Difference between revisions of "EHR Interoperability WG"

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*[[media:LegacyVistA_To_HL7_EHR-FM.xlsx|US Department of Veterans Administration - VISTA Legacy EHR System Functions - Mapping to EHR-S FM Release 1.1]]
 
*[[media:LegacyVistA_To_HL7_EHR-FM.xlsx|US Department of Veterans Administration - VISTA Legacy EHR System Functions - Mapping to EHR-S FM Release 1.1]]
 
*[http://www.hl7.org/implement/standards/product_brief.cfm?product_id=88 HL7 Personal Health Record System Functional Model (PHR-S FM) Release 1, May 2014 (also published as ISO 16527)]
 
*[http://www.hl7.org/implement/standards/product_brief.cfm?product_id=88 HL7 Personal Health Record System Functional Model (PHR-S FM) Release 1, May 2014 (also published as ISO 16527)]
 
  
 
==Record Interoperability Standards==
 
==Record Interoperability Standards==
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=HL7 "Reducing Clinician Burden" (RCB) Project=
 
=HL7 "Reducing Clinician Burden" (RCB) Project=
Project team meets via teleconference on the 1st and 3rd Mondays each month - at 3PM ET (US).  To join the teleconference:  https://global.gotomeeting.com/meeting/join/798931918
 
  
*[[media:Reducing_Clinician_Burden-Overview-20190318.pdf|DRAFT Reducing Clinician Burden Project Overview, dated 18 Mar 2019]]
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This project is now hosted on its own Wiki Page:  http://bit.ly/reducing_burden
*[[media:Reducing_Clinician_Burden_Analysis_Worksheet-20190318.xlsx|DRAFT Reducing Clinician Burden Analysis Worksheet, DRAFT IN PROGRESS - COMMENTS ARE WELCOME!!, dated 18 Mar 2019]]
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==HL7 RCB Project - Presentations==
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*[[media:Reducing_Clinician_Burden-Overview-20190805.pdf|DRAFT Reducing Clinician Burden Project Overview, dated 5 Aug 2019]]
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*[[media:Schlossman_AMDIS_RCB_Presentation_final.pdf|Reducing Clinician Burden Project - New Directions in Alleviating Clinical Workflow and Documentation Burdens - Association of Medical Directors of Information Systems (AMDIS) Presentation, David Schlossman MD, presented 20 Jun 2019]]
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*[[media:HL7_EHR_S_and_Usability_DS_20190617.pdf|Update on HL7 EHR System Usability Functional Profile Project, HL7 Da Vinci Project, CMS Patients over Paperwork RFI, David Schlossman MD, presented 17 Jun 2019]]
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==HL7 RCB Project - Analysis Worksheet==
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*[[media:Reducing_Clinician_Burden_Analysis_Worksheet-201908019.xlsx|DRAFT Reducing Clinician Burden Analysis Worksheet, DRAFT IN PROGRESS - COMMENTS ARE WELCOME!!, dated 19 Aug 2019]]
  
 
=="See What We Mean"==
 
=="See What We Mean"==
 
*[https://ehrseewhatwemean.org/ "See What We Mean" Video Clips, developed by Medstar Health - National Center for Human Factors in Healthcare - EHR Safety and Usability Team]
 
*[https://ehrseewhatwemean.org/ "See What We Mean" Video Clips, developed by Medstar Health - National Center for Human Factors in Healthcare - EHR Safety and Usability Team]
  
==HL7 RCB Project - Reducing Burden - Success Stories==
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==HL7 RCB Project - Reducing Burden and Addressing Burnout - Success Stories==
 
*[[media:Reducing_Clinician_Burden-Success_Story_Template-20190128.docx|DRAFT Reducing Clinician Burden - Success Story Template, updated 28 Jan 2019]]
 
*[[media:Reducing_Clinician_Burden-Success_Story_Template-20190128.docx|DRAFT Reducing Clinician Burden - Success Story Template, updated 28 Jan 2019]]
*[[media:RCB_Story_-_Duke_Heart_Procedures.docx|Duke Heart Business Unit – Procedure Reporting, James Tcheng MD, posted 4 Feb 2019]]
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*[[media:RCB_Story_-_Duke_Heart_Procedures.docx|Duke University - Duke Heart Business Unit – Procedure Reporting, James Tcheng MD, posted 4 Feb 2019]]
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*[[media:Greta_Branford-UMich-HIMSS_2019.pdf|University of Michigan - Burnout: How EHR Usability Improves Efficiency & Satisfaction, Greta Branford MD, presented 14 Feb 2019 (Posted with Permission)]]
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*[[media:Monica_Jones-SNOMED_Clinical_Forum-20190409a.pdf|National Health Service - Rotherham Foundation Trust (UK) - Benefits of SNOMED CT from a clinical perspective, The Rotherham experience, Monica Jones, presented 9 Apr 2019 (Posted with Permission)]]
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*[[media:HL7_-_CCA_Optimization_Presentation_7.15.19.pdf|University of Pennsylvania - Getting Time Back in Your Day!  Implementing a Multi-Faceted Approach to Optimizing Epic in the Ambulatory Setting, Jeff Tokazewski MD, Carole Rosen, Shane Thomas, 15 Jul 2019 (Posted with Permission)]]
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*[[media:AHA-well-being-playbook.pdf|American Hospital Association - Well-Being Playbook, A Guide for Hospital and Health System Leaders, May 2019]]
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*[[media:AHA-HL7_Burnout_Webinar-Arespacochaga-20190818.pdf|American Hospital Association - Well-Being Playbook Presentation, Elisa Arespacochaga, 19 Aug 2019]]
  
