2017-08-18 Learning Health Systems Call

Facilitator	John Roberts	Note taker(s)	Emma Jones
Attendee	Name	Affiliation
X	Russell Leftwich	InterSystems
X	John Roberts	Tennessee Department of Health
X	Stephen Chu	Individual
X	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
x	Michelle Miller	Cerner
	Benjamin Kummer	Columbia University
	Matt Rhan
	Michael Padula
x	Joseph Quinn
x	John Ritter

|}

Minutes

• Chair: John Roberts
• Scribe: Emma Jones

• Motion to approve previous call minutes: <Russ>/<Emma>

Agenda

• Care Team Use Case Development
  • Structure to use
  • Follow the Care Plan Dam model as an example to the Care Team use cases
  • more practical to use the use cases to maximize the relationships between the care team members and the patient and the care team members and each other
  • Used to seeing very skinny use cases
  • more use cases rather than longer uses cases to capture the relationships
  • Need succinct and short use cases - looking for the care team members, roles and relationships and functions to guide story board development. to a certain degree their activity as it relates to consent. Will use this to test the care team model.
  • Need some special attributes (like the issue of consent) that are seperate from relationships, and how we auto mate this.
  • Russ reached out to DS4P folks about the work they've done with consent - they can join us - need to use this to incorporate
  • DS4P
  • Need to add how did this care team member come to the care team - referral, hosp admission, patient referred the care team member, etc
  • Need this so new care team members would know where the rest of the care team members came from
  • Would be needed for care team management and care coordination
  • Snowbird scenarios - Patient may have 2 primary care physicians
  • Use Case: Care Team Initiation and adding or removing care team members
    • Care team under the stewardship of an organization
    • Care team formed under the initiation by patient itself
  • Should we categorized in the story board?
  • Will there be points of views based on scenarios or specialty situations? - pharmacy care team, nursing care team, etc like the care plan DAM story boards.
  • VA care team model - care team fulfilling role on other care teams - Russ asked Dave Carlson to provide use case
  • Public Health use case for public health
  • Use case when there is no care coordination
    • Need to identify the categories in advance to cover particular concepts
  • Started categories
    • collaborative of care storyboard
    • Transition of care storyboard
      • children with special needs will fall into one of these two
    • public health storyboard
    • Research storyboard
    • consent storyboard
    • patient as the care manager (patient does their own care coordination) - may need to fold this into the other storyboards
• Examples
  • Consent Use Cases
    • • See this for the use cases development examples that Stephen has doneGoogle Doc
• Comments and suggestions
  • Discussion about the use case format - explore usingthis
  • Need to use something that is collaborative
  • Could ask collaborators to do the low level details before adding to the care team dam so that it doesn't become a burden for the care team DAM
  • suggest having a library of use cases to publish with the DAM and make available as a stand alone thing and have other work reference them. Story is developed because reflective of reality.
• Next steps
  • Russ will reach out to Jonathan and Kathleen to join us for the consent as it relates to DS4P
  • Another overarching issue is care team communication
  • Russ will ask Dave Carlson - care team plays role on another care team
  • Russ will ask Elaine for research care team use case
  • Stephen and Emma will work on cleaning up the document
  • Others to take a look and edit as needed.