2017-11-10 Learning Health Systems Call

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
	Evelyn Gallego	ONC
	Kathy Walsh	LabCorp
	Asim Muhammad	Philips Research Europe
	Laura Heermann-Langford	Intermountain Healthcare
x	Emma Jones	Allscripts
	Jeff Brown	Cancerlinq
x	Lisa Nelson	Individual
	Dave Carlson	VA
	Chris Melo	Phillips Healthcare
	Michelle Miller	Cerner
	Benjamin Kummer	Columbia University
	Matt Rhan
x	Michael Padula
x	Joseph Quinn
	Thomson Kuhn
	Rob Hausum
x	AnnWiz
	Serafina Versaggi	VA

Minutes

• Chair: Russell Leftwich
• Scribe: Emma Jones

• Motion to approve previous two call minutes: John Roberts/Stephen Chu

Mission and Charter

• Finalization and approval needed
• TSC is going through the mission and charters checking scope areas that are not covered by a work gorup or scope areas that are covered by more than one work groups. HL7 is going through an ANSI audit
• Are we still focusing on "triple aim"? Has been changed to quadruple aim, taking into consideration the experience of health care providers
  • Added to be able to include better outcomes for healthcare resources
  • Academy of Medicine -Achieving the quadruple aim
• Discussion about the use of the quadruple-aim
  • Glad to see efficiency has been removed - can do the wrong things in an efficient way
  • Per capital cost relates to effectiveness - can't look at it in silo
• Hope is not to vote on the Mission and Charter today but to edit it and vote in the near future
• Russ will make edits and send out for review -
• Existing relationship section and the scope need to be reviewed
• Include a reference to the quadruple-aim document in the Mission and Charter

Care Team Use cases

• Update provided by Stephen
• Action items from last week -
  • Review the use case document
  • Emma added the IHE/Chronic Condition storyboard
  • John added public health use case
  • Stephen added use case 5
  • Lisa added use case X
  • Mike added use case 6

Review of Use Case 6

• Children with special needs
  • Attempt made to add a contact point for service line or group
    • This is intended to be an ongoing service.
    • We've talked about distuishing between roles - members of the team that provide the services. Need to distinguish between contributing to the plan Vs just providing

a service.

• • • In the event of an acute episode - a way to be able to reach out for the metabolic service or whoever is covering for them
    • CCR, CCD in the early days had an alert section
    • FHIR has the Flag resource - used to be alert. FHIR has category - 0..1 to be able to say what type of 'Alert" it is. Cardinality is 0..1 but could be more than one
    • Suggestion made to add mom as care team member
    • Metabolic specialist - trying to convey that this is a group. The specialist would be a member of this group. When the kids go home, parents are given letters with instructions on what to do in case they need the service for a future episode.
    • Metabolic service could be represented by a care team or organization
  • This use case captures well when a service can be represented by an organization.

Review of Use Case 5

• Extension the first use case
• Identified organizations that could be member of the care team. Community services involved in the care team.
• Aligns well with mike's use case for a clinical care team. This use case identifies non-clinical teams
• Suggestions:
  • Allow the home helper as an individual - a named person. Stephen will add. Didn't name the person because of the volunteer nature - Will add the service coordinator as a named person.
  • Might want to include contact information for these services as well. Stephen will add to the use case
• Need a Snow bird use case (someone who lives in one part of the country part of the year and in another part of the country the other part of the year) - Lisa will add.

Announcement

• Lisa will review the new obligation instruction and prohibition instruction templates at the patient care co-chair call on Monday at 5pm. Stephen will email out an announcement
• Call adjourned