HITSP Project
Medications Management Use Case Presentation to
CCHIT
Steve Wagner and Scott Robertson
July 27, 2007
Topics
What is Medication Management
Who are the stakeholders
Analysis Update
HITSP Constructs
Next Steps
Evaluation of Standards Harmonization Process for HIT 1
What is Medication Management
Focuses on patient medication and allergy information exchange
between consumers, clinicians (in multiple sites and setting of care),
pharmacists, and organizations that provide health insurance and
pharmacy benefits
– Provides reconciliation of medication lists/therapies
– Allows for application of clinical decision support to therapy selection
– Enhances management of medication therapy
Looked at from 2 settings and 3 perspectives.
– Settings: inpatient care and ambulatory care
– Perspectives: clinicians, pharmacists, and consumers
– Long-term care setting is included within these settings where appropriate
Evaluation of Standards Harmonization Process for HIT 2
Who are the Stakeholders
Clinicians Medication Network Intermediaries
(MNIs)
Consumers
Patients
Drug Knowledge Suppliers
Pharmacists
Health Information Exchange (HIE)
Pharmacy Benefit Managers (PBMs)
Healthcare Entities
Public health Agencies
Healthcare Payors (local/state/federal)
Evaluation of Standards Harmonization Process for HIT 3
Analysis Update
Initial analysis of inpatient scenario for all perspectives has been
completed. Initial analysis of clinicians perspective of ambulatory care
scenario has been completed.
Currently analyzing pharmacist perspective of ambulatory care events.
– Expect to complete initial analysis of ambulatory care scenario on next call.
Have found many similarities between settings and are able to reuse
much of inpatient UML diagrams for ambulatory setting, with only
minor changes.
Potential Standards Gaps being identified during analysis
– Information exchange with knowledge vendors
Evaluation of Standards Harmonization Process for HIT 4
HITSP Constructs
ISC-32 Registration and Medication History Document
– Potential reuse for medication history, demographics, clinical information
(e.g., problems, conditions, diagnoses), allergies
ISC-35 EHR Lab Terminology
– Potential reuse for clinical terminology
ISC-37 Lab Report Document
– Potential reuse for clinical information contained in laboratory documents
Need to evaluate for complete coverage of requirements
– Other existing constructs for potential reuse (e.g., Security and Privacy)
– Extensions to existing constructs
– New constructs are yet to be identified
Evaluation of Standards Harmonization Process for HIT 5
Next Steps
Complete analysis of ambulatory care events
Check UML model for consistency
Prepare RDSS for public comment in early September
Evaluation of Standards Harmonization Process for HIT 6