2020-07-07 Presentation Notes

Owned by Yvonne Diabene
Jul 17, 2020
2 min read

Date

Jul 7, 2020

Participants

  • Yvonne Diabene

  • Ferguson, Sydney

  • Sills, Andrew

  • Diabene, Yvonne

  • Koutsovitis, Peter - PBM; VA since 2005

  • Campbell, Keith E.

  • Gianola, Katherine M.   RICVAMC

  • Massaro, David F. - Incoming Lead of Integrated HPP

  • Ruark, Kurt - Deputy Director of HFE

  • Naomi Glasscock

  • Ross Speir

  • Steve Brown

  • Apurva Desai

  • Diane Montella

  • Linda Wedemeyer

Goals

  • Status Update Presentation to Leadership

Discussion topics

Item

Notes

Item

Notes

Introduction

  • Keith:

  • Objectives of our work:

    • We want to reduce clinical burden due to heath it system challenges

    • We want to represent data elements for COVID-19 in a high level using BPM+ and refer to Solor and ANF

    • Standardize the application of workflows and CDS to enhance quality improvement around COVID-19 testing and treatment

  • In order to share knowledge across VISTA and other groups, we need to have shared knowledge architecture - sharing terminology

    • BPM+ fits in the Procedural knowledge

    • The Health Practice Pattern (HPP) fits into the entire stack of PASTF

  • BPM+ standardizes procedural knowledge but does not allow us to get to interoperability.


Q &A

  • So what would it take to use BPM at top level but have shared statement model underneath it to help with functionality between VistA and Cerner?

  • Kurt: To his knowledge, there is no interaction design standard as part of HL7 FHIR

    • Keith: Yes that is an opportunity

  • Massaro: At what level this be used as a response to…(missed the rest of question)

  • Keith: There will be a need on localized based on systems until we are all on one big happy system. Part of the goal will be to have a shared logical representation and then physical representations for each of Cerner and VistA

  • Kathy: This is kind of a proof of concept; taking it from novelty to practice and that is what we hope will come out of this - something operational.

  • Steve Brown:

    • Yes he thinks this does show the linkage of procedural knowledge to terminology, but now what? Maybe there is local variation at various VAMCs because it's better that way

  • Massaro:

    • Is there an area/low-hanging fruit where we can apply this?

  • Kurt Ruark:

    • [in chat] Can we apply this to "Consult Requests"?

Conclusion

Keith: Our abilities to implement questionnaires (collect and encode that data) has been the great limiting step

  • Kathy: Keith, talk about using initial triage stages to represent this work since that is data rich and a procedure used by all sites nationwide

  • Keith: We have standardized the data in text form but not in interoperability forms

  • Next Steps: We will consider questions and clearly identify and present, during the final presentation, the value to the enterprise and the business need