HIMSS 2013 IHE Educational Proposals

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Process

Two slots available for IHE on larger educational grid, can submit more than 2

  • Gather suggestions
  • Refine suggestions
  • Pick strongest
  • Finalize descpriptions and presentors

Deadline: May 30, 2012

Get timeline beyond submission deadline

Rubric:

  • Content outline
  • Learning objectives
  • Level (beginning, intermediate, advanced)
  • Participants to create and do the presentation

Process of evaluation:

  1. What are the evaluation criteria on which the proposals should be graded?
  2. Using the evealuation critieria listed below to finalize the HIMSS13 Proposals
  • To what extent does the proposal offer value or relevance for attendees?
  • How well does this presentation advance existing ideas or present or advance new ideas?
  • The extent to which this information might help attendees change or improve the way they work.
  • Timeliness of the focus of the presentation
  • Identification of outside resources
  • Avoidance of product/vendor commercial
  • Are the objectives consistent with the abstract information for the presentation (minimum of three)?


HIMSS13 Guidelines and Criteria For Evaluation

Next Steps

  • Flesh out information May 15
  • Survey May 16-May 22
    • Score applicable categories 1-5 where 1 is lowest and 5 is highest, follow HIMSS guidelines here
  • Call week of 23st
    • May 23 10-11 CT

Venues

  • Focus of this work groups efforts
    • HIMSS 13 Educational Sessions - 60+ minutes long
  • Other possible venues for content
    • HIMSS Showcase presentations - 30 minutes max, not recorded
    • IHE International Webinar Series 2012
    • E-Learning Sessions

Proposals

IHE Profiles for Meaningful Use Stage 2

Meaningful Use Stage 2 raises the bar for interoperable EHR systems. It adds requirements for use of clinical decision support, exchange of clinical documentation, access to clinical guidelines and other content, and reconciliation of problems, medications and allergies. Integrating the Healthcare Enterprise has created several implementation guidelines for use by EHR system developers and implementers which can help you achieve the next stage of meaningful use or certify EHR products for use in that stage. This educational session will describe IHE profiles relevant to meaningful use. It is targeted at purchasers and developers of EHR systems.

Upon completion of this session, attendees will understand:

  • Which IHE implementation guides support requirements of Meaningful Use stage 2
  • What 2014 Certification Criteria are supported by IHE profiles
  • What Meaningful Objectives can be met by IHE Profiles
  • How to use IHE profiles in the specification of EHR products

Proposed by Keith

IHE Deployment Models

General Description

The Integrating the Healthcare Enterprise (IHE) standards profiling organization has developed a collection of profiles which can be leveraged for use by healthcare communities for the purposes of document sharing. One of the most significant applications of healthcare information technology is the exchange of health information among disparate clinical information systems and otherwise unaffiliated care providers. Across the world, various communities have developed or are developing methods for exchanging health information among healthcare providers, patients, and other authorized parties. The purpose of this presentation is to provide an overview of the collection of IHE profiles which are intended to be used by communities for exchanging health information. The collection of profiles includes support for patient identification, health document location and retrieval, provider directories, and the protection of privacy and security. This presentation will show how various profiles work together to provide a standards based, interoperable approach to community and cross-community health information sharing. Two U.S. based state HIE's which are using this profile collection will be presented, along with lessons learned

Learning Objectives: Upon completion of this session, attendees will understand:

  • Which IHE profiles are used in creating a Health Information Exchange
  • How IHE profiles work together to enable a Health Information Exchange
  • How at least two U.S. projects have used IHE profiles in an actual deployment (or planned deployment)
  • Key lessons learned when deploying a Health Information Exchange through IHE profiles

Level: Intermediate

Presenters:

  • Overview of Capabilities: Karen Witting
  • Deployment Experiences: Eric Heflin, Didi Davis, Lori Forquet

The ABCs of CDA

General Description

This course provides an overview of the HL7 CDA R2 standard, its use and function. Participants hear why this emerging standard is an important component of the developing health information ecosystem. They learn about the ways in which CDA is being used to create different types of documents that facilitate the continuity of care and the assessment of quality. Terms and concepts are explained in a non-technical way that gives anyone new to CDA R2 the foundation of knowledge they need to get started. A guided tour of a CDA sample document builds familiarity with the structur of the information and provides a strong visual map of the information contained in a CDA.

