LRI+Pilots+WG+2011-12-06

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 * Agenda **
 * Review the status of the Pilots Outreach effort
 * Review/Update Pilot Teams Ecosystem (http://wiki.siframework.org/LRI+Pilot+Teams+Ecosystem)
 * Review ‘LRI Pilots High Priority Items’ (white paper) ( __http://wiki.siframework.org/LRI+Pilots+WG#x- LRI%20Pilots%20High%20Priority%20Items __)
 * Review Action Items (including from Face to Face Meeting)
 * Next Steps
 * Q and A

Bob Lutolf, Robert Dieterle, Neeli Bajaj, Tom Boal, Chitra Raghu, Joan Duhaime, Ann Clarke, Cynthia Levy, Kishore Metla, Mary Kennedy, Sheryl Taylor, Mike Long, Anjali Gupte, Cindy Johns,, Brennan O’ Banion, Van Nguyen, Norman Gayle, Jay Alicea, Jennifer Barret, Ken Willet, Kent Parkins, Dr Bob Coli.
 * Attendance **
 * Note: ** If you attended this meeting and are not listed above, please contact Ann Clarke ( ann.r.clarke@lmco.com  or 443-348-2765) to be added to the list.

Bob Dieterle reported Cerner has agreed to participate as a pilot. They will participate as a LIS and EHR since the capabilities are there to perform both. Cerna is also owned by Banner Health and using in patient clinical including lab for results and is supported by electronic records. Plans are to use the HL7 version 2.5.1.Implementation (IG).
 * Outreach Activities**

Bob Lutolf questioned if Cerner is working individually or as a team pilot. Bob Dieterle mentioned there is another team of involved and will touch base with them tomorrow. Athena Health is also willing to participate and looking for a lab although they will see if their lab can be upgraded Hl7 version 2.5.1. Allscripts will confirm by either the end of this week or next week whether or not to become a pilot. Bob Dieterle relayed to the workgroup that it looks like it will happen because of discussions with the top representatives. We have a couple of EHRs interested and will get back to them as well.

Bob Lutolf questioned if the IG analysis group is still targeted to make the January ballot. Bob Dieterle stated he expects it to be more like in February. Hai Nguyen of the Mayo Clinic indicated his organization cannot participate at this time because of a new upgrade to their system. Hai will continue to support the pilot workgroup in whatever way he can.

Sheryl Taylori indicated the LRI Validation Suite tool with sample messages will be available on Dec. 20 as a demo for team members interested in viewing the tool. Joan says we are giving a snapshot of the table that Rob Snelick has provided.

A snapshot will be provided that involves a checklist of 144 lab tests that include the following:
 * Categorization of the spreadsheet
 * 4 test messages mapped to IG
 * 140 additional messages that have been mapped as a draft

Robert Snelick is part of IG workgroup and any new information he has will be conveyed to the workgroup. Bob Lutolf says the baseline requirements are in line with the balloted IG. When the IG is ready to ballot for DSTU the workgroup will review again.

Bob Lutolf conducted a checkpoint with the pilot organizations to verify the use of in scope tests, use of LOINC, use of UCUM, OIDS, Local OIDS and SNOMED table listed on the LRI Pilot Teams Ecosystem Wiki Page. In addition a checkpoint of where the pilots are on their pilots brief was conducted.
 * Team reports**

Kentucky HIE Bob Lutolf stated last week the workgroup had a discussion with Brennan from Kentucky HIE in reference to piloting newborn screening. It was determined later this type of pilot is not applicable. Instead Kentucky HIE will use St Claire Medical Center.

Halfpenny Technologies In the process a forming partnerships with Epic, both organizations have joint clients they can work with utilizing the adaptor approach in front of the EHR. Jitin has confirmed to use the adaptor as a temporary plan until we find a compliant EHR vendor.

MyHealth Access Kent indicated his team is reviewing the interoperability pieces of how they will function as a pilot. Bob had a question in relation to the functionality they will use. Some of the capabilities were based on operating with Halfpenny as a team. My Health Access is not partnering with Halfpenny therefore some of the functionality has changed. Plans are to continue to scope out the project and develop specifics of the project. It was noted the advocacy document will be included in the pilot brief.

Ignis Systems Ken Willet informed the workgroup his organization will serve as a system integrator for this project. A meeting was held with Sri Kova from MD Digest and Mike Long from LabLynx to discuss completing the pilot profile. A laboratory has been identified but no confirmation is available yet.

Bob Lutolf emphasized the main item to address is completing the pilot brief and any feedback from HIMSS.

One of the things the workgroup is addressing is giving feedback to ONC on the pilot group progress. The support team has come up with a communication plan to do this and made the following comments during the review of the plan:
 * Communication plan**


 * In the overall operation the workgroup wants to make sure we have a good communication channel identified to the appropriate group from ONC.


 * Feedback is another area for communication. To ONC we are recommending a success metrics which can be identified in the pilot brief template in terms of communication.


 * Identify in pilot brief template an area to expand in terms of communication.


 * Talk about the communication aspect to ONC.


 * At our next session we can work on the details and mention the project charter is the start for the communication workflow.


 * Take into consideration as part of the feedback success metrics and identify a multitude of items.


 * Part of the overall process for the workgroup is to review what is proposed and help determine if there are flaws or areas of strengths to consider as acceptance of pilot.


 * ONC seems to be in agreement with the approach. Jitin will provide feedback and help during the process and consensus of the pilot.

In order to be accepted on the web site we need to have charter information completed. This is an opportunity to get charter updated so you can be added to the website. For those who have submitted information to HIMSS and completed their charter the organization information will be added to the Web site..Ann stated Lablynx may have been contacted.
 * Pilot Website:**

Bob Lutolf reviewed the outstanding action items and comments accordingly. The action items along with responses and status will be posted on the Wiki for review next week. Pilots reports Discuss Communication Plan Review the Action items and comments
 * Action Items**
 * Next Steps**

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