2009 03 31 Healthstory Webinar Presentation

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Healthstory Project Review Webinar

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  • 2009 03 31 Healthstory Webinar Presentation

    1. 1. Welcome! Q1 ‘09 Business Plan Review Tuesday, March 31, 2009 2:00-3:00 PM central URL: https://www2.gotomeeting.com/register/233785188
    2. 2. Agenda <ul><li>Agenda Review </li></ul><ul><li>Ground Rules </li></ul><ul><li>Introductions </li></ul><ul><li>Background </li></ul><ul><li>Business Plan Review </li></ul><ul><li>Q&A </li></ul>Objective: Participants can speak knowledgeably about the Health Story Project and its status
    3. 3. Ground Rules <ul><li>Introduce self when speaking </li></ul><ul><li>Stay on topic; Use parking lot </li></ul><ul><li>If your line is noisy, please mute </li></ul><ul><li>If muted, “raise hand” </li></ul>
    4. 4. <ul><li>Presenters </li></ul><ul><li>Nick van Terheyden, MD </li></ul><ul><li>CMO, M*Modal [email_address] </li></ul><ul><li>Joy Kuhl, CPF </li></ul><ul><ul><ul><li>The Health Story Project </li></ul></ul></ul><ul><ul><ul><li>[email_address] </li></ul></ul></ul><ul><ul><ul><li>Liora Alschuler, Principal Alschuler Associates, LLC liora@alschulerassociates.com </li></ul></ul></ul>Introductions <ul><li>Attendees </li></ul><ul><li>Name </li></ul><ul><li>Organization </li></ul>
    5. 5. Background
    6. 6. Background: Why Health Story? <ul><li>Challenge … </li></ul><ul><ul><li>600 million clinical documents produced in U.S./year </li></ul></ul><ul><ul><li>Dictated and transcribed documents around 60% of clinical data </li></ul></ul><ul><ul><li>Getting valuable info from narrative documents into the EHR </li></ul></ul><ul><li>What if you could … </li></ul><ul><ul><li>Continue to use narrative and dictation and </li></ul></ul><ul><ul><li>at the same time increase usage of the EMR and </li></ul></ul><ul><ul><li>make more records available for the health information exchange? </li></ul></ul>
    7. 7. CDA Templates
    8. 8. Accessible Clinical Data
    9. 9. CDA: A Document Exchange Specification <ul><li>This is a CDA </li></ul><ul><li>and this </li></ul><ul><li>and this </li></ul><ul><li>and this </li></ul><ul><li>and this </li></ul><ul><li>and this </li></ul><ul><li>and this </li></ul>
    10. 10. CDA: Investing in Information <ul><li>CDA at the Mayo Clinic </li></ul><ul><ul><li>Initiated in 1999 </li></ul></ul><ul><ul><li>Thousands of documents each week </li></ul></ul><ul><ul><li>Clinical documents: Most important capital asset </li></ul></ul><ul><li>CDA at New York Presbyterian (was Col-Pres) </li></ul><ul><ul><li>“ CDA Philosophy” </li></ul></ul><ul><ul><li>Clinical notes contain critical information in narrative </li></ul></ul><ul><ul><li>Best format for information mining and aggregation across applications </li></ul></ul><ul><ul><li>1/3 of all discharges summaries </li></ul></ul>
    11. 11. Background: Why Health Story? <ul><li>CDA4CDT: rapid development initiative </li></ul><ul><ul><li>“ Clinical Document Architecture for Common Document Types” </li></ul></ul><ul><ul><li>Founders: AHDI/MTIA, AHIMA, M*Modal and Alschuler </li></ul></ul><ul><ul><li>Benefactors: 3M, A-Life Medical, Imagetek, Interfix, MedQuist, MDinTouch, Misys, Precyse, Quadramed, Spheris, Webmedx </li></ul></ul><ul><ul><li>Published HL7 draft standards: 1) consultation note, 2) history and physical, 3) operative note and 4) diagnostic imaging reports </li></ul></ul><ul><ul><li>Earned positive recognition in national press </li></ul></ul><ul><ul><li>Strong volunteer participation in standards development </li></ul></ul><ul><ul><li>Cited by AHIC as source for national standards </li></ul></ul>
    12. 12. Background: Why Health Story? <ul><li>Health Story: industry alliance </li></ul><ul><ul><li>In 2008, participants agreed to: </li></ul></ul><ul><ul><ul><li>Build on momentum and success of CDA4CDT </li></ul></ul></ul><ul><ul><ul><li>Continue development work and further adoption </li></ul></ul></ul><ul><ul><ul><li>Develop 5-year business plan to guide activities </li></ul></ul></ul><ul><ul><li>SWOT analysis led to new brand </li></ul></ul><ul><ul><ul><li>Speaks to common vision for comprehensive electronic clinical records </li></ul></ul></ul><ul><ul><li>Planning led to refined mission </li></ul></ul><ul><ul><ul><li>To develop and promote information standards that support the flow of information between narrative documents and EHRs </li></ul></ul></ul>
