PCCTech Minutes 2010 04 28

Attendees

Onsite

Call-in

Presented by Alan Zuckerman
It has been determined the scope for this year will be content for the NDS only and the workflow issues/data trransfer between APR and LDR and NDS will not be addressed this year.
The NDS should also include the AAP Bright Futures Health Supervisoin Visit data forms and goals as one of its key source documents
there is a neeed to map the NDS to the PCC-TF vol II v 5.0 Discharge Summary sections and to indicate which are used and which modified such as the newborn physical
Issues and progress on the NDS Volume 1/Volume 2 work reviewed and discussed. Questions answered. Issues resolved or tasks assigned to move towards resolution.

Agenda

NDS/NBS/PCCP - (Hearing Screening)
- QRPH would like to have a tighter connection/collaboration of the hearing screening data and the NDS.
  - Next steps -
    - Ensure NDS contains the hearing screening results and the care recommendations from Public Health based on those results.
    - Hearing Screening is a good candidate for a use case in PCCP - but will have a few new alternative and requirements to PCCP workflow

RPE/RCG Overlap
- QRPH recommending we have a new type of content profile that addresses business rule content.
- QRPH Presented an idea to retrive/discover a process (set of activities/suggestions/collection of things that could be done.) How to decide which ones get done is out of scope, determining which items could be done is out of scope.
- what comes back in clinical dss is the same as what comes back in RPE. Conceptually the same as with RCG. but going to a generic process is probably not the right thing to do as it misses some of the clinical knowledge and the accountability of who is responsible for what comes back. The output of CDSS is a set of suggestions or assertions. The output of RPE is executable process. The RPE is a process that keeps things going until it reaches a complete state. CDSS and RPE are 2 peices that fit together. RCG assumes there is a clinician (human intervention) that intercedes and is included in the exucution on the plan of care. Ultimately we can get to RPE where there is more automation in terms of executable logic that takes an action and makes it happen to the point of completion.

Working Session with team editing and writing sections of document working towards completion. Some changes made in real time. Notes made for action items that will take more time and offline work to resolve.

This time was taken as a small group working session. NDS/PPVS/APR/LDR groups all met to discuss areas of coordination and plans to reach Volume 2 completion.