Difference between revisions of "PCC Roadmap"

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!Topic!!Pri!!Standards/Prerequesites!!Coord!!Strategy!!Year
 
!Topic!!Pri!!Standards/Prerequesites!!Coord!!Strategy!!Year
 
|-
 
|-
−
| Referral/Transfer of Care
+
| Referral/Transfer of Care Workflow
 
|  
 
|  
 
|  
 
|  
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|
 
|
 
|-
 
|-
−
| Discharge Packaging (Discharge to Sub-Acute Nursing Facility/Extended Care Facility/Home Health)
+
| Planning Cmmte Out Reach and Engage With Sub-Acute Nursing Facility/Extended Care Facility/Home Health
−
|H
+
|M
−
|XDS-MS Linking w other clinical reports
+
| 
 
|n/a  
 
|n/a  
−
|CP, IP
+
|tbd
−
|2008
 
−
|-
 
−
|Find Provider for Referral
 
−
|L
 
−
|Unknown
 
−
|Finance
 
−
|Research
 
−
|2008
 
−
|-
 
−
| Referral Notification/Authorization (payer focused)
 
−
|L
 
−
|X12-837
 
−
HL7 V3
 
−
|Finance
 
−
|Research
 
 
|2009
 
|2009
 
|-
 
|-
−
|Transfer of Care workflow Initiate/accept/reject/follow-up
+
| Nursing Workflow
−
|M
 
−
|HL7 V3 HL7 Care Transfer Messages (discuss with ITI regarding Referral Request supplement)
 
−
|ITI
 
−
|IP
 
−
|2008 - 2009
 
 
|-
 
|-
−
|Transfer of Care/FSA
+
|Nursing Documentation/FSA
 
|H
 
|H
−
|Functional activity,
+
|Functional activity
−
Mood and behavior,
 
−
Chronic disease management, care planning
 
 
|ITI
 
|ITI
 
|IP
 
|IP
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|2008 - 2009
 
|2008 - 2009
 
|-
 
|-
−
|Orders between Providers / Ancillary Services
+
|Plans of Care
 +
|H
 +
|HL7 Care Provisions WG,Care Plan Topic
 +
|
 +
|
 +
|2010 - 2011
 +
|-
 +
|Cross-enterprise Orders between Providers / Ancillary Services
 
|H
 
|H
 
|HL7 V3
 
|HL7 V3
 
HL7 V2 ORU
 
HL7 V2 ORU
 +
Medical Home White Paper
 
|ITI
 
|ITI
 
Lab
 
Lab
 
Radiology
 
Radiology
−
|Promote/ Adapt Existing IPs
+
|
−
|2008 - 2009
+
|2010
 
|-
 
|-
−
|Order Sets and Care Plans
+
|Order Sets and Guidelines
−
|L
+
|M
 
|XDS Non-Patient Documents
 
|XDS Non-Patient Documents
 
HL7 Templates [Orders/Obs]
 
HL7 Templates [Orders/Obs]
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Quality
 
Quality
 
|Promote
 
|Promote
−
|2009 - 2010
+
|2010 - 2011
 
|-
 
|-
−
|Pay for Performance Data Aggregation
+
|Care Management Workflow
−
|M
 
−
|Orders between Providers / Ancillary Services
 
−
HL7 Templates
 
−
HL7 Orders and Observations
 
−
Minimum Data Sets
 
−
Doc-IT
 
−
HEDIS
 
−
|QRPH
 
−
|Promote
 
−
|2008 - 2009
 
 
|-
 
|-
−
|Query for Medication List from Multiple Providers
+
|Patient Selection Query
−
|H
+
* Clinical trial qualifications
−
|HL7 V3
+
* Transfer to Extended Care Facility [ECF] assessment
−
RxHub
+
* Chronic disease mgmt candidate
−
JCAHO
+
* Disease survelliance candidate
−
Med Reconciliation
+
|.
−
(how does this relate to QED use for Medications?  Is one Content focused vs IP)
+
|HL7 V3 Care Record Query
 
|QRPH
 
|QRPH
−
|Rsrch QED Relationship
+
|.
−
|2008 - 2009
+
|2010
 
|-
 
|-
−
|Public Health Registries & Surveillance
+
|ED and Emergency Responder Workflow
−
|H
 
