1 / 23

IHE Patient Care Coordination

IHE Patient Care Coordination. Presenters: Keith W. Boone, John Donnelly, Larry McKnight, Dan Russler. Patient Care Coordination – 2005. Development Schedule: Patient Care Domain Sponsored: April 2005 Profile Proposal Technical Review: May 2005 Public Comment Version Issued: July 2005

Download Presentation

IHE Patient Care Coordination

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. IHE Patient Care Coordination Presenters: Keith W. Boone, John Donnelly, Larry McKnight, Dan Russler

  2. Patient Care Coordination – 2005 • Development Schedule: • Patient Care Domain Sponsored: April 2005 • Profile Proposal Technical Review: May 2005 • Public Comment Version Issued: July 2005 • Trial Implementation Issued: September 2006 • IHE Connectathon: January 2006 • HIMSS Demo: February 2006

  3. Patient Care Coordination – Plan for 2006 • Development Schedule: • New Profile Proposal Drafts: Oct-Nov 2005 • Profile Proposal Technical Review: Nov-Dec 2005 • Planning Committee decision: January 2006 • Issue Public Comment version: June 2006 • Public Comment Due: July 2006 • Issue Trial Implementation version: August 2006 • IHE Connectathon: January 2007 • HIMSS Demo: February 2007 • Profile Change Proposals Mar-Sept 2007

  4. Patient Care Coordination – Plan for 2006 • Existing 2005 PCC Integration Profile • Sharing of Medical Summaries - Discharge & Specialist Referral (XDS-MS) • New Profiles For 2006 • Patient-created Summary • Referral to Emergency Department • Patient Consent for Access to Medical Record • Pre-surgical History & Physical • Coordination with IHE Labs on Sharable Lab Report • White Paper: EHR Integration for Clinical Trials

  5. Patient-created SummaryUse Case • Patient presents to a primary care physician and is required to complete standard forms for patient demographics, medical history, etc • Patient presents to a specialist and is required to complete similar standard forms for patient demographics, medical history, etc Provide personal health record information to an EMR system in a standard manner.

  6. Patient-created Summary Value Proposition • Allows quick and easy access to commonly requested medical data from patients. • Automated transfers of PHR information reduce errors in transcription, forgotten information, et cetera. • Faster intake of new patients.

  7. Patient-created SummaryScope • Document content used in transmission of data from a Personal Health Record. • Access to content via RHIO, portable media or e-mail

  8. Patient-created SummaryKey Technical Properties • Employ standards based data sets and syntax • ASTM CCR • HL7 CDA Release 2.0 • HL7/ASTM Continuity of Care Document • AHIMA PHR Data Set • Support most common needs first • Problems • Medications • Allergies and Adverse Reactions

  9. Referral to Emergency DepartmentUse Case • Health care provider determines that a patient needs treatment in an ED • Provider creates an ED referral package using an EMR system • Upon arrival, the ED provider identifies the patient as a referral • The posted referral package is imported into the Emergency Department Information System (EDIS) Communicate critical health information from ambulatory EMR to an ED Information System in a standard manner

  10. Referral to Emergency Department Value Proposition • Access: Quick access to critical health data for emergency department patients • Quality: Document and improve communication of intended patient care plans to ED providers and ensure that no pertinent data is lost • Efficiency: Streamline workflow by obviating telephone calls between busy clinicians

  11. Referral to Emergency Department Scope • EMR system capable of creating a care record summary creates a multi-document referral package for an EDIS system • The emergency department information systems (EDIS) retrieves, displays, and potentially imports this referral package data.

  12. Referral to Emergency DepartmentKey Technical Properties • Employ standards based data sets and syntax • Data Elements for Emergency Department Systems (DEEDS) 1.0 (CDC) • HL7 V3 • ASTM CCR Release 1 • HL7 CDA Release 2 • Hl7 CDA Care Record Summary (CRS) • IHE – XDS-MS Referral (Primary Care to Specialist)

  13. Patient Consent for Access to Med RecordUse Case • Consents are a fundamental requirement in the electronic exchange of patient health data where the information may be processed and communicated when the patient is not present • Pre-authorization • Consents used in multiple care settings • Implied consent for emergency situations • A paper consent on file

  14. Patient Consent for Access to Med RecordValue Proposition • Capturing and storing patient consents electronically allows practitioners quick access to and proper disclosure processing of the patient's health data • Enable ready access to medical summary data to information systems and practitioners in order to properly process disclosure of the health information • Serve to facilitate the patient registration process where the patient is unconscious or not in a condition to respond

  15. Patient Consent for Access to Med RecordScope • Document content necessary in consents to enable authorized access to medical records • RHIO-based access to consents • Define content of consent to enable future IT infrastructure access control profiles to assert constraints to consent • Out of Scope in 2006: • Informed patient consent for participation in clinical studies • Informed patient consent for clinical procedures • Advanced Directives

  16. Patient Consent for Access to Med RecordKey Technical Properties • The treating practitioner/facility will need to be able to retrieve patient consent information from a RHIO, preferably in a structured format, with an authorization signature and assurance for data integrity. • Potential Standards: • ISO TS22600-1/2 – Health Informatics Privilege Management and Access Control • ISO 22857 - Health informatics -- Guidelines on data protection to facilitate trans-border flows of personal health information • ASTM E1762 – Electronic Signature • W3C – XaDES • IHE – Document Digital Signature

  17. Pre-surgical History & PhysicalUse Case • Primary Care Physician reviews available history and records medical evaluation in office EMR • Other tests and studies may be ordered • Consultation results, prior labs or imaging studies are packaged with pre-surgical H&P • H&P and other notes are forwarded to the surgeon / surgical center prior to intervention

  18. Pre-surgical History & PhysicalValue proposition • Coordinates the collection of extensive data required for surgery • Surgical Consultation Note, • Laboratory and Imaging Studies, • Pre-surgical History & Physical

  19. Pre-surgical History & PhysicalScope • Deployment of XDS Submission Set with H&P, labs and test results • Patient history and physical exam data elements added to existing XDS-MS • Access to content via RHIO, portable media or e-mail

  20. Pre-surgical History & PhysicalKey Technical Properties • Employs standards-based data sets and syntax • HL7 CDA Release 2.0 • HL7 Laboratory Results • HL7 V3 • ASTM CCR Release 1 • HL7/ASTM Continuity of Care Document • Hl7 CDA Care Record Summary (CRS) • Supports standards-based exchange mechanisms

  21. Coordination with IHE Labs • Laboratory Results are vital in the communication of patient health status • Laboratory results communicated via messaging are not human readable • Laboratory results can only be shared when “approved” for release by an authorized source: a document oriented laboratory report is needed. • Human readable lab reports are necessary in a wide variety of Patient Care Coordination use cases

  22. EHR Integration for Clinical Trials White paper: • Electronic tool for Study Coordinator to use in lieu of paper-based Case Report Forms • Definition of form content tailored to a specific clinical trial which can be extracted from EHR or entered additionally • Completed form content transferred electronically to trial sponsors • Content specification coordinated with IHE IT Infrastructure profile for Request Forms for Display (RFD)

More Related