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2017-04-28 Learning Health Systems Call

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Facilitator Russell Leftwich Note taker(s) Michelle Miller
Attendee Name Affiliation

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


  • Russ joined late, so official meeting was abbreviated.
  • There was some informal discussion about CDA between Lisa/Stephen.
  • Motion to approve minutes 2017-04-21_Learning_Health_Systems_Call: Stephen/Lisa
  • Next Friday, May 5 -- many will be traveling to WGM, so meeting will likely be cancelled
  • An approach to Care Team DAM development
    • Plan to discuss in Madrid with larger audience
    • Russ has slides to use as discussion guide
    • Since Lisa and Stephen won't be in Madrid, they asked for a preview of the slides. Russ said he would share slides.
    • Suppose we reverse engineer a virtual care team
      • with everyone who touches them (physically, face to face, or virtually)
      • touches may be episodic, usually are
      • participants or roles may be limited time engagements - and may be inactive at times
    • This whole patient care team is made up of multiple component teams or sub-teams
    • Component teams or sub-teams usually have only a transactional business relationship (don't work for same entity, interact via referrals/communications/orders etc)
    • They are usually unique for an individual
    • Some roles on care teams may be filled by an organized group of individuals, another team (service, department, etc)
    • Roles on team filled by individuals may have a "back-up" or call group to fill in when unavailable
    • Component teams may be assigned by an organization, like the OR team or a Code Team
    • Component teams are assigned by an org, typically play a limited, if any, role in care coordination. They are not high priority for codifying.
      • Stephen thinks from an org-perspective, they will want it codified. Russ is looking at it from the viewpoint of individual
    • Many attributes of team members/roles need to be defined: relationships, activity status, frequency of contact, transience of team (rehab team), governance (who leads planning, who has planning role), consent (what members on team have what consent from the patient), communication (between team members, including family/community members)
    • Storyboards around individuals to reflect their care team and its dynamic changes, including adaptation of storyboards from care team value set work could be the starting point
    • Lisa suggested there might be differing opinions (based on experience with CDA) -- want to collect a lot of information, but only display a subset of that information. When it comes to consuming information, renderer should be smart about what information is shown face-up versus what additional information is available to drill down to see.
    • Adjourned at 5:15pm Eastern