HL7 Child Health Work Group May 15-17, 2011 HL7 Work Group Meeting

HL7 Child Health Work Group May 15-17, 2011 HL7 Work Group Meeting Lake Buena Vista, FL

Agenda HL7 Child Health Work Group Who We Are What We Do and Why What’s Next www.hl7.org HL7 Child Health Work Group February 22, 2011

Who We Are HL7 Child Health Work Group Founded: 2003 Leadership: David Classen, MD, Gaye Giannone Dolin, RN, Andy Spooner, MD and Feliciano Yu, MD Participation: Primarily CMIOs, physicians, medical informatics experts and vendor representatives Distribution: 100 previously on email; listserv unknown Operations: One in person meeting and two webcast meetings in conjunction with HL7 work group meetings; Monthly calls and other calls and webcasts as needed www.hl7.org HL7 Child Health Work Group February 22, 2011

What We Do Functional Data Standards Standards for EHR systems include critical child health functions Published EHR system standards for general pediatrics Work was baseline for CCHIT child health certification criteria, other Terminology Data Standards Explored improving terminology systems for pediatrics using AAP policy statements (e.g. SNOMED) Funding not available to support further work Messaging Data Standards Created immunization activity diagrams and story boards – now part of HL7 messaging standards Provided incubation and leadership in HL7 to develop standard for reporting quality measure data – Quality Reporting Document Architecture using HL7 CDA Provided support to create standards-based neonatal care report using HL7 CDA www.hl7.org HL7 Child Health Work Group February 22, 2011

Why Improve data standards for health care Build pediatric consensus on new data standards Maintain broad representation and participation in HL7 initiatives on behalf of child health care Participate in relevant national HIT data standards public comment periods on behalf of child health care Influence adoption of pediatric requirements Impact vendor and provider awareness and adoption of adoption of pediatric standards Earn commitment from pediatric stakeholders Secure support and leadership for efforts www.hl7.org HL7 Child Health Work Group February 22, 2011

What’s Next EHR Functional Model Release 2 Neonatology Functional Profile for EHR Systems Child Health Functional Profile Release 2 www.hl7.org HL7 Child Health Work Group February 22, 2011

Functional Standards: Relationships of Artifacts www.hl7.org HL7 Child Health Work Group February 22, 2011

Example Edits and Additions to EHR FM Manage Immunization Administration Statement: Capture and maintain discrete data concerning immunizations given to a patient including date administered, type, manufacturer, lot number, and any allergic or adverse reactions. Facilitate the interaction with an immunization registry to allow maintenance of a patient’s immunization history. 1. The system SHALL provide the ability to recommend required immunizations, and when they are due, during an encounter based on widely accepted immunization schedules. Description: During an encounter, recommendations based on accepted immunization schedules are presented to the provider. Allergen and adverse reaction histories are checked prior to giving the immunization. If an immunization is administered, discrete data elements associated with the immunization including date, type, manufacturer and lot number are recorded. Any new adverse or allergic reactions are noted. If required, a report is made to the public health immunization registry. 3. The system SHALL perform checking for potential adverse or allergic reactions for all immunizations when they are about to be given. Function: “Manage Immunization Administration” “Capture and maintain discrete data concerning immunizations ” 2. The system SHALL provide the ability to recommend required immunizations based on patient risk factors. Criteria requested by 4. The system SHALL provide the ability to capture immunization Child Health for administration details, including date, type, lot number and manufacturer. original model 5. The system SHALL provide the ability to capture other clinical data pertinent to the immunization administration (e.g. vital signs, now standard adverse reactions). 6. The system SHALL record as discrete data elements data associated with any immunization. 7. The system SHOULD provide the ability to associate standard codes with discrete data elements associated with an immunization. 8. The system SHALL provide the ability to update the immunization schedule. Edits in RED for CH Profile www.hl7.org HL7 Child Health Work Group February 22, 2011

Connect With Us www.hl7.org for Child Health Listserv Monthly Conference Calls www.hl7.org HL7 Child Health Work Group February 22, 2011

Contact Information Joy Kuhl Principal Optimal Accords, LLC [email protected] Offiice: (818) 308-7063 Mobile: (818) 817-1050 Administrative Co Chair, HL7 Child Health Work Group On behalf of Alliance for Pediatric Quality AAP, ABP, CHCA & NACHRI www.hl7.org HL7 Child Health Work Group February 22, 2011

DISCUSSION, NEXT STEPS

Alliance for Pediatric Quality Common goals: HIT works for children www.hl7.org HL7 Child Health Work Group February 22, 2011

Alliance Strategy Work for consensus and speak with one voice for pediatric quality and health information technology. Endorse and promote projects that advance our objectives for quality and health information technology in children’s health care. Convene stakeholders in children’s health care on key quality and health information technology issues. Advocate for policy, standards, systems, and products that will improve the quality of children’s health care. www.hl7.org HL7 Child Health Work Group February 22, 2011

Why is this important? Numerous Initiatives Underway to Support National Goals for Adoption and Interoperability of EHR technology Problem: Children are nearly one third of the population. They receive care through HIT in a variety of settings. National efforts are largely adult-focused; Pediatric efforts for influence are sometimes isolated and duplicative. Opportunity: Work together as pediatric HIT community with one strong voice to influence national initiatives and ensure needs of child healthcare are addressed. www.hl7.org HL7 Child Health Work Group February 22, 2011

Strategy for Influence Alliance for Pediatric Quality Support work, convene, build consensus, endorse and advocate Identify and Respond to Opportunities Participants in Pediatric Healthcare Information Technology Community Identify Requirements Set National Agenda Health Level Seven (HL7) Child Health Work Group IFR AAP Child Health Informatics Center and COCIT HIMSS Pediatric Group NACHRI Pediatric Advisory Council CHCA CIO and CMIO Forums and Special Projects HHS: Coordinator Develop and Pilot Standards Adopt Standards and other Requirements for Meaningful Use HL7, SNOMED Integrating the Healthcare Enterprise NHINS, Projects, Collaboratives Health Information Technology vendors NQF, CMS Vendor Consortia Harmonize ONC, other tbd Certify Products ATCB www.hl7.org Child health practitioners, clinicians and hospitals Desired Outcomes Support safe care for children Enable pediatric performance measurement by improving interchange of standardized information Reduce system implementation costs due to duplication and customization Support achievement of meaningful use of EHR technology in pediatrics HL7 Child Health Work Group February 22, 2011

An Example AAP Published EMR Position Papers HL7 Child Health Develope d Pediatric EMR Functions HL7 CCHIT Published Pediatric EMR Functiona l Model Standard Influenced EMR Vendor Certificati on Criteria Alliance Coordination, Support and Endorsement Vendor Compliance & Certification; Provider Adoption www.hl7.org HL7 Child Health Work Group February 22, 2011