Clinical Decision Support Consortium: Technical Expert Panel Meeting - - PowerPoint PPT Presentation

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Clinical Decision Support Consortium: Technical Expert Panel Meeting - - PowerPoint PPT Presentation

Clinical Decision Support Consortium: Technical Expert Panel Meeting Update August 13, 2008 Timeline Overview Year I Year II Knowledge Management Lifecycle Assessment Knowledge Translation and Specification Knowledge Portal & Repository


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SLIDE 1

Clinical Decision Support Consortium: Technical Expert Panel Meeting Update

August 13, 2008

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SLIDE 2

Timeline Overview

Year I Year II

Knowledge Management Lifecycle Assessment Knowledge Translation and Specification Knowledge Portal & Repository CDS Web Services Development Vendor Recommendation/CCHIT Demo Phase 1: LMR Evaluation Dissemination

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Workflow Diagram

Input Format

KM Lifecycle Assessment Execution Services

Models 2 Errors and Gaps Feedback

CDS Demonstrations Knowledge Translation and Specification CDS Dashboards KM Portal

CCHIT/HITSP CPG

Recommend

Recommend ations Output Format

Service Definition

Specs Gaps Feedback Gaps Feedback Q u a l i t y D a t a E l e m e n t s C a t a l

  • g

Specs Catalogs (rules and services) Recommendations

Dissemination Evaluation

Lessons 2

Suggestions for Survey Creation

Lessons for Survey Creation Lessons 3

Suggestions for Survey Creation

Lessons 1

E r r

  • r

s a n d G a p s F e e d b a c k

M

  • d

e l s 1 Recommend ations Data Feedback Feedback Gaps Feedback

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SLIDE 4

Accomplishments to Date

KM Lifecycle Assessment Team

  • Completed Knowledge Management and CDS Survey. Survey

sent out to Consortium sites and has been returned by PHS and Regenstrief.

  • Conducted PHS Site Visit on June 16-20. Interviewed and

shadowed Partners physicians to assess their knowledge management and CDS practices. Knowledge Translation and Specification Team

  • Completed semi-structured representation and presented work to

AHRQ and TEP ( July 11th TEP meeting). KM Portal

  • Delivered eRoom as a collaborative environment for CDSC
  • activities. Finalized KM Portal design hardware.

Vendor Generalization and CCHIT Team

  • Completed capability reviews of nine EHR systems’ decision

support features through customer interviews. Findings will be incorporated into the first set of recommendations to CCHIT. CDS Services Development

  • Completed CDS literature review on current service-oriented

architectures. Joint Information Modeling Working Group

  • Selected information model and terminologies.
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Current Status of Working Teams

  • KM Lifecycle Assessment

– Analyzing data from Partners site visit – Planning for site visit to Regenstrief/VA (9/29/08-10/3/08)

  • Knowledge Translation and Specification

– Assessing content for the CDSC Action model – Refining semi-structured usage/utilization metric – Completing XML schema for semi-structured representation

  • KM Portal

– Completing draft of the use case diagram for collaboration use case

  • Vendor Generalization/CCHIT

– Engaging with CCHIT, HITSP, knowledge vendors – Preparing to draft first set of recommendations to CCHIT and HITSP – Contacting CPG community about demonstration

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Current Status of Working Teams (cont.)

  • CDS Services Development

– Reviewing Action model and developing rules engine

  • CDS Evaluation Team

– Working with team leads to finalize individual CDSC team evaluation plans

  • Dissemination Team

– Drafting Masspro Dissemination vision document, to be presented to team September, 2008

  • Joint Information Modeling Working Team

– Collaborating with KTS and Services Development team to develop action model and UML representation of patient data model

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Upcoming Milestones

Date Team Milestone 8/13/08 CDS Services Evaluation Team Present draft evaluation instrument to services team 8/22/08 JIM team; KTS team; CDS Services Development team CCD action model 9/18/08 KTS team Complete encoding of content into semi structured representation

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Dissemination: Contacting CPG Community

Anne Diamond American College of Obstetricians and Gynecologists (ACOG) Steve Downs, MD, MS American Academy of Pediatrics (AAP) Jim Dove, MD, FACC American College of Cardiology (ACC) Robert Haralson, MD American Academy of Orthopedic Surgeons (AAOS) Mark Helfand, MD, MPH Oregon Health and Sciences Univ. (OHSU) Kevin Johnson, MD, MS American Academy of Pediatrics (AAP) Norman Kahn, MD Council of Medical Specialty Societies (CMSS) William McGivney, PhD National Comprehensive Cancer Network (NCCN) Virginia Moyer, MD, MPH Baylor College of Medicine/USPSTF Doug Owens, MD, MS American College of Physicians (ACP) Rick Shiffman, MD, MCIS Yale University Janet Wies, MPH American Academy of Orthopedic Surgeons (AAOS)

  • Initial contact made on July 30, 2008. 7 of the 12 contacts have responded.
  • Meetings with contacts will be scheduled to discuss how to best engage their organization.
  • Steve Downs and Kevin Johnson suggested including Paul Biondich at the Partnership for Policy

dfImplementation.

  • Jennifer Mansour was suggested as a contact for the American Academy of Pediatrics.
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SLIDE 9

Discussion Topics

  • How can usability and workflow of CDS be

improved?

  • How can we engage the quality

measurement community?

  • How should the demonstrations inform

CCHIT?