Transcript 1-21 All Hands Materials

S&I Framework
Prescription Drug Monitoring
Program & Health IT Integration
Initiative
Use Case & Functional Requirements
January 21, 2014
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PDMP & HIT Integration Initiative
Proposed Use Case & Functional Requirements Development Timeline
Week
Target Date
(2014)
Review & Comments from Community via Wiki page
due following Monday @ 12 noon
1
1/7
Use Case Kick-Off & UC Process Overview
Introduce: In/Out of Scope, Context Diagram and Scenario
Concert Series Presentation: ASAP
Review: In/Out of Scope, Assumptions, Context
Diagram
2
1/14
Review: In/Out of Scope, Context Diagram, Assumptions , Scenario
Introduce: User Stories
Review: User Stories, In/Out of Scope, Assumptions,
Context Diagram
3
1/21
Review: In/Out of Scope, Context Diagram, Assumptions , Scenario
Introduce: User Stories
Review: User Stories, In/Out of Scope, Assumptions,
Context Diagram
4
1/28
Review: User Stories
Introduce: Pre/Post Conditions, Actor and Roles
Concert Series Presentation: OneHealthPort & WADOH
Review: Pre/Post Conditions, Actors and Roles, User
Stories
5
2/4
Review: Finalize User Stories, Pre/Post conditions, Actors and Roles
Introduce: Activity Diagram and Base Flow
Review: Activity Diagram and Base Flow
6
2/11
Review Activity Diagram and Base Flow
Introduce: Functional Requirements and Sequence Diagram
Review: Functional Requirements , Sequence Diagram ,
Activity Diagram and Base Flow
7
2/21
Review Functional Requirements and Sequence Diagram
Introduce: Data Requirements and Issues and Risks
Review: Data Requirements and Issues and Risks
All Hands WG Meeting Tasks
2/25
HIMSS Meeting
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3/4
Review: Data Requirements and Risks & Issues
Begin End-to-End Review
End-to-End Review by community
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3/11
End-to-End Comments Review & disposition
End-to-End Review ends
10
3/18
Finalize End-to-End Review Comments & Begin Consensus
Begin casting consensus vote
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3/25
Consensus Vote*
Conclude consensus voting
2
Section Review
Note- Below sections will be reviewed within the separate
Use Case word document:
1. Discuss and review the following sections:
1. Scope Items
Click the icon to
2. Assumptions
open the
Word Document
3. Context Diagram
2. Introduce and review the following sections:
1. Draft User Stories
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PDMP & HIT Integration – In and Out of Scope
To be reviewed in Word Document
Out of Scope
In Scope
1.
2.
3.
4.
5.
6.
7.
8.
Connecting PDMPs to Health IT systems using existing
standards; (technical mechanism for actual exchange of
data)**
If standards do not exist, identifying the gap in the current
standards and working with the Standards Organizations
(SDOs) to address the gaps** (Refers to harmonization
activity)
Improving effective and efficient access to PDMP data by
Healthcare Professionals**
Health IT system has ability to view query response from
PDMP
1.
Healthcare Professional querying PDMP for a
known patient through a Health IT system
2.
Healthcare Professional querying a state PDMP
connected to the same hub as the state they are
located in
Safety notifications/ automated alerts from PDMP
Define standard set of data elements used to submit
queries each time
Define system /technical requirements for Healthcare
Professionals to be able to access patient information
already stored in a PDMP
1.
Accessing a PDMP through a Health IT system (i.e.
EHR system) instead of another portal
Define system/technical requirements that allow
applications to access data in a consistent manner across
the local Health IT system
1.
Method of extraction
**Leveraged from Charter
1.
2.
3.
4.
5.
6.
7.
8.
Defining the trigger event for how the PDMP is queried or
initiated by the user (e.g., hyperlink while ordering, pressing a
button, automatic trigger, etc.)**
Addressing delegation of rights to individuals not legally
authorized to prescribe medications (this is an implementation
specific decision and may vary by implementation and pilot
sites)**
Third party access - (this is an implementation specific decision
and may vary by implementation, pilot sites and state statues
and law)**
Reporting patient prescription information from dispensers to
state PDMP
Policy-based decisions on how PDMPs are managed,
accessed, and updated that vary from state to state
Timeliness of PDMP: Currency of Data
Storing query response from PDMP
Health IT system’s structure of display for the query response
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PDMP & HIT Integration – Use Case Assumptions
To be reviewed in Word Document
1. Health IT system is capable of querying a PDMP
2. All Healthcare Professionals have appropriate legal authority based on state
regulations to request and receive information from state PDMP
3. Healthcare Professionals accessing the PDMP follow state guidelines as appropriate,
including any privacy and security requirements as required by each individual state
PDMP authority
4. The PDMP returns high positive matches to the Healthcare Professional1
5. The Healthcare Professional accesses information that already exists within the
PDMP at the time of querying
1
Question for Community: What are the responses you receive when querying a PDMP?