==US Office of National Coordinator for Health Information Technology (ONC) "Reducing Burden" Proposal and Draft for Comment==
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==HL7 RCB Project - Survey and Responses==
*[https://www.healthit.gov/topic/usability-and-provider-burden/strategy-reducing-burden-relating-use-health-it-and-ehrs ONC DRAFT "Strategy on Reducing Burden Relating to the Use of Health IT and EHRs", including Findings, Strategies and Recommendations, published 28 Nov 2018, comment period closed 28 Jan 2019]
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*[[media:Reducing_Clinician_Burden-Survey_Responses-20190819.docx|RCB Project Survey and Responses, dated 19 Aug 2019]]
*[[media:HL7_Response_Letter_ONC_Reducing_Burden_Strategy_FINAL.docx|HL7 Comments on ONC Draft Strategy, compiled by HL7 Policy Advisory Committee, submitted 28 Jan 2019]]
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*[[media:ACS-CMS_Mango_v3.0-Opelka-201906.pdf|"The Value Expression" Presentation to CMS, Frank Opelka MD, Medical Director, American College of Surgeons, Quality and Health Policy, published Jun 2019]]
*[[media:CentriHealth-Comments_on_ONC_DRAFT_Burden_Reduction_Strategy.pdf|CentriHealth (UnitedHealth Group) Comments on ONC Draft Strategy, submitted 28 Jan 2019]]
 
  
 
==HL7 RCB Project - Focus Team Drafts==
 
==HL7 RCB Project - Focus Team Drafts==
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*[[media:Schlossman_HL7_RCB_Project_Focus_Teams_Report_20190508.pdf|DRAFT Reducing Clinician Burden - New Approaches to Clinical Workflow, Clinical Documentation, and Electronic Health Record Usability, Clinical Workflow and Documentation Focus Team Report, David Schlossman MD, Lisa Masson MD, Leads, updated 8 May 2019]]
 
*[https://drive.google.com/drive/folders/113pFh5kjX-dLR2K8jLlG-FJkLm-_5IN4?ogsrc=32 DRAFT Team Report - Clinical Documentation: Quality and Usability - Lisa Masson MD, Lead, updated 7 Jan 2019]
 
*[https://drive.google.com/drive/folders/113pFh5kjX-dLR2K8jLlG-FJkLm-_5IN4?ogsrc=32 DRAFT Team Report - Clinical Documentation: Quality and Usability - Lisa Masson MD, Lead, updated 7 Jan 2019]
 
*[[media:EHR_based_cognitive_support_to_Enhance_the_clinician_experience.pdf|DRAFT Team Outline - Clinical decision support, medical logic, artificial intelligence + Alerts, reminders, notifications, inbox management + Information overload - Jim McClay MD, Lead, updated 17 Jan 2019]]
 
*[[media:EHR_based_cognitive_support_to_Enhance_the_clinician_experience.pdf|DRAFT Team Outline - Clinical decision support, medical logic, artificial intelligence + Alerts, reminders, notifications, inbox management + Information overload - Jim McClay MD, Lead, updated 17 Jan 2019]]
 
*[[media:Reducing_Clinician_Burden_Project--Clinical_Workflow_and_Usability_Focus_Group_Report.docx|DRAFT Team Report - Clinical Workflow (Usability Focus) - David Schlossman MD, Lead, updated 21 Jan 2019]]
 
*[[media:Reducing_Clinician_Burden_Project--Clinical_Workflow_and_Usability_Focus_Group_Report.docx|DRAFT Team Report - Clinical Workflow (Usability Focus) - David Schlossman MD, Lead, updated 21 Jan 2019]]
 
*[[media:Schlossman_HL7_RCB_Presentation_18MAR2019.pdf|DRAFT Root Cause Analysis - Clinical Workflow - David Schlossman MD, Lead, updated 18 Mar 2019]]
 
*[[media:Schlossman_HL7_RCB_Presentation_18MAR2019.pdf|DRAFT Root Cause Analysis - Clinical Workflow - David Schlossman MD, Lead, updated 18 Mar 2019]]
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*[[media:Legal_Burdens_Related_to_EHR's-Initial_Outline-BN-Draft-04012019.docx|DRAFT Team Outline - Legal aspects and risks - Barry Newman MD, updated 1 April 2019]]
 
