2017-06-15 Learning Health Systems Call

Facilitator	Russell Leftwich	Note taker(s)	Russell Leftwich
Attendee	Name	Affiliation
X	Russell Leftwich	InterSystems
X	Julia Skapik	ONC
X	Jim McClay
X	John Roberts	Tennessee Department of Health
X	Lori Macdonald	Tennessee Department of Health
X	Didi Davis	Sequoia Project
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
	Michael Padula
	Serafina Versaggi	VA

Minutes

• Chair: Russell Leftwich
• Scribe: Russell Leftwich

• Motion to approve previous call minutes: Stephen/John
• Stephen Question on work on care team participant.responsibility valueset.
  • Care team category focus - event, encounter, episode of care, care coordination, research, public health - Looked at where public health fit. We have
  • Participant.role
  • Participant.responsibility
    • What example values to use?
  • Participant.specialty
• Updates from Julia
  • Lisa suggested it might be helpful to get suggestions about care team members in the field. Implementers at HHS in September to work on workflow. Suggest proposing material and ask for feedback.
  • Get feedback before pushing forward too far
  • How to go about doing this?
    • Page on ONC tech lab
  • Need to separate what folks are doing now with what is a vision of the future. Ask if what is proposed seem usable. Also have we left anything out?
• Russ provided a Re-Cap
  • Started out with mode of contact -
    • Folks that are a part of the care team but may not have direct contact with the patient - Diagnostic Report Authors - radiologists, pathologists, etc
    • Others include remote care managers, telehealth, clinical research teams
  • Last week talked about folks that may not have face-to-face encounters with the patient but are part of the care team- include health coaches, nutritionists, education providers, pharmacists, school health care (may be telehealth)
• Stephen's Spreadsheet
  • Participant.role: Have some values
  • Participant.specialty: values from implementers and others
  • Participant.responsibility
    • What example values to use?
    • Discussion on the responsibility of the participant vs the credentialing. What kind of thing they actually do to help the patient.
    • Function or skill set, not necessarily credentialed to do it. May be trained to do it. May not be distinguished in NUCC. Need to be something that is a learned skill - particularly with family members that would distinguish them from other family members. Primary nurse is more like coverage. Care team tied to the care plan need to use this to determine who is doing what for the patient. Suggestion this list should be an attribute of the people on the care team.
    • Need to be able to have alignment with CDA as well.
    • Spreadsheet is [here]- Please update and provide more examples.
    • Will continue discussion on next call.