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Friday, January 14, 2011

IHE Workshop Results

Today I facilitated an IHE Workshop for the third time.  This is always an interesting program.  The first half of this half-day program is spent describing how IHE is structured, what it does, why, the benefits, how the processes work, et cetera.

The second half is done in five stages.
Step 0: We review the IHE profile proposal template.
Step 1: This step includes brainstorming interoperability problems in healthcare.  We simply come up with an unconstrained list of problems that IHE might be able to solve. 
Step 2:  The next step divides the room up into teams of 3-5 people and having them select a particular problem to solve.  Each team has to develop a profile proposal (short form), which includes four things:
A) Problem and Value Statement
B) Use Case
  i)  Current State
  ii) Desired future state
C) Available Standards
D) Systems involved

Step 3: Teams present their proposal in 5-10 minutes, and answer any questions on them from the class.  I also gently critique the proposals, explaining what might be done to make them a little better.

Step 4:  The class votes on the proposals.  Because of the timing, the class dwindled a bit from 12 to 6 people (it was the last class on the last day of HL7).  So, I didn't let teams vote for their own proposal.

One proposal today got overwhelming support, and it was from the Opthomologist who worked solo with a bit of help from me.  So, I'll be flying that one past some friends in IHE Eyecare to see if I can find a supporter of it to present at the next opportunity.

The problem described was lack of consistency in data collection on cataract surgeries.  This is apparently a very common surgery (in general as well as in that specialty).  The proposal was to develop either an OpenEHR Archetype or a CDA Document template that could be used to gather and report on the data pre and post-surgery, with use of SNOMED CT or LOINC Vocabulary, and restriction to appropriate units to report on vision acuity.  A 20/20 in the US translates into 6/6 here in Australia, but there are also log scales.

I'll get the complete proposal from my student in my e-mail.  We also looked at remote (home) monitoring, but that one didn't "win the prize".  It had some valuable points also, and was well done, it just didn't have the same focus as the Cataract Surgery one.  So, I'll take the output from that group and forward it to some folks in PCD next week also, and make sure that the team at least gets feedback on what is available.

The last proprosal was for ePrescribing, and had participation from AU, NZ, and CZ.  The challenge here is that there really are NO common standards available for the electronic prescribing acrosss these regions, so the proposal was not terribly feasible.  Even so, I promised to point them to the work being done by epSOS as a possible starting point.

Everybody gained something.

Next week I'll be doing something similar, but with much more limited time.  Students will identify problems, and use existing IHE profiles they've had described to them earlier in the day to design a solution to an interoperability problem.  I won't have to provide as much background for them because they'll have been at the Connectathon conference and will have also already toured the floor.

-- Keith