*[[media:Physician_Burden_Issue.docx|DRAFT Team Report - Lock-In, Data Liquidity and Switching Costs - Michael Brody DPM, Lead, updated 15 Dec 2018]]
 
*[[media:Physician_Burden_Issue.docx|DRAFT Team Report - Lock-In, Data Liquidity and Switching Costs - Michael Brody DPM, Lead, updated 15 Dec 2018]]
 
*[[media:Data_Quality_interest_group_report_for_March_4_RCB_Meeting.docx|DRAFT Team Report - Data Quality - Reed Gelzer MD, Lead, updated 4 Mar 2019]]
 
*[[media:Data_Quality_interest_group_report_for_March_4_RCB_Meeting.docx|DRAFT Team Report - Data Quality - Reed Gelzer MD, Lead, updated 4 Mar 2019]]
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==US Office of National Coordinator for Health Information Technology (ONC) DRAFT "Strategy on Reducing Burden"==
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*[https://www.healthit.gov/topic/usability-and-provider-burden/strategy-reducing-burden-relating-use-health-it-and-ehrs ONC DRAFT "Strategy on Reducing Burden Relating to the Use of Health IT and EHRs", including Findings, Strategies and Recommendations, published 28 Nov 2018, comment period closed 28 Jan 2019]
 +
*[https://healthit.gov/burdencomments Summary of Public Comments for Draft Strategy, published 26 Mar 2019]
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*[[media:HL7_Response_Letter_ONC_Reducing_Burden_Strategy_FINAL.docx|HL7 Comments on ONC Draft Strategy, compiled by HL7 Policy Advisory Committee, submitted 28 Jan 2019]]
 +
*[[media:CentriHealth-Comments_on_ONC_DRAFT_Burden_Reduction_Strategy.pdf|CentriHealth (UnitedHealth Group) Comments on ONC Draft Strategy, submitted 28 Jan 2019]]
  
 
==HL7 RCB Project - Reference Sources==
 
==HL7 RCB Project - Reference Sources==
*[http://fortune.com/longform/medical-records/ Fortune and Kaiser Health News - Death by a Thousand Clicks: Where Electronic Health Records Went Wrong, Erika Fry and Fred Schulte, published 18 Mar 2019]
+
RCB Reference Sources (and related links) are available at the RCB Wiki:  http://bit.ly/reducing_burden
*[https://histalk2.com/2019/03/13/readers-write-to-douse-the-flames-of-physician-burnout-target-the-four-biggest-time-wasters-in-the-ehr/ HIStalk - To Douse the Flames of Physician Burnout, Target the Four Biggest Time-Wasters in the EHR, David Butler MD, published 13 Mar 2019]
 
*[https://www.healthcareitnews.com/news/epic-ceo-judy-faulkner-apple-docs-who-actually-their-ehrs-and-warren-buffett Healthcare IT News - Epic CEO Judy Faulkner on Apple, docs who actually like their EHRs..., Mike Miliard, published 13 Feb 2019]
 
*[https://thriveglobal.com/stories/physician-burnout-public-health-crisis-solutions-report/?utm_source=HR19000+WHCC+Care+Delivery+Integration+02012019&utm_medium=email&utm_campaign=HR19000 Thrive Global - Here’s Why Physician Burnout is Officially “A Public Health Crisis”, Jane Burnett, 31 Jan 2019]
 
*[https://www.healthit.gov/sites/default/files/page/2018-11/Draft%20Strategy%20on%20Reducing%20Regulatory%20and%20Administrative%20Burden%20Relating.pdf US Office of the National Coordinator for Health Information Technology (ONC) - DRAFT FOR COMMENT - Strategy on Reducing Burden Relating to the Use of Health IT and EHRs, published 28 Nov 2018, comments due 28 Jan 2019]
 
*[https://www.healthdatamanagement.com/news/ama-president-calls-for-end-to-electronic-health-record-abuse Health Data Management, AMA president calls for end to electronic health record abuse, Greg Slabodkin, published 14 Nov 2018]
 
*[https://www.newyorker.com/magazine/2018/11/12/why-doctors-hate-their-computers The New Yorker/Annals of Medicine - Why Doctors Hate Their Computers, Atul Gawande, published 12 Nov 2018]
 
*[https://www.cms.gov/About-CMS/Story-Page/Clinician-Letter-Reducing-Burden-Documentation-and-Coding-Reform-.pdf US Centers for Medicare/Medicaid Services - Clinician Letter - Reducing Documentation Burden and Coding Reform, Seema Verma, published 8 Nov 2018]
 
*[https://www.healthdatamanagement.com/news/study-links-stress-from-ehr-use-to-physician-burnout?utm_campaign=MorningRounds-Dec%206%202018&utm_medium=email&utm_source=newsletter Health Data Management - Study links stress from EHR use to physician burnout, Greg Slabodkin, 6 Nov 2018]
 
