eu-us ehealth/health it cooperation initiative interoperability of ehr work group august 21, 2013 0
DESCRIPTION
Agenda TopicTime Allotted General Announcements5 minutes Review Interoperability Goals15 Minutes Discuss Process to achieve milestones/timeline15 minutes Real World Scenarios (keep it simple)15 minutes Next Steps/Questions10 Minutes 2TRANSCRIPT
1
EU-US eHealth/Health IT Cooperation InitiativeInteroperability of EHR
Work Group
August 21, 2013
Meeting Etiquette• Remember: If you are not speaking, please
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 • Hold = Elevator Music = frustrated
speakers and participants• This meeting is being recorded
• Another reason to keep your phone on mute when not speaking
• Use the “Chat” feature for questions, comments and items you would like the moderator or other participants to know.• Send comments to All Panelists so they
can be addressed publically in the chat, or discussed in the meeting (as appropriate).
From S&I Framework to Participants:Hi everyone: remember to keep your phone on mute
All Panelists
Agenda
Topic Time Allotted General Announcements 5 minutesReview Interoperability Goals 15 MinutesDiscuss Process to achieve milestones/timeline 15 minutes
Real World Scenarios (keep it simple) 15 minutesNext Steps/Questions 10 Minutes
3
General Announcements• The Interoperability Workgroup meets every
Wednesday from 10:00am – 11:00am ET or 4:00pm-5:00pm CEST– To participate please see the “Weekly Meetings”
Section of the EU-US eHealth Collaboration Wiki Homepage: http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative
4Note: Please check the meeting schedule weekly to get the most up-to-date meeting information
Join the EU-US eHealth/Health ITCooperation Initiative
5
• We encourage all members to “sign up” for the initiative. By joining this ensures you stay up-to-date with the work being done, communications and any initiative activities.
• Simply complete the EU-US MOU Project Signup Form on the Wiki Page: http://wiki.siframework.org/EU-US+MOU+Roadmap+Project+Sign+Up
6
Today’s GoalsGoals Complet
eReview and agree upon the Interoperability Workgroup Scope and Goals
Review Real World Scenarios (keep it simple)
International Interoperability of EHRScope Statement
7
• Working to accelerate and advance the progress of eHealth/health IT interoperability standards and interoperability implementation specifications for electronic health record systems that meet high standards for security and privacy protection for the international community.
International Interoperability of EHR
Goals/Objectives…
8
• To have international interoperability of electronic health records information to include:• semantic interoperability; • syntactic interoperability; and• patient mediated data exchange (including
privacy and security issues surrounding exchange of health data).
International Interoperability of EHR
Goals/Objectives Continued
9
• Three key goals of the technical work stream:
• Identify a subset of commonly used vocabularies and terminologies that can serve as the basis of an internationally recognized subset to support semantic interoperability (shared meaning). Multiple coding systems are in place in both the US
and EU, and analysis of administrative, clinical, laboratory and medication coding systems.
• Harmonize the formats (or structures) for how information is structured to support syntactic interoperability Multiple similar formats are used in the EU member
states, the epSOS project, and the US. • Identify a working group (complete) and to begin
defining pilot projects.
10
Today’s GoalsGoals CompleteReview and agree upon the Interoperability Workgroup Scope and Goals
Begin Discussion on Real World Scenarios
11
Real World Scenarios as a Path to our First Goal
• Goal: Identify a subset of commonly used vocabularies and terminologies that can serve as the basis of an internationally recognized subset to support semantic interoperability (shared meaning).
• Creating Scenarios helps determine which problem to address first
• Further along in the Workgroup process we will discuss which vocabularies are relevant to that Real World Scenarios– Rather then bringing every vocabulary and
terminology and standard to the table start with the ones that support the user story and expand from there
12
Real World Scenarios Criteria• It is simple and achievable (we want to
declare success)• It is feasible and broadly realistic• It is patient centric (to start)
13
Transitions Of Care (TOC) Example• An initial step in Use Case development is to identify
the Scenario and User Story we want to address• As an example, here is one scenario from the S&I
Framework’s Transitions of Care initiative
• Scenario 1: The Exchange of Clinical Summaries from Provider to Provider– User Story 1: The Exchange of Information to Support the Transfer of Patient Information from One
Provider to Another• Setting 1: Hospital or Emergency Department from where patient is discharged (sends
discharge summary to PCP or Care Team).• Setting 2: Patient's PCP or Care Team (receives discharge summary from Hospital or ED clinical
system).– User Story 2: Closed Loop Referral
• Setting 1: PCP's office (sends consultation request clinical summary to specialist).• Setting 2: Specialist's office (receives referral request clinical summary from PCP; send
consultation summary to PCP).• Return to Setting 1: PCP’s office
– User Story 3: Complex Series of Care Transactions• Setting: Emergency Department• Setting: Hospital
14
Real World Scenarios
• Moving From Country to Country• Broken Eyeglasses• Ran out of prescription medication while on vacation
and need it refilled (for example blood pressure medication)
• Ambulatory (patient has pre-existing condition such as diabetes that has been out of control and needs to fix the issue while in a different country)
• Blue Button• Immunizations (tetanus) • Querying population for outbreak
– Query for recalled prescription
15
Today’s GoalsGoals Complete
Review and agree upon the Interoperability Workgroup Scope and Goals
Begin Discussion on Real World Scenarios (Keep It Simple)
Next Steps
16
• Discussion….• Interoperability Work Group will continue to meet every
Wednesday from 10:00am - 11:00am (ET)/4:00pm - 5:00 pm (CEST) starting August 28, 2013.– Webinar Details:
• Dial In: +1-650-479-3208 • Access code: 665 238 131 • WebEx URL: https://
siframework2.webex.com/siframework2/onstage/g.php?t=a&d=665238131
• Check the Interoperability wiki regularly for updates: http://wiki.siframework.org/Working+Group+-+International+interoperability+of+health+records
Join the EU-US eHealth/Health ITCooperation Initiative
17
• We encourage all members to “sign up” for the initiative. By joining this ensures you stay up-to-date with the work being done, communications and any initiative activities.
• Simply complete the EU-US MOU Project Signup Form on the Wiki Page: http://wiki.siframework.org/EU-US+MOU+Roadmap+Project+Sign+Up
Visit the EU-US eHealth/Health ITCooperation Initiative Wiki Page
18
• For the latest meetings announcements, meeting details and initiative contacts visit our homepage at http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative.
Meeting Materials
19
• For all meeting minutes, presentations, reference materials and recordings please visit the Materials tab and select “Past Meetings” from the drop down menu http://wiki.siframework.org/Project+Meeting+Artifacts.
Interoperability Support Leads
20
• US Point of Contacts– Mera Choi, [email protected]– Jamie Parker, [email protected]– Gayathri Jayawardena, [email protected]– Amanda Merrill, [email protected]– Emily Mitchell, [email protected]
• EU Point of Contacts – Benoit Abeloos, [email protected] – Frank Cunningham, [email protected]– Catherine Chronaki, [email protected]
• UK Point of Contacts
Questions
21
22
Resources • EU US Wiki Homepage
– http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative
• Join the Initiative– http://
wiki.siframework.org/EU-US+MOU+Roadmap+Project+Sign+Up
• Reference Materials– http://wiki.siframework.org/EU-US+MOU+Roadmap+Project+R
eference+Materials