LRI+Pilots+WG+2011-11-29

include component="page" wikiName="siframework" page="LRI Header" 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, Chuck Tryon, Aaron Zimmerman, Kent Parkins.
 * 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
 * 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 Lutolf reviewed the project plan and explained expectations from the workgroup are to receive more information from pilot organizations in order to complete the Wiki pages. Ann Clarke will take care of updating the pages on the Wiki site.
 * Status of Pilot Outreach Effort**

Jay Alicea from Lifepoint Informatics informed the workgroup his organization is in the process of setting up new pilot pages on the Wiki site. Jay also indicated his organization can provide assistance with obtaining Labs and EHRs to serve as pilots.

Mary Kennedy reported work continues for the Pilot project template and setting up the Wiki page for the hospital lab that will be involved and as soon as more information becomes available it will be shared with the workgroup. In addition plans are to confirm if other partners will participate.

Mary questioned where she could find the most recent Implementation Guide (IG). Bob Lutolf explained the most recent IG guide, which is up for balloting is listed on the Workgroup Wiki page dated for September 26, 2011. Bob Lutolf also mentioned when the IG group has completed their changes, the Pilot workgroup will revisit the guide again and walk through the changes.

Bob Lutolf relayed activities continue for finding Labs and EHRs for pilot partnerships. Jitin Asnaani and Bob Dieterle have promised to bring in EHRs and are actively involved in this process. LabLynx is looking for a lab and Halfpenny is looking for an EHR. In addition the pilot support team has provided a spreadsheet of organizations contacted and available to form partnerships as well as what organizations we need to have further discussions with.

Bob Lutolf indicated that Bob Dieterle made comments at the meeting last week in regards to OIDS and Cindy in regards to Unified Code for Units of Measure (UCUM). Bob Lutolf stated the language now for both is appropriate and further added the requirements are currently baseline and posted on the Wiki with the exception of SNOMED which the Vocabulary group is still working on.

Brennan O'Banion from Kentucky Health Information Exchange discussed the Public Health Lab his organization is working with can only pilot what was achieved for the new system which is not a part of the 140 approved LRI tests. The focus is for Newborn screening rather than Ambulatory. Cindy Levy made a statement that Newborn screening typically occurs within the hospital as opposed to ambulatory. The message produced will not comply with the IG from the Vocabulary workgroup. Brennan indicated he would continue to research this further to see if anything different can be done with the Public Health Lab. Bob Lutolf inquired is there a different type of message structure. Brennan indicated we are performing a gap analysis on HL7 for Newborn screening and stated it is HL7 version 2.5.1 and very close to the IG for LRI. Bob Lutolf stated although it will be close the message will not comply with the ambulatory guide. Bob Lutolf will confer with Cindy Johns of the Vocabulary workgroup to verify if a partial test is acceptable or not.

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**

Lab Lynx
 * Bob Lutolf indicated that LabLynx is looking for a lab and Mike Long and John Jones are the contacts for this organization.

Atlas
 * Atlas reported they are still working on the overall plan and should have it completed soon. Curt Zeberlein reported Atlas is committed and the pilot is moving ahead.
 * Currently there are no plans to use UCUM or OIDS. Atlas intends to perform all in scope tests and LOINC is a definite yes. Whether the validation suite will be used remains to be confirmed internally. Anne will follow up with Curt in terms of helping to complete the pilot expanded briefs.

Halfpenny Technologies
 * Gai Elhanan reported Halfpenny will perform all in scope tests. We have every intention of using everything but will really know more once the project moves ahead. It depends on what we find as we move along for the other factors.

Kentucky HIE
 * Based upon the concerns mentioned earlier in regards to whether or not the Newborn screening is in scope as a pilot made Brennan questioned what would be the recommendation as next steps for Kentucky HIE to participate as a pilot.
 * Bob Lutolf suggested perhaps we can find another lab. Bob Lutolf plans on following up with Cindy Johns from the Vocabulary group to confirm and gain more insight from ONC.
 * In the meantime Brennan will continue to work with the lab to see if there are any alternatives they might be able to consider.

Lifepoint Informatics
 * Reported there are 7 labs and seven EHRs available and seek guidance on how to utilize their services.
 * Bob Lutolf mentioned it could be an entire team of seven or the EHRs could support other teams.

It was mentioned if pilots plan to use the validation suite the terminology may not be represented whereby the test will fail. Tom Boal stated organizations are welcome to only use test data from the Validation Suite. Gai mentioned we will try but need to consider that something may come up during the pilot.

Bob Lutolf stated for next week we are hoping to have more information filled out and feedback from Jitin and Bob Diertele in regard to EHRs. The advocacy document from RML was presented with focus on the current scope, use cases, pilot requirements, consensus and implementation guidelines, which Bob Lutolf feels needs further discussion.

Brennan pointed out that having a regional approach is broad due to the customer base.Is it fully acceptable to use an integrator whereby Lab may not be able to generate version HL7 2.5.1 but the lab will send a message to the integrator that in turn will send to EHR.

Bob Lutolf concluded we need to be mindful if someone does a pilot and they run into problems because of environment issue. Need to develop supporting material for black box to ensure the pilot factored in orders and results.

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.
 * Action Items**

Pilots reports Review the Action items and comments
 * Next Steps**

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