Attendees
- Chris Melo, Co-Chair, IHE Technical Committee, Philips
- Nick Gawrit, Co-Chair, IHE Technical Committee, Heartbase
- David Slotwiner, Co-Chair IHE Planning Committee, Cornell
- Paul Dow, Secretary IHE, ACC
- Charles Thomas, University of Washington
- Antje Schroder, Siemens Healthineers
- Rebecca Baker, ACC
- Dan Murphy, Epic
- Jimmy Tcheng MD, Duke University
- Andrea Price, University of Indiana
Minutes
- Clincial Benefits and Pitfalls of Structured Reporting for CRC Consolidation
- The goal is to use the infrastructure of the EP structured report for a harmonized Cath Lab report and to create templates for reuse within the vendor community. There are new ways to reflect the differing value sets, and then reflect the common items within each report. Many of the procedures have similar sections, but with some effort we could create an over arching template bank that could save time with updates and maintenance.
- A similar effort has may have been started in other domains, such as Radiology, or Patient Care Coordination. Chris will investigate the status of other domains. Jimmy mentioned that Duke has been working on similar efforts to capture data in a structured way, allowing them to present data longitudinally. They have a synopsis panel of 25 data points to highlight decision points for clinical care. This David discussed the how the EP Community has thought of data in a structured way. The Heart Rhythm Society authored this document. The modular approach by IHE is a wise choice to be able to build reports that are updateable to other areas, such as the cath lab.
- Resistance to these types of changes can be substantial. Workflows habits are hard to break. Additional costs from the initial installation of new reporting can be a roadblock. However, the long term benefits, such as collecting data once and reusing it many times leading to deeper insights and clearer action plans. One challenge is finding the right place for narrative text, e.g. patient history, and recommendations, which would be too complex to structure. 95% structured for clinical data and 5% for history does provide a way for physicians to adapt to the new workflows and decrease the resistance to change. This can help decrease the omission of data when dictating recommendations.
Cardiology Technical Committee