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Meeting Etiquette

Meeting Etiquette. Please announce your name each time prior to making comments or suggestions during the call 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

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Meeting Etiquette

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  1. Meeting Etiquette • Please announce your name each time prior to making comments or suggestions during the call • 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 • Hold = Elevator Music = very frustrated speakers and participants • 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, especially if you have a bad phone connection or background noise in your environment From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute  NOTE: This meeting is being recorded and will be posted on the Wiki page after the meeting

  2. S&I FrameworkPrescription Drug Monitoring Program InitiativePDMP-to-EHR Data Format StandardDriving To Consensus – Assessment of Four Candidate Data Formats

  3. First Topic - Review • Reach consensus on data format standard for exchanging patient information between PDMP and provider EHR systems • 11 February: • Consensus on Data Elements to support the Use Case • Consensus on the four candidate data format standards • Initiated discussion of attributes to be used for assessment

  4. Data Format Standard – Community Discussion • Google Groups Discussions: • Continued discussion of assessment attributes • Ten attributes proposed, grouped by qualitative level of importance to the Use Case • Three rankings suggested for each • For Today (25 February): • Brief overview of the assessment process • Share assessment of the four standards • Develop consensus recommendation for the data format standard

  5. PDMP Data Format Evaluation • The Use Case • A provider logs into an EHR system for a patient encounter • Patient presents with pain treatable with a controlled substance • EHR automatically queries the PDMP using patient identification • PDMP presents Provider with existing patient prescription information • Provider can make informed decisions about treatment options • Overview of the strategy for evaluating the proposed standards • List the standards under consideration • Establish the criteria for the evaluation, and the appropriate weighting for the Use Case • Assess each standard and make a recommendation

  6. Standards for Consideration Based on PDMP S&I Framework Community WebEx meetings and discussions managed over Google Groups threads, the following standards have been identified by the community for evaluation: • ASAP Web Service • NCPDP Script (Medication History Request and Response messages) • PMIX PDMP Schemas (based on NIEM) • Consolidated CDA

  7. Attributes for Standard Assessment

  8. Assessment Raw Score • Each of the attributes proposed as an assessment criterion can be found in shortened version in the left column labels in the following table. • Each standard was applied a raw score according to the following:

  9. Assessment Table

  10. Consensus on Data Standard • NCPDP and CCDA rank highest, with NDPDP edging out CCDA • Do we have consensus around NCPDP as the data standard that best addresses our Use Case?

  11. PDMP S&I at HIMSS PDMP: Technical Framework for Interoperability WHEN:                                Wednesday, March 6th TIME:                                   11:00 AM – 12:00 PM CT LOCATION:                        HIMSS13 Conference, New Orleans, LA                                                 MITRE Government VIP Room #213 MITRE will convene representatives from the S&I Initiative, the EHR vendor community, and other interested parties to explore the recommendations from the Standards & Interoperability Framework Initiative.  There will be a demonstration featuring an open source reference implementation for integrating PDMPs with electronic health record systems. The goal of this forum is to allow participants to connect and summarize the outcomes of the effort to enable interoperability between HIE/EHR and PDMP vendors.

  12. Also at HIMSS… PDMP: An Introduction to Using Health IT to Combat Prescription Drug Abuse WHEN:                                Monday, March 4th TIME:                                   2:00 – 3:00 PM CT LOCATION:                        HIMSS13 Conference, New Orleans, LA                                                 MITRE Government VIP Room #213 This session will share an overview of the effort to enhance access to prescription drug monitoring programs (PDMP). The goal is to educate, raise awareness and build connections between key stakeholders who have not been involved in the project work to date. Sharing information to date will provide stakeholders with the initial framework to pursue PDMP initiatives. PDMP: Pilot Impact, In Their Own Words WHEN:                                Tuesday, March 5th TIME:                                   4:00 – 5:00 PM CT LOCATION:                        HIMSS13 Conference, New Orleans, LA                                                 MITRE Government VIP Room #213 The PDMP project is conducting multiple pilots to rapidly test the feasibility of using health IT to enhance PDMP access and affect clinical decision making.  This session will present a deeper dive into the design and outcomes of four FY13 pilots showcasing the workflow, ease of use, and added technical value of presenting PDMP data in EHR and pharmacy systems. The goal of this session is to have multiple pilot participants share specific information about their pilot designs and outcomes.

  13. Backup

  14. Jan 28 Meeting: Scoping – the Use Case • The primary use case centers on getting initial PDMP information to EHRs • Not all data elements can be regarded the same • Some elements may not be recorded in the PDMP (variations across states, for example) • Some elements may be more important for this use case than others

  15. PDMP S&I Community Focus/Scope EHR System EHR System EHR System Needs for standards (data format and content; transport and security protocols) Pharmacy NCPDP Script Provider Provider Provider Data Out PDMP ASAP NCPDPTelecom Portal Switches NIEM-PMP NIEM-PMP Pharmacy Benefits Mgmt PMPi / RxCheck PDMP Other State PDMPs

  16. WG Recommended Set of Data – the “Complete” List • The Work Groups defined a standard set of data that should be available to support clinical decision making Full list recommendation: section 2.2.1.1 page 16-17

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