Dec+14,+2011+Agenda+and+Meeting+Minutes

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 * Date: December 14, 2011**
 * Name:** Public Health Reporting Initiative Web Conference

Live Meeting: []
 * Location:** Conference Call: 1-866-842-6975; passcode: 218840#

**Agenda/Objectives:**

 * **Topic** || **Time Allotted** ||
 * Welcome / Agenda Overview – John Stinn || 4:00 – 4:05 ||
 * Recap User Story Working Group Expectations – John Stinn || 4:05 – 4:10 ||
 * Working Group Status Reports (3-5 min each)
 * Communicable Disease – Nikolay Lipskiy / Michael Coletta
 * Adverse Events – Lise Stevens
 * Child Health – Anna Orlova / Therese Hoyle
 * Chronic Disease – Riki Merrick
 * Infrastructure, Quality, and Research – Anna Orlova / Lise Stevens || 4:10 – 4:35 ||
 * Development of Consolidated Use Case – John Stinn || 4:35 – 4:45 ||
 * Discussion / Action Items
 * Lab Reporting – Riki Merrick
 * Bi-Directional – Lise Stevens || 4:45 -5:00 ||
 * Adjourn || 5:00 ||

**Meeting Minutes**

 * __Welcome__**
 * Reviewed the agenda and roll call for those on the phone
 * No All-Hands calls on 12/21/11 or 12/28/11. Co-leads will continue to meet and may reach out to members as needed.

__**Recap User Story Working Group Expectations**__ The working groups are currently making progress on decomposing the user stories into the excel spreadsheet template, and validating the content in that template. Working groups will then create a consolidated domain user story, based on the PowerPoint slide template, using the validated user stories as inputs.

Two outputs are currently expected from working groups:
 * 1) Validated Excel Spreadsheet containing information for each user story in that domain (12/16/11)
 * 2) Consolidated User Story for the domain, in the PowerPoint slide format (12/16/11)

Both the excel and PowerPoint template will feed into the Public Health Reporting Use Case Document, which will follow the ONC S&I template.

There was some discussion about the content of the PowerPoint slide template:
 * Should the individual user story names be included?
 * yes, if you can. If you've divided user stories by some other mechanism, such as trigger events, this will be reviewed by the co-leads as an input into the Use Case document.
 * Triggers and Documentation will be examined by the co-leads; members may receive inquiries as the co-leads review the outputs of these working groups
 * Some variation across domain groups is expected - the co-leads will determine how to address this variation


 * __Working Group Report Outs__**
 * Communicable Disease - Nikolay Lipskiy
 * As of last meeting, 7 of 10 stories were reviewed and validated
 * Many identified that lab information system was the starting point for many stories. This led to further discussion with co-leads about lab reports for public health reporting.
 * Bi-directional communication was brought up; this definition for a public health report will be discussed further later (and within the definitions workgroup)
 * Need to define HIE - should be defined as not just a provider, but as a system
 * It is important to scope trigger events as these may help categories data elements
 * The next meeting for Communicable Disease is on 12/16/11 - they will finish up user story validation and present/develop the consolidated story
 * Adverse Events - Lise Stevens
 * First, they tackled immunizations; the primary exchange is to update the registry about an immunization/patient history. In the context of Adverse Event, these may be a follow up to immunization reporting
 * The medical device user story - Lise based the content of this user story on previous experience and has distributed the consolidated information to the team for review
 * After feedback and revisions, the consolidated template will be presented
 * Child Health - Tiffany Colarusso
 * 9 User Stories were submitted; these stories included: birth/fetal death reporting, screening, vital statistics, early hearing, iimmunizations, birth defects surveillance
 * Working towards commonalities among user stories
 * The powerpoint template has been modified - added a column for data category mapped to the flow of events
 * the flow of events does nto include how a case is investigated or how the information is used; only captures how the information flows to public health
 * still working out details of the suer narrative
 * Anna Orlova made a recommendation from the group that laboratory data exchange be included in the scope
 * Chronic Disease - Riki Merrick
 * 7 user stories were submitted, but one was retracted and included in adverse events
 * All stories have been reviewed and captured in the excel spreadsheet
 * Working on consolidated user stories - were not able to create a single user story because of the source of the data (clinical vs. lab test).
 * Triggers are based on patient encounter (admitted/discharged from the facility which triggers the report)
 * A review of CVD occurs based on diagnosis codes and admission over a period of time
 * One user story didn't fit - completion of a counseling program, takes information from the clinical side of an EHR
 * All participants will put data elements into C83 modules to look at overlapping data elements as a next step
 * Michelle Williamson from NCHS mentioned the challenge that user story flows may be based on the current process, but do not necessarily include the future desired process or an improved process
 * Anna Orlova indicated a similar discussion within Child Health and a decision that no change be made to the workflow, but rather how data is sent
 * Infrastructure/Quality/Research - Lise Stevens
 * Have calls scheduled for Thurs/Fri - BUT these calls will be cancelled
 * Preliminary discussion among custodians about in-scope and out-of-scope for these user stories
 * Although calls have been cancelled, background discussion will review the consolidated templates and formulate questions
 * These user stories tend to be related to all other user stories and should be considered after the other groups finish their consolidated stories

The initiative will work to populate the ONC template for Public Health Reporting. The target goal here is for the members to review at the end of January, with public comment occurring in February.
 * __Development of a Consolidated Use Case__**

There will be wiki discussions set up to discuss bi-directional and laboratory reporting.
 * __Discussion__**

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