Reconciliation Overview

Centralization of dispersed workflows

© 2004, HL7 2

Expectations

• Identification of critical expectations from San Antonio

• Decomposing each expectation into objectives and tasks

© 2004, HL7 3

Expectations Identified

• To formally address 100% of the normative ballot comments received.

• Review of all references related to any normative comments

• To assign a disposition to each of these comments to include: Disposition Comment, Responsible person, Vote results, Change applied and whether it is a Substantive change.

• To notify each of the balloters submitting negative comments as to the disposition of their comments and the proposed actions taken.

• To identify follow-on activities to satisfy HL7 and ANSI requirements.

© 2004, HL7 4

Addressing Comments

• Reconciliation Team leaders are provided amalgamated comments for their “Chapters”

• Comments are clustered (classified), prioritized and assessed by the teams

• Team notes (recommendations) are made and reviewed by the Co-Chairs, pre-San Antonio

© 2004, HL7 5

Normative Content

MasterDB

OverviewDB

InformationInfrastructure

DB

SupportiveDB

Direct CareDB

AmalgamatedSpreadsheet

from HL7

HL7 provides AmalgamatedHL7 provides AmalgamatedSpreadsheets of all EHR-SSpreadsheets of all EHR-SDSTU ballot comments.DSTU ballot comments.

The HL7 data is The HL7 data is Imported into an MSImported into an MSAccess database and Access database and parsed out by chapter.parsed out by chapter.

Reports can be run from Reports can be run from the Databases to help the Databases to help guide the analysis and guide the analysis and prioritization work.prioritization work.

© 2004, HL7 6

Pre Reconciliation

Supportive

Direct CareOverview

InformationInfrastructure

Chapter DatabaseChapter Databaseare exported toare exported toWorksheetsWorksheets

Teams work to analyzeTeams work to analyzeballot comments and to ballot comments and to Identify key issuesIdentify key issues

© 2004, HL7 7

Pre Reconciliation

Supportive

Direct CareOverview

InformationInfrastructure

Completed worksheetsCompleted worksheetsare then reviewed andare then reviewed andexported back into the exported back into the chapter databases.chapter databases.

Additional analysis, clustering Additional analysis, clustering of Like-responses and initial of Like-responses and initial dispositioning of comments is dispositioning of comments is performed. performed.

© 2004, HL7 8

EHR SIGEHR SIGCo-ChairsCo-Chairs

HL7HL7MentorsMentors

ReconciliationPrioritized reconciliationPrioritized reconciliationworksheets are generated from worksheets are generated from the chapter DBs and distributed the chapter DBs and distributed to the San Antonio teams.to the San Antonio teams.

Teams review the Pre-Teams review the Pre-Reconciliation work and form Reconciliation work and form consensus around each clusterconsensus around each cluster

Chapter databases will also be Chapter databases will also be linked to a wireless web server linked to a wireless web server for direct access and data entry.for direct access and data entry.

© 2004, HL7 9

ReconciliationThe chapter databases offer The chapter databases offer more advanced reporting and more advanced reporting and analysis tools to complete the analysis tools to complete the reconciliation process.reconciliation process.

As Team consensus is reached, As Team consensus is reached, worksheet items are completed worksheet items are completed and exported back to the chapter and exported back to the chapter database, or are inputted directly database, or are inputted directly via the wireless web.via the wireless web.

© 2004, HL7 10

ReconciliationAfter votes are recorded, the After votes are recorded, the Master Database is updated. Master Database is updated. Reconciliation reports for each Reconciliation reports for each balloter submitting comments are balloter submitting comments are generated.generated.

Daily and as work objectives are Daily and as work objectives are completed, the chapter databases completed, the chapter databases are opened for issues and motions are opened for issues and motions presented by Team Leaders.presented by Team Leaders.

Mot

ions

on

disp

ositi

ons

Dis

cuss

ions

on

disp

ositi

ons

SIG

Vot

e on

dis

posi

tions

© 2004, HL7 11

Post-Reconciliation

The EHR Publication Workgroup The EHR Publication Workgroup works towards integrating any works towards integrating any agreed-upon changes into the agreed-upon changes into the DSTU ballot package for future DSTU ballot package for future action.action.

Emails containing the Disposition reports Emails containing the Disposition reports generated by the Master Database are generated by the Master Database are distributed to the Ballot Pool. Negative voters distributed to the Ballot Pool. Negative voters are requested to withdraw or retract based on are requested to withdraw or retract based on the disposition reports.the disposition reports.

Ballot Pool

HL7

© 2004, HL7 12

Additional Information

CD-ROM libraries will be CD-ROM libraries will be distributed containing all distributed containing all ballot documents and ballot documents and ballot package contents.ballot package contents.

Do not forget your USB Do not forget your USB Thumb-Drives and Thumb-Drives and Wireless Network cards Wireless Network cards (802.11b, *WEP enabled).(802.11b, *WEP enabled).

A Printer will be A Printer will be available for all to use. available for all to use. You must supply your You must supply your own “Blue pencils”!own “Blue pencils”!

Remember,Stay flexible!

*Security note:Please update your Virus Protection,especially if you plan to share documentswith others.WEP 128 bit keys will be changed daily aswill the SSID. SSID will not be broadcast.