LRI+Public+Health+WG+Meeting+Minutes+F2F+-+2011-06-15

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 * Date:** 06/14/11
 * Name:** LRI Public Health Lab Reporting Workgroup Session Face-to-Face


 * Agenda/ Objectives:**
 * Review additions to Abbreviated Use Case (PV1 Data Elements were added to the dataset considerations section as a result of the IG Analysis FTF Session).


 * Materials Referenced:**
 * [|PUBLIC HEALTH DOMAIN RELATED LAB DATA EXCHANGES AND CASES.xlsx]
 * [|LRI Public Health Overview]

__Panelist Attendees:__ Merideth Vida
 * Attendees:**

__Sub-Workgroup Attendees:__ Kosta Markodimitris, Riki Merrick, Cindy Vinion, Andy Splitz, John Ritter, John Stinn, Ronika (CDC), John Roberts, Kathy Walsh, Jennifer Sisto, Smriti Singal, Kurt Schmeer


 * Action Items:**
 * **Action Item** || **Next Steps / Status** || **Lead** || **Contributors** || **Due Date** ||
 * Make updates to the Abbreviated Use Case in relation to the PV1 segment || Complete || Merideth Vida || n/a ||  ||
 * Post Excel Spreadsheet to the Wiki with a review log to collect comments || Complete || Merideth Vida || n/a ||  ||
 * Post slide deck with diagrams to the Wiki and use a review log to collect comments || Complete || Merideth Vida || n/a ||  ||


 * __Spreadsheet Discussion:__**
 * The PV1 segment which encompasses data elements such as the Set ID, Patient Class Specimen Reject Reason, Assigned patient location, etc was reviewed to be included as part of the Abbreviated Use Case The group decided to keep in all of the data elements related to items in PV1. The recommendation to IG will state these as requirements with the expectation that these elements will at least be included as optional from a usage perspective.
 * Consensus was re-conducted to make sure the group agreed with these updates. The group unanimously supported the updates.
 * Merideth will make updates to the Use Case and re-post it.


 * __Charter Development:__**
 * The WG needs to develop a charter providing details on how and why this Initiative should be taken on by the S&I Framework perspective. The end product will be for ONC review and approval.
 * One of the participants brought up the concern of overlapping work because of other Public Health initiatives like the CDC’s LIC Initiative (signing up 500 hospital labs to implement ELR).
 * The Public Health Initiative under the S&I Framework will have a broader focus and incorporate any initiatives that FDA or CDC put forth with ELR being a part of that.
 * As a starting point the workgroup looked at the Public Health Domain Related Lab Data Exchange and Cases spreadsheet & the LRI PH Overview Document.
 * The HIT Standardization Diagram would be a good starting point for us as a layer within the roadmap
 * The group wants to include the transport standards, vocabulary and privacy and security
 * Proposed PH LRI Cases and Relationships
 * In order to capture the scope for PH reporting the group decided to redraw the picture included as part of the LRI Overview (figure 3).
 * Group participants worked during the meeting to develop four diagrams to capture the Public Health reporting requirements for MU1, MU2, MU3 and the ideal future state.
 * MU 1 and the Future State were developed during the meeting.
 * After the future state is agreed upon the group will work to provide recommendations for MU2 and MU3.
 * The future state disgarm will help in the development of the charter since it highlights all potential issues and/or reporting patterns related to public health.
 * The topic of HIEs and RHIOs came up for inclusion within this diagram. It’s important to remember who the data is coming from and who will be responsible for the interface to send the information for reporting purposes. Need to settle whether or not HIEs will be certified and will be included as part of Meaningful Use. Because the HIE is an architectural entity it can expand to other parts of this diagram.
 * The group decided that this presentation will be posted to the wiki and feedback will be requested from the group. A similar review log concept will be used and the fields would be, Bubble, Direction, Color/dotted, etc. to understand what exactly each participant is commenting on.


 * __Public Health Domain Related Lab Data Exchanges and Cases, Excel Worksheet:__**
 * This spreadsheet is in a draft form and was made to look at Functional Flow Scenarios within Public Health
 * The group decided to change this to a google spreadsheet and add it to the Wiki so that you wouldn’t need a log in to google
 * Use a table similar to the review log concept in order to track changes that need to be made to this spreadsheet.

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