health)
| Planning Cmmte Out Reach and Engage With Sub-Acute Nursing Facility/Extended Care Facility/Home Health
|H
|M
|XDS-MS Linking w other clinical reports
| 
|n/a  
|n/a  
|CP, IP
|tbd
|2008
|-
|Find Provider for Referral
|L
|Unknown
|Finance
|Research
|2008
|-
| Referral Notification/Authorization (payer focused)
|L
|X12-837
HL7 V3
|Finance
|Research
|2009
|2009
|-
|-
|Transfer of Care workflow Initiate/accept/reject/follow-up
| Nursing Workflow
|M
|HL7 V3 HL7 Care Transfer Messages (discuss with ITI regarding Referral Request supplement)
|ITI
|IP
|2008 - 2009
|-
|-
|Transfer of Care/FSA
|Nursing Documentation/FSA
|H
|H
|Functional activity,
|Functional activity
Mood and behavior,
Chronic disease management, care planning
|ITI
|ITI
|IP
|IP
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|2008 - 2009
|2008 - 2009
|-
|-
|Orders between Providers / Ancillary Services
|Plans of Care
|H
|HL7 Care Provisions WG,Care Plan Topic
|
|
|2010 - 2011
|-
|Cross-enterprise Orders between Providers / Ancillary Services
|H
|H
|HL7 V3
|HL7 V3
HL7 V2 ORU
HL7 V2 ORU
Medical Home White Paper
|ITI
|ITI
Lab
Lab
Radiology
Radiology
|Promote/ Adapt Existing IPs
|
|2008 - 2009
|2010
|-
|-
|Order Sets and Care Plans
|Order Sets and Guidelines
|L
|M
|XDS Non-Patient Documents
|XDS Non-Patient Documents
HL7 Templates [Orders/Obs]
HL7 Templates [Orders/Obs]
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Quality
Quality
|Promote
|Promote
|2009 - 2010
|2010 - 2011
|-
|-
|Pay for Performance Data Aggregation
|Care Management Workflow
|M
|Orders between Providers / Ancillary Services
HL7 Templates
HL7 Orders and Observations
Minimum Data Sets
Doc-IT
HEDIS
|QRPH
|Promote
|2008 - 2009
|-
|-
|Query for Medication List from Multiple Providers
|Patient Selection Query
|H
* Clinical trial qualifications
|HL7 V3
* Transfer to Extended Care Facility [ECF] assessment
RxHub
* Chronic disease mgmt candidate
JCAHO
* Disease survelliance candidate
Med Reconciliation
|.
(how does this relate to QED use for Medications?  Is one Content focused vs IP)
|HL7 V3 Care Record Query
|QRPH
|QRPH
|Rsrch QED Relationship
|.
|2008 - 2009
|2010
|-
|-
|Public Health Registries & Surveillance
|ED and Emergency Responder Workflow
|H
|XDS-MS w immunization structure
Related to overall Care Management topic, specifically the Immunization Registry profile
|QRPH
|Sync Plans w QRPH
|2008 - 2009
|-
|Capture of Clinical Research Data within an EHR
ability to display Case Report Form for data capture retrieve info from EHR system (Note: Form definition work to be undertaken by CDISC in 2006 independent of ITI RFD profile work)
|H
|CDISC’s ODM
HL7’s CDA
eDCI
HL7 CCOW
SAFE (Digital Signature)
Clinical Trial Care Report Forms
|ITI and QRPH
|CP (Clinical Research Data Capture [CRD] profile)
IP Referred to ITI domain (Retrieve Form for Display)
|2006 - 2008
|-
|Care Management
* Immunization Registry
* Cancer Registry
* Clinical Decision Support
* Chronic Disease Management
|H
|CDC Standards for Vital Statistics
HSSP Decision Support Service
Evidence research from medical colleges and other entities
|QRPH
|CP, IP
|2007 - 2010
|-
|-
|Emergency Medical Services (EMS) to Emergency Dept Data Transfer
|Self-referred ED Event (no pre-announcement of pt arrival)
|M
|M
|Data Elements for Emergency Department Systems (DEEDS) v1.0
CDA/CRS (HL7/CCD),
National Emergency Medical Services Information System (NEMSIS) v2.2,
HITSP Emergency Response IS and related constructs
|n/a
|CP
|2008 - 2009
|-
|#4 Self-referred ED Event (no pre-announcement of pt arrival)
|H
|Data Elements for Emergency Department Systems (DEEDS) v1.0
|Data Elements for Emergency Department Systems (DEEDS) v1.0
CDA/CRS (HL7/CCD and/or HITSP C32)
CDA/CRS (HL7/CCD and/or HITSP C32)
Pt consent/granting role-based access controls
Pt consent/granting role-based access controls
|ITI
|
|CP
|CP
|2008 - 2009
|2010
|-
|Pediatric Workflow
|-
|-
|ED to Surveillance Registry
| Planning Cmmte Out Reach and Engage With Pediatric organizations
|H
|H
|State or national specified list of disease states for public health reporting
| 
|QRPH
|n/a
|CP
|tbd
|2008 - 2009
|2009
|-
|-
|ED to PCP transfer
| Infant Discharge Summary
|M
|H
|XDS-MS CDAR2
| 
|n/a
|n/a  
|CP
|tbd
|2008 - 2009
|2009
|-
|-
|Document Section Encoding
|Sub-Specialty Workflows
Pediatrics (Immunizations, Growth charts)
Public Health Survelliance (Immunizations, etc)
Chronic Disease Mgmt
Revised to: Immunization, Vital Signs, and Laboratories
|.
|HL7 CCD
CDA R2
HL7 V3 Clinical Statement Model
HL7 V3 Patient Care Structures
HL7 V3 Pharmacy
LOINC
JCAHO
|.
|CP
|2008 - 2009
|-
|-
|Patient Selection Query
|Outreach to Cardiology requirements e.g.Cardiac electrophysiology admission discharge summary for the referring cardiologist
* Clinical trial qualifications
* Transfer to Extended Care Facility [ECF] assessment
* Chronic disease mgmt candidate
* Disease survelliance candidate
|.
|HL7 V3 Care Record Query
|n/a
|.
|2009 - 2010
|-
|Cardiac electrophysiology admission discharge summary for the referring cardiologist (from Harry Solomon)
|.
|.
|XDS-MS CDA R2 / CRS
|XDS-MS CDA R2 / CRS
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|CP
|CP
IP
IP
|2008 - 2009
|2011
|-
|-
|}
|}

