LRI+Public+Health+WG+Meeting+Minutes+2011-5-18

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 * Date:** May 18th, 2011


 * Name:** LRI-Public Health Lab Results Workgroup Meeting 4


 * Agenda/Objectives:**
 * **Topic** || **Time Allotted** ||
 * Presentation of Updated Scope & Venn Diagrams (Nikolay & Kosta) || 4:00 – 4:20 ||
 * Review of Comments Associated with Review of S&I Framework Reportable Labs Use Case
 * User Story
 * Scenario
 * Activity Diagram
 * Sequence Diagram
 * Functional Requirements
 * Dataset Considerations || 4:20 – 4:50 ||
 * Common Data Elements for Lab Reporting || 4:50- 5:00 ||
 * [[file:siframework/Appendix C_Common Core Data Elements_Final_3_2011.docx|Review the Common Data Elements for Lab Result Reporting]] || Time Permitting ||

Bob Yencha, Hal jiang, Andrea Pitkus, Jennifer Sisto, Riki Merrick, Jonathan Tadese, Smriti Singal, Kate Hamilton, Anna Orlova, Kathryn Calderon, Cindy Vinion, Ken Gerlach, Xiaohui Zhang, Tim Reardon, Kimberly Newman, Nikolay Lipskiy, Nam Nguyen, Kosta Makrodimitris, Rita Altamore
 * Workgroup Attendees:**


 * Panelist Attendees:**
 * Erik Pupo
 * Amy Berk
 * Jitin Asnaani


 * Action Items**
 * **Action Item** || **Status / Next Steps** || **Lead** || **Contributors** || **Due Date** ||
 * Kosta and Nikolay will briefly propose refined scope; short/long term within Charter of the WG || In Progress || Kosta and Nikolay || n/a || 5/23/11 ||
 * Discuss the key Use Case Requirements || In Progress || Workgroup Members || n/a || 5/25/11 ||
 * Review of the Common Data Elements for Lab Result Reporting (Spreadsheet) on the Wiki || In Progress || All || n/a || 5/25/11 ||
 * Update diagrams to reflect discussion (captured in notes below) || Completed || Amy Berk || Kosta, Cindy, Ed || 5/19/11 ||
 * Present HITSP materials related to PH || In Progress || Anna || n/a || 5/25/11 ||
 * Appointments of Anna Orlova to be Co-Lead for the group and Kosta Makrodimitris to be Co-Lead in Anna’s absence || Confirmed || Anna, Riki, Kosta || n/a || 5/19/11 ||
 * Conduct PH Lab Results WG Meeting May 25th, 2011 4pm-5pm ET || In Progress || Merideth Vida || All || 5/25/11 ||

__**Workgroup Discussion:**__
 * Scope Diagram:**
 * Key Discussion Points:**
 * Kosta and Nikolay had requested that some language be put into this diagram to account for the fact that lab results to public health are part of the MU requirements.
 * Some of the other participants had a few concerns regarding this because Meaningful Use only supports EHR reporting. Meaningful Use is for EHR to Public Health – there are requirements for lab reports to public health but that is not part of the CMS publication.
 * In the end, in order to bring some more clarity to the diagram, it was suggested to add in, 1) diagonal line should go from provider to report to public health 2) Vertical line to say that it is not part of MU requirements but instead, part of state law
 * Also, From Ambulatory to Public Health there should be a diagonal line
 * One of the Workgroup members brought up the question of whether or not there should be a distinction made between Ambulatory and Hospital.
 * Meaningful Use requirements are for public healthOn the diagram, there is a line from hospital to public health and it says MU requirements
 * Whether it’s from EHR or LIS, our understanding again is that if the LIS is certified it is understood as the module for reporting that requirement and would be considered as meeting meaningful use.
 * If the EHR system is certified as a modular system then it falls under MU and hospital can get incentive for public health reporting
 * If it’s a self standing lab, or any public health lab that is not covered under MU
 * Labs directly, without being part of a hospital system can’t get MU incentive payments under stage 1
 * On the ONC’s website, there are 2 laboratory vendors, McKesson / Horizon and Sunquest, that are MU certified for providing that functionality even though they are LIS systems.
 * High level but this input should want to be put into the diagram


 * Excel Worksheet:**
 * Key Discussion Points:**
 * AHIC Bio-surveillance should be changed to HITSP IS02 instead of IS03
 * Riki wanted to come up with a slightly different matrix because it would be more useful to display this information in a more granular way.
 * Use this document as a first step and try to think of how we can better represent it,
 * Anna agreed to present some of the information of HITSP details as they relates to Public Health reporting.
 * Public health case reporting
 * ICSR for adverse reporting is not coming from a lab should it be part of the Laboratory Results Interface Initiative
 * These are not coming from the lab. Is this workgroup scope about lab and about ambulatory lab which is what the Use Case is about?
 * Some workgroup members were under the impression that the goal of this Public Health workgroup, is in order to cover the Public Health case and scenario that were mentioned during discussions within the LRI Use Case Workgroup. This workgroup was created to address the need to look at cases where lab reports to public health
 * Either way, it seemed as if members in general are confused as to what the exact purpose and scope of this Workgroup is. Therefore, Kosta and Nikolay are working on drafting an updated scope statement to reflect what this Workgroup will accomplish.
 * Resolution(s):**
 * Kosta and Nikolay are working on drafting an updated scope statement to reflect what this Workgroup will accomplish.
 * Anna will present HITSP information related to Public Health Reporting
 * Workgroup members will look at the Worksheet and figure out a way to represent the information in a more granular manner


 * Wrap Up/Next Steps:**
 * The following were action items for the next week’s meeting:
 * Kosta and Nikolay will briefly propose refined scope; short/long term within Charter of the WG
 * Discuss the key Use Case Requirements
 * Review of the Common Data Elements for Lab Result Reporting (Spreadsheet) on the Wiki

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