Learning Objectives: Upon completion of this session, attendees will:

  • Learn why the CDA standard is needed and what value it brings
  • Understand the relationship between CDA, HL7 v3, and HL7 v2.x
  • Become familiar with the different uses of CDA
  • Develop a working vocabulary of CDA terms and concepts
  • Gain exposure to what a CDA document looks like and how it represents data


Level: Introductory

Presenter:

  • For those who don't know Lisa's background yet:

Lisa Nelson is a health information technology (HIT) professional with over 20 years of experience which includes product development and management roles in two Inc 500 Fastest Growing Firms: one in Cardiology HIT and the other in electronic document publishing. She has a strong background in the development and use of HIT standards that support system integration and data interoperability. She is an HL7 Certified CDA Specialist, and has trained at the Lantana Group’s CDA Academy. She has a detailed understanding of the terminology asset management processes required to leverage the use of SNOMED CT, LOINC and other terminologies supporting Meaningful Use. Some of her CDA experience includes:

  • CDA IHE Profile development for the IHE’s Patient Care Coordination, and Quality, Research and Public Health domains
  • CDA validation test development and verification for the IHE Connectathon
  • CDA creation for Public Health case reporting
  • CDA use with Personal Health Records for consumers
  • CDA use for survey instruments used in diagnosing autism
  • CDA use in Quality Measure reporting for newborn hearing screening

Nelson holds a Master of Science in Medical Informatics from Northwestern University (June 15th, 2012 graduation, hooray!:^)), a Master of Business Administration valedictorian with a concentration in information systems from Regis University, and a Bachelor of Arts in Computer Science summa cum laude from University of Massachusetts. She is a Toastmasters International Certified Competent Toastmaster.

HL7 Version 2 conformance for IHE

Brief description

This tutorial shows how the Version 2.x conformance structure allows HL7 messages to be defined with precision in the context of a simply stated use case statement and interaction definition. Participants will see examples of actual HL7 conformance profiles that are freely available on the web and are used in industry at the present time.

Learning objectives

  • Definition of conformance and compliance
  • How HL7 and IHE support development of plug-and-play interoperability
  • Writing an HL7 conformance profile from an IHE transaction
  • How vendors and customers can achieve rapid validation

Who should attend

This tutorial is suitable both for IHE profile developers and for anyone implementing IHE profiles that use HL7 Version 2.x messages.

Author(s) and presenter(s)

Mike Henderson

  • President and principal consultant, Eastern Informatics, Inc.
  • Past co-chair, HL7 Control/Query Technical Committee
  • Past co-chair, IHE IT Infrastructure Technical Committee
  • Author, HL7 Messaging (published by OTech)

Using IHE profiles in digital pathology workflows

Brief description

This tutorial will show how to apply the IHE Anatomic Pathology and IT Infrastructure Technical Frameworks to define interfaces to pathology robotics and whole-slide imaging systems. Participants will view an HL7 conformance profile prepared for a digital pathology application to be deployed across a large national healthcare enterprise.

Learning objectives

  • What HL7 messages are needed for a digital pathology interface
  • How to apply the HL7 messages in IHE-PAT and IHE-ITI
  • Particular needs of robotics and whole-slide imaging interfaces
  • What to ask your vendor (or customer)

Who should attend

Developers and implementers of robotics and whole-slide imaging systems who want to achieve interoperability using the IHE Technical Frameworks.

Author(s) and presenter(s)

Mike Henderson

  • President and principal consultant, Eastern Informatics, Inc.
  • Past co-chair, HL7 Control/Query Technical Committee
  • Past co-chair, IHE IT Infrastructure Technical Committee
  • Author, HL7 Messaging (published by OTech)

Coordinating Workflow Across Institutions - Next Frontier in Interoperability

a) general description

With the emergence of ACOs and the increasing emphasis on Care Coordination, it is now obvious that exchanging clinical information in a standardized form adresses only half of the problem. Tracking and coordinating the workflow progress is a major challenge today, as multiple EHRs and IT systems are being used by the different participants of such cross-institutional workflow. For example, in a typical referral, it requires the referring physician EHR systems to initiate the workflow, the referred specialist to accept the referral, note that an appointment has been scheduled for the referred patient, the the patient may chose to request a change for such an appointment from a patient Portal, and finally the specialist needs through its EHR to update the referral workflow with the produced reports and advice through its own EHR. Keeping these three parties updated on the workflow progress is difficult, largely manual, and not standards based. The cross-domain workflow coordination problem applies well beyond referral, to other increasingly common workflows such as distributed radiology reporting, remote consultation, tumor boards and multi-disciplinary conferences, complex care coordination, administrative coordination, etc. Integrating the Healthcare Enterprise (IHE) has made significant progress in addressing such an interoperability use case and a novel and simple approach to this challenging problem.

b) learning objectives

Attendees will learn the use cases that were established to document this requirement and evaluate the design constraints specific to such cross-institutional environments and HIEs. An update on the novel IHE profile, called XDW for Cross-Enterprise Document Workflow, that standardizes the workflow management information exchange will be provided.

