PCCPlan Minutes 2015 10 22

Attendees: Tone Southerland, Laura Heermann Langford, Keith Boone, Anne Diamond, Thom Kuhn, Celina Roth, Elena Vio, Chris Melo, Amit Propat, Harry Soloman, Claudio Saccavini, Harry Rhodes

Phone in attendees: Vincent van Pelt, John Donnelly, Emma Jones, Paul Dow, Kevin Parker, Leslie DeYoung, Paul Rosenau, Pamela Heller, James Kariuki, Gunther Meyer, Anna Orlova, Diana Warner

Review Vision, Mission, and Strategic goals, outreach opportunities, updates to IHE Board Report

• Agenda updated for the Day
• Sponsor updates
  • Meetings in November
    • added a day for FHIR training session (Wednesday November 11 10-4:30). RSVP required. Limited to 30 people. Target towards IHE profile developers to understand how to use it and develop with it.
  • Volume 1 meeting in Lido, Portugal (University of Portugal). February 15-19.
  • Looking for volunteers at HIMSS Showcase. If interested contact Nancy Ramirez
  • Collaboration opportunity with IHE USA
    • Looking for case studies of successful implementation of IHE Profiles. see IHE USA website for details.

• Review of Mission and Vision and Strategic Goals
  • Current Strategic Goals surround Content, Workflow and Nursing

• • Content
    • There is a project from the S&I EU-US group launching a PSS at HL7 (Structured Docs WG) related to International Patient Summary (Mark Roche is leading the project). Will look to HSI at HL7 to be following it. Keith will be keeping an eye on this one for our team.
    • Content validation is getting a lot more attention in the US. There is a workgroup (Sequioa) that is looking at C-CDA 1. Doing a deep dive into all the content validators (CCDA, FHIR, SMART, ...). Looking at how to close the gap between what is being seen in the field compared to what is tested in the lab. They are not at all the same right now. Due to the complexity of interoperability (terminology, different levels of interop maturity between exchanging sites)

• • Workflow
    • We have and continue to have projects related to workflow so feel we are doing well on this goal.

• • Nursing
    • We seem to be having bandwidth problems with this
    • Perhaps we could keep this as a project throughout the year due to the number of projects

• • Discussion regarding our role with Patient engagement etc.
    • As much discussion as time allowed. Not sure where and what value we can bring to the overall national discussion here. Probably warrants more discussion.

• • Review of Board Report
    • Need to add something in the report about the International Patient Summary.

Barcode Scanning Patient Safety and Efficiency

Presented by Vincent van Pelt.

• Lots of discussion where this belongs.
  • HL7 UDI project is doing this, MedEpiNet is doing this.
  • It seems to be more PCD or pharmacy related then PCC or ITI. Recommend reaching out to one of these groups ASAP and get into their planning process ASAP. PCD is still meeting this week (their planning meeting was on Tuesday - technical is now meeting). Not sure when Pharmacy is meeting.
  • Tone is sending an email to the co-chairs of PCD and Pharmacy for them to consider this proposal in their current planning.

ED Bed Management

Presented by Keith Boone

• Minimal discussion regarding the connection to other workflows such as quality measures, Cardiology care time measurements and mandatory reporting,..
• Question regarding alerting measures - not currently covering any sort of alerts to bed management at this time.
• Scoring completed on the evaluation form

Cardiology Consult and Pathology Board

Presented by Elena Vio

• Discussion
  • there seems to be some overlap with Cardiology
  • Discussion on how this project could be jointly developed with Cardiology.
  • We think this proposal has merit and should go forward but that it should be done within the cardiology domain.
  • We would like to support development there, but would consider development in this domain if not able to develop in Cardiology.
  • If done in Cardiology we will consider "generalizing" it during another cycle.
  • We need to keep this project on our technical project list and follow it closely at the F2F's to add review/oversight to the application/use of XDW and workflow.
  • There is a different public comment/publication cycle for Cardiology that will need to be accommodated.

Dynamic Care Planning

Presented by Emma Jones

Some discussion regarding the scope of the project and use cases included. Decided to not change the current direction of the proposal at this time.

Review of all proposals and moving forward

Motion made by Keith and seconded by Anne to forward all three proposals to the technical committee for consideration.

Discussion - none

Opposed = 0 Abstentions = 0 Approve = unanimously approved.

All profiles will be submitted to the technical committee. The detailed proposal link was provided to the team (ftp://iheyr2@ftp.ihe.net/Document_templates/IHE_Profile_Proposal_Template-Detailed.docx)

SNOMED code work, Content Creator/Consumer CP, CP

• SNOMED Code work

Issue submitted by Chris Carr - represented today by Tone.

• • DCC discussion brought to our attention.
    • IHTSDO looking at entering into an agreement with IHE to provide the codes for all items included in the IHE profiles. This requires us to go through all our profiles to make a list of SNOMED codes that should be included to support our profiles.

Denise has volunteered to make the list but she needs help getting access into the files/links provided by Chris. Tone will help Denise gain access needed.

• CP #0216 (re-submission of 0178)
  • • A number of items have been identified needing clarification. There is not a clear mechanism on how to implement the request and may result in splintering our technical framework in a detrimental way. Closer examination of the CP indicated PCC voted to approve the large CP without fully understanding the breadth of the request. Some of the items in the 20 page proposal have been implemented without issue, but there are several items that cannot be implemented without problem. The planning committee is requesting the technical committee review the previous decision to approve the change proposal. If needed the PCCTC is recommend to break out the items that are implementable into the PCC Technical Framework into one, approved CP. And put the rest of the items into a 2nd, unapproved CP.

Motion made by Thom, Seconded by Keith. We propose the Technical Committee re-evaluate this proposal and break it into two change proposals - one of implementable items that can be approved, and one of non-implementable items that does not have to be approved. abstentions = 0, opposed=0, all in favor= unanimous. Motion carries.

• Content Creator/Consumer CP #211

Presented by Lynn Felhofer

• • • Review of several questions related to this CP. Each addressed individually. Notes made in tracking spreadsheet for Lynn to act on as she works through the changes required from the change proposal.
    • Lynn will make the changes and send the document to Emma.
    • The PC Technical Committee will facilitate a vote to approve the recommended changes.

White Paper

• ITI transfer of one of their requests to to us
• HIT Standards for HIM Practices: Implementable White Paper

Presenter - Anna Orlova

Discussion ASTM A31 - already has a number of standards in this area.