0 hitsp technical committee 2008 project plans arlington, va. march 2008 hitsp project template for...

1HITSP Technical Committee 2008 Project Plans

Arlington, VA. March 2008

HITSP Project Template for Defining Technical Committee 2008 Project Plans

Contract HHSP23320054103EC

NOTE: This template may be used the HITSP TCs to summarize the results of their 2008 project planning during the March 24-26 TC Face to Face meeting. The resulting information may be incorporated into the TC presentations to the Panel as appropriate

NOTE: This document is TEMPLATE only. The content has not yet been validated by the HITSP TC Facilitators.


Outline

Overview

Provider TC Project Plan

Consumer TC Project Plan

Population TC Project Plan

Security, Privacy and Infrastructure TC Project Plan

Care Management and Health Records TC Project Plan

Administrative and Finance TC Project Plan


HITSP 2008 TC Project Plan Overview

TC 2008 Use Case Work 2006/2007 Carry-over Work Provider Consultations and Transfer of

Care

Personalized Healthcare

IS01 EHR Lab Results

IS04 EHR Emergency Responder

Consumer Remote Monitoring

Patient Provider Secure Messaging

IS03 Consumer Access via Media

IS05 Consumer Access via Network

Population Public Health Case Reporting

Immunization and Response Management

IS02 Biosurveillance

IS06 Quality

Security, Privacy & Infrastructure

TBD TN900 Security and Privacy and 19 existing constructs (see next page)

Care Mgmnt & Health Records

TBD 16 existing constructs (see next page)

Administrative and Finance

TBD 3 existing constructs (see next page)


Domain TC Existing Constructs

C35 - Lab Result Terminology

C36 - Lab Result Message

C37 - Lab Report Document

T18 - View Lab Result From Web App

TP14 - Send Lab Result Message

C39 - Encounter Message

C41 - Radiology Result Message

TP49 - Sharing Radiology Results

C48 - Encounter Document

C32 - Summary Docs Using CCD

C28 - Emergency Care Summary Document

C34 - Patient Level Quality Data Message

C38 - Patient Level Quality Data Document

T42 - Medication Dispensing Status

TP43 - Medication Orders

C19 - Entity Identity Assertion

C25 - Anonymize

C26 - Nonrepudiation of Origin

T15 - Collect and Comm Security Audit Trail

T16 - Consistent Time

T17 - Secured Communication Channel

T24 - Pseudonymize

TP20 - Access Control

TP30 - Manage Consent Directives

C44 - Secure Web Connection

T29 - Notification of Document Availability

T31 - Document Reliable Interchange

T23 - Patient Demographics Query

T33 - Transfer of Documents on Media

TP13 - Manage Sharing of Documents

TP21 - Query for Existing Data

TP22 - Patient ID Cross-Referencing

TP50 - Retrieve Form for Data Capture

C47 - Resource Utilization

T40 - Patient Eligibility Verification

TP46 - Medication Formulary and Benefits Information

Security Privacy & Infrastructure Care Management & Health Records Administrative & Finance


MAR

HITSP 2008 TC Timeline Overview 6/16/08

HITSP Board

3/24 – 3/26TC F2FDC Area

3/27/08HITSP Panel

WE ARE HERE

2008 Use Cases v 1.0

MAY JUNE JULY AUG SEPT OCT NOV DECAPR

5/12 – 5/14TC F2F

TBD

6/11 – 6/13TC F2FDC Area

9/8 – 9/10TC F2F

TBD

10/28 – 10/30TC F2FChicago

10/6/08HITSP Panel

9/29/08HITSP Board

12/2/08HITSP Board

12/8/08HITSP Panel

6/23/08HITSP Panel

2008 Use Cases

2006/2007 Carryover Work

RDSS Comment Comment ResIS Development CommentPlan

Subject to change based on TC Project Plan

TBD Based on TC Project Plan

IS01, IS02, IS03, IS04, IS05, IS06, IS07 Gaps and Overlaps

NHIN Coordination, Implementation Testing Support, Education and Outreach

Other


Outline

Overview








Provider TC Plan – 2008 Consultations and Transfers of Care Use Case

Use Case Description

– <Insert brief Use Case description>

– <Etc…>

– <Etc…>


Provider TC Plan – 2008 Consultations and Transfers of Care Use Case

Proposed Approach

– Scope for 2008 <Identify scope of work to be accomplished in 2008>

– Opportunities for Reuse <Insert Construct Name> <Insert Construct Name> <Insert Construct Name> etc.…

