1. Patient Care Coordination John T. Donnelly IntePro Solutions Co-Chair, Patient Care Coordination Planning Committee

2. June 28-29, 2005IHE Educational Workshop2 Revised Agenda 1:00-1:15 Patient Care Coordination (PCC) Domain Objectives 1:15-1:45 Review of Use Cases for Medical Summaries and Transfer Packages 1:45-2:15 Medical Summaries, Clinical Information Sets, and Transfer Profiles 2:15-2:30 Break 2:30-2:45 PCC Educational Initiatives and Calendar 2:45-3:30 Open Discussion, Questions, Feedback

3. June 28-29, 2005IHE Educational Workshop3 PCC Domain Objectives Facilitate the use of EHR content standards for the transferring or sharing of patient care services Define relevant information sets for specific use cases that span clinical care Optimize the use of other IHE profiles (e.g. ITI:XDS, RAD:XDS-I) in delivering healthcare in “communities” of patient care settings Facilitate and Promote the Transformation of Healthcare Delivery from a Paper Document Based Model to an Information Element Based Model

4. June 28-29, 2005IHE Educational Workshop4 How is PCC Different? Requires both Content Profiles and Integration Profiles to be specified Requires significant participation by multiple care provider disciplines (internal med, pediatrics, etc) and roles (MD’s, nurses, etc) Content Standards to be deployed are aggregations of clinical data element standards which are themselves just evolving Free Text ‘Blobs’  Discrete Data Element Definitions

5. June 28-29, 2005IHE Educational Workshop5 How is PCC the Same? Comprised of Planning and Technical Committees Vendor collaboration around IHE-defined transactions required  turn-key deployment objective Profiles defined using only industry standard based solutions Focus is on healthcare information exchange  exact implementation of how recipient node accomplishes the required functionality is out-of-scope Rolling multi-year endeavor  roadmap keeps requirements on radar screen

6. June 28-29, 2005IHE Educational Workshop6 Preliminary Roadmap TopicPriPrerequisitesCoordStrategyYear Referral/Transfer of Care Medical SummariesHCDA Release 2.0 HL7 Care Record Summary CP Promote 2005 Document TransferHXDS Medical Summaries Linking ITIIP2005 Discharge Packaging (Discharge Back to Ambulatory Care Environment) HXDS Medical Summaries Linking CP2005 Discharge Packing (Discharge to Long Term Care Facility/Home Health Care Environment) HXDS Medical Summaries Linking CP2006 Find Provider for ReferralLUnknownFinanceResearch2007 Referral Notification/ AuthorizationLX12-837 HL7 v3 FinanceResearch2007 Transfer of Care workflow Initiate/ accept /reject / follow-up MHL7 v3 HL7 Care Transfer Messages IP2007

7. June 28-29, 2005IHE Educational Workshop7 Preliminary Roadmap cont’d TopicPriPrerequisitesCoordStrategyYear Document TypesHCDA Release 2.0 Research CP 2006 - 2007 History and PhysicalLOINC Operative NotesJCAHO (US) Discharge/Transfer Summary (2005) Progress Notes Nursing Notes Flow Sheets Laboratory/Pathology Report Labs Radiology Report Radiology Cardiology Report Cardiology Orders between Providers / Ancillary Services HHL7 V3ITIPromote/ Adapt Existing IPs 2006 HL7 V2 ORULab Radiology

8. June 28-29, 2005IHE Educational Workshop8 Preliminary Roadmap cont’d TopicPriPrerequisitesCoordStrategyYear Order Sets and Care PlansLXDS Non-Patient Documents ITIPromote2008 HL7 TemplatesQuality HL7 Patient Care HL7 EHR Order Sets Pay for Performance Data AggregationMOrder Sets and Care Plans QualityResearch2008 HL7 Templates HL7 Orders and Observations Minimum Data Sets Doc-IT Query for Medication List from Multiple Providers HHL7 V3 Research2007 RxHub

9. June 28-29, 2005IHE Educational Workshop9 Preliminary Roadmap cont’d TopicPriPrerequisitesCoordStrategyYear PHR UpdateMHL7 EHR Research2007 CCR ASTM EHR Data Model EHR to Practice Management System Connection MHL7 V2.5ITI-PAMIP2007 EHR DSTU CCHIT Interoperability Public Health RegistriesH QualityRefer to Quality Domain ?

10. June 28-29, 2005IHE Educational Workshop10 Preliminary Roadmap TopicPriPrerequisitesCoordStrategyYear Referral/Transfer of Care Medical SummariesHCDA Release 2.0 HL7 Care Record Summary CP Promote 2005 Document TransferHXDS Medical Summaries Linking ITIIP2005 Discharge Packaging (Discharge Back to Ambulatory Care Environment) HXDS Medical Summaries Linking CP2005 Discharge Packing (Discharge to Long Term Care Facility/Home Health Care Environment) HXDS Medical Summaries Linking CP2006 Find Provider for ReferralLUnknownFinanceResearch2007 Referral Notification/ AuthorizationLX12-837 HL7 v3 FinanceResearch2007 Transfer of Care workflow Initiate/ accept /reject / follow-up MHL7 v3 HL7 Care Transfer Messages IP2007

11. June 28-29, 2005IHE Educational Workshop11 W W W. I H E. N E T Providers and Vendors Working Together to Deliver Interoperable Health Information Systems In the Enterprise and Across Care Settings