Post on 27-Mar-2015
transcript
HL7 Child Health Work Group
May 15-17, 2011HL7 Work Group Meeting
Lake Buena Vista, FL
www.hl7.org | HL7 Child Health Work Group | February 22, 2011
HL7 Child Health Work Group Who We Are What We Do and Why What’s Next
Agenda
www.hl7.org | HL7 Child Health Work Group | February 22, 2011
Who We Are
HL7 Child Health Work Group
Founded: 2003Leadership: David Classen, MD, Gaye Giannone Dolin,
RN, Andy Spooner, MD and Feliciano Yu, MD
Participation: Primarily CMIOs, physicians, medical informatics experts and vendor representatives
Distribution: 100+ previously on email; listserv unknownOperations: One in person meeting and two webcast
meetings in conjunction with HL7 work group meetings; Monthly calls and other calls and webcasts as needed
www.hl7.org | HL7 Child Health Work Group | February 22, 2011
What We Do
Functional Data Standards Standards for EHR systems include critical child health functions Published EHR system standards for general pediatrics Work was baseline for CCHIT child health certification criteria, other
Terminology Data Standards Explored improving terminology systems for pediatrics using AAP policy
statements (e.g. SNOMED) Funding not available to support further work
Messaging Data Standards Created immunization activity diagrams and story boards – now part of HL7
messaging standards Provided incubation and leadership in HL7 to develop standard for reporting
quality measure data – Quality Reporting Document Architecture using HL7 CDA
Provided support to create standards-based neonatal care report using HL7 CDA
www.hl7.org | HL7 Child Health Work Group | February 22, 2011
Why
Improve data standards for health care Build pediatric consensus on new data standards Maintain broad representation and participation in HL7
initiatives on behalf of child health care Participate in relevant national HIT data standards public
comment periods on behalf of child health care
Influence adoption of pediatric requirements
Impact vendor and provider awareness and adoption of adoption of pediatric standards
Earn commitment from pediatric stakeholders
Secure support and leadership for efforts
www.hl7.org | HL7 Child Health Work Group | February 22, 2011
What’s Next
EHR Functional Model Release 2 Neonatology Functional Profile for EHR
Systems Child Health Functional Profile Release
2
www.hl7.org | HL7 Child Health Work Group | February 22, 2011
Functional Standards: Relationships of Artifacts
www.hl7.org | HL7 Child Health Work Group | February 22, 2011
Manage Immunization Administration
Statement: Capture and maintain discrete data concerning immunizations given to a patient including date administered, type, manufacturer, lot number, and any allergic or adverse reactions. Facilitate the interaction with an immunization registry to allow maintenance of a patient’s immunization history.
Description: During an encounter, recommendations based on accepted immunization schedules are presented to the provider. Allergen and adverse reaction histories are checked prior to giving the immunization. If an immunization is administered, discrete data elements associated with the immunization including date, type, manufacturer and lot number are recorded. Any new adverse or allergic reactions are noted. If required, a report is made to the public health immunization registry.
1. The system SHALL provide the ability to recommend required immunizations, and when they are due, during an encounter based on widely accepted immunization schedules.
2. The system SHALL provide the ability to recommend required immunizations based on patient risk factors.
3. The system SHALL perform checking for potential adverse or allergic reactions for all immunizations when they are about to be given.
4. The system SHALL provide the ability to capture immunization administration details, including date, type, lot number and manufacturer.
5. The system SHALL provide the ability to capture other clinical data pertinent to the immunization administration (e.g. vital signs, adverse reactions).
6. The system SHALL record as discrete data elements data associated with any immunization.
7. The system SHOULD provide the ability to associate standard codes with discrete data elements associated with an immunization.
8. The system SHALL provide the ability to update the immunization schedule.
Function: “Manage
Immunization Administration”
“Capture and maintain discrete data concerning
immunizations…” Edits in RED for CH
Profile
Criteria requested by
Child Health for original model now standard
Example Edits and Additions to EHR
FM
www.hl7.org | HL7 Child Health Work Group | February 22, 2011
Connect With Us
www.hl7.org for Child Health Listserv Monthly Conference Calls
www.hl7.org | HL7 Child Health Work Group | February 22, 2011
Contact Information
Joy KuhlPrincipalOptimal Accords, LLCjoy@optimalaccords.comOffiice: (818) 308-7063 Mobile: (818) 817-1050
Administrative Co Chair, HL7 Child Health Work Group
On behalf of Alliance for Pediatric QualityAAP, ABP, CHCA & NACHRI
DISCUSSION, NEXT STEPS
www.hl7.org | HL7 Child Health Work Group | February 22, 2011
Alliance for Pediatric Quality
Common goals:HIT works for
children
www.hl7.org | HL7 Child Health Work Group | February 22, 2011
Alliance Strategy
Work for consensus and speak with one voice for pediatric quality and health information technology.
Endorse and promote projects that advance our objectives for quality and health information technology in children’s health care.
Convene stakeholders in children’s health care on key quality and health information technology issues.
Advocate for policy, standards, systems, and products that will improve the quality of children’s health care.
www.hl7.org | HL7 Child Health Work Group | February 22, 2011
Why is this important?
Numerous Initiatives Underway to Support National Goals for Adoption and Interoperability of EHR technology
Problem: Children are nearly one third of the population. They receive care through HIT in a variety of settings. National efforts are largely adult-focused; Pediatric efforts for influence are sometimes isolated and duplicative.
Opportunity: Work together as pediatric HIT community with one strong voice to influence national initiatives and ensure needs of child healthcare are addressed.
www.hl7.org | HL7 Child Health Work Group | February 22, 2011
Set National Agenda
IFR
Adopt Standards and
other Requirements for Meaningful
Use
Health InformationTechnology
vendors
Child health practitioners,
cliniciansand hospitals
Reduce system implementation
costs due to duplication and customization
Enable pediatric performance
measurement by improving
interchange of standardized information
Support safe care for children
HHS: Coordinator
Develop and Pilot Standards
HL7, SNOMED…
NHINS, Projects,Collaboratives
Integrating the Healthcare Enterprise
NQF, CMS
Vendor Consortia
Certify Products
ATCB
Harmonize
ONC, other tbd
Identify and Respond to
Opportunities
Participants in
Pediatric Healthcare Information Technology Community
Identify Requirements
HIMSS Pediatric Group
Health Level Seven (HL7) Child Health Work Group
AAP Child Health Informatics Center
and COCIT
NACHRI Pediatric Advisory Council
CHCA CIO and CMIO Forums and Special Projects
Support achievement of
meaningful use of EHR technology in
pediatrics
Strategy for Influence
Desired Outcomes
Alliance for Pediatric QualitySupport work, convene, build consensus, endorse and advocate
www.hl7.org | HL7 Child Health Work Group | February 22, 2011
AAP HL7 Child Health HL7 CCHIT
Published EMR
Position Papers
Developed
Pediatric EMR
Functions
Published Pediatric
EMR Functiona
l Model Standard
Influenced EMR
Vendor Certification Criteria
Alliance Coordination, Support and Endorsement
Vendor Compliance & Certification;
Provider Adoption
An Example