Card Tech Minutes 2013.10.13-10.17.01

Attendees

• Abdul Malik Shakir - ACC (NCDR Profile)
• Alan Katz - ACC (Strategy)
• Antje Schroeder - Siemens
• Charles Thomas - University of Washington (Strategy)
• Chris Melo - Philips
• Elias Mazur - ACC
• Elizabeth Perpetua - University of Washington (Strategy)
• Ganesan Muthiah - ACC (NCDR Profile)
• Harry Solomon - GE
• Jason Kreuter - ACC (Strategy)
• Jimmy Tcheng - ACC (Strategy)
• Kim Kayler - ACC (Promotion)
• Mead Walker - ACC (NCDR Profile)
• Nakano Shinichi - IHE-J (NCDR profile)
• Nandini Kuntipuram - ACC (NCDR profile)
• Nick Gawrit - heartbase
• Paul Dow - ACC
• Paul Seifert - Agfa (TF Maintenance)
• Salima Shakir - ACC (NCDR Profile)
• Sharleen Fairbanks - ACC (Promotion)
• Tom Dolan - Philips
• Traci Connolly - ACC (NCDR Profile)

Meeting Notes

EP Report Content

• very active sub committee involving three physicians and two nurses
• It was decided to use MDC codes (MDC_IDC IEEE 11073) for Result Obeservations (as used in the IDCO profile)
  • Snomed is more focused on procedures and lacking codes for device measurements.
  • Potentially need to apply for new MDC codes
• Switched to using new NYUMC templates rather than the previously used "Hungo-Reports"
• Use case section has been updates based on physician feedback
• Template development started with defining a complete xml sample for an implant/explant report as a basis
• Review of the single lead ICD Implant Report example, which is about 95% ready.
• Started review of code sets

Promotion

• Review of survey results
  • only 8% of 149 participants had heard about IHE
  • 86% think that interoperability is very important and that ACC should support IHE
  • some of the interoperability concerns are focused around cross-enterprise document sharing.
  • with regards to MU2 requirements and what they mean to cardiologist we should work with the ACC advocacy group (Lisa Goldstein):
    • Show how stage 1/2 and trends for stage 3 impact interoperability
    • make clear what IHE has to offer in order to address these requirements
  • Some more ideas on what we can do:
    • make use of Success stories like the Dutch Cardiology XDS example
    • Illustrate how HIEs are using IHE for cross enterprise exchange
    • Map survey feedback for interoperability issues to IHE profiles for the ACC taskforce by Nov.2 (Tom), where ACC is putting togehter a 5year plan for IHE - TOM
• Discussion with ACC Marketing Team (Kim Kayler, Sharleen Fairbanks)
  • Promote IHE to ACC audience
    • ACC Management
    • ACC Staff
    • ACC membership
  • Use ACC publishing media to get news out (e.g. CardioSource World News
  • Start with staff, then management and then members
  • ultimate goal is to educate clinicans to assertain their IT needs to their IT staff
  • ACC on behalf of their members should communicate the message that interoperability is a big need to Product Management of vendors, so that systems are ready for Health Information Exchange
  • Some of the basic messages
    • IHE ties into quality which is key mission of the college by making practice more efficient and enabling data collection for NCDR part of regular clinical practice
    • MU – all state HIE’s are run using work done by IHE-ITI. Emerging MU guidelines will be about clinical information exchange and image transfer - IHE has been establishing the standards underlying the MU and the role of IHE in supporting connecting practices to HIE’s for referrals and care transition documents will be key.
    • In cardiology we have focused on better working of cardiology department – the challenge is that there are not MU spend here, there isa value prop for members so that systems work better together within cardiology which efficiencies should underlie accreditation issues