Care Plan (CP) Team Meeting Notes (As updated during meeting) André Boudreau ([email protected]) Laura Heermann Langford ([email protected]) 2011-04-27 (No. 11) Care Plan wiki: http://wiki.hl7.org/index.php?title=Care_Plan_Initiative_project_2011 HL7 Patient Care Work Group See agenda for May 4 th on page 3 Documents mentioned in these minutes are on the wiki
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Care Plan (CP) Team Meeting Notes (As updated during meeting) André Boudreau ([email protected]) Laura Heermann Langford ([email protected])
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Care Plan (CP) Team Meeting Notes(As updated during meeting)
• Summary of care plan situations (Susan)• Feedback and discussion on first storyboard: Chronic
Care (Danny to circulate in advance)• Highlights from IHE Patient Centered Coordination
Plan (PCCP) (Ian M.)• MU material (Susan)• Next meeting agenda
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Agenda for May 4th
• Preparation for WGM in Orlando• Care plan situations update (Susan)• MU material (Susan)• Care Plan elements from KP, Intermountain, VA, etc. (Laura)• New storyboard for acute care (Danny)• Business requirements: summary of key aspects since
February (André)• Coaching on Eclipse: what to install for our needs, quick start
(Kevin)• Next meeting agenda
• Later Overarching term to use (Ian M.) Care Plan Glossary
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Participants- Meetg of 2011-04-27 p1Name email Country Yes Notes
André Boudreau [email protected] CA YesCo-Lead- Care Plan initiative/HL7 Patient Care WG. B.Sc.(Physics), MBA. Owner Boroan Inc. Management Consultin. Chair, Individual Care pan Canadian Standards Collaborative Working Group (SCWG). Sr project manager. HL7 EHR WG.
Laura Heermann Langford
[email protected] US Yes Co-Lead- Care Plan initiative/HL7 Patient Care WG. Intermountain Healthcare. RN PhD,: Nursing Informatics; Emergency Informatics Association, American Medical Informatics Association; IHE
Stephen Chu [email protected] AU NEHTA-National eHealth Transition Authority . RN, MD, Clinical Informatics; Clinical lead and Lead Clinical Information Architecture; co-chair HL7 Patient care WG; vice-chair HL7 NZ
Peter MacIsaac [email protected] AU HP Enterprise Services. MD; Clinical Informatics Consultant; IHE Australia; Medical Practitioner - General Practice
Adel Ghlamallah [email protected] CA Yes Canada Health Infoway. SME at Infoway (shared health record); past architect on EMR projects
William Goossen [email protected] NL Results 4 Care B.V. RN, PhD; -chair HL7 Patient Care WG at HL7; Detailed Clinical Models ISO TC 215 WG1 and HL7 ; nursing practicioner
Anneke Goossen [email protected] NL Results 4 Care B.V. RN; Consultant; Co-Chair Technical Committee EHR at HL7 Netherlands; Member at IMIA NI; Member of the Patient Care Working Group at HL7 International
Ian Townsend [email protected] UK NHS Connecting for Health. Health Informatics; Senior Interoperability Developer, Data Standards and Products; HL7 Patient Care Co-Chair
Rosemary Kennedy [email protected] US Yes Thomas Jefferson University School of Nursing . RN; Informatics; Associate Professor; HL7 EHR WG; HL7 Patient care WG; terminology engine for Plan of care;
Jay Lyle [email protected] US Yes JP Systems. Informatics Consultant; Business Consultant & Sr. Project Manager
Margaret Dittloff [email protected] US The CBORD Group, Inc.. RD (Registered Dietitian); Product Manager, Nutrition Service Suite; HL7 DAM project for diet/nutrition orders; American Dietetic Association
Audrey Dickerson [email protected] USHIMSS. RN, MS; Standards Initiatives at HIMSS; ISO/TC 215 Health Informatics, Secretary; US TAG for ISO/TC 215 Health Informatics, Administrator; Co-Chair of Nursing Sub-committee to IHE-Patient Care Coordination Domain.
Ian McNicoll [email protected] UK Yes Ocean Informatics . Health informatics specialist; Formal general medical practitioner; OpenEHR; Slovakia Pediatrics EMR; Sweden distributed care approach
Danny Probst [email protected] US Intermountain Healthcare. Data Manager
Kevin Coonan [email protected] US MD. Emergency medicine. HL7 Emergency care WG.
Gordon Raup [email protected] US CTO, Datuit LLC (software industry).
