HL7 Child Health Work Group May 15-17, 2011 HL7 Work Group Meeting Lake Buena Vista, FL.

HL7 Child Health Work Group

May 15-17, 2011HL7 Work Group Meeting

Lake Buena Vista, FL

www.hl7.org | HL7 Child Health Work Group | February 22, 2011

HL7 Child Health Work Group Who We Are What We Do and Why What’s Next

Agenda


Who We Are

HL7 Child Health Work Group

Founded: 2003Leadership: David Classen, MD, Gaye Giannone Dolin,

RN, Andy Spooner, MD and Feliciano Yu, MD

Participation: Primarily CMIOs, physicians, medical informatics experts and vendor representatives

Distribution: 100+ previously on email; listserv unknownOperations: One in person meeting and two webcast

meetings in conjunction with HL7 work group meetings; Monthly calls and other calls and webcasts as needed


What We Do

Functional Data Standards Standards for EHR systems include critical child health functions Published EHR system standards for general pediatrics Work was baseline for CCHIT child health certification criteria, other

Terminology Data Standards Explored improving terminology systems for pediatrics using AAP policy

statements (e.g. SNOMED) Funding not available to support further work

Messaging Data Standards Created immunization activity diagrams and story boards – now part of HL7

messaging standards Provided incubation and leadership in HL7 to develop standard for reporting

quality measure data – Quality Reporting Document Architecture using HL7 CDA

Provided support to create standards-based neonatal care report using HL7 CDA


Why

Improve data standards for health care Build pediatric consensus on new data standards Maintain broad representation and participation in HL7

initiatives on behalf of child health care Participate in relevant national HIT data standards public

comment periods on behalf of child health care

Influence adoption of pediatric requirements

Impact vendor and provider awareness and adoption of adoption of pediatric standards

Earn commitment from pediatric stakeholders

Secure support and leadership for efforts


What’s Next

EHR Functional Model Release 2 Neonatology Functional Profile for EHR

Systems Child Health Functional Profile Release

2


Functional Standards: Relationships of Artifacts


Manage Immunization Administration

Statement: Capture and maintain discrete data concerning immunizations given to a patient including date administered, type, manufacturer, lot number, and any allergic or adverse reactions. Facilitate the interaction with an immunization registry to allow maintenance of a patient’s immunization history.

Description: During an encounter, recommendations based on accepted immunization schedules are presented to the provider. Allergen and adverse reaction histories are checked prior to giving the immunization. If an immunization is administered, discrete data elements associated with the immunization including date, type, manufacturer and lot number are recorded. Any new adverse or allergic reactions are noted. If required, a report is made to the public health immunization registry.

1. The system SHALL provide the ability to recommend required immunizations, and when they are due, during an encounter based on widely accepted immunization schedules.

2. The system SHALL provide the ability to recommend required immunizations based on patient risk factors.

3. The system SHALL perform checking for potential adverse or allergic reactions for all immunizations when they are about to be given.

4. The system SHALL provide the ability to capture immunization administration details, including date, type, lot number and manufacturer.

5. The system SHALL provide the ability to capture other clinical data pertinent to the immunization administration (e.g. vital signs, adverse reactions).

6. The system SHALL record as discrete data elements data associated with any immunization.

7. The system SHOULD provide the ability to associate standard codes with discrete data elements associated with an immunization.

8. The system SHALL provide the ability to update the immunization schedule.

Function: “Manage

Immunization Administration”

“Capture and maintain discrete data concerning

immunizations…” Edits in RED for CH

Profile

Criteria requested by

Child Health for original model now standard

Example Edits and Additions to EHR

FM


Connect With Us

www.hl7.org for Child Health Listserv Monthly Conference Calls


Contact Information

Joy KuhlPrincipalOptimal Accords, [email protected]: (818) 308-7063 Mobile: (818) 817-1050

Administrative Co Chair, HL7 Child Health Work Group

On behalf of Alliance for Pediatric QualityAAP, ABP, CHCA & NACHRI

DISCUSSION, NEXT STEPS


Alliance for Pediatric Quality

Common goals:HIT works for

children


Alliance Strategy

Work for consensus and speak with one voice for pediatric quality and health information technology.

Endorse and promote projects that advance our objectives for quality and health information technology in children’s health care.

Convene stakeholders in children’s health care on key quality and health information technology issues.

Advocate for policy, standards, systems, and products that will improve the quality of children’s health care.


Why is this important?

Numerous Initiatives Underway to Support National Goals for Adoption and Interoperability of EHR technology

Problem: Children are nearly one third of the population. They receive care through HIT in a variety of settings. National efforts are largely adult-focused; Pediatric efforts for influence are sometimes isolated and duplicative.

Opportunity: Work together as pediatric HIT community with one strong voice to influence national initiatives and ensure needs of child healthcare are addressed.


Set National Agenda

IFR

Adopt Standards and

other Requirements for Meaningful

Use

Health InformationTechnology

vendors

Child health practitioners,

cliniciansand hospitals

Reduce system implementation

costs due to duplication and customization

Enable pediatric performance

measurement by improving

interchange of standardized information

Support safe care for children

HHS: Coordinator

Develop and Pilot Standards

HL7, SNOMED…

NHINS, Projects,Collaboratives

Integrating the Healthcare Enterprise

NQF, CMS

Vendor Consortia

Certify Products

ATCB

Harmonize

ONC, other tbd

Identify and Respond to

Opportunities

Participants in

Pediatric Healthcare Information Technology Community

Identify Requirements

HIMSS Pediatric Group

Health Level Seven (HL7) Child Health Work Group

AAP Child Health Informatics Center

and COCIT

NACHRI Pediatric Advisory Council

CHCA CIO and CMIO Forums and Special Projects

Support achievement of

meaningful use of EHR technology in

pediatrics

Strategy for Influence

Desired Outcomes

Alliance for Pediatric QualitySupport work, convene, build consensus, endorse and advocate


AAP HL7 Child Health HL7 CCHIT

Published EMR

Position Papers

Developed

Pediatric EMR

Functions

Published Pediatric

EMR Functiona

l Model Standard

Influenced EMR

Vendor Certification Criteria

Alliance Coordination, Support and Endorsement

Vendor Compliance & Certification;

Provider Adoption

An Example

HL7 Child Health Work Group May 15-17, 2011 HL7 Work Group Meeting Lake Buena Vista, FL.

Documents

hl7 child health work

hl7 messaging standards

hl7 cda slide

work messaging data

hl7 initiatives

terminology data standards

new data standards

discrete data elements