PCCTech Minutes 2009 11 11

• PCC Profile Template discussion is postponed in lieu of Chronic Care Workflow discussion. PCC Template can be discussed on a t-con.

Chronic Care Workflow

Presented by Keith Boone

• possibly grouped with
  • HIT Registry - current work in ITI
  • RFD
  • DRR
• Need to define actors/transactions, process flow
• What's the scope?
• concerns about communication with timezone difference
• Concerns about potential duplication of this proposed profile with the care management profile done a couple years ago. The original scope of the care management profile was scaled back when it was done)
• Recommendation to connect with Australian authors of the chronic care workflow. Suggest having care management authors (represetative Laura Blair), e-Nursing Summary authors (Marcia Veenstra, Audrey Dickerson) and Chronic Care authors (John Hilton?) on t-con to discuss overlap and direction(s) going forward (new profiles?, supplements to the care management profile, or expansion of care management profile).
• Could perhaps do this "off-cycle" due to communications challenges. Current schedule driven by NA Connectathon. Need to investigate Oceania Connectathon dates.

Perinatal Workflow

Presented by Keith Boone

• Systems that are part of the envrionment we are working in that would potentially implement one or more of the actors we are talking about:
  • Inpatient EMR
  • Outpatient EMR
  • Imaging Order Filler
  • Laboratory Order Filler
  • Registration/Scheduling
  • Registry/Repositorys

• A varity of profiles were reviewed and actors from each surfaced and initial relationships defined.
• Potential consumers of the profile discussed. Could be interested clinicians, but are more likely the implementors (engineering support) of the domain clinicians.
• Testing would be the integration testing that falls more on Wed and Thurs of the connectathon week.
• Proposal is to write the Volume 1 describin how to pull all the various Volume 1s of relevant profiles together and Volume 2 of this proposal is to describe and state the relevant Volume 2s that should be collected to meet this specific clinical workflow.

(Beginning of Joint Meeting with QRPH)

Newborn Discharge Summary

Presented by Alan Zuckerman

• Limited in scope to normal newborn nursery discharges (~4M/year) (including hospitals with "couplet" care where there isn't a newborn nursery specifically, and birthing "facilities")
• The scope is defined by the type of the paper documents currently used in the hospitals now. Contain only the hospital stay (although ideally it would include any additional "open evaluation" activites not yet completed prior to discharge - results added when they are completed).
• clarification that scope is for inpatient stay and completion of tests requested/ordered during the inpatient stay
• Project seems to be synergistic with the QRPH work. QRPH is addressing how to get data from the hospital to the pediatrician for the necessary outpt care. QRPH is addressing short term newborn care needs post D/C.
• Hospital is not interested in following newborn post discharge. The scope of this is to identify the needs post discharge which dovetails into QRPH and Pediatrician work of short/near term care of newborns post D/C.
• Synergy between PCC and QRPH should focus on the struture that creates the data elements
• Several forms exist that could help with going forward. No standard currently exists. This work would assist with determining the standard that should go forward.
• Team would look for several inputs of current exisiting forms - vendors etc. for consideration of data elements for inclusion in this profile.
• Meaningful Use - nothing specific to Newborn care at this time, but it states it will be looking at specialty care over time.
• Quick review indicates a lot of the data included in the proposal is likely to have already been done in other profiles.
• QRPH is interested in having the hearing screening data be as accurate at the lab data.
• HL7 is addressing the NICU infant. This scope will be normal healthy newborn and exclude NICU babies (unless just a short NICU stay for observation)
• Hearing screening is in scope -