Patient Care Coordination

IHE Patient Care Coordination (PCC) domain was established in July 2005 to deal with integration issues that cross providers, patient problems or time. It deals with general clinical care aspects such as document exchange, order processing, and coordination with other specialty domains. PCC also addresses workflows that are common to multiple specialty areas and the integration needs of specialty areas that do not have a separate domain within IHE.

IHE Patient Care Coordination manages the PCC Profiles and the PCC Technical Framework.

Patient Care Coordination Profiles

The Patient Care Coordination Domain is sponsored by:

HIMSS

Health Information Management Systems Society

ACP

American College of Physicians

Timeline : 2007-2008 Development Cycle

Timeframe	Activity	Scheduled	Location
2006
Oct.	Submit Brief Profile Proposals to Planning Committee (PC)	Oct X - Deadline	E-mail
Nov.	PCC Planning – New profile proposals (Lunch will be served prior to start of ITI meeting)	November 6-8	RSNA
Dec.	TC Review of PC Selected Profiles	Dec 4-5	RSNA
Feb. 2007	PC Selects Final Profiles	Feb ??, 2007	New Orleans (HIMSS)
Mar, 2007	Profile development kickoff meeting (TC Meeting)	Mar 13-17, 2007	Chicago
May, 2007	Profile development meeting: finalize supplements for public comment (TC)	May 14-18, 2007	Chicago
Jun.	Publication of Public Comment Supplements	Jun 3, 2007	www.ihe.net
Jul.	Deadline for submission of public comments of profile supplements	Jul 17,2007	forums.rsna.org
Jul.	Reconciliation of public comments received (TC Meeting)	July 23-27 2007	Chicago
Aug.	Publication of Trial Implementation Supplements	Aug. 10, 2007	www.ihe.net
Aug.	Publication of Final Text Technical Framework	Aug. 10, 2007	www.ihe.net
2008
Jan.	Test implementations at Connectathon	Jan ??-??	Chicago

Current Activity

Profile Selection

These Brief Profile Proposals were selected by the planning committee for review for the 2007-2008 Development Cycle:

• Research Data Capture Clarification
• EMR Query (RFD Part2) for use with:
  • Public health repository uses (e.g. HRSA)
  • ACC repository
  • Clinical trials (e.g. CDISC)
  • Biosurveillance uses
  • Claims Situational data elements
  • Quality measure data extraction (incl pay for performance requirements)
  • Drug safety
  • Disease registry (overlap with d?)
  • Patient education and literacy tracking uses
  • Patient Selection Query for Clinical Trials
  • Cross System Data Query: CDASH
• Emergency Department Encounter Record / ED to PCP transfer / ED to Surveillance Registry
• Antepartum Ambulatory Prenatal Care Summary
• Care Assessments & Assessment Instrument Content
• Proposal+-+Public+Health+Case+Report+for+Laboratory Data.doc Case Reporting Content X (prev Public Health Laboratory Report) (Sarah Knoop / Anna Orlova)

These White Papers were selected to go forward for the 2007-2008 Development Cycle:

• Case Management for:
  • Public Health Case Management Workflow
  • Cross System Protocol Insertion
  • Quality Report Document

These Detailed Profile Proposals were short-listed and evaluated by the Technical Committee

• ...

These items were selected by the Planning Committee for this Cycle:

Contact the PCC Technical Committee if you would like to participate, or watch for Public Comment drafts in mid-July, 2007.

Change Proposals

Proposal	Title	Assigned To	Last Update	Status
BPPC-PCC-CP-0001	Add Registry Actor for filtering by consent	Boone	10-23-2006	Incoming
This was the change proposed after the HIMSS Demonstration workshop. We decided to postpone decision on this until we have had a chance to discuss this at connectathon.
BPPC-PCC-CP-0002	Fix Technical CDA Glitch	Boone	10-23-2006	Assigned
If Keith wrote it, it has to be right ;-)
BPPC-PCC-CP-0003	Requirement for Scanned Documents	Moehrke	12-04-2006	Incoming
The issue is whether or not we require a scanned document.
BPPC-PCC-CP-0004	Clean up Places where Digital Signature is Required	Moehrke	12-04-2006	Incoming
BPPC-PCC-CP-0005	Review Use of Digital Signature because the document doesn't change much	Moehrke	12-04-2006	Incoming
BPPC-PCC-CP-0006	Discuss Minimum Number of Consent Policies supported by each Actor	Moehrke	12-04-2006	Incoming
BPPC-PCC-CP-0007	Provide an Example of the Documents	Boone	12-04-2006	Incoming
XPHR-PCC-CP-0008	Provide an Example of the Documents	Boone	12-04-2006	Incoming
PPHP-PCC-CP-0009	Provide an Example of the Documents	Boone	12-04-2006	Incoming
EDR-PCC-CP-0010	Provide an Example of the Documents	Boone	12-04-2006	Incoming
This is a requirement of each new profile that it must have an example document. Where this goes is under discussion.
MS-PCC-CP-0011	Move XDS-MS to CCD	Boone	12-04-2006	Incoming
Discussion to occur tomorrow afternoon.