*[[media:ThoughtsOnAddressingTheClinicianBurdenIssueVarri2018.pdf|Thoughts on addressing the clinician burden issue, Alpo Värri, Tampere University of Technology (Tampere, Finland), CEN TC251 WG II, published 16 Oct 2018]]
 
*[[media:Dr_Freedman_2018-10-4_Reducing_Clinician_Burden-version2.pptx|Reducing Clinician Burden - Baltimore Presentation, David J Freedman DPM FACFAS FASPS CPC CPMA, published 4 Oct 2018]]
 
*[https://www.healthaffairs.org/do/10.1377/hblog20180927.405697/full/ Health Affairs - Patient-Centered, Value-Based Health Care Is Incompatible With The Current Climate Of Excessive Regulation, John O'Shea, published 3 Oct 2018]
 
*[https://nam.edu/implementing-optimal-team-based-care-to-reduce-clinician-burnout/ National Academy of Medicine - Implementing Optimal Team-Based Care to Reduce Clinician Burnout, Cynthia D. Smith, Celynne Balatbat, Susan Corbridge, Anna Legreid Dopp, Jessica Fried, Ron Harter, Seth Landefeld, Christina Y. Martin, Frank Opelka, Lew Sandy, Luke Sato, Christine Sinsky, published 17 Sep 2018]
 
*[http://bulletin.facs.org/2018/09/ehrs-add-to-surgeons-administrative-burdens-the-acs-responds/ American College of Surgeons - EHRs add to surgeons’ administrative burdens - The ACS responds, Vinita Ollapally JD, published 1 Sep 2018]
 
*[https://news.aamc.org/patient-care/article/electronic-health-records-what-will-it-take/?utm_source=newsletter&utm_medium=email&utm_campaign=AAMCNews&utm_content=082218 Association of American Medical Colleges, AAMCNews - Electronic health records: What will it take to make them work? Peter Jaret, published 21 Aug 2018]
 
*[http://whitepapers.himssmedia.com/sites/whitepapers.himssmedia.com/files/Vocera_HIMSS_Analytics_HIMSS18-Survey-Report.pdf?aliId=986721793 HIMSS Analytics Research Findings - Frequent Interruptions Distract Clinicians from Patient Care, Contribute to Stress and Burnout, published 22 May 2018]
 
*[https://mfprac.com/web2018/07literature/literature/Misc/Burnout_Downing.pdf Annals of Internal Medicine - Physician Burnout in the Electronic Health Record Era: Are We Ignoring the Real Cause? N Lance Downing MD, David W Bates MD MSc, Christopher A Longhurst MD MS, published 8 May 2018]
 
*[https://ehrintelligence.com/news/physicians-seek-mips-changes-reduced-administrative-burden EHR Intelligence - Physicians urge CMS to Adjust the 2018 MIPS Reporting Period from One Year to 90 days for Reduced Administrative Burden, Kate Monica, published 23 Apr 2018]
 
*[https://www.healthdatamanagement.com/list/7-challenges-physicians-face-getting-access-to-patient-data Health Data Management - Seven Challenges Physicians Face Accessing Patient Data, Joseph Goedert, published 18 Apr 2018]
 
*[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899365/ Predictors of physicians’ stress related to information systems: A nine-year follow-up survey study. BMC Health Services Research, Tarja Heponiemi, Hannele Hyppönen, Sari Kujala, Anna-Mari Aalto, Tuulikki Vehko, Jukka Vänskä, Marko Elovainio, published 13 Apr 2018]
 
*[https://ehrintelligence.com/news/nqf-advises-cms-align-quality-measures-cut-administrative-burden EHR Intelligence - NQF Advises CMS Align Quality Measures, Cut Administrative Burden, Kate Monica, published 3 Apr 2018]
 
*[https://link.springer.com/article/10.1007/s11606-017-4228-2 Journal of General Internal Medicine - Keystrokes, Mouse Clicks, and Gazing at the Computer: How Physician Interaction with the EHR Affects Patient Participation, Richard L. Street Jr, Lin Liu, Neil J. Farber, Yunan Chen, Alan Calvitti, Nadir Weibel, Mark T. Gabuzda, Kristin Bell, Barbara Gray, Steven Rick, Shazia Ashfaq, Zia Agha, published April 2018]
 
*[http://www.physicianspractice.com/himss/reducing-clinician-burnout-five-ehr-related-areas Physician Practice - Reducing Clinician Burnout in Five EHR-Related Areas, Gabriel Perna, published 9 Mar 2018]
 
*[https://www.healthcare-informatics.com/article/ehr/clinicians-cms-onc-right-ship-simplify-reporting-ease-regulatory-burdens Healthcare Informatics - Clinicians to CMS, ONC: “Right the Ship” to Simplify Reporting, Ease Regulatory Burdens, Heather Landi, published 13 Feb 2018]
 
*[https://link.springer.com/article/10.1007%2Fs11606-018-4337-6 Journal of General Internal Medicine - Electronic Health Records: a “Quadruple Win,” a “Quadruple Failure,” or Simply Time for a Reboot?, Michael Hochman, published 5 Feb 2018]
 
