Patient Care Coordination John T. Donnelly IntePro Solutions Co-Chair, Patient Care Coordination Planning Committee

Patient Care CoordinationPatient Care Coordination

John T. DonnellyIntePro Solutions

Co-Chair, Patient Care Coordination Planning Committee

June 28-29, 2005 IHE Educational Workshop2

Revised AgendaRevised Agenda

1:00-1:15 Patient Care Coordination (PCC) Domain Objectives

1:15-1:45 Review of Use Cases for Medical Summaries and Transfer Packages

1:45-2:15 Medical Summaries, Clinical Information Sets, and Transfer Profiles

2:15-2:30 Break

2:30-2:45 PCC Educational Initiatives and Calendar

2:45-3:30 Open Discussion, Questions, Feedback


PCC Domain ObjectivesPCC Domain Objectives

• Facilitate the use of EHR content standards for the transferring or sharing of patient care services

• Define relevant information sets for specific use cases that span clinical care

• Optimize the use of other IHE profiles (e.g. ITI:XDS, RAD:XDS-I) in delivering healthcare in “communities” of patient care settings

Facilitate and Promote the Transformation of Healthcare Delivery from a Paper Document Based Model to an

Information Element Based Model


How is PCC Different?How is PCC Different?

• Requires both Content Profiles and Integration Profiles to be specified

• Requires significant participation by multiple care provider disciplines (internal med, pediatrics, etc) and roles (MD’s, nurses, etc)

• Content Standards to be deployed are aggregations of clinical data element standards which are themselves just evolving

Free Text ‘Blobs’ Discrete Data Element Definitions


How is PCC the Same?How is PCC the Same?

• Comprised of Planning and Technical Committees• Vendor collaboration around IHE-defined transactions

required turn-key deployment objective• Profiles defined using only industry standard based

solutions• Focus is on healthcare information exchange exact

implementation of how recipient node accomplishes the required functionality is out-of-scope

• Rolling multi-year endeavor roadmap keeps requirements on radar screen


Preliminary RoadmapPreliminary Roadmap

Topic Pri Prerequisites Coord Strategy Year

Referral/Transfer of Care

Medical Summaries H CDA Release 2.0HL7 Care Record Summary

CPPromote

2005

Document Transfer H XDSMedical SummariesLinking

ITI IP 2005

Discharge Packaging (Discharge Back to Ambulatory Care Environment)

H XDSMedical SummariesLinking

CP 2005

Discharge Packing (Discharge to Long Term Care Facility/Home Health Care Environment)


CP 2006

Find Provider for Referral L Unknown Finance Research 2007

Referral Notification/ Authorization L X12-837HL7 v3

Finance Research 2007

Transfer of Care workflowInitiate/ accept /reject / follow-up

M HL7 v3HL7 Care Transfer Messages

IP 2007


Preliminary Roadmap cont’dPreliminary Roadmap cont’d


Document Types H CDA Release 2.0 Research CP

2006 - 2007History and Physical LOINC

Operative Notes JCAHO (US)

Discharge/Transfer Summary (2005)

Progress Notes

Nursing Notes

Flow Sheets

Laboratory/Pathology Report Labs

Radiology Report Radiology

Cardiology Report Cardiology

Orders between Providers / Ancillary Services

H HL7 V3 ITI Promote/Adapt

Existing IPs

2006

HL7 V2 ORU Lab

Radiology




Order Sets and Care Plans L XDS Non-Patient Documents

ITI Promote 2008

HL7 Templates Quality

HL7 Patient Care

HL7 EHR

Order Sets

Pay for Performance Data Aggregation M Order Sets and Care Plans

Quality Research 2008

HL7 Templates

HL7 Orders and Observations

Minimum Data Sets

Doc-IT

Query for Medication List from Multiple Providers

H HL7 V3 Research 2007

RxHub




PHR Update M HL7 EHR Research 2007

CCR

ASTM EHR Data Model

EHR to Practice Management System Connection

M HL7 V2.5 ITI-PAM IP 2007

EHR DSTU

CCHIT Interoperability

Public Health Registries H Quality Refer to Quality Domain

?


Preliminary RoadmapPreliminary Roadmap


Referral/Transfer of Care

Medical Summaries H CDA Release 2.0HL7 Care Record Summary

CPPromote

2005

Document Transfer H XDSMedical SummariesLinking

ITI IP 2005

Discharge Packaging (Discharge Back to Ambulatory Care Environment)


CP 2005

Discharge Packing (Discharge to Long Term Care Facility/Home Health Care Environment)


CP 2006

Find Provider for Referral L Unknown Finance Research 2007

Referral Notification/ Authorization L X12-837HL7 v3

Finance Research 2007

Transfer of Care workflowInitiate/ accept /reject / follow-up

M HL7 v3HL7 Care Transfer Messages

IP 2007


W W W . I H E . N E TW W W . I H E . N E T

Providers and VendorsWorking Together to Deliver

Interoperable Health Information SystemsIn the Enterprise

and Across Care Settings