March 30 PDF/H Meeting Minutes
PDF/H Meeting – March 30, 2006Hosted by Intel Corporation
Attendees:
John Calder - Generator
Rick Peters - AAFP
Tom Eberle - Intel
Bryan Hobbs - Intel
Mel Warfel - Adobe
Jenn Sides - Adobe
Carl Orthlieb - Adobe
Omid Moghadam - Intel
Rick Benoit - Intel
Stephen Waldren - AAFP
Dana Stone - Merck
Betsy Fanning - AIIM
Terry Zagar - SAIF
Notes:
IHR – check out iHealthRecords - http://www.ihealthrecord.org/
Suggestion to talk with Gartner about the PHR effort and PR organizations
Intel and Adobe as employers coming out of left field to manage benefits and focus on cost of healthcare – this type of focus was perceived by the industry as a favorable direction
EHR vendors to be pursued – make sure we focus on all members of the ecosystem
Core person at HL7 is Bob Dolan – Structured Documentation
HL7 is messaging and doc exchange standard
New member pursuits could include Motorola, Nokia, HP, Agilent, Centricity (see Gartner list) and Qualcomm
Submission to AIIM Standards Board to be scheduled – need to accelerate the process due upcoming conferences and potential demos – reviewable process usually requires one month
AIIM has an standardized MOU for collaborative arrangements with other SDOs
Investigate translation of .doc to PDF and reverse
Need for technical vendors will be critical to success of project and adoption
Consider bringing in transcriptionists for purposes of participation in PDF/H working group
Extract entry and print format is critical
Re-shift the money to the pediatrics versus the last months of life – industry should consider placing the monies allocated for the last months of life to the front end for people of much younger ages – too much being spent on extension of life for low ROI
Authentication of individual through federated identity and digital signature via PDF or XML (preferably both) – federal identity system would be analogous to passport issuance and process
Promote and develop a toolkit that will allow the stakeholders to take the format and develop the interface(s) and forms for their respective use cases (pediatrics for immunizations, lawyer community for advanced directives, pdm for prescriptions, etc.)
Next face to face PDF/H meeting scheduled for May 16 in Philadelphia
Motion to Approve Project Proposal – passed with suggested edits to be submitted by Mel Warfel and Rick Benoit
Project Proposal:
Note that data compression mention should be included
Focus on portability
Compression can be addressed in the best practices guide or through implementation
Definition of security to be addressed more specifically
Legality of standard documents for communication and legal purposes would be extremely valuable to physicians as well as lab reports for viewing in a standardized manner
Medical and legality is determined by the source of the document but no uniform standardized data model exists – trusted system, i.e. passport, etc.
Best Practices Scope:
Presentation by Rick Peters – clinical workflow process
Transcriptionists will be very interested in participating in the development effort
Regardless of HL7 efforts, a PDF container will provide container structure that will address the workflow issues in the system
Recommendation to embrace XML schema within PDF container
All EHR vendors have XML expertise to comply with standards initiatives that support XML data exchange
Replication of XML form from a PDF entry would be ideal – uniformity for form filing – marry the two would be a great solution for end users
Even the international community is beginning to pay attention the need for consistent PHR and medical data
Cell phone manufacturers for faxing of PHR’s
Carl Orthlieb presented XML/PDF download and exchange of data utilizing the CCR
For demonstration purposes, select specific us cases such as immunization records, clinical notes, etc. – key initial targets would be PHR to EHR transitions and interactions
The scope of the best practice document should only focus on the current practice – it should cover what is included and define what is excluded
Definition of scope to focus on:
· Level of achievement
· Milestones to be achieved
· Critical success factors
· Who should be involved
· What needs to be accomplished to move to next level
Key factors for consideration:
· Structure of template/forms for entry (multiple forms and content entry required – start with immunization records (CDC), EKG (Welch Allen XML format), advanced directives (AARP, law firms), insurance card information (advanced directives on back of insurance cards) standardized consent (preferences as well as legal and privacy issues addressed) – key economic savings in all of these areas are significant and immediate
· Container – what content will it hold
· Printing capability
ARs:
AR: Distribute schema through the list-serve – Steven Waldren
AR: Follow–up with Siemens Medical on participation in working group – Mel Warfel
AR: Follow-up with Sandisc and Medtronic on participation in working group – John Calder
AR: Research respective analysts and PR organizations for potential press releases – Rick P/Rick B/Mel W
AR: Identify additional current product providers for the project proposal – Mel W./Rick B.
AR: Proposed members of AIIM working group need to become members for voting rights - All
AR: Clean up project proposal for submittal – Rick B/Mel W
AR: Set up time for proposal presentation to AIIM Standards Board – Mel/Rick
AR: Set up meeting to invite Kevin Hutchinson, CEO of SureScript – Omid M/Rick P
AR: Set up demo for CCR/XML – TEPR conference and BlueCross/BlueShield Tennessee – Carl O/Rick P
AR: Set up demo for NIH – Carl O/Rick P
AR: Check on CDC connection with use of PDF today – Mel
AR: Establish subcommittee to define scope for Phase 1 of the project - All
AR: Identify list of XML venues for testing of PDF work - All
AR: Identify workload gaps and competencies in the group for subcommittee formation - All
Major tasks:
· proposal submittal – Mel/Rick
· scope of project – introduction, input from usage models and background – Mel/Rick B/Rick P/Steven W
· usage model demos – Carl O/Rick P
· list of potential adopters – All
Respectfully submitted,
Rick
Rick Benoit
Program Manager, Standards
Digital Health Group, Intel
cell 503-7045391
office 503-4563347
richard.d.benoit@intel.com