−
|XDS-MS w immunization structure
 
−
Related to overall Care Management topic, specifically the Immunization Registry profile
 
−
|QRPH
 
−
|Sync Plans w QRPH
 
−
|2008 - 2009
 
−
|-
 
−
|Capture of Clinical Research Data within an EHR
 
−
ability to display Case Report Form for data capture retrieve info from EHR system (Note: Form definition work to be undertaken by CDISC in 2006 independent of ITI RFD profile work)
 
−
|H
 
−
|CDISC’s ODM
 
−
HL7’s CDA
 
−
eDCI
 
−
HL7 CCOW
 
−
SAFE (Digital Signature)
 
−
Clinical Trial Care Report Forms
 
−
|ITI and QRPH
 
−
|CP (Clinical Research Data Capture [CRD] profile)
 
−
IP Referred to ITI domain (Retrieve Form for Display)
 
−
|2006 - 2008
 
−
|-
 
−
|Care Management
 
−
* Immunization Registry
 
−
* Cancer Registry
 
−
* Clinical Decision Support
 
−
* Chronic Disease Management
 
−
|H
 
−
|CDC Standards for Vital Statistics
 
−
HSSP Decision Support Service
 
−
Evidence research from medical colleges and other entities
 
−
|QRPH
 
−
|CP, IP
 
−
|2007 - 2010
 
 
|-
 
|-
−
|Emergency Medical Services (EMS) to Emergency Dept Data Transfer
+
|Self-referred ED Event (no pre-announcement of pt arrival)
 
|M
 
|M
−
|Data Elements for Emergency Department Systems (DEEDS) v1.0
 
−
CDA/CRS (HL7/CCD),
 
−
National Emergency Medical Services Information System (NEMSIS) v2.2,
 
−
HITSP Emergency Response IS and related constructs
 
−
|n/a
 
−
|CP
 
−
|2008 - 2009
 
−
|-
 
−
|#4 Self-referred ED Event (no pre-announcement of pt arrival)
 
−
|H
 
 
|Data Elements for Emergency Department Systems (DEEDS) v1.0
 
|Data Elements for Emergency Department Systems (DEEDS) v1.0
 
CDA/CRS (HL7/CCD and/or HITSP C32)
 
CDA/CRS (HL7/CCD and/or HITSP C32)
 
Pt consent/granting role-based access controls
 
Pt consent/granting role-based access controls
−
|ITI
+
|
 
|CP
 
|CP
−
|2008 - 2009
+
|2010
 +
|-
 +
|Pediatric Workflow
 
|-
 
|-
−
|ED to Surveillance Registry
+
| Planning Cmmte Out Reach and Engage With Pediatric organizations
 
|H
 
|H
−
|State or national specified list of disease states for public health reporting
+
| 
−
|QRPH
+
|n/a
−
|CP
+
|tbd
−
|2008 - 2009
+
|2009
 
|-
 
|-
−
|ED to PCP transfer
+
| Infant Discharge Summary
−
|M
+
|H
−
|XDS-MS CDAR2
+
| 
−
|n/a
+
|n/a  
−
|CP
+
|tbd
−
|2008 - 2009
+
|2009
 
|-
 
|-
−
|Document Section Encoding
+
|Sub-Specialty Workflows
−
Pediatrics (Immunizations, Growth charts)
 
−
Public Health Survelliance (Immunizations, etc)
 
−
Chronic Disease Mgmt
 
−
Revised to: Immunization, Vital Signs, and Laboratories
 
−
|.
 
−
|HL7 CCD
 
−
CDA R2
 
−
HL7 V3 Clinical Statement Model
 
−
HL7 V3 Patient Care Structures
 
−
HL7 V3 Pharmacy
 
−
LOINC
 
−
JCAHO
 
−
|.
 
