Patient Care Coordination
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IHE Patient Care Coordination (PCC) domain was established in July 2005 to deal with integration issues that cross providers, patient problems or time. It deals with general clinical care aspects such as document exchange, order processing, and coordination with other specialty domains. PCC also addresses workflows that are common to multiple specialty areas and the integration needs of specialty areas that do not have a separate domain within IHE.
IHE Patient Care Coordination manages the PCC Profiles and the PCC Technical Framework.
Timeline : 2007-2008 Development Cycle
| Timeframe | Activity | Scheduled | Location |
|---|---|---|---|
| 2006 | |||
| Oct. | Submit Brief Profile Proposals to Planning Committee (PC) | Oct X - Deadline | |
| Nov. | PCC Planning – New profile proposals (Lunch will be served prior to start of ITI meeting) | November 6-8 | RSNA |
| Dec. | TC Review of PC Selected Profiles | Dec 4-5 | RSNA |
| Feb. 2007 | PC Selects Final Profiles | Feb ??, 2007 | New Orleans (HIMSS) |
| Mar, 2007 | Profile development kickoff meeting (TC Meeting) | Mar 13-17, 2007 | Chicago |
| May, 2007 | Profile development meeting: finalize supplements for public comment (TC) | May 14-18, 2007 | Chicago |
| Jun. | Publication of Public Comment Supplements | Jun 3, 2007 | www.ihe.net |
| Jul. | Deadline for submission of public comments of profile supplements | Jul 17,2007 | forums.rsna.org |
| Jul. | Reconciliation of public comments received (TC Meeting) | July 23-27 2007 | Chicago |
| Aug. | Publication of Trial Implementation Supplements | Aug. 10, 2007 | www.ihe.net |
| Aug. | Publication of Final Text Technical Framework | Aug. 10, 2007 | www.ihe.net |
| 2008 | |||
| Jan. | Test implementations at Connectathon | Jan ??-?? | Chicago |
Roadmap
Legend
Priority:
Prerequisites: List of applicable standards Coordination: Other domains to coordinate efforts with. |
Strategy:
Year: Earliest Opportunity given prerequisites, priority and skills. |
Roadmap
| Topic | Pri | Standards/Prerequesites | Coord | Strategy | Year |
| Referral/Transfer of Care | |||||
| >Medical Summaries | H | CDA Release 2.0HL7 Care Record Summary | CPPromote | 2005 | |
| Document Transfer | H | XDSMedical SummariesLinking | ITI | IP | 2005 |
| Discharge Packaging (Discharge Back to Ambulatory Care Environment) | H | XDSMedical SummariesLinking | CP | 2005 | |
| #1 Discharge Packaging (Discharge to Sub-Acute Nursing Facility/ Extended Care Facility) | H | XDS-MSLinking w other clinical reportsPt consent/granting role-based access controls (PCC #8) | CP, IP | 2006 | |
| Discharge Packaging (Home Health Care Environment) | H | XDSMedical SummaryLinking | CP | 2007 | |
| Find Provider for Referral | L | Unknown | Finance | Research | 2007 |
| Referral Notification/Authorization (payer focused) | L | X12-837HL7 V3 | Finance | Research | 2007 |
| Transfer of Care workflowInitiate/accept/reject/follow-up | M | HL7 V3HL7 Care Transfer Messages | IP | 2007 | |
| Document Types History and Physical Operative Notes Discharge/Transfer Summary (2005) Progress Notes Nursing Notes Flow Sheets Laboratory/Pathology Report - Plan to coordinate with IHE Lab activities largely in Europe, Canada, Asia Radiology Report Cardiology Report Generic data dumps Consultants Report ED Triage Surveillance Report ED Encounter Report | HHM | CDA Release 2.0LOINCJCAHO (US)ELINCS [HL7 v2.4]- new transform for lab elements from v2 (using ELINCS as the stnd) to CDA v3CCR (General, discipline-focused) | Lab/Path (IHE Europe)RadiologyCardiology | Research CP | 2006 - 2007 |