    13. 13. Q1 ‘09 Business Plan Review
    14. 14. Business Plan Review <ul><li>18-Month Goals </li></ul><ul><li>Solidify operations and develop brand </li></ul><ul><li>Build coalition </li></ul><ul><li>Generate market demand </li></ul><ul><li>Maintain momentum in product development </li></ul><ul><li>Foster adoption </li></ul>
    15. 15. Business Plan Review <ul><li>Solidify Operations & </li></ul><ul><li>Develop Brand </li></ul><ul><li>Business plan approved </li></ul><ul><li>Logo produced </li></ul><ul><li>Web site live with basic information </li></ul><ul><li>New brand launched at RSNA </li></ul><ul><li>Executive committee and activities operational </li></ul><ul><li>Web site live with rich information </li></ul>
    16. 16. Business Plan Review <ul><li>Build Coalition </li></ul><ul><li>Membership materials and benefits in place </li></ul><ul><li>Ongoing communication with members </li></ul><ul><li>Promoter profiles online </li></ul><ul><li>$51,500 secured ($200K goal ) </li></ul><ul><li>Minimum of 1 EHR vendor and 1 healthcare facility and/or RHIO recruited </li></ul><ul><li>95% member retention </li></ul>
    17. 17. Project Members <ul><li>Founders </li></ul><ul><li>Promoters </li></ul><ul><li>Original Benefactors: </li></ul><ul><li>Participants </li></ul>
    18. 18. Business Plan Review <ul><li>Generate Market Demand </li></ul><ul><li>Broad industry speaking engagements </li></ul><ul><li>Strong press coverage </li></ul><ul><li>Web site a useful tool </li></ul><ul><li>Use case in development </li></ul><ul><li>In dialogue with national stakeholders </li></ul><ul><li>National relevance with AHIC, HITSP, CCHIT </li></ul><ul><li>White paper developed </li></ul>
    19. 19. <ul><li>Maintain Momentum in Product Development </li></ul><ul><li>Technical implementation guides </li></ul><ul><ul><li>Consultation note </li></ul></ul><ul><ul><li>History and physical </li></ul></ul><ul><ul><li>Operative note </li></ul></ul><ul><ul><li>Diagnostic imaging report </li></ul></ul><ul><ul><li>Discharge summary (w/IHE) </li></ul></ul><ul><ul><li>Encounter note </li></ul></ul><ul><li>Training program designed and available 2009 </li></ul>Business Plan Review
    20. 20. Business Plan Review <ul><li>Foster Adoption </li></ul><ul><li>10 facilities to require standards in RFPs </li></ul><ul><li>5 organizations to pilot by 2010 </li></ul><ul><li>Status </li></ul><ul><ul><li>Members generating Health Story CDA </li></ul></ul><ul><ul><ul><li>GE Medical, Medquist, M*Modal </li></ul></ul></ul><ul><ul><li>Provider adoption </li></ul></ul><ul><ul><li>HITSP requirement </li></ul></ul><ul><ul><ul><li>C84 Consult and History & Physical Note Component </li></ul></ul></ul><ul><ul><ul><li>Add Diagnostic Imaging, Op Note </li></ul></ul></ul><ul><ul><li>On CCHIT roadmap </li></ul></ul>
    21. 21. Business Plan Review <ul><li>5-Year Goals </li></ul><ul><li>Establish brand awareness </li></ul><ul><li>Maintain strong coalition </li></ul><ul><li>Increase market demand </li></ul><ul><li>Publish catalog of products </li></ul><ul><li>Earn national endorsement </li></ul><ul><li>Foster widespread adoption </li></ul><ul><li>Declare success </li></ul>Our Vision: Comprehensive electronic clinical records that tell a patient’s complete health story.
    22. 22. Next Steps and Q&A <ul><li>Health Story Project Meeting HIMSS Conference McCormick Place, Chicago, Illinois Tuesday, April 7, 2009 8:30 a.m. - 9:30 a.m. Meeting Room: N128 invitation </li></ul><ul><li>Health Story Project Breakfast MTIA 20th Annual Conference Louisville Downtown Marriott, Louisville, Kentucky Thursday, April 23, 2009 7:15 a.m. - 8:15 p.m. presentation begins at 7:30 a.m. invitation </li></ul>
    23. 23. Get Involved <ul><li>Join the project </li></ul><ul><li>Participate in HL7 Structured Documents Work Group </li></ul><ul><li>Participate in HL7 ballot comment periods </li></ul><ul><li>Participate in other public comment periods (CCHIT, HITSP, etc.) </li></ul><ul><li>Work standards into your development plans </li></ul><ul><li>Encourage implementation </li></ul>

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