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2018-01-19 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
Evelyn Gallego ONC
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
Chris Melo Phillips Healthcare
Michelle Miller Cerner
Benjamin Kummer Columbia University
Matt Rhan
X Michael Padula
x Joseph Quinn
X Thomson Kuhn
Rob Hausum
Serafina Versaggi VA
Ann Whiz
Kathleen Conner


  • Chair: Russell Leftwich
  • Scribe: Emma Jones
  • Motion to approve previous call minutes: Stephen moved , John second


  • WGM agenda
  • Care Team Valueset work


  • No meeting next Friday - WGM travel

WGM Agenda

    • See agenda page
      • Russ confirmed that Clem will attend the quarter
    • Need a better call time - will discuss at the WGM

Storyboard enhancements

  • Add communications - include a few types of communications
    • Stephen will re-visit CCS FM
    • Stephen communicated with Claude to work together after the work group meeting
  • Add relationships between team members - need to include concepts
  • Add substitutions - does the storyboard with different living locations enough? or is it different for coverage
    • Seems different - when moving across organizations versus one business with it's relationship concepts
    • Coverage and substitutions was described with the aspect of fulfilling a role in the care team
    • Need to add when coverage is needed as a back-up person
  • When someone gets a document about who the care team members are - what is the expectation of what to do with that information?
    • Roles and responsibility need to be clear to cover care coordination
      • Do everybody on the care team need to know about everybody on the care team? May not need to know
      • From discussion with Claude - need to be automated when to contact the appropriate member of the care team without them having to make a search. Have to decide if fully automated or semi-automated
        • version 1 - use automation for the coverage information
        • particular care team member is associated with a certain health concern
    • Information access privileges -
    • Need to start getting some of these into the model

Care team member function valueset Slide deck

  • Stephen reviewing
    • Added Public Health Focused care team and Home and Community Based Service Focused
      • Stephen will forward slides to John Roberts for his input
    • SNOMED CT concepts - Stephen reviewed definitions
      • Request for admitting provider? Not at this time
      • Case manager - from the payer involvement
      • Care coordinator; care team coordinator - more from a clinical perspective
      • From a behavioral health perspective - has nothing from the payer. Social services uses it as well
      • Lisa will pick up from where Stephen left off and follow-up the discussion at the WGM
      • Public health does not have the concept from a payer perspective
  • under Care Team Terminology - Starter Value Set