| Orders between Providers / Ancillary Services | H | HL7 V3HL7 V2 ORU | ITILabRadiology | Promote/ Adapt Existing IPs | 2006 |
| Order Sets and Care Plans | L | XDS Non-Patient DocumentsHL7 Templates [Orders/Obs]HL7 Patient CareHL7 EHROrder Sets [Rad/Labs, Unified terminology/code systems] | ITIQuality | Promote | 2008 |
| Pay for Performance Data Aggregation | M | Order Sets and Care PlansHL7 TemplatesHL7 Orders and ObservationsMinimum Data SetsDoc-IT | Quality | Research | 2008 |
| Query for Medication List from Multiple Providers | H | HL7 V3RxHubJCAHO Med Reconciliation | Research | 2007 | |
| #2 Pt Created Summary Information Exchange- #1Model 1: Payer-provided PHR w pt portal for viewing infoModel 2: Provider-based portal f pts for viewing (lev1); updating (lvl2) infoModel 3: PHR application system exchanging info electronically w EMRs via portal media (USB,CD), pt2pt network, XDS registry) | HL7 EHRXDS-MSCCRASTM EHR Data ModelAHIMA PHR Definition (AHIP PHR Init, Connecting f Health)EHRVA PHR DefinitionWSRP (Web Services for Remote Portals) | PCD | CP (Model 3)IP referred to ITI domain (Document Interchange Media proposal) | 2006 | |
| Practice Management System to/from Ambulatory EHR Connection | M | HL7 V2.5EHR DSTUCCHIT Interoperability | ITI-PAM | IP | 2007 |
| Public Health Registries & Surveillance | H | XDS-MS w immunization structure | Quality | Refer to Quality Domain | ? |
| Capture of Clinical Research Data within an EHRability to display Case Report Form for data captureretrieve info from EHR system(Note: Form definition work to be undertaken by CDISK in 2006 independent of ITI RFD profile work) | CDISC’s ODMHL7’s CDAeDCIHL7 CCOWSAFE (Digital Signature)Clinical Trial Care Report Forms | ITI | CP (Clinical Trial Data Capture profile)IP Referred to ITI domain (Retrieve Form for Display) | 2006+ | |
| #3 PCP to Emergency Dept Referral - #2 | H | Data Elements for Emergency Department Systems (DEEDS) v1.0CDA/CRS (CCR)Pt consent/granting role-based access controls (PCC #8) | ITI | CP | 2006 |
| Emergency Medical Services (EMS) to Emergency Dept Data Transfer | M | Data Elements for Emergency Department Systems (DEEDS) v1.0CDA/CRS (CCR)National Emergency Medical Services Information System (NEMSIS) v2.2 | CP | 2007 | |
| #4 Self-referred ED Event (no pre-announcement of pt arrival) | H | Data Elements for Emergency Department Systems (DEEDS) v1.0CDA/CRS (CCR)Pt consent/granting role-based access controls | ITI | CP | 2006 |
| ED to Surveillance Regsitry | H | 2007 | |||
| ED to PCP transfer | M | XDS-MSCDA R2 | 2007 | ||
| #5 IHE CCR Medical SummariesED Use CasePHR Use Case (#2 above) | XDS-MS or CDA/CRS (CCR)HL7 Care Record Query | CP | 2006 | ||
| #6 Pre-Surgical H&P- adds sections for Pt history, Pt physical data at a level 2 to an XDS-MS Submission Set - the beginning of a PCP to Acute Care Profile?? | XDS-MS or CDA/CRS (CCR)Radiology Reports (XDS-I)Laboratory ReportsSubmission Set Deployment | CP, IP | 2006 | ||
| Healthcare Document MetaData | CDA R2Standard Document Content Formats (TIFF, pdf, JPEG, MIME) | ITI | Referred to ITI domain | 2006 | |
| Electronic Image Formats for HealthcareText chart notesGraphs, Charts, Line Drawn diagramsImages (photos, medical images, non-med images) | CDA R2Standard Image Content Formats (TIFF, pdf, JPEG, GIF, PNG) | ITI | Referred to ITI domain | 2006 | |
| #7 Document Section EncodingPediatrics (Immunizations, Growth charts)Public Health Survelliance (Immunizations, etc)Chronic Disease MgmtRevised to: Immunization, Vital Signs, and Laboratories | CCRCDA R2HL7 V3 Clinical Statement ModelHL7 V3 Patient Care StructuresHL7 V3 PharmacyLOINCJCAHO (what stnds?) | CP | 2006 | ||
