November 16, 2010 CBCC Conference Call

Community-Based Collaborative Care Working Group Meeting

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Attendees

• Jon Farmer
• Suzanne Gonzales-Webb CBCC Co-chair
• Mary Ann Juurlink Scribe
• John Moehrke Security Co-chair
• Ioana Singureanu
• Richard Thoreson CBCC Co-chair
• Serafina Versaggi
• Tony Weida
• Craig Winter

Agenda

1. (05 min) Roll call, approve minutes November 9th, call for additional agenda items & accept agenda
2. (55 min) Draft Semantic Health Information Performance and Privacy Standard Project Scope Statement

Review of HL7 Project Scope Statement Data Segmentation Pre-Requisites Preview of scope statement

The EHRS functional model working group is trying to match functions to content standards. The impetus of this scope statement is to improve data quality measures as well as to define missing functionality. This is required to support segmentation and privacy e.g. define automation for consent directive. Generally the first sections describes the art of HL7 balloting. We are expecting to;

• make changes to the EHR functional model e.g. some of the behavioural functional profiles that exist
• refine the DAM describing the health information for performance and privacy for data segmentation in particular
• refine vocabulary domain and value sets where they exists

2. Project Intent

The project intent is to revise and supplement current standards

2.a. Ballot Type

Draft for comment informative ballot or DSTU ballot

3. Sponsoring Group

We don’t have a complete list of project participants; however we expect groups to identify themselves as they hear about the scope of the project. We will seek more involvement from other groups e.g.

• Public Health reporting
• The National Quality Forum may be interested in the performance and quality data that we are looking to record

We are expecting to make changes to the EHR functional model or functional profiles; we would like to enlist Jim Krentz from SAMSA to help submit these for consideration as enhancements to the EHR-S FM.. We expect the National Quality Forum (NQF) might also interested be as a co-sponsor, and we will reach out to Floyd Eisenberg (NQF) and the Structured Documents Work Group (Bob Dolin) to see if there is interest in collaboration.

4. Project Definition

Section 4: is about background – the fact that data segmentation has emerged as a requirement

4.a. Project Scope

There is a need to identify the Meta data required for data quality and for data segmentation. We are looking to define the level or quality the data collected by electronic system will have to meet in order for data segmentation to be automated. Clearly you can read a paper document and determine whether something is to be embargoed or not but if you can automate the process using electronic data this is the future. These issues and data perquisites are needed to support privacy and policies. In terms of quality we are looking at advance capability of different quality measures and quality data that is intended to evaluate performance of health care delivery organization. But even there we are struggling to identify precisely what of the multitude of data that is already being collected would be relevant to measure overall performance. Furthermore sometimes it will be information that is not collected today e.g. evaluating the access to health care information - is the information capture? This information could be captured in a disparate system, e.g. not integrated with information that is linked to other data related to a performance measure.