Dates
Connectathon Rehearsal: December
14th from 12 to 1:30pm
Connectathon: December 20th from 10 to 11:30am
| Info |
|---|
Agenda |
- Agenda Review,
- CDS Implementation Questions and Discussion
- Next Steps
| title | Materials |
|---|
|
Attendees
NACHC Informatics Team | Alliance Chicago |
|---|
OCHIN | HealthFlow | Other |
|---|---|---|
Julia Skapik |
Pedro |
Carneiro |
Raymonde Uy |
John Gresh Andrea Price |
Crystal Nwachuku | Andrew Hamilton |
Shelly Sital |
Seren Karasu Dr. Michael Lieberman | Ken Allgood Thai Lam James Haines-Temons | Mario by phone. |
Discussion items
Item | Who | Notes | Action Items |
Welcome and Agenda Review |
CDS Implementation Questions and Discussion
What is the entry point for the patient's entry into care? Mobile teams? Walk-ins?
There are workflows for patients who enter the system at different points, i.e., phone call, primary care visit, school-based clinic, pre-natal appt.
Workflow is the action that people take
Dataflow is what data is captured and that point.
Provide work and data flows - can be drawn on paper, put in visio, excel, etc.
Make it clear who does the action.
You can make notes on the existing workflows that were handed in.
Who are the actors?
What are the actions they take?
When does the action stop?
Risk Assessment Instruments
AllianceChicago
HIV Management Form
HIV Testing
Sexual Risk Exposure Prophylaxis
Sexual Risk Assessment
STI Screening
El Rio
Fenway
Montefiore
Montefiore does not have a structured risk screener/questionnaire that people are using. Attempts in the past to implement a risk screener has not worked with respect to people using it (and challenges to actually integrating it into work-flows).
The couple of questions that do exist (which is used highly variably and filled out infrequently) are below:
OhioPCA
Lower Lights CHC
PrEP Screening
| View file | ||||
|---|---|---|---|---|
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HIV Risk Assessment Form Date:______________
Name:____________________________________________ Date of Birth:______________
In the last 12 months, did you do any of the following:
1. Have vaginal or anal sex with a male
If No, skip to question 2.
If yes, did you have
· Sex with a male without a condom:
· Sex with a male IV drug user:
· Sex with a male who is HIV positive:
No
No
No
No
Yes
Yes
Yes
Yes
Don’t Know
Don’t Know
Don’t Know
Don’t Know
No Response
No Response
No Response
No Response
2. Have vaginal or anal sex with a female
If No, skip to question 3.
If yes, did you have
· Sex with a female without a condom:
· Sex with a female IV drug user:
· Sex with a female who is HIV positive:
No
No
No
No
Yes
Yes
Yes
Yes
Don’t Know
Don’t Know
Don’t Know
Don’t Know
No Response
No Response
No Response
No Response
3. Have vaginal or anal sex with a transgender person:
If No, skip to question 4.
If yes, did you have
· Sex with a transgender person without a condom:
· Sex with a transgender IV drug user:
· Sex with a transgender person who is HIV positive:
No
No
No
No
Yes
Yes
Yes
Yes
Don’t Know
Don’t Know
Don’t Know
Don’t Know
No Response
No Response
No Response
No Response
4. Use injecting (IV) drugs:
If yes, do you share injection drug equipment:
No
No
Yes
Yes
Don’t Know
Don’t Know
No Response
No Response
5. Did you do and/or experience any of the following:
Sex while intoxicated and/or high on drugs
Sex with a person of unknown HIV status
Sex with an anonymous partner
Diagnosed with a sexually transmitted disease
Oral sex
Sores or lesions
Bodily rashes
Unprotected vaginal/anal sex with an IV drug user
Unprotected vaginal/anal sex with an HIV positive person
Unprotected vaginal/anal sex in exchange for money, drugs, or something needed
Unprotected vaginal/anal sex with a person who exchanges sex for drugs/money
Unprotected sex with multiple sex partners
Contact with Syphilis
None of these
6. In the past 12 months how many sexual partners did you have?
0 1 2-5 6-10 10+ Don’t Know
7. In the last 12 months did you ask your partners of about HIV status:
Yes, every partner
Some partners
No, never
8. Who do your sexual partners have sex with:
Men
Women
Transgender persons
Don’t Know
9. Women Only: Did you have sex with a male who has sex with other males:
No
Yes
Don’t Know
No Response
10. Are you positive for Hep C
No
Yes
Don’t Know
Introduction to SMART on FHIR | |||
SMART on FHIR Application | Can you have SMART but not on FHIR? Yes, but… | ||
SMART on FHIR and the NACHC HIV-CDS Project | Does the NACHC IG talk about CDS Hooks? Yes, the launch trigger event is usually a CDS Hook. Was John able to apply this to any existing sandboxes to see if they have patients that match the criteria search?
FHIR standard looks like it will be around for a long time. Would you want to update Java Script regularly? James can be a resource. James ran into an issue with authentication for the Hello World message (SMART but not FHIR) link.
Go to second link - You should get “Practitioner Login Screen” Select a patient - this means you are in. Jen: So, I found that fine, but mine actually opened and ran without that setting - when I check it, insecure content is set to Block (but I don't have the authentication error). Shelly was able to get into the first one but got an error re: authentication for the 2nd one. Can it be accessed using Linux OS? Yes, fixed it. John highly recommends HAPI for FHIR. He writes a layer on top of it for error-checking, but less complicated than FHIR. Shelly - Attempted, successful Jen - Attempted, successful Julia - Attempted, successful James - Attempted, successful | ||
Activity 1: Demo of the deployment of a SMART on FHIR application to a production environment | |||
Activity 2: Launch of a SMART on FHIR application from an EMR | |||
Activity 3: Launch an HIV-CDS Questionnaire from SMART on FHIR | |||
Activity 4: Upload a FHIR Patient to the SmartHealthIt R4 Patient FHIR server | |||
Activity 5: Launch a SMART on FHIR application that checks if a patient has had an HIV test | |||
Conclusion, closing remarks, and round table | SMART on FHIR is the minimal entry requirement for connecting to an EHR. |