Bridging the ChasmBridging the Chasm Next Steps:Next Steps:

Advancing theAdvancing theClinical Information Clinical Information

Interchange Interchange CollaborativeCollaborative

WebinarJuly 22, 2009

Agenda• 12:00 -12:05 Brief introductions

• 12:05- 12:15 Where we have been [a review of the Bridging the Chasm Conference] and the outcomes of the two-day conference. What is the CIIC?

• 12:15-12:25 Progress in developing support among the participating societies.

• 12:25-12:40 Opportunities for continuing collaboration. Building consensus.

• 12:45-12:55 Q&A

- Benjamin Disraeli

“How much easier it is to be critical than to be correct.”

Introductions Interim CIIC Co-chairs

• Nina Schwenk, MDVP, Mayo Foundation Board of Directors

• James Dove, MDPast-chair, American College of Cardiology

• W. Edward Hammond, PhDProfessor, Duke University

• Charles Jaffe, MD, PhDCEO, HL7

Health Level 7

Introduction to Bridging the Chasm

• April 2009, Washington• Co-Sponsors:

Agency for Healthcare Research & Quality (AHRQ)

Health Level 7• 120 Attendees, representing nearly

100 worldwide professional clinical societies

• Rationale: Provide a bridge between the clinical community & the healthcare IT professionals

Objectives of Bridging the Chasm

• Establish the value of standards and interoperability for the clinical community

• Recognize priorities from a clinical perspective

• Have clinicians clearly articulate their requirements in non-technical terms

• Identify common processes by which the specialty groups can define and communicate information requirements to the HIT community

- Samuel Johnson

"Nothing will ever be attempted, if all possible objections must first be overcome."

Outcomes of Bridging the Chasm

• Commitment of the clinician community to support an ongoing dialog with HIT professionals (Primary Bridge)

• Collaboration with respective healthcare professional societies for common goals (Secondary Bridge)

• Establishment of a framework and model for ongoing initiatives & programs

• Creation of the Clinical Information Interchange Collaborative (CIIC)

- Peter Drucker

“There is nothing so useless as doing efficiently that which should not be done at all.”

The Clinical Information Interchange Collaborative (CIIC)

Vision

To create an environment that enables capturing the needs of the clinical capturing the needs of the clinical

communitycommunity and provides a forum for ongoing dialog with the information technology professionals who serve

this community

The Clinical Information Interchange Collaborative

(CIIC)Charter

The CIIC will bring clinical knowledge to bear in the development of a

transparent, scalable process that ensures more efficient and

effective deployment of electronic systems and enhances clinical workflow, reduces ambiguity,

improves quality and safety and reduces the cost of delivering care.

- Milton Friedman

"If you put the federal government in charge of the Sahara Desert, in 5 years there'd be a shortage of sand."

The Clinical Information Interchange Collaborative

(CIIC)Supporting the Charter

• Office of the National Coordinator

• Healthcare IT Standards Panel (HITSP)

• Agency for Healthcare Research & Quality

• National Quality Forum

• Clinical Decision Support Consortium

• National Library of Medicine

The Clinical Information Interchange Collaborative

(CIIC)Supporting the Charter

• Societies supporting the charter have come from physicians, nurses, research groups, dieticians and physical therapy organizations.

• Support represents common ideals and a commitment for participation.

• No financial commitment is required.

The Clinical Information Interchange Collaborative

(CIIC)Opportunities for Collaboration

• Common Lexicon (data elements)

• Uniform Patient Identifier

• Electronic Health Record usability requirements

• Decision Support (Evidence-based medicine)

• Integration of clinical care & research

• Security & Privacy

- Unknown, but no less verifiable

“If you can't be a good example, then you'll just have to serve as a horrible warning.”

The Clinical Information Interchange Collaborative

(CIIC)Opportunities for Participation

• Leadership

• Governance

• Communications & Public Relations

• Outreach

• Resource Development

• Meetings & Publications

• Project Management

- Not Hofstadter

“Hofstadter's Law: The time and effort required to complete a project are always more than you expect, even when you take into account Hofstadter's Law.

The Clinical Information Interchange Collaborative

(CIIC)Next Steps

• September 23 – Webinar 2: Update on CIIC activities, support & outreach

• October (Dates Tentative) – Two-day face-to-face conference in Washington for Bridge Building

◦ Understanding “Meaningful Use”

◦ Delivering on the Priorities: What is needed and what the CIIC can do.

The Clinical Information Interchange Collaborative

(CIIC)Communications

• CIIC Portal on the HL7 website

◦ Networking

◦ Access to documentation & reports

• eMail

CIIC@lists.hl7.org

- Unknown, with an apology to Rudyard Kipling

“If you can keep your head while all about are losing theirs and blaming it on you - perhaps you have underestimated the seriousness of the situation.”

Questions

-Unknown, but not Billy Crystal

“If you can't laugh at yourself, you may be missing the joke of the century.”

Additional Information

The Clinical Information Interchange Collaborative

(CIIC)Mission: Process

• Articulate the requirements for clinical practice and research, including workflow, business process, and terminology that can be harmonized across the broad spectrum of healthcare.

• Bridge the divide between clinical practice and healthcare information technology, utilizing, whenever appropriate, the technical expertise and development framework of Health Level 7 (HL7).

• Develop a consistent view of how information technology should be advanced in support of clinical requirements.

The Clinical Information Interchange Collaborative

(CIIC)Mission: Technology

• Establish a forum in which the diverse needs of the clinical community are expressed through the adoption of common processes and work environment.

• Create a master repository of specifications that provides a practical and transparent environment for cooperation.

• Ensure a functional methodology for managing the common specifications and adjudicating the inconsistencies wherever possible.

• Coordinate the clinical requirements and specifications in the technical workplace of standards development organizations and the national healthcare IT oversight bodies.