*[https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-CMS-ONC-AdminSimplification-020718.pdf American Academy of Family Physicians - AAFP (letter to CMS/ONC regarding) Recommendations to Reduce Clinician Burden from Health Information Technology, John Meigs MD, published 2 Feb 2018]
 
*[http://bulletin.facs.org/2018/02/regulatory-burden-reduction/ American College of Surgeons - Regulatory Burden Reduction, Lauren Foe MPH, published 1 Feb 2018]
 
*[https://ehrintelligence.com/news/ehr-use-administrative-burden-accelerating-physician-burnout EHR Intelligence - EHR Use, Administrative Burden Accelerating Physician Burnout, Kate Monica, published 16 Jan 2018]
 
*[https://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0038-1637007.pdf Applied Clinical Informatics - Consensus Statement: Feature and Function Recommendations to Optimize Clinician Usability of Direct Interoperability to Enhance Patient Care, Steven R Lane, Holly Miller, Elizabeth Ames, Lawrence Garber, David C Kibbe, Joseph H Schneider, Christoph U Lehmann, published 21 Jan 2018]
 
*[http://med.stanford.edu/content/dam/sm/ehr/documents/EHR-Poll-Presentation.pdf Stanford Medicine/The Harris Poll - How Doctors Feel About Electronic Health Records, Results of a national physician poll, 2018]
 
*[https://www.darkdaily.com/ehr-systems-continue-to-cause-burnout-physician-dissatisfaction-and-decreased-face-to-face-patient-care-1222/ Dark Daily - EHR Systems Continue to Cause Burnout, Physician Dissatisfaction, and Decreased Face-to-Face Patient Care, published 22 Dec 2017]
 
*[https://ehrintelligence.com/news/aapa-ehr-toolkit-offers-best-practices-for-ehr-design-usability EHR Intelligence - American Association of Physician Assistants - AAPA EHR Toolkit Offers Best Practices for EHR Design, Usability , Kate Monica, published 8 Dec 2017]
 
*[https://www.hitechanswers.net/breaking-news-cms-finalizes-policies-reduce-provider-burden-lower-drug-prices/ HITECH Answers - CMS Finalizes Policies that Reduce Provider Burden and Lower Drug Prices, published 2 Nov 2017]
 
*[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5646125/ Finnish physicians’ stress related to information systems keeps increasing: A longitudinal three wave survey study, Tarja Heponiemi, Hannele Hyppönen, Tuulikki Vehko, Sari Kujala, Anna-Mari Aalto, Jukka Vänskä, Marko Elovainio, published 17 Oct 2017]
 
*[http://www.annfammed.org/content/15/5/419.full.pdf Annals of Family Medicine - Tethered to the EHR: Primary Care Physician Workload Assessment Using EHR Event Log Data and Time-Motion Observations, Brian G. Arndt, MD, John W. Beasley, MD, Michelle D. Watkinson, MPH, Jonathan L. Temte, MD, PhD, Wen-Jan Tuan, MS, MPH, Christine A. Sinsky, MD, Valerie J. Gilchrist, MD, published Sep 2017]
 
*[https://nam.edu/burnout-among-health-care-professionals-a-call-to-explore-and-address-this-underrecognized-threat-to-safe-high-quality-care/ National Academy of Medicine - Burnout Among Health Care Professionals: A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care, Lotte N. Dyrbye, Tait D. Shanafelt, Christine A. Sinsky, Pamela F. Cipriano, Jay Bhatt, Alexander Ommaya, Colin P. West, and David Meyers, published 5 Jul 2017]
 
*[http://annals.org/aim/fullarticle/2614079/putting-patients-first-reducing-administrative-tasks-health-care-position-paper American College of Physicians - Putting Patients First by Reducing Administrative Tasks in Health Care, Shari M. Erickson MPH, Brooke Rockwern MPH, Michelle Koltov MPH, Robert M. McLean MD, published 2 May 2017]
 
*[https://www2.deloitte.com/content/dam/Deloitte/us/Documents/life-sciences-health-care/us-lshc-physician-survey-hit-factsheet.pdf Deloitte Survey of US Physicians - Findings on health information technology and electronic health records, published 3 Oct 2016]
 
*[https://ehrintelligence.com/news/tips-for-reversing-physician-burnout-caused-by-ehr-use EHR Intelligence - Tips for Reversing Physician Burnout Caused by EHR Use, Sheri Stoltenberg, published 16 Oct 2016]
 
*[https://www.fiercehealthcare.com/it/marc-probst-we-re-not-close-to-solving-interoperability FierceHealthcare - Intermountain's Marc Probst - We're not close to solving interoperability, Dan Bowman, published 28 Sep 2016]
 
*[https://www.medscape.com/viewarticle/868421#vp_1 EHR Burden Weighs Heavily on Physicians, Leads to Burnout, Diana Phillips, published 6 Sep 2016]
 
