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Overview
Content Tools
- Recap of testing on October 22 and 24
- Successful connectivity testing by some of the newer participants
- Discovered a previously unknown issue in the implementation of Direct
- Recap of HITAC Interoperability Standards Priorities Task Force meeting
- The meeting went very well, there was a good reception from the Task Force members
- The presentation slides are online and there is a video of the presentation as well (requires Flash plugin or Adobe Connect app)
- New test dates
- Either November 8 and 9, or November 13 and 16
- A survey will be sent to determine the exact dates
- Next meeting
- Plan for additions to the IG
- Look at eCQM support
- Look at long-term care use case(s)
- Review last pilot survey
- Interoperability Showcase update
- We have a scenario to work with
- Referral from PCP to cardiologist, first specialist is not available, second specialist accepts the referral. Outcome is that the patient needs a bypass (360X)
- Operation at an acute facility, device interoperability, discharge summary to PCP (not 360X)
- Post operation referrals to behavioral health and cardiac rehab - show multiple visits (360X)
- Dates for next testing session
- We decided on Monday, October 22 and Wednesday, October 24th
- We will make sure eClinical Works and Netsmart are aware of the testing dates
- Cerner would like to get sample 360X .zip packages shared with them
- Update on the Annual ONC meeting - there won't be any opportunities to do a demo or to present, the time is very limited, and the format is not conducive for that.
- Dr. Holly Miller and Vassil Peytchev will have a presentation at the HITAC Interoperability Prioritization Task Force on October 23rd. A link to the public meeting will be sent to the list.
- Updates to the Implementation Guide
- Add discussion on how 360X and eCQM can work together to automate reporting.
- Consider a use case of acute to post-acute referrals. where there are multiple possible destinations
- One approach is to create multiple referrals, and send them to each possible destination, the first who accepts, gets it, all others get a cancel. Not clear what to do if the one who originally accepts, later declines.
- Another approach is to send to one possible recipient as a date-sensitive request, and wait for a response. If there is a decline, send to the next one, etc. With 360X this is possible, because of the potential changes to current workflows that can be enabled. Instead of the post-cute facilities having nursing staff at the acute facilities looking for potential matches, they can staff their incoming referrals office to promptly respond to referral requests.
- Other things to consider: What is the appropriate closing of the loop; How is the PCP kept in the loop.
- We will get an initial written proposal