1. Health eDecisions (HeD) All Hands Meeting March 7th, 2013

2. Meeting Etiquette Remember: If you are not speaking, please keep your phone on mute Do not put your phone on hold. If you need to take a call, hang up and dial in again when finished with your other call Hold = Elevator Music = frustrated speakers and participants This meeting is being recorded Another reason to keep your phone on mute when not speaking Use the “Chat” feature for questions, comments and items you would like the moderator or other participants to know. Send comments to All Panelists so they can be addressed publically in the chat, or discussed in the meeting (as appropriate). From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute All Panelists

3. Agenda TopicTime Allotted Announcements5 minutes Work Stream 1 Update: HL7 Meeting Update 5 minutes Work Stream 2 Update: Pilots5 minutes Work Stream 3: Use Case 265 minutes Next Steps5 minutes Wrap up/Questions5 minutes

4. Announcements Vocabulary and Terminologies sub work will be meeting this week and next (March 8 th ) –Friday 12:30-2:30 EDT –http://wiki.siframework.org/Health+eDecisions+Homepagehttp://wiki.siframework.org/Health+eDecisions+Homepage

5. HL7 Update We have finalized the HeD Schema –Harmonized with HQMF where applicable HeD/QDM/vMR harmonization work continues –vMR will be submitting the HeD requested updates to the vMR to HL7 next week We are finalizing the IG based on the schema updates and harmonization activities To see all comments and dispositions consult the HL7 section of the HeD Reference Wiki page: http://wiki.siframework.org/Health+eDecisions+Reference+Materia ls http://wiki.siframework.org/Health+eDecisions+Reference+Materia ls Plans: –We will continue to use our Wednesday meeting time to continue work on any the IG, harmonization efforts etc. http://wiki.siframework.org/Health+eDecisions+Homepage ) http://wiki.siframework.org/Health+eDecisions+Homepage –We will continue integrating comments into the IG

6. Continue with pilots Harmonize metadata Reconcile ballot comments HQMF/HeD harmonized artifact model VMR/QDM harmonized clinical data model DSTUDSTU Update IG Revise IG NormativeNormative BallotBallot Feb/Mar September 2~ years FHIR? HeD Roadmap for UC 1 Apr/May We are Here

7. Pilots Update – Work Stream 2 We will be meeting Monday March 11 th, 2013 (1-2:30 EST) Bryn will be giving a demonstration of a compiling tool to help with the pilots We will be reviewing the items to pilot –Schema –IG –Examples Work with the vendor sites to determine which artifacts to pilot –We want to identify those examples easily done given our timeframe –Discuss Strategy for Pilot and Vendor Engagement

8. HeD Pilots Goal - Modified Goal The goal of this initiative is to produce, consume, and where feasible, execute implementable CDS interventions. 1.Event Condition Action Rules (ECA Rules) 2.Order Sets 3.Documentation Templates Pilot Scope 1.Health eDecisions will apply defined aspects of the Implementation Guide in a real-world setting. 2.Modify the Implementation Guide to ensure it is usable 3.The real-world pilots evaluate not only the technology, standards and model (VMR), but also provide a test bed to evaluate the interaction of technology, implementation support, and operational infrastructure required to meet Health eDecisions use case 1 objectives at the stakeholder or organization levels. 4.Demonstrate intent of format specifically structures and semantics are communicated either by direct execution or by translation to native format 5.Ensure Completeness and consumability of artifact

9. Pilots Timeline 10/11/20119 Goal & Activities WeekDatesDeliverables Kickoff /Establish Goals & Partnerships: - Review HeD Initiative Goals - Review Piloting Process & Resources - Define Value Statement - Define HeD Pilot Goals & Success Metrics - Establish & Approve Pilots - Develop Pilot Briefs 1-2 (4wks) 1/07-2/25 (we missed 2 meetings in January pushing our Dates back) -Wiki Capturing Pilot Deliverables -Established Partnerships -Documented Value Statements and Success Metrics -Documented Pilot Briefs Pilot Configuration: - Establish Pilot Test Environment & Resources - Establish Pilot Implementation & Testing Process - Develop & Review Pilot Configuration 3-4 (2 wks.) 2/25-3/11 -Use Case is Updated with HL7 Comments (3/4) -Approved Pilot Briefs -Committed Pilot Resources -Documented & Reviewed Pilot Configuration Guide -Weekly Feedback on Use-Cases & IG Alignment Pilot Development : - Setup & Develop Pilot Prototypes - Review prototypes 5-10 (6 wks. or less depending on Pilot activity) 3/11 – 4/15 -Use Case is Updated with HL7 Comments (3/4) -Weekly Pilot Development Status Updates -Weekly Feedback on Use-Cases & IG Alignment -Updates to Pilot Configuration Guides Pilot Testing & Showcase : - Complete Testing - Prepare Solution Showcase 11-12 (2wks) 4/15-5/6-Weekly Pilot Testing Updates & KPIs -Showcase -Prepare for HL7 Pilot Wrap-up : - Develop Lessons Learned an ONC Feedback - Review Initiative Goal Alignment - Establish Next-Steps 13-14 (2 wks.) 5/13-5/29-Documented ONC Feedback - Next Steps Action Plan We are Here