*[https://ehrintelligence.com/news/ehr-use-continues-to-contribute-to-physician-burnout EHR Intelligence - EHR Use Continues to Contribute to Physician Burnout, Kyle Murphy PhD, published 20 Jun 2016]
 
*[https://www.himss.org/news/five-usability-barriers-preventing-health-it-supporting-clinician-needs Five Usability Barriers Preventing Health IT From Supporting Clinician Needs, David M. Schlossman, MD, PhD, FACP, MS (Informatics), CPHIMS and Nancy Staggers, PhD, RN, FAAN, published 16 Jun 2016]
 
*[https://www.healthaffairs.org/do/10.1377/hblog20160421.054511/full/ Health Affairs - Make The Clinician Burnout Epidemic A National Priority; Andrew Shin, Tejal Gandhi, Shoshana Herzig; published 21 Apr 2016]
 
*[https://www.nejm.org/doi/full/10.1056/NEJMp1509961 Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine, Lisa Rosenbaum, M.D.; published 22 Oct 2015]
 
*[https://jamanetwork.com/journals/jama/fullarticle/2434673? Electronic Health Record Vendor Adherence to Usability Certification Requirements and Testing Standards, Raj M Ratwani PhD, Natalie C Benda BS, A Zachary Hettinger MD MS, published 8 Sep 2015]
 
*[https://journals.lww.com/cinjournal/Citation/2015/08000/Nursing_Centric_Technology_and_Usability_A_Call_to.1.aspx Alliance for Nursing Informatics/Computers Informatics Nursing - Nursing centric technology and usability: A call to action, Nancy Staggers PhD RN FAAN, Beth L Elias PhD MS, Jane R Hunt MS BSN RN, Ellen Makar MS RN-BC CCM CPHIMS CENP, Gregory L Alexander PhD RN FAAN, published Aug 2015]
 
*[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4537152/ Journal for Electronic Health Data and Methods - Improving Clinical Workflow in Ambulatory Care: Implemented Recommendations in an Innovation Prototype for the Veteran’s Health Administration, Emily S Patterson PhD, Svetlana Z Lowry PhD, Mala Ramaiah MD, Michael C Gibbons MD, David Brick, MD, Robert Calco, Greg Matton JD, Anne Miller PhD, Ellen Makar MSN RN-BC CPHIMS CCM, and Jorge A Ferrer MD MBA LSA, published 9 Jul 2015]
 
*[https://academic.oup.com/jamia/article/22/6/1179/2357601 Journal of the American Medical Informatics Association - Electronic health record usability: analysis of the user-centered design processes of eleven electronic health record vendors, Raj M Ratwani, Rollin J Fairbanks, A Zachary Hettinger, Natalie C Benda, published 6 Jun 2015]
 
*[https://academic.oup.com/jamia/article/22/5/1102/932174 American Medical Informatics Association - Report of the AMIA EHR-2020 Task Force on the status and future direction of EHRs; Thomas H Payne, Sarah Corley, Theresa A Cullen, Tejal K Gandhi, Linda Harrington, Gilad J Kuperman, John E Mattison, David P McCallie, Clement J McDonald, Paul C Tang; published 26 May 2015]
 
*[http://jabfm.org/content/28/3/316.full.pdf+html Journal of the American Board of Family Medicine - Physician Information Needs and Electronic Health Records (EHRs): Time to Reengineer the Clinic Note, Richelle J. Koopman MD MS, Linsey M. Barker Steege PhD, Joi L. Moore PhD, Martina A. Clarke MS, Shannon M. Canfield MPH, Min S. Kim PhD and Jeffery L. Belden MD, published May 2015]
 
*[http://annals.org/aim/fullarticle/2089368/clinical-documentation-21st-century-executive-summary-policy-position-paper-from Annals of Internal Medicine, American College of Physicians - Clinical Documentation in the 21st Century, Thomson Kuhn, MA; Peter Basch, MD; Michael Barr, MD, MBA; Thomas Yackel, MD, MPH, MS, published 17 Feb 2015]
 
*[https://www.ibj.com/blogs/12-the-dose-jk-wall/post/50131-the-tragedy-of-electronic-medical-records#%2EVJWvZwfSa8c%2Elinkedin Indianapolis Business Journal - The tragedy of electronic medical records, JK Wall, 23 Oct 2014]
 
*[https://www.aace.com/files/ehr-priorities.pdf American Medical Association - Improving Care: Priorities to Improve Electronic Health Record Usability, published 2014]
 
*[https://www.rand.org/content/dam/rand/pubs/research_reports/RR400/RR439/RAND_RR439.pdf RAND Report - Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy, Mark W. Friedberg, Peggy G. Chen, Kristin R. Van Busum, Frances Aunon, Chau Pham, John Caloyeras, Soeren Mattke, Emma Pitchforth, Denise D. Quigley, Robert H. Brook, F. Jay Crosson, Michael Tutty, published 2013]
 