– Domain TC Support Required <Insert Domain TC Names – Security, Privacy & Infrastructure,

Care Management & Health Records, Administrative and Finance>


Provider TC Plan – 2008 Consultations and Transfers of Care Use Case Proposed Timeline (Key Milestones)

– <Update timeline dates as appropriate>

Task Timeline

Requirements Design and Standards Selection (RDSS)

March – June 2008

Interoperability Specification (IS) and Associated Construct Development

July – September 2008

Comment Period, Resolution and Panel Approval

October – December 2008


Provider TC Plan – 2008 Personalized Health Care Use Case



– <Etc…>

– <Etc…>


Proposed Approach







Proposed Timeline (Key Milestones)– <Update timeline dates as appropriate>

Task Timeline


March – June 2008







IS01 EHR Lab Results

– Completing updates to IS01 to incorporate Security and Privacy constructs and to move to new template

Impact IS01, C44, T18, TP14 Panel approval expected in March/April 2008

– Update to TP14 to …..(is this Provider TC or a Domain TC?) <List impacted constructs and expected timeline>

Provider TC Plan – 2006/2007 Carryover Work


IS04 EHR Emergency Responder Gaps and Overlaps to Address in 2008

– Incident/Victim Identifier (Frank Kiernan)

– Common Approaches to Delivering Incident Information (David Aylward)

– Standardized List of Incident Types (David Aylward)

– Situational Awareness Reporting (Denis Gusty/Tim Grapes)

– Emergency Contact Registry (ECON) (Larry Williams)

– Patient Information and Tracking Data Vocabulary/ Terminology Harmonization (N. Clay Mann)

– Patient Information and Tracking Messaging and Document Sharing (Tim Grapes and N. Clay Mann)

– Nursing Terminology Overlap (Virginia Saba, Karen Martin)



IS04 EHR Emergency Responder Gaps and Overlaps to Monitor

– Decision Support Tools

– Core Services

Monitor and Coordinate All Projects

– Creation of Inter-Agency Emergency Medical Awareness and Response Work Group (EMAR)

– Project Lead: Greg Mears



IS07 Medication Management Gaps

– Drug knowledge supplier information exchange

– Electronic prescribing for controlled substances

– Implanted medication infusion devices terminology

– NCPDP SCRIPT 10.1 use of FMT coded fields for Drug Form, Drug Strength and Drug Unit of Measure

– Inability of all medication prescribers to obtain a NPI

– Drug identifiers based on usage Monitor Foundations Committee

– Routing of the ASC X12 270/271 messages (Cross TC?)

– Medication Expiration Date not included in the HL7 CCD; Description of C32 Fill Status vocabulary

Refer to Care Management and Health Records TC



IS07 Medication Management Overlaps

– NCPDP SCRIPT 10.1 and HL7 Version 2.5/2.5.1 Pharmacy/Treatment Orders used in HITSP/TP43 – Medication orders

Monitor Foundations Committee

– ASC X12 Insurance Subcommittee X12N Implementation Guides Version 0040010 plus Addenda 004010A1 and NCPDP Telecommunication Standard Implementation Guide Version D.0 Eligibility Verification Transaction used in HITSP/TP46

Monitor Foundations Committee

– CAQH CORE Phase 1 Operation Rules and HITSP/T17 Secured Communication Channel used in HITSP/T40

Refer to SP&I TC



Outline

Overview








Consumer TC Plan – 2008 Remote Monitoring Use Case



– <Etc…>

– <Etc…>


Consumer TC Plan – 2008 Remote Monitoring Use Case

Proposed Approach






Consumer TC Plan – 2008 Remote Monitoring Use Case Proposed Timeline (Key Milestones)