Participation

As a Clinician / Patient Advocate

Get involved in the planning committee. This is where the clinical problems are discussed and prioritized. The planning committee is an open group and is interested in having your input! Bring us your interoperability problems! You can also help by participating in the himss showcase scenario definitions.

You can do this by:

1. Send us a note saying you’re interested so we can get you on the list-serves.
2. Come to face to face meetings, and attend the telephone conferences.
3. Submit your profile proposals by:
   • Fill out this template.
   • Submit the propsal draft to us.
   • Attend the november planning meeting to help clarify and prioritize your proposal
   • Follow up by submitting a the formal proposal
   • Attend the joint planning/technical meeting to explain your idea to the technical committee
   • Any additional resources you can provide toward the problem will help prioritize getting your proposal solidified more quickly.

As a Hospital Administrator

In addition to getting involved in the planning committee, hold your vendor accountable. Put a statement in your rfp that indicates you want the vendor to support the actor in the profile you desire.

As an Implementer

Get involved in the Technical Committee. Help make sure profiles are feasible and will work for you. Implement the profile, and come experience the Connectathon. Send us a note saying you’re interested so we can get you on the list-serves.

Roadmap

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
Discharge Packaging (Discharge to Sub-Acute Nursing Facility/Extended Care Facility/Home Health)	H	XDS-MS Linking w other clinical reports		CP, IP	2008
Find Provider for Referral	L	Unknown	Finance	Research	2007
Referral Notification/Authorization (payer focused)	L	X12-837 HL7 V3	Finance	Research	2007
Transfer of Care workflow Initiate/accept/reject/follow-up	M	HL7 V3 HL7 Care Transfer Messages		IP	2007
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	2006 - 2007
Orders between Providers / Ancillary Services	H	HL7 V3 HL7 V2 ORU	ITI Lab Radiology	Promote/ Adapt Existing IPs	2006
Order Sets and Care Plans	L	XDS Non-Patient Documents HL7 Templates [Orders/Obs] HL7 Patient Care HL7 EHR Order Sets [Rad/Labs, Unified terminology/code systems]	ITI Quality	Promote	2008
Pay for Performance Data Aggregation	M	Order Sets and Care Plans HL7 Templates HL7 Orders and Observations Minimum Data Sets Doc-IT	Quality	Research	2008
Query for Medication List from Multiple Providers	H	HL7 V3 RxHub JCAHO Med Reconciliation		Research	2007
Public Health Registries & Surveillance	H	XDS-MS w immunization structure	Quality	Refer to Quality Domain	?
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 CDISK in 2006 independent of ITI RFD profile work)		CDISC’s ODM HL7’s CDA eDCI HL7 CCOW SAFE (Digital Signature) Clinical Trial Care Report Forms	ITI	CP (Clinical Trial Data Capture profile) IP Referred to ITI domain (Retrieve Form for Display)	2006+
Emergency Medical Services (EMS) to Emergency Dept Data Transfer	M	Data Elements for Emergency Department Systems (DEEDS) v1.0 CDA/CRS (CCR) National Emergency Medical Services Information System (NEMSIS) v2.2		CP	2007
#4 Self-referred ED Event (no pre-announcement of pt arrival)	H	Data Elements for Emergency Department Systems (DEEDS) v1.0 CDA/CRS (CCR) Pt consent/granting role-based access controls	ITI	CP	2006
ED to Surveillance Regsitry	H				2007
ED to PCP transfer	M	XDS-MSCDA R2			2007
#7 Document Section Encoding Pediatrics (Immunizations, Growth charts) Public Health Survelliance (Immunizations, etc) Chronic Disease Mgmt Revised to: Immunization, Vital Signs, and Laboratories		CCR CDA R2 HL7 V3 Clinical Statement Model HL7 V3 Patient Care Structures HL7 V3 Pharmacy LOINC JCAHO		CP	2006
Patient Selection Query Clinical trial qualifications Transfer to ECF assessment Chronic disease mgmt candidate Disease survelliance candidate		HL7 V3 Care Record Query			2007
Cardiac electrophysiology admission discharge summary for the referring cardiologist (from Harry Solomon)		XDS-MSCDA R2 / CRS	CARD	Refer to Cardio domain	2007

Demonstrations & Presentations

Date	Location	Event	Details
2007.02.25-2006-03.01	New Orleans, LA	HIMSS 2007	HIMSS Interoperability Showcase

See Also

Committees

This page is based on the Domain Template.