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2017-03-10 Learning Health Systems Call

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Facilitator Russell Leftwich Note taker(s) Emma Jones
Attendee Name Affiliation

X Russell Leftwich InterSystems
X John Roberts Tennessee Department of Health
X Stephen Chu Individual
X Evelyn Gallego ONC
X Kathy Walsh LabCorp
Asim Muhammad Philips Research Europe
X Laura Heermann-Langford Intermountain Healthcare
X Emma Jones Allscripts
Jeff Brown Cancerlinq
X Lisa Nelson Individual
Dave Carlson VA
X Chris Melo Phillips Healthcare
Michele Miller Cerner
X Benjamin Kummer Columbia University
X Matt Rhan


Approved Minutes: StephenChu Moved/Lisa Nelson Second

Value set discussion

  • Action: Valuset material need to get posted on the wiki
  • Russ had sent out a Taxonomy that may be used for care team members - Crosswalk Medicare Provider/Supplier to Health care provider taxonomy.
    • This is the list used for signing up for NPI. Goes beyond physicians. Includes PT,OT, technicians in varying role. It's not mutually exclusive.
    • Point made that it looks like NUCC codes. Consensus made that NUCC codes (CDA and FHIR) is the physician licensure - not the same as the roles on the care team.
    • agreement that this list is beyond licensing but also training as well.
    • Point made that the FHIR practitioner resource uses these concepts. Licensure/training in the provider credential
    • Stephen have been working on the duplication spreadsheet. The valueset from the few vendors are reflecting the provider.
    • Suggestion to take this list and do a comparison and come up with a valueset to fill the role slot of the care team resource.
    • Agreement with this approach. Specific training that applies to some of these roles has a care team relationship to the patient . Treating provider can be more specific.
    • Point made that there are NUCC taxonomy which are different that the list used for the medicare taxonomy
    • Discussion about the NUCC list Vs the medicare subset. Review of this web site - [1]
      • Practitioner description Versus what is the member role in relationship to the care team.
      • Analogy made - take the role of a player on a football team. The announcer describes the person (his name, school affiliation, etc) but also describes his role on the team (quarterback, tight end, etc). Some of these identifiers will be synonymous with the role. But there can be separate attributes because of things like team captain.
      • Laura suggested maybe what we need to do first is get folks in a room and really detail how health care teams are structured - take a multi-disciplinary approach.
      • Point made that the analogy of the football team is a good one but healthcare teams can have multiple variations. We need to find things that are common and used by all teams.
      • Evelyn agrees and noted the work going on at ONC doesn't have folks in the field to know what is working, what is not working. Need to get the various disciplines together especially if trying to get multi-discipline care teams defined.
      • Suggestion made to use an analogy of the ball club that have a team and a manager and a grounds keeper. This may be the type of team structure to look at.
    • Point made that Washington publishing should be used for the NPI list.
    • We Need to do some work moving forward before getting everyone in a room.
    • Suggestion for next week - take a few examples of types of teams and come up with care team.participant.role for a few types of care teams. Stephen will do ortho and oncology teams. If others want to do something in another area can do the same.

Action items:

  • Steven will update the wiki with links - need to bring the care team information over from the ONC JIRA page
  • Evelyn will share with this care team project with ONC members and will look for for contacts involved in multi-disciplinary teams that can participate in this call. And will also do the same eLTSS teams.