2012-05-15 DESD WGM Minutes

Attendance

Location: Magnolia		Date: 2012-05-15 Time: 7:30-8:30 pm CST

Attendee	Name	Affiliation
	Victor Brodsky	Anatomic Pathology
	David Booker	Anatomic Pathology
X	Jeffery Karp	Anatomic Pathology
X	Craig Gabron	Attachments
X	Jim McKinley	Attachments
	David Classen	Child Health
	Gayle Dolin	Child Health
	Joy Kuhl	Child Health
	Andrew Spooner	Child Health
	Feliciano Yu	Child Health
X	Joyce Hernandez	Clinical Genomics
X	Amnon Shabo	Clinical Genomics
	Daryl Thomas	Clinical Genomics
	Mollie Ullman-Cullere	Clinical Genomics
	Edward Hammond	Clinical Interoperability Council
	Meredith Nahm	Clinical Interoperability Council
	Anita Walden	Clinical Interoperability Council
X	Dianne Reeves	Clinical Interoperability Council
	Suzanne Gonzales-Webb	Community Based Collaborative Care
X	Richard Thoreson	Community Based Collaborative Care
X	Max Walker	Community Based Collaborative Care
X	Mead Walker	Domain Expert Steering Division
X	Edward Tripp	Domain Expert Steering Division
X	Laura Heermann Langford	Emergency Care
	Donald Kamens	Emergency Care
	James McClay	Emergency Care
X	Peter Park	Emergency Care
X	Martin Hurrell	Generation of Anesthesia Standards
X	Terri Monk	Generation of Anesthesia Standards
	Todd Cooper	Health Care Devices
X	Allen Hobbs	Health Care Devices
X	John Rhoads	Health Care Devices
	Patty Krantz	Health Care Devices
	Stephen Chu	Patient Care
	Kevin Coonan	Patient Care
X	William Goossen	Patient Care
	Hugh Leslie	Patient Care
	Ian Townend	Patient Care
	Klaus Veil	Patient Care
	Ali Rashidee	Patient Safety
	Nick Halsey	Patient Safety
	Hugh Glover	Pharmacy
	Tom de Jong	Pharmacy
X	Melva Peters	Pharmacy
X	Ken Pool	Public Health Emergency Response (PHER)
X	Rob Savage	Public Health Emergency Response (PHER)
	Joginder Madra	Public Health Emergency Response (PHER)
	John Roberts	Public Health Emergency Response (PHER)
X	Edward Helton	Regulated Clinical Research Information Management (RCRIM)
X	Armando Oliva	Regulated Clinical Research Information Management (RCRIM)
X	Durwin Day	Attachments-member
X	Scott Robertson	Kaiser Permanente

Agenda

1. Roll call
2. Review Agenda
3. Announcements
4. Updates from the TSC
5. PBS metrics in DESD
6. DESD PBS Metrics
7. Project Scope votes

   Medication Therapy Management(MTM)Templated CDA from Pharmacy

8. Mission and Charter votes

   insert link to: Mission and Charters

9. Work Group Health Review

   • DESD
     • Healthiest for 2012May: Pharmacy, and RCRIM

   1. RED Work Groups

      • Child Health
      • Anatomic Pathology (due to minutes)

   2. No Minutes Posted from last WGM

      • Anatomic Pathology
      • Child Health

10. New Business

Announcements

delivered already

TSC updates

No additional ones come to mind. Mead notes the new emphasis on PHIR initiative.

PBS metrics

These are newly released. Pharmacy and RCRIM are our new lead committees. Note, there are several unpublished ballots. This is a point of emphasis - it is the key final point for completing a ballot. Willem notes that Patient Care has several ballots that are unpublished – however he feels the ballots under patient care have already been submitted – but had push back from the TSC or related parties. He thinks this is unfair. The area of biggest concern is “days behind last milestone >120”. Willem notes that Patient Care has made substantial progress in clearing its list of “overdue tasks”. Question: could there be somewhere that one could look to see the bottom line number for determining work group health.

Project Scope Statement - Pharmacy

Comment, Pharmacy has used the most recent template. Suggestion the effective date of the template should be inserted. Ed notes that templates are updated once a year. Willem asks why the focus on CDA when much earlier work was on V3 messages. Response: this supports a particular document that the US Government mandates be handed to patients. The scope statement was approved.

Project320 – Patient Care

The WG passed several models, but the concern came up that it could lead to many, many models, many, many schemas. Since this was seen as too many, the committee decided on a different approach. The y put together a package with 5 models. Now two of them are done, but the others are not. There was a lot of pushback against these models, and the review of these models has taken much energy and effort from the committee. One of the models includes material that is copyrighted. In addition, the Glasgow Coma scale is licensed within the US. (Martin believes that it is in the public domain.) The committee decided to go forward with the two models that were passed. The TSC pushed back against this. The Committee wishes to re-scope the project to only include the two models that are complete. It is moved and seconded to re-scope the Patient Care project 320. Unanimously approved. Willem notes that there is great interest in creating DCMs, but the process in HL7 is too cumbersome. He is looking for more effective processes for balloting these materials.

Work Group Health

We have two red groups: Child Health, Anatomic Pathology. Note, Child Health does not have a representative here, and we think they are not meeting. Anatomic Pathology is on the list since it did not publish minutes. Mead and Ed must contact Child Health

Discussion of harmonization

Can all co-chairs be added to the Harmonization list server? Can there be a header line that calls attention to the item. There is domain experts list. Let us have the SD chairs send out a notice in advance of harmonization to alert the co-chairs. Emergency Care has kept changing their document, but it never counted because they did not record the fact they had voted on it. What way do the DMP, 3 Year Plan, and SWOT measures get pulled. HL7 has a template for minutes. Several noted it is hard to work with. It is recommended, but not required.

In addition

There will be elections needed in Baltimore: Ed has a list. He encourages outgoing chairs to recruit successors.