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Generic Scenario &
Context Diagram
Pre-Step: Healthcare
Professional logs into
Health IT System
To be reviewed in Word Document
PDMP & HIT Integration
Use Case Scope
1. Sends query to state PDMP
Interstate
Hub
Healthcare Professional
receives requested
information
2. PDMP sends query response
AND/OR
Pre-Step: Healthcare
Professional logs into
Health IT System
PDMP & HIT Integration
Use Case Scope
1. Sends query to state PDMP
Healthcare Professional
receives requested
information
2. PDMP sends query response
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User Story 1: A legally authorized provider queries
PDMP before writing a prescription for a patient
To be reviewed in Word Document
•
Draft User Story: A patient arrives at the doctor’s office for chronic back pain. The Healthcare
Professional logs into his Health IT system and enters his credentials. After diagnosis, the
Healthcare Professional sends a query to the State PDMP through his Health IT system to see if
the patient had been prescribed a controlled substance in the past X weeks. The PDMP
processes the request and identifies the appropriate response to send back to the requestor. After
receiving the query response from the PDMP, the Healthcare Professional makes an informed
decision of whether or not to prescribe the medication or modify the dosage based on the
information received.
Trigger: Patient needs
medication for chronic back
pain
1. Healthcare
Professional logs into
Health IT System
Use Case Scope
2. Sends query to state PDMP to check if patient
has been prescribed narcotics/controlled
substance in past X weeks
3. PDMP sends query response
4. Healthcare Professional makes an informed
decision to prescribe medication based on
information received
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User Story 2: Pharmacist queries PDMP prior to
dispensing opioids to a patient
To be reviewed in Word Document
•
Draft User Story: A patient arrives at the pharmacy to have his prescription filled.
The pharmacist logs into the Pharmacy Dispensing system, and she enters her
credentials. After, she sends a query to the State PDMP through her Pharmacy
Dispensing system to see if the patient had filled a prescription for a controlled
substance in the past X weeks. The PDMP processes the request and identifies the
appropriate response to send back to the requestor. After receiving the query
response from the PDMP, the pharmacist makes an informed decision of whether or
not to dispense the medication based on the information received.
Trigger: Patient arrives at pharmacy
and drops off prescription to be filled
1. Pharmacist logs
into Pharmacy
Dispensing System
Use Case Scope
2. Sends query to state PDMP to check if
patient has received narcotics/controlled
substance in past X weeks
3. PDMP sends query response
4. Pharmacist makes an informed decision to
dispense medication based on information
received
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Next Steps
• Review: User Stories, In/Out of Scope, Assumptions, and Scenario
sections
• Next Meeting is Tuesday, January 28 from 12:00pm - 1:00pm EST
• Reminder: All PDMP & HIT Integration Announcements, Meeting
Schedules, Agendas, Minutes, Reference Materials, Use Case,
Project Charter and general information will be posted on the PDMP
Wiki page
– http://wiki.siframework.org/PDMP+%26+Health+IT+Integration+
Homepage
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Contact Information
•
For questions, please feel free to contact your support leads:
–
Initiative Coordinators:
•
•
–
Johnathan Coleman [email protected]
Sherry Green [email protected]
ONC Leads:
•
•
•
Mera Choi [email protected]
Jennifer Frazier [email protected]
Helen Caton-Peters [email protected]
– SAMHSA Leads
•
•
–
Jinhee Lee [email protected]
Kate Tipping [email protected]
Support Team:
•
•
•
Project Management:
– Jamie Parker [email protected]
– Ali Khan [email protected] (Support)
Use Case Development:
– Ahsin Azim [email protected]
– Presha Patel [email protected]
Vocabulary and Terminology Subject Matter Expert:
– Mark Roche [email protected]
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