2017-11-03 Learning Health Systems Call

Facilitator	Russell Leftwich	Note taker(s)	Michelle Miller
Attendee	Name	Affiliation
	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
	Joseph Quinn
	Thomson Kuhn
	Rob Hausum
	Serafina Versaggi	VA

Minutes

• Chair: John Roberts
• Scribe: Emma Jones

Use Case Review

• Key objective is to do more story board development
• John will work on public health
• Question asked about representing Longitudinal Primary care which may involve teams that are more long term
• There are also intermediate and transient teams. Is the intent to represent both using the applicable categories?
• Care team that plays a role within a care team - do all inpatient, outpatient, short term, long term teams fall under this category?
• Need to capture the variances
• some in the health care industry believe there are 2 basic teams - inpatient and outpatient
• Can have providers that follow the patient both inpatient and outpatient
• Stephen has provided 2 use cases that could be used as "themes"
• Participation in public health care don't typically follow the patient but affect care thru a population
• Examples that Stephen was including - is it adding to the traditional model of Primary Care Team, where the patient is the leader or there may be no identified leader of the care team?
• The following 2 use cases could be "themes" that the categories may be able to fit into
  • Use Case 1 - there is a team leader or coordinator
  • Use Case 2 - there is not a defined care team leader
• The categories could then be used to drive organization of the care teams
• Suggestion that before doing that, may want to put some description on the category and quickly describe the roles and responsibilities
• John will include a public health use case
• Suggestion take a look at the IHE DCTM story boards and see if it's re-usable or can be used as a starting point
• Mike will take one of the categories and work out which 'theme' it falls under
• Emma will copy the IHE DCTM storyboards in the document
• Lisa will add a use case that include a designated daughter/son taking care or the aging parent. Will have someone in a lead role and it's not the patient.
• Suggest using the 2 use cases Stephen added as an example for a format - note these use cases were meant to include consent. Suggest adding roles and responsibility as part of the format
• For now we can focus on the content then we will come back and do the organization and formatting

Link to the Use Case Document is here