−
|CP
 
−
|2008 - 2009
 
 
|-
 
|-
−
|Patient Selection Query
+
|Outreach to Cardiology requirements e.g.Cardiac electrophysiology admission discharge summary for the referring cardiologist
−
* Clinical trial qualifications
 
−
* Transfer to Extended Care Facility [ECF] assessment
 
−
* Chronic disease mgmt candidate
 
−
* Disease survelliance candidate
 
−
|.
 
−
|HL7 V3 Care Record Query
 
−
|n/a
 
−
|.
 
−
|2009 - 2010
 
−
|-
 
−
|Cardiac electrophysiology admission discharge summary for the referring cardiologist (from Harry Solomon)
 
 
|.
 
|.
 
|XDS-MS CDA R2 / CRS
 
|XDS-MS CDA R2 / CRS
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|CP
 
|CP
 
IP
 
IP
−
|2008 - 2009
+
|2011
 
|-
 
|-
 
|}
 
|}

Revision as of 11:16, 9 October 2008

Legend

Priority:
H
Essential Now
M
Essential Future
L
Nice to Have

Prerequisites: List of applicable standards

Coordination: Other domains to coordinate efforts with.

Strategy:
CP
Develop Content Profile
IP
Develop Integration Profile
Res
Research Applicable Standards
Promote
Promote Applicable Standards Development Efforts

Year: Earliest Opportunity given prerequisites, priority and skills.

Roadmap

Topic Pri Standards/Prerequesites Coord Strategy Year
Referral/Transfer of Care Workflow
Planning Cmmte Out Reach and Engage With Sub-Acute Nursing Facility/Extended Care Facility/Home Health M   n/a tbd 2009
Nursing Workflow
Nursing Documentation/FSA H Functional activity ITI IP

CP

2007 - 2010

Document Types

  • History and Physical
  • Operative Notes
  • Discharge/Transfer Summaries
  • Progress Notes
  • Nursing Notes
  • Flow Sheets
  • Radiology Report
  • Cardiology Report
  • Generic data dumps
  • Consultants Report
  • ED Triage Surveillance Report
  • ED Encounter Report

M,H

  • CDA Release 2.0
  • LOINC
  • JCAHO (US)
  • CCR (General, discipline-focused)
 Lab/Path (IHE Europe)

Radiology Cardiology

Research CP 2008 - 2009
Plans of Care H HL7 Care Provisions WG,Care Plan Topic 2010 - 2011
Cross-enterprise Orders between Providers / Ancillary Services H HL7 V3

HL7 V2 ORU Medical Home White Paper

ITI

Lab Radiology

2010
Order Sets and Guidelines M XDS Non-Patient Documents

HL7 Templates [Orders/Obs] HL7 Patient Care HL7 EHR Order Sets [Rad/Labs, Unified terminology/code systems]

ITI

Quality

Promote 2010 - 2011
Care Management Workflow
Patient Selection Query
  • Clinical trial qualifications
  • Transfer to Extended Care Facility [ECF] assessment
  • Chronic disease mgmt candidate
  • Disease survelliance candidate
 . HL7 V3 Care Record Query QRPH . 2010
ED and Emergency Responder Workflow
Self-referred ED Event (no pre-announcement of pt arrival) M Data Elements for Emergency Department Systems (DEEDS) v1.0

CDA/CRS (HL7/CCD and/or HITSP C32) Pt consent/granting role-based access controls

CP 2010
Pediatric Workflow
Planning Cmmte Out Reach and Engage With Pediatric organizations H   n/a tbd 2009
Infant Discharge Summary H   n/a tbd 2009
Sub-Specialty Workflows
Outreach to Cardiology requirements e.g.Cardiac electrophysiology admission discharge summary for the referring cardiologist . XDS-MS CDA R2 / CRS CARD Refer to Cardio domain 2009 - 2010
Personalized Health Care
  • Customization of health treatment/plans to individuals
 M Human Genome specification standards

HITSP Personalized outcomes

n/a CP

IP

2011
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