Talk:Functional Status Assessments (FSA) Integration Profile Supplement

Getting Started

We need to answer a few questions to get this draft going:

1. What is the name of this profile?
2. What is the short name for it?
3. Give me a one line description of it.
4. We need about a one paragraph description.

This is information that will be reused in a variety of places in the WIKI and the technical framework.

Kboone 10:21, 18 December 2006 (CST)

Minutes from 1 February 2006 TCON

What part of the work interests you?

How much time and what work can you personally commit?

Peter Kress, Chair of EHR Task Group in Aging Health Services Technologies (?) Has a formal project committed to taking a functional status from a CCD document through IHE

Wants to use at least one of the five functional status assessments from their list.

Use process similar to that which Tom White has used.

Have a list of 30-40 scales which will be voted on next week. Some will be large regulatory scales that might not be appropriate for the IHE process, but they expect to have a few smaller ones that would be appropriate. They will be deciding on them next week.

They are also building a use library, which may provide an additional sourcing of use cases.

We do have members of the group who will take on some of the technical task, but also have funding to supplement the work.

Rita Scichilone, AHIMA Dedicated some time to support this project. Possibly would be able to provide resources.

Sue Bakken, Clinical LOINC committee member One possible contribution is to be a conduit to Clinical LOINC Some experience with Clinical Document Architecture, and Document Ontology work. They have a project eNote project, a Physician documentation project, with operational and research side. They actively use CDA. Sook Yung Hyun has some experience with CDA.

Cindy Lundberg, SNOMED International, Terminology Manager Brings expertise around the SNOMED concept model. Judy Warren is a cochair of the Nursing Working group. Serves on NCVHS. To get this work done is an essential keystone for that.

Jenny Elro Grad Student at Loyola in Health Systems Management She has dedicated hours each week for this.

Becky Dadamio, Clinical Informatics group at Siemens Medical Has definite interest in the EHR, as well as the development of a reference terminology.

Judy Osbold, University of Maryland Has worked on numerous projects related to assessment data.

What is already available?

Tom White: There are some CMS assessments available. This is a moving target. There are opportunies to add more.

What is the priority set of assessments? There is a process to work with SNOMED or LOINC. We'd like to be inclusive.

Dan Russler, Co-chair emeritus, Patient Care Coordination We need to focus on scope.

Suggestions for use cases:

1. Long Term Care
2. Inpatient Care
3. Mental Health

Peter: Work from Generic Use case (already done), to assessments, then use cases. At the HIMSS meeting, we could discuss this.

We need to use scales that end users are using now. Some of these are very large.

One of the most basic things to do is an ADL and IADL assessment.

From a bedside nurses point of view the Functional Independance Measure and Functional Assessment Measure for Brain Injury. This is one that is used in a lot of rehab areas.

What some folks have found is that users take these scales and modify them for their own local area. We should not do that.

We should pick topics that are very widely accessed along with scales that are widely used.

Action Items:

• Send link on FIM/FAM
• Peter to supply a use case for review

Kboone 15:03, 1 February 2007 (CST)