Monday 13 February 2012 1300-1400 EST • VHA Medical Device Interoperability Program (MDIP) • Pulse Oximetry Integration with Clinical Applications • Project Kick Off Meeting
Communication • IHE PCD Pulse Oximtery Project Wiki: http://wiki.ihe.net/index.php?title=PCD_Pulse_Oximetry_Integration_with_Clinical_Applications • Proposal and other IHE artifacts • Agendas and minutes • MDIP Wiki: www.mdip.wikispaces.com • Draft documents, links to appropriate PCD Pulse Oximetry pages • Google Groups: http://groups.google.com/group/ihe-pcd-pulse-oximetry?hl=en • Project team communication • Weekly Meeting: • Chair/convener for the meeting • Robert’s Rules “light” used to moderate the discussion and capture decisions • Quorum requirements for binding decisions
Weekly Call Information (WebEx) Topic: PCD Pulse Oximetry Date: Every Monday, from Monday, February 13, 2012 to no end date Time: 1:00 pm, Eastern Standard Time (New York, GMT-05:00) Meeting Number: 923 725 881 Meeting Password: PCDmeet1 To join the online meeting (Now from mobile devices!) 1. Go to https://himss.webex.com/himss/j.php?ED=176521912&UID=0&PW=NOGRmNmM4NjI4&RT=MiMxMQ%3D%3D2. If requested, enter your name and email address. 3. If a password is required, enter the meeting password: PCDmeet1 4. Click "Join".
Pulse Oximetry Use Case Summary Goal: Improve patient safety by making disparate systems interoperable so that clinicians can see all of the patient's pulse oximetry readings. Problem: The ability of exchanging pulse oximetry with enterprise information systems using the standards and terminology that are native to those system would constitute a great advantage to the provider who use those devices and accelerate the integration with enterprise systems where the documentation for medical services is completed. Solution: Identify a way to automatically capture these values as well as record interventions with these readings. Ideally, there should be real‐time feedback to the staff to be alerted to values outside the acceptable ranges for intervention. Also, there should be some way to validate the readings and annotate issues affecting the reading for final placement in the EHR. Benefit: This will allow clinicians to make better informed decisions about the patient's treatment plan. Additionally, a comprehensive list of values can provide researchers a wide variety of data, which can lead to best practices
Technical Approach Care-setting Specific workflows –ICU, OR, Step-down unit Continuous or periodic information exchange(device initiated) – based on the frequency allowed by the device or configured on the device manager. This type of exchange is typical in the Operating Room for anesthesia record keeping and in Intensive Care Units for clinical flowsheets. The pulse oximetry values are automatically added to the patient’s chart/medical record. The information is validated in the information system that receives the medical device information. User-specified information exchange – the device information is sent to the information system based on explicit user actions/request. The use may specify a set or range of measurements as relevant to the condition or treatment of the patient. These results are sent to the information site. Our analysis will determine whether the data is validated at the point of care or after the information is sent to the information system.
Technical Approach • Detailed analysis of clinical workflow • Define the context of use for medical devices to enable automation and interoperability • Improve efficiency • Improve quality • Accelerate documentation • Identify the information used by or produced during the clinical workflow • Conetent Profile • Business workflows • Structural constaints on PCD-01 based on info modeling/DCMs • Terminoloygy constaints and mappings Use Case Clinical Workflow Information Requirements Content Profile Terminology Mapping
Engagement with SMEs Three steps : To engage effectively: Communicate the draft to the SMEs prior to review Allows them to participate in a specific topic/meeting Call to walk through the artifact Level-setting and review of draft Revise the artifact based on the SME’s comments Follow up with comments • Draft Artifact
Questions Action items & next steps