C-CDA Relevant and Pertinent (RnP) Project/Survey: Introduction to Results May 5, 2016 David Tao, D.Sc. Robert Dieterle

What and Why? Clinicians complained about: overly lengthy C-CDAs, cognitive overload, difficulty finding what they need Structured Documents WG response: we need to understand specifics of the problem and what could improve the situation. So we approved the RnP project. RnP aims to provide guidance to EHR developers to make future C-CDAs as useful and usable as possible Survey asked about preferences and experiences re documents received in a Transition of Care (ToC) either from hospital discharges, or from ambulatory providers This slide explains the presenting problem: (which arose from testimony by physicians trying to use CCD or C-CDA for Meaningful Use Stage 1 and 2. Since clinicians probably don’t always know which specific document type(s) they receive (e.g., C32 CCD (MU1) or the various C-CDA doc types (MU2), the survey asked questions that would be informative without having to know the document types/versions or stage of MU.

When and Who? RnP project started May, 2015 Survey responses were received from November, 2015 through early January 2016 RnP Project is still underway, with further analysis, recommendations, and writing of a paper planned Acknowledgements: Keith Boone, RnP project lead; Robert Dieterle, Holly Miller, Russell Leftwich, designers of “short survey” RnP information will be communicated to all 40+ participants in the C-CDA Rendering Challenge

Access to Results The survey itself, and slide decks of the results, and more information, are at: http://wiki.hl7.org/index.php?title=Relevant_and_Pertinent#Short_Survey Three slide decks: Red: Details of responses from all respondents, stratified by specialties Green: Brief summary of main findings (thus far) Blue: Details of responses for subset of respondents with actual experience receiving documents for ToC We encourage those who develop C-CDA related software to hear what physicians are saying. They can do this at a high level by reviewing the green slide deck, and at a detailed level by reviewing the red deck and the blue deck. Consider how these results might influence the prioritization of capabilities included in C-CDA generation or rendering software. Originally, we thought it was a matter of limiting content when creating documents, but the survey responses opened our eyes to the importance of receiving and rendering documents. The red deck has larger numbers of responses, which is statistically good, but includes both those who have actual experience receiving documents, and also those without actual experience but who still expressed what they would prefer or not prefer. The blue deck has smaller numbers, limited only to respondents who have actual experience receiving documents.