1. HIGH CONFIDENCE MEDICAL DEVICE SOFTWARE AND SYSTEMS (HCMDSS) WORKSHOP PLANNING MEETING (WPM) Nov. 16 &17, 2004 Douglas E. Rosendale DO FACOS National Coordinator of Surgical Informatics VACO

2. Fertile Research Acute Care Environment Acute Care Environment ICU, ER, OR, Cath Lab, Dialysis ICU, ER, OR, Cath Lab, Dialysis Areas of Interest:: Areas of Interest:: 1) Monitoring Devices 1) Monitoring Devices 2) Software Applications 2) Software Applications 3) Electronic Medical Record 3) Electronic Medical Record 4) Imaging Systems 4) Imaging Systems 5) Plug and Play 5) Plug and Play 6) Nomenclature Standards 6) Nomenclature Standards

3. Monitors How do they interface with EMR? How do they interface with EMR? Do they use standard HL7 ? Do they use standard HL7 ? What data is stored in EMR or HDR? What data is stored in EMR or HDR? Is “local customization” needed? Is “local customization” needed? How are “alerts” relayed? How are “alerts” relayed? Outcome Reports Outcome Reports

4. Software How does software link with EMR? How does software link with EMR? Is it bi-directional? Is it bi-directional? Snap shot vs. integration (vitals) Snap shot vs. integration (vitals) How are Unique identifiers obtained? How are Unique identifiers obtained? Standard Terms?? Standard Terms?? Interoperability (NSQIP) Interoperability (NSQIP)

5. Electronic Medical Record Decision Support Tools Decision Support Tools Alerts (allergies) Alerts (allergies) Pharmacy interface Pharmacy interface Lab interface Lab interface Notes interface Notes interface

6. Imaging Systems Icon links Icon links Correct image??? Correct image??? Timely imaging access (time out) Timely imaging access (time out) Sending images (pdf) Sending images (pdf) Standardized Titles Standardized Titles

7. Plug and Play Growing number of appliations Growing number of appliations RFID RFID Hand Helds Hand Helds Wireless Wireless Glucometers Glucometers Oxygen Monitors Oxygen Monitors

8. Nomenclature Standardized Terms Standardized Terms SNOMED-CT SNOMED-CT ICD-9/CPT ICD-9/CPT Progress Note Titles Progress Note Titles Decision Support Decision Support Outcomes Outcomes Ontology Ontology

9. Bio Douglas E. Rosendale is the National Coordinator of Surgical Informatics for Veterans Affairs, Office of Information. He is a member of the National Surgical Quality Improvement Program Executive Board; Chair of the Surgical Package Information System for Perioperative Services, VA; a Harvard Lecturer for the Medical Informatics Decision System Group (DSG); and holds a Fellowship with the Harvard University Medical Informatics DSG, Brigham Hospital. Rosendale is interested in Perioperative Devices and Decision Support tools for Perioperative Information Systems.