– <Update timeline dates as appropriate>

Task Timeline


March – June 2008






Consumer TC Plan – 2008 Patient Provider Secure Messaging Use Case



– <Etc…>

– <Etc…>


Proposed Approach








Task Timeline


March – June 2008







Gaps and Overlaps to Address in 2008

– Provider Role in Registration Data <List impacted constructs, expected timeline, and Domain TC>

– Consumer Friendly Presentation of Consumer Information <List impacted constructs, expected timeline, and Domain TC>

– PHR Portability – Network based Transfer of PHR Content <List impacted constructs, expected timeline, and Domain TC>

– Advance Directives (Scanned Document Content) New construct to be addressed by Care Management and Health

Records TC

Consumer TC Plan – 2006/2007 Carryover Work


Gaps and Overlaps – Dependent on SP&I TC

– Permission Lists for PHR Portability

– Distributed Management of Access Control

– Audit Logs/Disclosure Logs

– PHR Location

Gaps and Overlaps to Monitor

– Dose Calculation in Medication Data Requires SDO work – not planned for 2008

– Provider Lists Dependent on access to NPPES list maintained by CMS.

Consumer TC Plan – 2006/2007 Carryover Work


Outline

Overview








Population TC Plan – 2008 Public Health Case Reporting Use Case



– <Etc…>

– <Etc…>


Proposed Approach








Task Timeline


March – June 2008









– <Etc…>

– <Etc…>

Population TC Plan – 2008 Immunization and Response Management Use Case


Proposed Approach








Task Timeline


March – June 2008







IS02 Biosurveillance Gaps and Overlaps to Address in 2008

– Work Plan TBD

IS06 Quality Gaps and Overlaps to Address in 2008

– Verification Case Review (Message Component and Document Component)

If QRDA is complete – Work with Care Management and Health Records TC to update for 2008

Population TC Plan – 2006/2007 Carryover Work


IS06 Quality Gaps and Overlaps to Monitor for 2009

– Measurement Criteria (Message Component and Document Component)

Follow IHE QRPH required valueset contents for two measures; White paper this year; Oct 2008 Profile proposal; Work with HL7 regarding this and care plan

– Validation and Data Quality Checking Component Work with Admin and Finance TC for evaluation

– Quality Measurement (Message Component and Document Component)

– Derived Information Component Part of CDS; Work with Care Management and Health Records TC

for Knowledge Representation

Population TC Plan – 2006/2007 Carryover Work


Outline

Overview








Maintenance of Existing S&P Constructs and TN900

– TP30 – Manage Consent Directives Evaluate the need to disaggregate the current transaction

package structure into more granular transactions and component standards (March 2008)

– TP20 – Access Control Evaluate the existing access control construct and incorporate

new changes, as needed (May 2008)

– Identity Credentials Management Work Group Identify issues related to identify credentials affecting HIE and

interoperability; prioritize scope of work, define a framework and a roadmap for addressing issue; develop recommendations

Security Privacy and Infrastructure TC Plan


New and Updated Constructs to Support 2006/2007 Use Case Gaps and Overlaps

– Provider TC Referrals Lab Message Document Digital Signature for Medications Management <Insert others from Provider Project Plan>

– Consumer TC Referrals PHR Location <Insert others from Consumer Project Plan>

– Population TC Referrals <Insert others from Provider Project Plan>



New and Updated Constructs to Support 2008 Use Cases

– Provider TC Referrals <Insert Name of Construct from Provider Project Plan>

– Consumer TC Referrals <Insert Name of Construct from Consumer Project Plan>

– Population TC Referrals <Insert Name of Construct from Population Project Plan>



Outline

Overview









– Provider TC Referrals C32 …Medication Management <Insert Name of Other Constructs from Provider Project Plan>

– Consumer TC Referrals Scanned Document Content Insert Name of Other Constructs from Consumer Project Plan>

– Population TC Referrals <Insert Name of Constructs from Population Project Plan>

Care Management and Health Records TC Plan



– Provider TC Referrals <Insert Name of Constructs from Provider Project Plan>

– Consumer TC Referrals <Insert Name of Constructs from Consumer Project Plan>


Care Management and Health Records TC Plan


Outline

Overview












Administrative and Finance TC Plan

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