10. Pilots Participants Wolters Kluwer Health OpenCDS ZynxHealth Medexter Healthcare Elsevier newMentor CDC NextGen Practice Fusion AllScripts Visumpoint

11. Pilots Next Steps Next meeting is on March 11 th from 1-2:30 EDT –To participate see the HeD wiki homepage for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage http://wiki.siframework.org/Health+eDecisions+Homepage Focused around Vendor engagement and how to best utilize individual project plans within the Vendor community Pilot Partners will need to –Agree on terminologies, value sets –Address gaps in vMR expressivity for clinical data model elements We will be reviewing the Vocabulary and Terminologies work at our March 18 th Meeting

12. Work Stream 3 -HeD Use Case 2 Development Data Element Requirements Review

13. Work Stream 1 – HL7: –Finalize Harmonization, Schema and IG activites –Next HL7 meeting March 13th, 2013 3-4 pm EDT (see HeD Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage http://wiki.siframework.org/Health+eDecisions+Homepage –HL7 CQI meeting Harmonizing VMR/QDM –Next Meeting March 12 th 2013:, 3-4 pm EDT (see HeD Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepagehttp://wiki.siframework.org/Health+eDecisions+Homepage Work Stream 2 – Pilots: –We are beginning the work of pilots –Next Pilots meeting: March 11th, 1-2:30 pm EDT see HeD home page wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage http://wiki.siframework.org/Health+eDecisions+Homepage –Review the posted pilot project plans Work Stream 3 – Use Case 2: –We will continue reviewing the components of Use Case 2 –Next meeting March 14th 11-12:30 EDT (see the HeD Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage http://wiki.siframework.org/Health+eDecisions+Homepage Next Steps

14. Questions?

15. Contact Information For questions, please contact your support leads –Coordinator: Ken Kawamoto: kensaku.kawamoto@utah.edukensaku.kawamoto@utah.edu –Co-Coordinators: Aziz Boxwala: aziz.boxwala@meliorix.comaziz.boxwala@meliorix.com Bryn Rhodes: bryn@veracitysolutions.combryn@veracitysolutions.com –ONC Leadership: Alicia Morton: alicia.morton@hhs.govalicia.morton@hhs.gov –Project Management: Jamie Parker: jamie.parker@esacinc.comjamie.parker@esacinc.com Christina Arenas: christina.arenas@esacinc.comchristina.arenas@esacinc.com –Use Case 2: Dave Shevlin: d.s.shevlin@accenturefederal.comd.s.shevlin@accenturefederal.com Virginia Rhiel: virginia.riehl@verizon.netvirginia.riehl@verizon.net –Harmonization: Lynette Elliot: lynette.elliott@esacinc.comlynette.elliott@esacinc.com Merideth Vida: merideth.c.vida@accenture.commerideth.c.vida@accenture.com Anna Langhans: anna.langhans@accenture.comanna.langhans@accenture.com

16. Useful Links Wiki –http://wiki.siframework.org/Health+eDecisions+Homepagehttp://wiki.siframework.org/Health+eDecisions+Homepage Use Case 1& 2 –http://wiki.siframework.org/Health+eDecisions+Use+Casehttp://wiki.siframework.org/Health+eDecisions+Use+Case –UC 2: Use Case 2: http://wiki.siframework.org/UC+2+- +CDS+Guidance+Servicehttp://wiki.siframework.org/UC+2+- +CDS+Guidance+Service Pilots –http://wiki.siframework.org/Health+eDecisions+Pilotshttp://wiki.siframework.org/Health+eDecisions+Pilots HL7 Ballot Submission: –http://wiki.siframework.org/Health+eDecisions+Reference+Materials #Ballothttp://wiki.siframework.org/Health+eDecisions+Reference+Materials #Ballot UC 1 Harmonization and IG: –http://wiki.siframework.org/Health+eDecisions+Harmonization+and+ Standards+%28Implementation%29http://wiki.siframework.org/Health+eDecisions+Harmonization+and+ Standards+%28Implementation%29 HeD Glossary –http://wiki.siframework.org/HeD+Glossaryhttp://wiki.siframework.org/HeD+Glossary