edos workgroup pilots – kickoff teleconference october 2, 2012
TRANSCRIPT
eDOS Workgroup
Pilots – Kickoff Teleconference
October 2, 2012
Meeting Etiquette
• Remember: If you are not speaking keep your phone on mute• Do not put your phone on hold – if you need to take a call, hang up
and dial in again when finished with your other call • This meeting, like all of our meetings, is being recorded
– Another reason to keep your phone on mute when not speaking!
• Feel free to use the “Chat” or “Q&A” feature for questions or comments
• Please announce your name each time prior to making comments or suggestions during the Q&A portion of the meeting
NOTE: This meeting is being recorded and will be posted on the eDOS wiki page after the
meeting
NOTE: This meeting is being recorded and will be posted on the eDOS wiki page after the
meeting
From S&I Framework to Participants:Hi everyone: remember to keep your phone on mute
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Agenda
• eDOS Pilot Projects Schedule• eDOS Pilots – Engagement Plan• LRI – LOI - eDOS Pilots Coordination Meetings• Next Steps
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The eDOS project is a component of the Lab Order Interface (LOI) Initiative
Lab Order Interface (LOI) Initiative
eDOS Engagement Plan
• Introduction• Pilot Site Criteria• Pilot Site Selection• Coordination Meetings• Project Outcomes• Out-of-Scope Assumptions
eDOS Engagement Plan
• Introduction• The eDOS work group is seeking laboratories, sites, and their
appropriate vendors, willing to pilot the eDOS HL7 Implementation Guide in a production environment.
• There is minimal value in recruiting participants who can only commit to evaluating the content of the eDOS IG itself as an academic exercise.
• The value to the pilot project is for participating sites that have the capability to work with their vendor(s) to implement the appropriate messaging profiles and actually update their database with the information received via the interface.
eDOS Engagement Plan
• Pilot Site Criteria• Four or more sites, one or more of each with the following criteria:
– eDOS integrated with both LRI and LOI– eDOS integrated with LOI– eDOS integrated with an ordering environment not LOI– eDOS from laboratory to laboratory (under consideration)
• Should we include laboratory to laboratory as a pilot? We do not have a formal use case to support this nor is lab to lab within the stated scope of the piloted Implementation Guide.
eDOS Engagement Plan• Pilot Site Selection• Approach the top 3 laboratories in the US. Ask each to participate
along with their preferred vendor• Work with each of the following laboratories in determining their
preferred EHR vendor and target site; reach out to preferred vendors, sites, and encourage/recruit to participate– BioReference Laboratories– LabCorp– Quest Diagnostics
• Work with each of the following interoperability partners in determining their preferred Lab vendor and EHR vendor– Mayo– Kaiser Permanente
eDOS Engagement Plan
• Coordination Meetings• All sites and vendors participating in any eDOS pilot project are
required to attend regularly scheduled pilot coordination meetings. The initial meetings will occur bi-weekly as pilot projects are kicked-off. As pilot projects progress, the meeting schedule will be re-evaluated on an as-needed basis. The next meeting is scheduled for Tuesday, October 16th, 2012, 2-3pm ET.
eDOS Engagement Plan
• Project Outcomes• Verification of the veracity of the eDOS specification itself and the
assertion that adoption will gain implementers efficiencies and, therefore, cost savings.
• A change control list of edits/enhancements produced by the pilot projects
• Initial evaluation of changes will be done by the eDOS work group, determined to be errata (technical corrections) or edits/enhancements for the normative IG
eDOS Engagement Plan• Out-of-Scope Assumptions• The eDOS pilot project will not handle the issue of the appropriateness of test
codes within laboratory processing.– Providers ordering lab diagnostic testing frequently do not include method
and sometimes even specimen isn’t appropriate on an order. Additionally, the nature (speed) at which the test must be performed can change the ordering code as well. In short, documenting critical information necessary to place each order is not-in-scope for this pilot project.
– For performing lab work, the entire detail of LOINC is available and appropriate for documenting results from a lab-specific perspective
– The lab may perform a different test than was ordered.– For an EHR receiving lab results, the lab codes are frequently too specific.
EHR systems would like to graph and ‘trend’ lab results where possible and appropriate.
• While the data fields which hold the common elements need to be synchronized, the actual value sets do not (with the exception of the test codes themselves, of course)
eDOS – Pilot Signup
• Join the Work Group– URL: http://
wiki.siframework.org/Getting+Started+as+a+Participant• Contact a Work Group Lead
– Patrick E. Loyd; [email protected]– Freida Hall; [email protected]
• Will have each site fill out a form which details logistics– Lab Vendor/Product– EHR Vendor/Product
TimelineDate(s) Task
September 18, 2012 Pilots Coordination Kickoff
September-October 2012 Recruiting
September 2012 – March 2013 (original dates) Pilot
May 2013 Normative Ballot of updated Implementation Guide
May-June 2013 Ballot Reconciliation
September 2013 - January 2014 Re-ballot (if needed)
No later than February, 2014 Publication of Normative Implementation Guide
Q&A
Next Steps
• Sign up as a Pilot (Process TBD)• The eDOS Pilot Kickoff meeting will be held on September 18 from
2:00 – 3:00 PM ET
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