LRI+Pilots+WG+2011-11-01

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 * Date:** 11/01/2011
 * Time:** 4:00-5:00 pm EDT


 * Review the status of the Pilots Outreach effort
 * Review/Update Pilot Teams Ecosystem ( http://wiki.siframework.org/LRI+Pilot+Teams+Ecosystem )
 * Test Data Update
 * Pilot Guide “Black Box” Update
 * LRI Pilot Brief Template Updates http://wiki.siframework.org/LRI+Pilot+Brief+Template
 * Continue discussion on Face to Face meeting notes (Oct. 18, 19); Kent Parkins action items list and Q/A
 * Face to Face Meeting Action Items
 * Next Steps
 * Q and A

Rob Allen, Bob Lutolf, Gai Elhanan, Robert Dierterle,Neeli Bajaj, Tom Boal, Joan Duhaime, Gai Elhanan, Ann Clarke, Robert Dierterle, Cynthia Levy, Kishore Metla, Mary Kennedy, Bob Coli,  Mary Kennedy, Mike Long, Anjali Gupte, Cindy Johns, Kent Parkins.
 * Attendance**
 * Note: ** If you attended this meeting and are not listed above, please contact Ann Clarke ( <span style="color: blue; font-family: 'Arial','sans-serif'; font-size: 11px;">ann.r.clarke@lmco.com <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 11px;"> or 443-348-2765) to be added to the list.

The following information was reported on status of the Pilots Outreach effort and update for Pilot Teams Ecosystem:
 * Review the status of the Pilots Outreach effort**
 * The ecosystem will provide a list of all pilots participating in the Healthcare Information and Management Systems Society (HIMSS) showcase. The pilot group reported there are a number of pilots who have submitted their nominations for subscriptions to HIMSS. The ecosystem table will be maintained on a regular basis. Lablynx and MDDigest delivered the first nomination for subscription.
 * Bob relayed the workgroup encourages any pilot activity as a candidate and will help prepare all pilot participants. The workgroup wants to make sure the community is aware of the HIMSS deadline, which expired last Wednesday. In addition, we would like to finalize pilots' organizations as committed members by helping to complete the process flow and the project plan for pilots. The name of the Wiki page will be called LRI Pilot Team ecosystem.
 * A timeframe will be set up to review the plan with a representative from the pilot workgroup. At this time, the panelists have not been confirmed and when the selection process will be final. Erik or Ivy will make a call in terms of the Use Case. All participants are encouraged to add further information to the pilot brief, charter and process flow and consult with Anjali and Ann for assistance.
 * The groupings for pilots are close to finalization but the pilot team is still open to partnerships sharing the cost of HIMSS. The requirement as a presenter is from a user perspective and cannot be a vendor.

RML, Atlas, and the Mayo Clinic have volunteered to provide test data. There is also paperwork involved with this effort, which Jitin is working on. It was mentioned the PID Section would contain a placeholder for synthetic data that will be used to test the data elements. The group indicated no letter agreement is required. Once the BAA is completed the workgroup will establish test data. The option to generate one sample for each test was discussed by the workgroup; after further discussion, the group decided to confirm with Robert Snelick. Bob will send an email to Robert to receive clarification on this item.
 * Test Data Update**

An action item from last week remains open; Gai Elhanan is looking into the Black box update of pilot functionality check to transmit to Electronic Health Record (EHR), display appropriate information, and provide a confirmation message to the lab. The lab system and transformation integrator design document will be included within the pilot guide and placed on the Wiki for review.
 * Pilot Guide 'Black box' update**

Bob Lutolf mentioned the following items would be homework for the meeting next week:
 * Pilot Brief Template**
 * Update your pilot brief based on new structure
 * Upload and review new document "High Priority Focus Summary"
 * Review the following:
 * Systematized Nomenclature of Medicine (SNOMED)
 * Unified Code for Units of Measure (UCUM)
 * Logical Observation Identifiers Names and Codes (LOINC)
 * Object identifier (OIDS)
 * LRI Lab Information System (LIS) test plan

Bob read a statement from the Implementation Guide (IG) and noted it will be placed on the website to confirm why the pilots are not responsible for performing this item. Excerpts will also be included so the pilot team will have justification as to why they are doing this functionality. Bob relayed he would like to have input from the workgroup and forward on to JItin.This justification would also be accommodated for the pilot over a certain period and may be adjusted for use in the future. Team composition is described within the pilot guide. Every pilot should update their Wiki page to include the following items or indicate why these items cannot be performed.
 * Describe relative to Use Case
 * List in scope S & I Framework type of tests
 * IG has 5 profiles (need to determine which profiles)
 * What will be the source of data
 * Describe application for Clinical Laboratory Improvement Amendments (CLIA) (there are no certification requirements)
 * How to capture for compliance
 * System integrator
 * Transformations
 * User Authentication
 * Milestones
 * Validation Suite
 * Success Metrics (the amount of time and money)

The timeline for meaning use stage 2 is the end of December through February that will hopefully generate comments. The schedule for pilots could be as early as December or late February or March. Cindy Levy also pointed out the interim rules are set for 60 days from December. A list of milestones will be updated accordingly once they are finalized. Need to confirm if there is an ONC schedule related to pilots. Joan Duhaime pointed out we will have an overall arching timeline and will make sure a link is provided to the overall timeline. The link is accessible from the reference material section on the Wiki page and named "LRI Timeline" The pilot team is expecting to achieve the following objectives:
 * Lessons learned
 * Feedback to standard terms
 * How we are performing as pilots


 * Continue discussion of Face-to-Face Meeting Action Items**
 * Kent Parkins will follow-up with two telephone calls scheduled for tomorrow November. 2, 2011.


 * A write up will be provided within the pilot guide in support of National, Regional, Community, Hospital and Clinical lab scenarios.


 * The scope of this LRI initiative is limited to ambulatory.


 * There was discussion focus around having an Health Information Exchange (HIE) in the middle of a transmission which would need to have a Provider connected.


 * Bob will start to document the process for the S& I Framework in terms of the initiatives a pilot will provide in support of a long-term marketing plan and other types of angles that would be beneficial.


 * For Requirements/Specifications, it was agreed by the workgroup to use IG version 2.5.1.


 * Tom Boal explained there is a form for comments within the LIS test plan document that would be helpful for pilots. In addition, Tom emphasized to update accordingly on the Wiki.


 * If anyone from the workgroup is interested, please join the Validation Suite workgroup meetings on Tuesdays at 1:00pm.


 * Next Meeting**
 * Date: Tuesday, 11/08/2011** **ime: 4:00 p.m. EDT****WebEx link:** [|**siframework2.webex.com**]**Dial-in: 1-408-600-3600 | Passcode: (see** **LRI Pilots WG** **page).**

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