Query Health Distributed Population Queries Implementation Group Meeting

Query Health Distributed Population Queries

Implementation Group Meeting

October 11, 2011

Participation Instructions for WebEx

Please Note: • This session will be recorded• Lines are open so please mute your line to avoid “Music on Hold”

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3. Type your question and hit send.

4. We’ll call on you to state your comment / question

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Agenda

• Community-Driven Timeline Review• Summary of Last Meeting & Reminders• Workgroup Updates

• Clinical• Operations• Technical

• Charter – Community Consensus• Face to Face Announcements• Open Discussion / Next Steps

Query HealthScope and Approach

Practice drives standards1. Rough consensus2. Running code (open source)3. Pilot4. Specifications5. Standards

Query Health – Distributed Population

Queries

Standards & Service

Public / Private

Partnership Project

Community Driven,

Consensus-based

EHRs & Other

Clinical Records

HIT Policy Committee:

Policy Guideposts

Query HealthWhere We are

Focus on community driven activities and milestones

Query Health Meeting Time Reminders

Implementation GroupTuesdays 1:30pm-3:00pm EDT

Clinical Work Group Wednesdays 12pm-1pm EDT

Operations Work GroupThursdays 11am-12pm EDT

Technical Work GroupThursday 2:00 pm-3:00 pm EDT

First Face to Face MeetingOctober 18-19

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Recap of Last Meeting

• Check in on Query Health Scope and Timeline• Reminder – Timeline will become community-driven as the

initiative progresses• Reviewed activities of each working group

• Clinical – Continued prioritization and refinement of User Stories• Technical – Abstract Model and Technical Requirements• Operations – Operational Requirements

• Discussion on Implementation Workgroup activities

Action ItemsDescription Owner Status Due Date NotesReview changes to the charter and provide final vote by 10/11/2011 at 5:00 PM

Working Group Participants

Open 10/11/2011 Working to resolve to final community consensus

Consensus review of Generic User Story comments

Working Group Participants

Open 10/12/2011 Consensus voting comments to be worked on at 10/12 meeting

Consensus voting on Abstract Model is ongoing

Working Group Participants

Open 10/13/2011 Consensus voting comments to be worked on at 10/13 meeting

Final arrangements for Face to Face Meeting

Working Group Participants

Open 10/17/2011 Final agenda planning and arrangements

Clinical Working GroupUpdate from 10/5 Meeting

• Reviewed Use Case Outline• Presented & Discussed Working Group Timeline• Reviewed User Story Rankings• Discussed Revising User Story Ranking Approach

Key Topics Covered/Discussed

Decisions• Michael Buck, Rich Elmore and Merideth Vida are working to revise the approach

for ranking the User StoriesWork Assignments/Next Steps• Each User Story author was asked a series of questions to help with defining the

new User Story ranking approach– Is there a community or organization that has an existing infrastructure of

people and systems that supports this type of query today? Please describe. – If this user story was selected, would that community be motivated to participate

in a Query Health pilot in the first/second quarter of 2012? – Does the data we would query exist within the clinical records today? – Assuming the availability of a reference implementation, would you consider this

User Story an easy implementation(i.e., something that could be implemented in a 1-2 month period)?

• Working Group members will be asked to recast their rankings based on new framework presented later this week.

Key Decisions & Next Steps

Operations Working GroupUpdate from 10/6 Meeting

• Reviewed the ‘Operational Requirements for Query Health’ - a narrative description of the operational requirements that will govern the Generic User Story – which was drafted by the Clinical Workgroup• 10/6 meeting focused on Best Practices for organization, management, and coordination that

need to be considered when developing a distributed query network• Community members added a number of topics that merit further thinking and discussion:

• How potential Query Health actors/participants interact with each other• Governance, and where this should apply• Reducing transaction costs• Tiered relationships – establishing different levels of access relationships for queries and

query results dependant on trust level• Accuracy/integrity of data

• Workgroup members supported the idea of the OWG creating a sample Data Use Agreement template for use by potential Query Health networks and partners

Key Topics Covered/Discussed

Operations Workgroup Key Decisions and Next Steps• Work Assignments/Next Steps

– Provide more detail for each of the Best Practices identified in the ‘Operational Requirements for Query Health’ document

• Feedback due on 10/11• Goal is to finalize in 10/13 meeting

– Begin thinking about the next sections in the document • Privacy and Security (will be covered in the 10/13 meeting)• Risks, Issues and Obstacles

– Conduct a scan of existing Data Use Agreements• Can be leveraged to create a sample Data Use Agreement

Template

Technical Working GroupUpdate from 10/6 Meeting

Technical Workgroup Update

• First Call for Consensus of the Abstract Model was issued and closed

• Positive Responses , good feedback• Addressed the feedback from the consensus call in detail on

the WG call• Started discussing the query / results implications of the user

stories

Abstract Model Updates Summary• Change Agent to Requestor Agent• Combine Gateway/Adapter to Responding Agent • Add clarification that all queries are “Asynchronous” • Change Clinical Data to Source Data to accommodate other

information sources • Identify the Security and Privacy data more clearly• Add data usage policy attributes on the response • Combine sub-items under the Query/Results payload

User Stories Discussion

• Discussion largely around the types of Queries and Results

• Measure based queries• Expression based queries

Next Steps and Actions

• Updated Abstract Model up for second round of consensus • Continue discussion of Query Types based on user stories • Discuss F2F plan and getting to Proof Of Concepts/details

Final Charter Status

• All comments from the Initiative members have been received and edits have been added to the charter• When gaps have been identified where existing

standards don't address a topic area, we will 1) identify an appropriate solution and then 2) propose such a solution to the relevant standards body.

• One remaining NO vote to be addressed – will continue to work to receive community consensus

Final Face to Face Announcements – Goals for the Working Groups• Clinical Working Group

• Complete User Stories• Complete Use Case Diagrams• Review DRAFT Functional Requirements• HOMEWORK – Review all Clinical Workgroup materials on wiki and be

prepared to discuss and comment• Operations Working Group

• Finalize Operational Requirements and Set Best Practice Priorities• Review Data Use Agreement Template Approach• HOMEWORK – Review Operational Requirements progress to date, and

bring any best practices or data use agreements proposals or references• Technical Working Group

• Identify candidates for technical foundation for reference implementation (running code)

• Identify applicable standards• HOMEWORK – Proposals for technical foundation candidates (running

code) and applicable standards