| Patient Selection QueryClinical trial qualificationsTransfer to ECF assessmentChronic disease mgmt candidateDisease survelliance candidate | HL7 V3 Care Record Query | 2007 | |||
| #8 Patient Consentfor Access to Medical Records- #3 | H | ISO TS22600-1,2ASTM E1762W3C – XaDESISO 22857 | CPIP | 20062007 | |
| Cardiac electrophysiology admission discharge summary for the referring cardiologist (from Harry Solomon) | XDS-MSCDA R2 / CRS | CARD | Refer to Cardio domain | 2007 |
Current Activity
Contact the PCC Technical Committee if you would like to participate, or watch for Public Comment drafts in mid-July, 2007.
Participation
As a Clinician / Patient Advocate
Get involved in the planning committee. This is where the clinical problems are discussed and prioritized. The planning committee is an open group and is interested in having your input! Bring us your interoperability problems! You can also help by participating in the himss showcase scenario definitions.
You can do this by:
- Send us a note saying you’re interested so we can get you on the list-serves.
- Come to face to face meetings, and attend the telephone conferences.
- Submit your profile proposals by:
- Fill out this template.
- Submit the propsal draft to us.
- Attend the november planning meeting to help clarify and prioritize your proposal
- Follow up by submitting a the formal proposal
- Attend the joint planning/technical meeting to explain your idea to the technical committee
- Any additional resources you can provide toward the problem will help prioritize getting your proposal solidified more quickly.
As a Hospital Administrator
In addition to getting involved in the planning committee, hold your vendor accountable. Put a statement in your rfp that indicates you want the vendor to support the actor in the profile you desire.
As an Implementer
Get involved in the Technical Committee. Help make sure profiles are feasible and will work for you. Implement the profile, and come experience the Connectathon. Send us a note saying you’re interested so we can get you on the list-serves.
Profile Selection
These Brief Profile Proposals were selected by the planning committee for review for the 2007-2008 Development Cycle:
- Research Data Capture Clarification
- EMR Query (RFD Part2) for use with:
- Public health repository uses (e.g. HRSA)
- ACC repository
- Clinical trials (e.g. CDISC)
- Biosurveillance uses
- Claims Situational data elements
- Quality measure data extraction (incl pay for performance requirements)
- Drug safety
- Disease registry (overlap with d?)
- Patient education and literacy tracking uses
- Patient Selection Query for Clinical Trials
- Cross System Data Query: CDASH
- Emergency Department Encounter Record / ED to PCP transfer / ED to Surveillance Registry
- Antepartum Ambulatory Prenatal Care Summary
- Care Assessments & Assessment Instrument Content
These White Papers were selected to go forward for the 2007-2008 Development Cycle:
- Case Management for:
- Public Health Case Management Workflow
- Cross System Protocol Insertion
- Quality Report Document
These Detailed Profile Proposals were short-listed and evaluated by the Technical Committee
- ...
These items were selected by the Planning Committee for this Cycle:
Demonstrations & Presentations
| Date | Location | Event | Details | |
|---|---|---|---|---|
| 2007.02.25-2006-03.01 | New Orleans, LA | HIMSS 2007 | HIMSS Interoperability Showcase |
See Also
This page is based on the Domain Template.