1. Query Health Distributed Population Queries Implementation Group Meeting October 25, 2011

2. Participation Instructions for WebEx Please Note: This session will be recorded Lines are open so please mute your line to avoid “Music on Hold” 1.Select the “Q&A” button in the WebEx toolbar. 2.Select “All Panelists” in the Q&A box. 3.Type your question and hit send. 4.We’ll call on you to state your comment / question.

3. Agenda Scope and Approach Review Summary of Face to Face Meeting Accomplishments Clinical Operations Technical Important Approvals and Consensus Open Discussion / Next Steps

4. Query Health Scope and Approach Practice drives standards 1.Rough consensus 2.Running code (open source) 3.Pilot 4.Specifications 5.Standards HIT Policy Committee: Policy Guideposts

5. Query Health Where We are Face to Face meeting for October is complete

6. Query Health Meeting Time Reminders Implementation Group Tuesdays 1:30pm-3:00pm EDT Clinical Work Group Wednesdays 12pm-1pm EDT Operations Work Group Thursdays 11am-12pm EDT Technical Work Group Thursday 2:00 pm-3:00 pm EDT

7. Action Items DescriptionOwnerStatusDue DateNotes Review changes to the charter and provide final vote by 10/11/2011 at 5:00 PM Working Group Participants Closed10/11/2011Charter Approved as of 10/20/2011 Consensus review of Generic User Story comments Working Group Participants Closed10/12/2011Work has begun on the first clinical user story Consensus voting on Abstract Model is ongoing Working Group Participants Closed10/13/2011Abstract Model approved as of 10/20/2011 Consensus review of Generic User Story Operational Requirements Working Group Participants Open10/27/2011All review comments should be received by the next Operations WG meeting on 10/27

8. Clinical Working Group Face to Face Update

9. Accomplishments at Face to Face –The Working Group members developed two User Stories during the F2F Generic User Story Expanded Analysis for Diabetic Care in an Outpatient Setting –Generic User Story – Information Requestor queries distributed data sources Uses the Clinical Information Model for query-able content –The Clinical Information Model will be extended to incorporate Query Health specific data elements (e.g. encounters) To be constrained by specific User Stories (domains, query types, et. al.)

10. Expanded Analysis User Story - Status –Expanded Analysis User Story - Public health agency queries data sources on status of diabetic patients Leverages Clinical Quality Measure data Adds demographic data and risk stratification score Allows for drill downs by age, location, practice, care setting Regenstrief and NYC Department of Public Health volunteered to become pilot sites

11. Consensus and Next Steps Discuss common terminology Counts vs. numerator/denominator Reached verbal consensus on the major components of the Use Case and Functional Requirements Includes user stories, actors, use case diagram, activity diagram, data elements, interoperability and system requirements Next steps Integrate best practice and other operational requirements from Operations Working Group Support team will incorporate F2F outcomes into the full Use Case draft

12. Operations Working Group Face to Face Update

13. Reviewed the ‘Operational Requirements for Query Health’ - a narrative description of the operational requirements that will govern the Generic User Story The workgroup decided that the original document was too detailed for a generic user story and agreed to list only high level operational requirements that could be applied to any user story. The result is a much shorter and more concise expression of operational considerations. Developing a Data Use Agreement template for a specific user story is on hold until the specific user story is finalized Key Topics Covered/Discussed during the F2F

14. Operations Working Group Next Steps Next Steps Our next meeting will take place on Thursday, October 27, 11am-12pm EDT Review the Operational Requirements for Query Health Document that was completed during the F2F last week (latest version is available on the wiki) Review the ‘Expanded Analysis for Diabetic Care in an Outpatient Setting’ user story – after it is finalized by the Clinical Working Group – in preparation for a discussion of specific operational requirements

15. Technical Working Group Face to Face Update

16. Summary of Activities Context Setting Activities –Doug Fridsma shared his thoughts on Query Health Technical Solution –Reviewed the Abstract Model and had a robust discussion on Query Types –Had an overview of the CIM from Holly Miller and Russell Leftwich Technical Approach Activities –We had 6 different technical approaches that were presented by summer concert series participants!! Thank you –We had a WG Vote to determine which ones would be a good starting candidates for a solid technical foundation for Query Health

17. DECISION: Discussed technical decision making criteria and reached agreement on criteria.’ DECISION: hQuery, i2B2 and PopMedNet have been selected as starting candidates –Each one have their strengths and weaknesses and need further evaluation WG will continue further evaluation of the and their approaches using specific topics and detailed criteria for the topics. The first two topics chosen are –Query Analysis –Transport Analysis WG volunteers will fill out the detailed criteria for the two topics and further analysis will be performed on the WG calls. Summary of Decisions and Next Steps

18. Important Approvals for Query Health All comments from the Initiative members on the Query Health Charter have been received and charter has been approved All comments from the Initiative members on the Abstract Model have been received and Abstract Model is approved Technical foundation approaches have been approved and analysis will now begin in the Technical Workgroup on the 3 chosen approaches