Talk:Functional Status Assessments (FSA) Integration Profile Supplement
Getting Started
We need to answer a few questions to get this draft going:
- What is the name of this profile?
- What is the short name for it?
- Give me a one line description of it.
- 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:
- Long Term Care
- Inpatient Care
- 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)
FIM/FAM Information
The FIM scale is one possibility for us to look at. It also may be combined with the FAM for more depth. Either way, it captures information in a way that the bedside practitioner of many disciplines would do an assessment and the tool is valid and reliable. I recognize it would be just a start to demonstrate the assessment.
Here are two websites I used to find the FIM/FAM. The GWU site brings one to a site for Center to Improve Care of the Dying. That site gives the option to read a comparison of various tools. While they are looking for scales to be used in the last part of life, the FIM was created for and in use in rehabilitation facilities though out the US and Europe. It does not review the FAM, I had to do other investigating to find information and I did not print any of it out. Click on the functional status to review the tools on the CICD toolkit..
The second site I provided takes one to a page with a pdf of the FIM/FAM and provides links to many articles and research related to the scale. You will note that the FAM items could be taken out
http://www.gwu.edu/~cicd/toolkit/toolkit.htm http://www.birf.info/home/bi-tools/tests/fam.html
Marcia Veenstra RN BSN
Project Manager: Ambulatory/ED/Community
CPM Resource Center, a subsidiary of Eclipsys Corporation® 600 - 28th St. SW Grand Rapids, Michigan 49509 616-530-9206 Fax www.cpmrc.com www.eclipsys.com
Forming partnerships across the world to co-create the best places to work and the best places to receive care.
Sample Scales
Thank you to everyone who took the time yesterday to participate in the conference call (t-con) for the Care Assessments IHE Profile. I know all of you are exceptionally busy. Please find attached 2 examples of the scale types we were discussing yesterday. During the Patient Care Coordination (PCC) discussions when the Care Assessments application was accepted, criteria for selecting the scales was discussed, one criteria is that the scale be well described. Please consider what other criteria may be desired for the scales to work well with the coding necessary for the IHE Care Assessments profile.
Happy News! Next week, as my family gathers to welcome our first grandchild, Joyce Sensmeier, VP for Informatics at HIMSS has agreed to join the t-con for Care Assessments. Next t-con meeting is Thursday, February 8, 2007 1:30-2:30pm CENTRAL / 2:30-3:30pm EASTERN
Regards, Audrey
Subsequent Information
Jennie Harvell (HHS/ASPE) notes that we should see Consolidated Health Informatics report on Disability, presented to NCVHS last fall, which was subsequently endorsed by NCVHS.
Link to the CHI Recommendation Report that was endorsed by NCVHS and which they recommended that the Secretary of HHS endorse and adopt for use:
http://www.hhs.gov/healthit/chiinitiative.html
Also the link to the NCVHS letter to the Secretary:
http://www.ncvhs.hhs.gov/061128lt.pdf
Kboone 11:19, 2 February 2007 (CST)