1. Query Health Clinical Working Group Kick Off September 7, 2011

2. Agenda TopicTime Allotted Introductions and Welcome Overview of Query Health Initiative Charter and Scope (Rich Elmore) 12:00 – 12:10 Review Workgroup Mission & Goals12:10 – 12:15 Review of Use Case Outline12:15 – 12:25 Interactive Session: Review and Discuss Potential User Stories 12:25 – 12:55 Next Steps12:55 – 1:00

3. Overview of Query Health Charter & ScopeQuery Health Charter Query Health Objective Simple Scalable Secure Use Case Introductions and Welcome Initiative Coordinator Rich Elmore Establish Standards and Protocols for: 1.Patient Data 2.Query / Case Definition 3.Results Establish Standards and Protocols for: 1.Patient Data 2.Query / Case Definition 3.Results

4. The clinical working group is responsible for: –Developing the Use Case and Functional Requirements –Selecting the standards for the Clinical Information Model (CIM), query syntax and results expression –Assessing the applicability of the User Stories to available computable standardized data from certified EHRs and other standards-based health information sources These steps ultimately refine the definition of the pilot projects and reference implementation for the initiative Working Group Mission & Goals

5. Call Courtesy –Announce your name –Do not interrupt –Do not dominate discussion / make point and listen to others Do-ocracy –Your active participation and contribution is your credibility –Self organized work and calls between meetings Committed Members –Statement and agreement to actively contribute, not just attend calls –Committed members are expected to work between calls and report out on weekly calls –Other interested members are invited to participate and consider becoming committed member –Only committed members may participate in Consensus Process Wiki –http://wiki.siframework.org/Query+Healthhttp://wiki.siframework.org/Query+Health –http://wiki.siframework.org/Query+Health+-+Clinical+WGhttp://wiki.siframework.org/Query+Health+-+Clinical+WG Working Group Rules of the Road

6. Preface and Introduction Overview and Scope (In Scope, Out of Scope, Background, Best Practice Considerations, Regulatory Issues, Privacy and Security, Other Regulations, Communities of Interest). Challenge Statement Value Statement Use Case Assumptions Pre-Conditions Post Conditions Actors and Roles Use Case Diagrams (includes both Use Case and Context Diagrams) Use Case Outline Scenario 1,2,X –Scenario 1 User Stories User Story A User Story B User Story C –Scenario 1 Activity Diagram –Scenario 1 Base Flow –Scenario 1 Sequence Diagram Functional Requirements –Information Interchange Requirements –System Requirements –Dataset Requirements –Structured Data Elements –Candidate Data Elements Risk, Issues and Obstacles Please Note: Italicized items will be covered by the Business Working Group Members.

7. Query Health: Example User Story – Case Control, Vaccine Efficacy 1.Quality Compliance : Number of patients over the age of 50 who have received the flu vaccine (NQF 0041). 2.Surveillance: Determine what patients have contracted the flu. 3.2 x 2 of Vaccine and Flu Diagnosis 4.Refine Query (for example for H1N1). –Add GI symptom –Specify H1N1 vaccine Individuals Who Contracted the Flu Individuals Who Did Not Contract the Flu Population Total Received Vaccine205070 Did Not Receive Vaccine 801090 Population Total10060160

8. Query Health: Example User Story – Case Control, Statin Efficacy Hyper- lipidemic Not Hyper- lipidemic Population Total Individuals Who Take a Statin 200500700 Individuals Who Do Not Take a Statin 800100900 Population Total1,0006001,600 1.Quality Compliance: Number of patients over the age of 18 who have been diagnosed with CAD and are taking a statin (NQF 0074) 2.Surveillance: Determine how many patients are hyperlipidemic. 3.2 x 2 of Statin and Hyperlipidemia 4.Refine Query –Select two statins –Compare efficacy of two statins Hyper- lipidemic Not Hyper- lipidemic Population Total Patients on Medication A 50300350 Patients on Medication B 150200350 Population Total200500700

9. What other Scenarios and/or User Stories should be considered? Interactive Session: Suggested Alternatives

10. Develop, refine and provide comments using the wiki discussion tab for the following: –Project CharterProject Charter –Proposed User Stories Example User Story – Case Control, Vaccine Efficacy Example User Story – Case Control, Statin Efficacy Next Steps

11. Appendix Reference Materials

12. Using the Discussion Tab on Wiki to Leave Comments 12 1.Click on the “Discussion” tab 2.Select a discussion thread you would like to view or respond to 3.How to start a new thread: A.Click “+ New Post” B.Enter the “Subject” C.Enter the post as the “Message” D.Check “Monitor this topic” to receive e-mail notifications E.Click “Post” 4.You can share a specific discussion by right-clicking on the title and copying the link Example User Story – Case Control, Statin Efficacy

13. Q&A Instructions for WebEx Connection Problems? Email to: admin@siframework.org 1.Select the “Q&A” button in the WebEx toolbar. 2.Select “All Panelists” in the Q&A box. 3.Type your question and hit send. The moderator will select questions for the panelists from the queue.

14. Please note that this presentation and the Q&A session are being recorded and will be available on QueryHealth.org To download any of the “Summer Concert Series” presentations, visit QueryHealth.org and click on the “Summer Concert Series” buttonQueryHealth.org This session will be live tweeted on Twitter Hashtag: #QueryHealth#QueryHealth Notices