2015 Edition Certification NPRM

April 23, 2015

Content Standards Workgroup

Andy Wiesenthal, chairRich Elmore, co-chair

Workgroup Members

2

Name OrganizationLeadershipAndy Wiesenthal, Chair DeloitteRich Elmore, Co-Chair AllscriptsMembersKelly Aldrich HCA HealthcareCalvin Beebe Mayo ClinicDavid Dinhofer Infotek Solutions and Services, Medical Society of the State of NYFloyd Eisenberg iParsimony, LLCGrahame Grieve National eHealth Transition AuthoritySusan Hull Wellspring ConsultingCharles Jaffe Health Level 7 InternationalKevin Kirr Dignity HealthJohn Klimek National Council for Prescription Drug ProgramsKim Nolen Pfizer, Inc.Marjorie Rallins American Medical Association

Joyce Sensmeier Integrating the Healthcare Enterprise (IHE USA), Healthcare Information and Management Systems Society

Liaison MembersJames Ferguson Kaiser PermanenteRebecca Kush Clinical Data Interchange Standards Consortium (CDISC)Ex Officio MembersKin Wah Fung National Library of MedicineClem McDonald National Library of MedicineDianne Reeves National Cancer Institute, National Institutes of HealthONC Staff LeadMatthew Rahn Office of the National Coordinator for Health IT

Process for Responding

Cert. NPRMIntroduction

Small Group Consensus

Develop Consensus

Review Comments with HITSC

3

• Cert. NPRM• Overview

• Discuss process

• Make assignments

• Review deadlines

• Members draft comments and work with small group to prepare consensus comments

• Prepare materials for assigned meeting

• Small group reviews comments with workgroup

• Workgroup refines comments

• Chairs brief HITSC

April 3 Offline work April 23, 29May 4, 18

May 20HITSC Meeting

4

Content Standards NPRM Assignments

Group 1 Assignments Group 1 Members• Medication Allergy List, p.57• Computerized Provider Order Entry – Medications, p.38• Computerized Provider Order Entry – Laboratory, p.38• Computerized Provider Order Entry – Diagnostic imaging, p.41• Drug-drug, Drug-allergy Interaction Checks for CPOE, p.41• Drug Formulary and Preferred Drug List Checks, p.63• Electronic Prescribing, p.113• Structured and Codified “Sig”, p.115• Incorporate Laboratory Tests and Values/Results, p.120• Transmission of Laboratory Test Reports, p.123• Pharmacogenomics Data – Request for Comment, p.236 (first 4

bullets)

• Kim Nolen

• Andy Wiesenthal

• John Klimek

• Kevin Kirr

• Kin Wah Fung

• Dianne Reeves

• Clem McDonald

5

Content Standards NPRM Assignments

Group 2 Assignments Group 2 Members• Decision Support – Knowledge Artifact, p.94• Decision Support – Service, p.96• Clinical Quality Measures (all sections), p.138• Electronic Submission of Medical Documentation, p.222

• Floyd Eisenberg

• Marjorie Rallins

• Susan Hull

• Kelly Aldrich

• David Dinhofer

6

Content Standards NPRM Assignments

Group 3 Assignments Group 3 Members• Transitions of Care, p.98• Updated C-CDA Standard, p.99• Valid/Invalid C-CDA System Performance , p. 102• C-CDA Data Provenance, p.110• Consolidated CDA Creation Performance, p. 202 • Clinical Information Reconciliation and Incorporation, p.111• Incorporation System Performance, p.111• Care Plan, p.136• Common Clinical Data Set, Updated C-CDA, and Diagnostic

Image Reports, p.160• Application Access to Common Clinical Data Set, p. 205

• Calvin Beebe • Charles Jaffe• Rich Elmore• Graham Grieve• Joyce Sensmeier

Content StandardsWorkplan

Meetings Task

March 27, 2015 2:30am-3:30pm ETHITSC Administrative Meeting

• Charged by HITSC with commenting on the Certification NPRM

April 3, 2015, 11:00-12:30 EST • Finalize comments on Interoperability Roadmap V.1• Transition to comment on Certification NPRM

April 22, 2015 – HITSC meeting • Interoperability Roadmap V.1 comments to the HITSC

April 23, 2015 , 11:00am EST • Groups 1-3 to Initial / High Level Comments on Certification

NPRM April 29, 2015, 10:00am EST • Group 1 - 3 to Comment on Certification NPRM

May 4, 2015, 11:00am EST • Group 1 - 3 to Comment on Certification NPRM

May 18, 2015, 12:00pm EST • Finalize Certification NPRM comments

May 20, 2015 – HITSC Meeting • Present Certification NPRM Comments to the HITSC