The progress accomplished to date will be reviewed, specifically the first interoperability testing results will be discussed. Finally the application to three specific workflows: eReferral, Multi-disciplinary tumor boards, and chronic care tele-monitoring will be presented.

c) level (beginning, intermediate, advanced)

Intermediate

d) suggested people to create and do the presentation.

To create the presentation: Charles Parisot and Eric Heflin, and two other volunteers from IHE PCC.

To deliver the presentation: Eric and Charles will co-present.

Consent Management for the Texas State-Wide 30 Million Person HIE

a) general description

The IHE Basic Patient Privacy Consents (BPPC) profile is maturing in terms of industry support and live deployments. In this in-depth case study, the use of this profile will be explored. Specific topics will include: 1) a definition and basic backgrounder on BPPC including prerequisites and limitations; 2) development of policy vocabularies to enable automated consent-based access control decisions to be determined; 3) use for mental health (especially sensitive) related authorization; 4) the future use of more advanced consumer preferences based on BPPC such as advanced directives, language preferences, religious preferences, etc.

The latter part of the presentation will discuss implementation issues including: 1) storage and access to state-wide BPPC documents; 2) organizational structure; 3) supporting local HIE policy autonomy; 4) keeping PHI out of BPPC documents; 5) policy related to management of conflicts, updates to preferences, associations and folder structure; 6) use of Direct (S/MIME e-mail), sFTP, XDS.b, and XCA to interact with policy services; 7) creation of an implementation toolkit for Local HIEs to facilitate implementation.


b) learning objectives

Attendees will learn the use cases that were established to support state-wide automated policy deployment.

The progress accomplished to date will be reviewed along with problems encountered.

When BPPC is not the correct technology.


c) level (beginning, intermediate, advanced)

Advanced


d) suggested people to create and do the presentation.

To create the presentation: Eric Heflin, and two other volunteers from IHE TC

To deliver the presentation: Eric Heflin (unless one else wants to co-present)

An XDS.b Visual Tutorial

a) general description

In spite of it's maturity, XDS.b (or just XDS) remains a mystery for many. The IHE profile provides a large number of capabilities, and components, that are flexible and can be employed in many different ways. The purpose of this presentation is to leverage the excellent French XDS.b implementation specification and to re-use many of their use cases and illustrations to explain such topics as submission sets, document entries, documents, associations, folders, key metadata attributes, and document lifecycle management options. The use of XDS.b to store policy documents (patient consents) for the State of Texas will be discussed at a high level.


b) learning objectives

Attendees will learn the use cases that were established to validate the XDS.b design.

The progress accomplished to date will be reviewed along with problems encountered.

A suggested XDS.b implementation roadmap (policy, requirements, implementation decisions, etc.).


c) level (beginning, intermediate, advanced)

Advanced


d) suggested people to create and do the presentation.

To create the presentation: Eric Heflin, and two other volunteers from IHE TC

To deliver the presentation: Eric Heflin (unless one else wants to co-present)

Deferred to another venue

Developing a new IHE profile

A session on how to develop an IHE profile....aimed at getting new people/companies interested in getting involved in IHE

Propose as a subject for the 2012 Webinar series in June/July. Lisa to work with HIMSS to develop this.

Proposed by Lisa


CDA through theater

this is a theatrical idea: I would involve three presenters: one a lively story-teller who would express a lively and detalied story about a heathcare event...like she were really telling a life story that really happened. After each "act" in the story is told, the second presenter talks about the data in the CDA document that is recorded. The large screens would be used to actually show the XML that was tagging the parts of the story as it was being told/explained. The two parts are interleaved in a way that mixes like the left and right hand of a score for the piano. It is both entertaining and instructive at the same time. The third presenter acts as a "narrator", basically establishing the context for the story at the beginning and summing things up at the end (the sort-of "moral of the story part.) I would be willing to direct the "play" and fill the role of either the story teller or the CDA explainer. I have a couple of scenarios I could use, or I could even construct the "dramatization" around one of the use cases that will be shown on the Showcase floor. I'm just feeling my way through the idea right now..... There could even be additional actors....Like the physician and a lab tech......so we could show one document representing all this information together....capturing the rich, expressive story. I know it would be very "different", but it could be fun/memorable for participants.

Appropriate for a showcase venue.

Proposed by Lisa


Workgroup Members

Didi Davis, Karen Witting, Eric Heflin, Charles Parisot, Chris Carr, Laura Heermann, Emma jones, Vassil Peytchev, Lori Fourquet, George Cole, Derrick Evans, Lisa Nelson, Tone Southerland, Mike Henderson