/ Minutes from the Introductory Meeting: PATIENT SAFETY SPECIAL INTEREST GROUP
September 10, 2003
9AM-12:30 PM
HL7- 17th Annual Plenary and Working Group Meeting. Memphis.
Facilitator:
Ali Rashidee
Agenda topics discussed
Introduction / Ed Hammond
IOM-Patient Safety / Suzanne Bakken
Introduction from the Technical Committee / Randy Levin
Patient safety overview and AHRQ Project / Ali Rashidee
10:30-11:00 / Morning Break
Interaction with other TCs, SIGs, and International Collaboration / Ali Rashidee
Development of short and long-term Agenda / Ali Rashidee
Closing Remarks / Ed Hammond
Attendee Name / Organization / Phone / e-mail
Rob Borotkanics / AHRQ / 301 427 1799 /
Bob Hizer / Eli Lilly / 317 276 4840 /
Susan Bounds / FDA / 301 594 3880 /
Dan Budnitz / CDC / 770 488 1486 /
Wenkai Li / CDC / 404 498 1127 /
Gary Cruickshank / Canadian Pharma. Assoc. / 519 657 3125 /
Joe Auriemma / Siemens / 519 657 3125 /
Carol Broverman / Partners Healthcare / 610 219 8726 /
Randy Levin / FDA / 301 594 5411 /
Anita Benson / DataScene / 860 567 5523 /
Sue Bakken / Columbia University / 212 305 1278 /
Zijun Zhou / HL7-China / 8610 828 02269 /
Dan Jernigan / CDC / 404 639 2621 /
Ali Rashidee / AHRQ / 404 498 1103 /
Ed Hammond / Duke / 919 218 0771 /
NOTES PAGES / Agenda topics
INTRODUCTION / DR. ED HAMMOND
Discussion:
Mentioned the discussion at HL7 as to how IOM is describing Patient Safety data standards. Mentioned the HIMMS demonstration. HL7 discussed number of issues, including the distinction between allergy and adverse events, terminology, messages. Initially picked PC as the parent committee, but later on decided upon RCRIM as the parent TC.
He impressed upon the need for identifying the group(s) for interactions with Patient Safety, and setting up joint meetings. The group should also review the mission statement at the end of the year.
Need to define messaging needs from a broader perspective. Emphasized that HL7 needs more clinical focus.
Suggested that ‘Ethical considerations’ be included in the broad perspective of Patient Safety.
Action items: / Person responsible: / Deadline:
Interim Chair: Ali Rashidee
Election of Co-chairs in January. Suggested 4 co-chairs, three from federal agencies (AHRQ, CDC, FDA), and one person representing non-govt. entities at this time.
Aspiring candidates are to write up their vision, mission and how they are going to contribute to the PSSIG. / Ali to contact with Peggy and Karen at HL7 for necessary actions, and also arrange for two-half day meetings at the January Session.
Two time slots have been secured:
Monday and Wednesday Mornings (9:00AM -12:30PM)
Set up meetings with other TCs and SIGs. / Ali
Clinical Decision Support System TC has been contacted.
Government SIG wants a briefing on PSSIG - time will be set up soon.
IOM-PATIENT SAFETY / DR. SUZANNE BAKKEN
Discussion: Told about the upcoming Report from IOM on patient safety data standards. The report views things broadly. It may define Adverse event (AE), and medical error. The contents will cover data exchange standards, knowledge representation, EHR, and business process.
Funding from AHRQ is helping development of the data standard at IOM.
She emphasized the need for identifying the user groups - internal, across an enterprise and external stakeholders. Also, emphasized the need for developing International affiliations.
Action items: / Person responsible: / Deadline:
INTRODUCTION FROM TECHNICAL COMMITTEE / DR. RANDY LEVIN
Discussion:
Described the activities going on within the RCRIM namely, reporting to regulatory authorities, surveillance, and research needs.
Emphasized the need for HL7 messaging from healthcare organizations for post market monitoring, including reports for devices, foods, biologics, and animal drug products.
Made us aware of the activities going on in the ICH and the use of MedDRA for regulatory reporting from pharmaceutical industries, and it being extended to encompass all products.
He brought to awareness the collaboration with the DHHS Patient Safety Task Force, and mentioned that RCRIM Mission statement needs revision.
AHRQ PROJECTS / DR. ALI RASHIDEE
Discussion:
Presented an overview of patient safety, the need for setting up short and long-term goals, as well as addressing some project specific needs.
INTERACTION WITH OTHER TCs and SIGs, and INTERNATIONAL COLLABORATION / DR. ALI RASHIDEE
Discussion: Variety of interactions envisioned. Need a well-thought out approach to do this.
Action items: / Person responsible: / Deadline:
Targeted meeting with the TCs and SIGs:
Develop agenda for interaction with Patient Care, Vocabulary, Decision Support, International Collaboration, Order and Observation - What are those pieces that are of interest to PSSIG. What are technical aspects and how do we interact with them.
Formulate some questions - think of key instances. What are the Vocabulary issues for the PS Safety projects we are currently working on. / PSSIG
DEVELOPING SHORT and LONG-TERM AGENDA for PSSIG. / DR. ALI RASHIDEE
Action items: / Person responsible: / Deadline:
Short-term
Regulatory Reporting
Develop Hospital use cases for surveillance / Susan Bounds
Patient Safety implications of the work that they are doing-leverage HL7 news letter.
Develop an HL7 inventory addressing Patient Safety.
Suggested the inclusion of Professor T. Van der Scahff
Consider JACHO Taxonomy for PS needs / Suzanne Bakken
Reporting beyond govt. regulatory needs, develop business/use cases / Dan Budnitz
Infection control not considered in RIM -need storyboard on infection / Dan Jernigan
Requirements for Blood products, NNIS, Nash, DSN for immediate implementation
Work with Orders and observation / Anita Benson / Will be balloted by January
Work on Eindhoven Tool / Sue, Ali, Jim, Van der Schaff.
General:
Work on Vocabulary, decision support
Not primarily of government focus.
Use cases for Falls, decubitus ulcers, Infections.
Resolve scope issues with NHSN
Need Regular contacts with hospitals
ICSR- define devices terminology?
Define ‘Blood Bank’ needs
BPD requirements and vocabularies / PSSIG
Long-term
Standardization of Eindhoven Tool, CDA, EHM/EMR, NLP, Decision Support, non-government reporting. / PSSIG
Ensuring PS Communications system wide, and between systems / PSSIG
Develop storyboards on PS Issues. / PSSIG