Query Health Clinical Working Group Kick Off

September 7, 2011

AgendaTopic Time Allotted

Introductions and WelcomeOverview of Query Health Initiative Charter and Scope (Rich Elmore)

12:00 – 12:10

Review Workgroup Mission & Goals 12:10 – 12:15

Review of Use Case Outline 12:15 – 12:25

Interactive Session: Review and Discuss Potential User Stories

12:25 – 12:55

Next Steps 12:55 – 1:00

• Overview of Query Health Charter & Scope• Query Health Objective Simple Scalable Secure Use Case

Introductions and WelcomeInitiative Coordinator Rich Elmore

Establish Standards and Protocols for:1. Patient Data2. Query / Case Definition3. Results

• The clinical working group is responsible for:– Developing the Use Case and Functional Requirements– Selecting the standards for the Clinical Information Model (CIM),

query syntax and results expression– Assessing the applicability of the User Stories to available

computable standardized data from certified EHRs and other standards-based health information sources

• These steps ultimately refine the definition of the pilot projects and reference implementation for the initiative

Working Group Mission & Goals

• Call Courtesy– Announce your name– Do not interrupt– Do not dominate discussion / make point and listen to others

• Do-ocracy– Your active participation and contribution is your credibility– Self organized work and calls between meetings

• Committed Members– Statement and agreement to actively contribute, not just attend calls– Committed members are expected to work between calls and report out on weekly calls– Other interested members are invited to participate and consider becoming committed

member– Only committed members may participate in Consensus Process

• Wiki– http://wiki.siframework.org/Query+Health– http://wiki.siframework.org/Query+Health+-+Clinical+WG

Working Group Rules of the Road

• Preface and Introduction• Overview and Scope (In Scope, Out of

Scope, Background, Best Practice Considerations, Regulatory Issues, Privacy and Security, Other Regulations, Communities of Interest).

• Challenge Statement• Value Statement • Use Case Assumptions• Pre-Conditions • Post Conditions• Actors and Roles • Use Case Diagrams (includes both Use

Case and Context Diagrams)

Use Case Outline

• Scenario 1,2,X– Scenario 1 User Stories

• User Story A• User Story B• User Story C

– Scenario 1 Activity Diagram – Scenario 1 Base Flow– Scenario 1 Sequence Diagram

• Functional Requirements– Information Interchange Requirements– System Requirements– Dataset Requirements– Structured Data Elements– Candidate Data Elements

• Risk, Issues and Obstacles

Please Note: Italicized items will be covered by the Business Working Group Members.

Query Health:Example User Story – Case Control, Vaccine Efficacy

1. Quality Compliance : Number of patients over the age of 50 who have received the flu vaccine (NQF 0041).

2. Surveillance: Determine what patients have contracted the flu.

3. 2 x 2 of Vaccine and Flu Diagnosis

4. Refine Query (for example for H1N1). – Add GI symptom – Specify H1N1 vaccine

Individuals Who Contracted the Flu

Individuals Who Did Not Contract the Flu

Population Total

Received Vaccine 20 50 70

Did Not Receive Vaccine

80 10 90

Population Total 100 60 160

Query Health:Example User Story – Case Control, Statin Efficacy

Hyper-lipidemic

Not Hyper-lipidemic

Population Total

Individuals Who Take a Statin

200 500 700

Individuals Who Do Not Take a Statin

800 100 900

Population Total 1,000 600 1,600

1. Quality Compliance: Number of patients over the age of 18 who have been diagnosed with CAD and are taking a statin (NQF 0074)

2. Surveillance: Determine how many patients are hyperlipidemic.

3. 2 x 2 of Statin and Hyperlipidemia

4. Refine Query– Select two statins– Compare efficacy of two

statins

Hyper-lipidemic

Not Hyper-lipidemic

Population Total

Patients on Medication A

50 300 350

Patients on Medication B

150 200 350

Population Total 200 500 700

• What other Scenarios and/or User Stories should be considered?

Interactive Session: Suggested Alternatives

• Develop, refine and provide comments using the wiki discussion tab for the following:– Project Charter– Proposed User Stories

• Example User Story – Case Control, Vaccine Efficacy• Example User Story – Case Control, Statin Efficacy

Next Steps

Appendix

Reference Materials

Using the Discussion Tab on Wiki to Leave Comments

12

1. Click on the “Discussion” tab

2. Select a discussion thread you would like to view or respond to

3. How to start a new thread:A. Click “+ New Post”

B. Enter the “Subject”

C. Enter the post as the “Message”

D. Check “Monitor this topic” to receive e-mail notifications

E. Click “Post”

4. You can share a specific discussion by right-clicking on the title and copying the link

Example User Story – Case Control, Statin Efficacy

Q&A Instructions for WebEx

Connection Problems? Email to: admin@siframework.org

1. Select the “Q&A” button in the WebEx toolbar.

2. Select “All Panelists” in the Q&A box.

3. Type your question and hit send.

The moderator will select questions for the panelists

from the queue.

Please note that this presentation and the Q&A session are being recorded and will be available on

QueryHealth.org

To download any of the “Summer Concert Series” presentations, visit QueryHealth.org and click on the

“Summer Concert Series” button

This session will be live tweeted on Twitter

Hashtag: #QueryHealth

Notices