*[https://www.researchgate.net/publication/49761386_The_Complexity_of_Disease_Combinations_in_the_Medicare_Population Population Health Management - The Complexity of Disease Combinations in the Medicare Population, James Sorace, Hui–Hsing Wong, Chris Worrall, Jeffrey Kelman, Shahin Saneinejad, and Thomas MaCurdy, published 11 Aug 2011]
 
*[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3000760/ Journal of the American Medical Informatics Association - Health information technology: fallacies and sober realities, Ben-Tzion Karsh, Matthew B Weinger Patricia A Abbott, and Robert L Wears, published 30 Apr 2010]
 
*[[media:Reducing_Clinician_Burden-20180222.pdf|CMS/ONC Reducing Clinician Burden Conference - Comments Submitted by CentriHealth, Gary Dickinson, dated 22 Feb 2018]]
 
  
  
=CURRENT US Notices of Proposed Rule-Making=
+
=US Office of National Coordinator (ONC), Trusted Exchange Framework/Common Agreement (TEFCA)=
*[https://www.federalregister.gov/documents/2019/03/04/2019-02200/medicare-and-medicaid-programs-patient-protection-and-affordable-care-act-interoperability-and US Centers for Medicare and Medicaid Services - Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability and Patient Access for Medicare Advantage Organization and Medicaid Managed Care Plans, State Medicaid Agencies, CHIP Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans in the Federally-facilitated Exchanges and Health Care Providers, posted 4 Mar 2019, comments due 3 May 2019]
+
*[https://www.hhs.gov/about/news/2018/01/05/draft-trusted-exchange-framework-and-common-agreement-released-hhs.html TEFCA Draft 1, DRAFT Documents and Request for Comment, published 5 Jan 2018]
*[https://www.federalregister.gov/documents/2019/03/04/2019-02224/21st-century-cures-act-interoperability-information-blocking-and-the-onc-health-it-certification US Office of National Coordinator for Health Information Technology - 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program, posted 4 Mar 2019, comments due 3 May 2019]
+
*[https://www.healthit.gov/topic/interoperability/trusted-exchange-framework-and-common-agreement TEFCA Draft 2, DRAFT Documents and Request for Comment, published 19 Apr 2019]
 +
*[[media:HL7_Response_Letter_TEFCA_2_06.14.19_FINAL.pdf|HL7 Response Letter, HL7 Policy Advisory Committee, published 17 Jun 2019]]
 +
*[[media:CentriHealth-Comments_on_TEFCA_2-20190617.pdf|Comments on TEFCA Draft 2, Gary Dickinson, CentriHealth, dated 17 Jun 2019]]
 +
*[[media:TEFCA_Scatter_vs_Individual_at_the_Center-20190617.pdf|TEFCA Scatter vs Individual at the Center, Gary Dickinson, CentriHealth, dated 17 Jun 2019]]
  
  
=US Office of National Coordinator (ONC), Trusted Exchange Framework/Common Agreement (TEFCA)=
+
=US Office of National Coordinator (ONC), 21st Century Cures Act: Interoperability, Information Blocking...=
*[https://www.hhs.gov/about/news/2018/01/05/draft-trusted-exchange-framework-and-common-agreement-released-hhs.html TEFCA Press Release, DRAFT Documents and Request for Comment, published 5 Jan 2018]
+
*[https://www.federalregister.gov/documents/2019/03/04/2019-02224/21st-century-cures-act-interoperability-information-blocking-and-the-onc-health-it-certification US Office of National Coordinator for Health Information Technology - 21st Century Cures Act - Notice of Proposed Rule-Making (NPRM): Interoperability, Information Blocking, and the ONC Health IT Certification Program, published 4 Mar 2019]
*[[media:CentriHealth-Comments_on_ONC_DRAFT_TEFCA.pdf|CentriHealth Comments on DRAFT TEFCA, Gary Dickinson, dated 20 Feb 2018]]
+
*[[media:HL7_Response_Letter_TEFCA_2_06.14.19_FINAL.pdf|HL7 Response Letter, HL7 Policy Advisory Committee, published 3 Jun 2019]]
*[[media:Hrba_tefca_comments_20180220.pdf|Health Record Banking Alliance (HRBA) Comments on DRAFT TEFCA, dated 20 Feb 2018]]
+
*[[media:CentriHealth-Comments_on_ONC_NPRM-20190603.pdf|Comments on ONC NPRM - 21st Century Cures Act: Interoperability, Information Blocking, et al, Gary Dickinson, CentriHealth,, published 3 Jun 2019]]
  
  

Revision as of 16:01, 18 August 2019

The HL7 Electronic Health Record (EHR) Interoperability Work Group is an activity of the HL7 EHR Work Group.

Please subscribe to the HL7 EHR Interoperability listserver for meeting announcements, agendas and updates regarding current work.

NOTE: DRAFT documents may be incomplete and are posted for Team review and discourse. Please take care to note their draft (tentative) status if referencing or sharing with others.