Revision as of 11:16, 9 October 2008

Legend

Priority:
H
Essential Now
M
Essential Future
L
Nice to Have

Prerequisites: List of applicable standards

Coordination: Other domains to coordinate efforts with.

Strategy:
CP
Develop Content Profile
IP
Develop Integration Profile
Res
Research Applicable Standards
Promote
Promote Applicable Standards Development Efforts

Year: Earliest Opportunity given prerequisites, priority and skills.

Roadmap

Topic Pri Standards/Prerequesites Coord Strategy Year
Referral/Transfer of Care Workflow
Planning Cmmte Out Reach and Engage With Sub-Acute Nursing Facility/Extended Care Facility/Home Health M   n/a tbd 2009
Nursing Workflow
Nursing Documentation/FSA H Functional activity ITI IP

CP

2007 - 2010

Document Types

  • History and Physical
  • Operative Notes
  • Discharge/Transfer Summaries
  • Progress Notes
  • Nursing Notes
  • Flow Sheets
  • Radiology Report
  • Cardiology Report
  • Generic data dumps
  • Consultants Report
  • ED Triage Surveillance Report
  • ED Encounter Report

M,H

  • CDA Release 2.0
  • LOINC
  • JCAHO (US)
  • CCR (General, discipline-focused)
 Lab/Path (IHE Europe)

Radiology Cardiology

Research CP 2008 - 2009
Plans of Care H HL7 Care Provisions WG,Care Plan Topic 2010 - 2011
Cross-enterprise Orders between Providers / Ancillary Services H HL7 V3

HL7 V2 ORU Medical Home White Paper

ITI

Lab Radiology

2010
Order Sets and Guidelines M XDS Non-Patient Documents

HL7 Templates [Orders/Obs] HL7 Patient Care HL7 EHR Order Sets [Rad/Labs, Unified terminology/code systems]

ITI

Quality

Promote 2010 - 2011
Care Management Workflow
Patient Selection Query
  • Clinical trial qualifications
  • Transfer to Extended Care Facility [ECF] assessment
  • Chronic disease mgmt candidate
  • Disease survelliance candidate
 . HL7 V3 Care Record Query QRPH . 2010
ED and Emergency Responder Workflow
Self-referred ED Event (no pre-announcement of pt arrival) M Data Elements for Emergency Department Systems (DEEDS) v1.0

CDA/CRS (HL7/CCD and/or HITSP C32) Pt consent/granting role-based access controls

CP 2010
Pediatric Workflow
Planning Cmmte Out Reach and Engage With Pediatric organizations H   n/a tbd 2009
Infant Discharge Summary H   n/a tbd 2009
Sub-Specialty Workflows
Outreach to Cardiology requirements e.g.Cardiac electrophysiology admission discharge summary for the referring cardiologist . XDS-MS CDA R2 / CRS CARD Refer to Cardio domain 2009 - 2010
Personalized Health Care
  • Customization of health treatment/plans to individuals
 M Human Genome specification standards

HITSP Personalized outcomes

n/a CP

IP

2011
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