Susan Campbell [email protected] US Yes PhD microbiologist. Specialist Master Consultant at Deloitte. HL7 Dynamic Care Plan Co-developer
Elayne Ayres [email protected] USNIH National Institutes of Health. MS, RD; Deputy Chief, Laboratory for Informatics Development, NIH Clinical Center ; Project manager for BTRIS (Biomedical Translational Research Information System), a Clinical Research Data Repository
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Participants- Meetg of 2011-04-27 p2Name email Country Yes No Notes
Valerie Leung [email protected] CAPharmacist. Clinical Leader, Canada Health Infoway
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CARE PLAN SITUATIONS
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Care Plan Situations
• See document prepared by Susan Campbell: Care Management Concept Matrix-v2-20110427a.xls
• Identifies different types of care management and for each, presents characteristics from a provider and payer perspective as well as from a patient perspective
• Matrix has some elements that are US specific. Some columns could be added so that other country
specific terms/types could be added• Next steps
Add explanations and brief descriptions for the various types and characteristics (second worksheet added)
Add if possible another worksheet with vendors and roles
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Care Management Resources
• See document prepared by Susan Campbell: Care Management Professional Organizations Matrix-20110427b.xls
Formerly named CM Society & Certification2.xls• Identifies societies that provide certification in care
or case management in health care and /or social services
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Discussion
• To what extent are we connected to the S&I Transition of Care initiative in the US? Contacts have been established We have looked at their methodology and integrated some
elements into our structure of deliverables
• Our goal is to produce the Domain Analysis Model (DAM) for Care Plan. We are at the business need level and at the conceptual level of what must happen with information exchange. The how (e.g. the use of CDA or IHE or both) will come later
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STORYBOARDS
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Care Plan Storyboards- Chronic Care Plan
• See document prepared by Danny Probst: Care Plan Storyboards-HL7 Patient Care WG- v0.2 20110427a post CP meetg.docx
• Is format/structure of document ok? Yes• Introduction: explains what storyboards are and how they
should be structured• List of storyboards: will these cover the range of situations for
which we want care planning to apply Chronic Care: a first version is proposed. Add Asthma? Acute Care: should be the next one and should cover a broken hip
situation from ER to rehab (see amended doc above) Home Care: for elderly Perinatology Pediatric: include Allergy/Intolerance? Stay healthy?
• Chronic Care Plan: some adjustment made Feedback is wanted to ensure a robust storyboard
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IHE PATIENT CENTERED COORDINATION PLAN (PCCP)• By Ian McNicoll
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IHE Patient Centered Coordination Plan (PCCP): Highlights and Discussion
• Highlights: see document prepared by Ian McNicoll : HL7 Care PlanComparison.zip This zipped file is available on the wiki. It uses the xmind mind mapping SW
available free.• Compares the structure and types of contents for the care plan of IHE,
Sweden, and NEHTA IHE and Sweden have many similarities NEHTA model is more detailed. It is a draft proposal prepared by Stephen
(see meeting of 2011-03-09)• The full IHE PCCP specification is available on the IHE web site, at:
2. Do an inventory of use cases and storyboard on hand Laura (Danny) Active: Underway
3. Ask William for an update (add in a diff colour to the appropriate pages) André Outstanding - Request made
5 Obtain and share the published version of the CEN Continuity of care P1 and P2; obtain ok from ISO
Audrey/Laura Outstanding
7 Update new wiki page with previous meeting material. Adjust structure of wiki. André Wiki restructured
8 Draft list of deliverables for this phase André Draft prepared
9 Draft a new PSS and review with project group André Deferred
10 Initiate draft of requirements André Started
11 Prepare draft storyboard for one situation using HDF 1.5 Danny Done
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NB: Completed action items have been removed.
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APPENDIX
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Storyboard: what is it?
• Narrative of business (clinical; administrative) processes on domain/area of interest
• Non technical (conceptual in nature)• Describes:
• Activities, interactions, workflows• Participants• High level data contents feeding into or resulting from
processes• Provides inputs for:
• Activity diagrams• Interaction diagrams• State transition diagrams• High level class diagrams
Stephen Chu12 April 2011
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Storyboards
• 5 to 10 max See list on wiki
• Identify actors and understand their roles• Understanding the care planning processes will help
understand the needs for info exchange E.g. query for resource availability vs the care plan needs for
patient X• 3 types of requirements
Functions to be carried out, workflow, processes Static semantics: info model, glossary, vocabulary Functions to be carried out by the system: EHR FM, PHR FM, etc Interactions between systems: interoperability
• Include meaningful use items that are universal in perspective
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MODELING TOOL- ECLIPSE
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Modeling Tool to Use
• Responses from Lloyd Mackenzie and Jean Duteau Both use Enterprise Architect (EA)
• Response from Andy Stechishin, HL7 Tooling and V3 Publishing co-chair First, there is an active Tooling project (called MAX) to export information from EA using MIF, the HL7
official interchange format. Second, at the WGM in Sydney, Sparx gave each attendee a license for EA. Third, during my tenure as a co-chair of Publishing, most DAMs that have been submitted for ballot
have been developed (or at least published) using EA. It seems to me that a convergence is occurring and EA seems to at least be the tool of choice for
many.• Eclipse is a platform for doing many different things using specific plug-ins
Recommended by HL7 Open Source but not as intuitive as Enterprise Architect (which costs some 100$ for a desktop
version) However, choosing which tool and plug-in (for UML) to install is difficult for non technical folks (vs
the easy-to-use EA) We would need some coaching to allow a quick start
o Adel agreed to help us thereo André will find a resource
• The tool will be used to do: Use cases Activity and workflow diagrams Interaction diagrams Class models