Contents

HL7 EHR/PHR Standards

System Functionality Standards

Record Interoperability Standards


HL7 "Reducing Clinician Burden" (RCB) Project

This project is now hosted on its own Wiki Page: http://bit.ly/reducing_burden

HL7 RCB Project - Presentations

HL7 RCB Project - Analysis Worksheet

"See What We Mean"

HL7 RCB Project - Reducing Burden and Addressing Burnout - Success Stories

HL7 RCB Project - Survey and Responses

HL7 RCB Project - Focus Team Drafts

US Office of National Coordinator for Health Information Technology (ONC) DRAFT "Strategy on Reducing Burden"

HL7 RCB Project - Reference Sources

RCB Reference Sources (and related links) are available at the RCB Wiki: http://bit.ly/reducing_burden


US Office of National Coordinator (ONC), Trusted Exchange Framework/Common Agreement (TEFCA)


US Office of National Coordinator (ONC), 21st Century Cures Act: Interoperability, Information Blocking...


US Office of National Coordinator (ONC), Technical Interoperability Forum, 15-16 August 2017


US Office of National Coordinator (ONC), Interoperability Forum, 6-8 August 2018


US Office of National Coordinator (ONC), "Record to Rely On" Workshop, 29 November 2016

Leads: Mark Knee JD, Elise Sweeney Anthony JD, Mike Lipinski JD


US Office of National Coordinator - Interoperability Standards Advisory (ISA)


HL7 FHIR Standard Release 4

FHIR EHR-S Record Lifecycle Event Implementation Guide

FHIR AuditEvent and Provenance Profiles

FHIR Five W's Pattern (Who, What, When, Where, Why)

FHIR Implementer's Safety Check List


Interoperability Assessment


Blockchain for Health/Healthcare (Public Journal)


International Patient Summary (INTERPAS/IPS)


PUBLICATION PACKAGE - Meaningful Use 2015 Edition Functional Profile

Leads: Gary Dickinson, Anneke Goossen, Michael Van Der Zel


Meaningful Use 2015 Edition Functional Profile (of ISO/HL7 10781 EHR-S FM Release 2)

Leads: Gary Dickinson, Mark Janczewski MD, Anneke Goossen

Meaningful Use 2014 Edition Functional Profile (of ISO/HL7 10781 EHR-S FM Release 2)

Leads: Gary Dickinson, Diana Warner, Hetty Kahn, Anneke Goossen


EHR as Legal Record Project

HL7 EHR and Records Management-Evidentiary Support (RM-ES) WGs

Leads: Gary Dickinson, Reed Gelzer MD, Diana Warner


Record Entry Lifecycle Event Metadata using FHIR (Fast Health Interoperable Resources) - Project Now Complete

Lead: Gary Dickinson


Record Lifecycle, Provenance and Vocabulary Alignment - Project Now Complete

Record Lifecycle, Security, Privacy, and Provenance Vocabulary Alignment

Leads: Reed Gelzer, MD, Diana Proud-Madruga

REFERENCES


US ONC Standards and Interoperability Framework

2011-2016 Use Case Initiatives - Transitions of Care, Lab Results, Provider Directory, Digital Certificate, et al.

Cross Initiative Work Group - S&I Simplification


ISO/HL7 10781:2017 EHR-S FIM Release-3 2014-Planning

Gary Dickinson, co-chair and Steve Hufnagel PhD, project-facilitator

EHR-S FIM is EHR System Function-and-Information Model, release-3 planned for '2017 joint ISO/HL7-International ballot


EHR-S and PHR-S FIM, Release-3 2012 Prototype

Steve Hufnagel, Facilitator and Gary Dickinson, co-chair

PURPOSE

- add conceptual information and data model for each Release 2.0 EHR-S FM function
- make the EHR-S FM easier  to use for architects, analysts and engineers
- verify and validate EHR-S FM Release 2.0
- DSTU demonstration for Service Aware Interoperability Framework (SAIF) 
- Support specific profiles (e.g., WG project DAMS, DIMS, DCMS).

REFERENCE DOCUMENTS

IMMUNIZATION MAGAGEMENT PROTOTYPE

ORDERS MAGAGEMENT PROTOTYPE

RESULTS MAGAGEMENT PROTOTYPE

RECORDS INFRASTRUCTURE (RI) PROTOTYPE


US HITECH Act - EHR Incentive Program - Stage 1 - Final Regulations (2011 Edition)


US HITECH Act - EHR Incentive Program - Stage 2 - Final Regulations (2014 Edition)


US HITECH Act - EHR Incentive Program - Stage 3 - Final Regulations (2015 Edition)


US ONC Final 10 Year Interoperability Roadmap


US ONC Advance Notice of Proposed Rulemaking

Metadata Standards to Support Nationwide Electronic Health Information Exchange


ISO 16223 - Standards Convergence to Promote EHR Interoperability


Key Reference Documents


2009 ANSI HITSP Foundations Framework Simplification Strategy