Agenda June 30, 20212Desired Outcome: CDS Design Team understands desired functionality, requirements, and challenges to building a CDS tool that can be integrated into EHR systems.
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Partner Talking PointsDesired Outcome: CDS Design Team understands desired functionality, requirements, and challenges to building a CDS tool that can be integrated into EHR systems.
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Links to Workflows and CDS Planning Worksheets
| Clinical & Data Workflows | CDS Worksheet | |
|---|---|---|
| AllianceChicago | Workflows | Template |
| El Rio | Workflows | Completed Worksheet |
| Fenway | Placeholder | Template |
| Montefiore | Workflows | Template |
| Ohio | Workflows | Completed Worksheet |
Project Teams
Roles are:
- Clinician SME advisor (clinical decision maker with training in HIV that also sees patients)
- Person familiar with the EHR and how to integrate new content into it (also hopefully knowledgeable about the lab system interface if it is separate from the EHR)
- Data analyst familiar with the HIV data
- HIV care coordinator to represent the care management component
- Other - Project Manager, IT Specialist, Admin, etc.
| NACHC Informatics Team | Alphora | AllianceChicago | El Rio | Fenway | Montefiore | Ohio ACHC |
|---|---|---|---|---|---|---|
Julia Skapik (Deactivated)Clinician SME, familiar with EHR Pedro B Carneiro (Deactivated) Data Scientist familiar with EHR, HIV Data Raymonde Uy (Unlicensed) Physician SME on Informatics John GreshData Management Andrea Price Old Account (Deactivated)Project Manager | Bryn Rhodes | You can copy from Item #3 on the CDS Worksheet /wiki/spaces/HP/pages/1253581296 | Sudha Nagalingam, MD- Clinician SME, Familiar with EHR Greg Raglow, MD- Physician SME Informatics Dustin Holloway, MPH- Data Management/Analytcis Erin Dougherty, MPH- Grants Management Erika Solis- HIV Care Coordinator | You can copy from Item #3 on the CDS Worksheet /wiki/spaces/HP/pages/1253581296 | Lower Lights CHC Dr. Lynnette Palmer, Quality Director, familiar with EHR Richard Harris, Data Analyst, familiar with EHR Southeast CHC Nick Nelson, MPH, NP-C SME advisor, familiar with the EHR |
Discussion Questions
| Q | Item | Notes | Action Items |
|---|---|---|---|
| 1. | What would you like a Clinical Decision Support routine to do? | ||
| 2. | Discussion with the technical ppl on what their protocols are for integrating the CDS into their system
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| 3. | Data form and manner including whether you capture:
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Partner Profiles in Brief - (These are estimates and do not need to match the data pulls. The timeframe is any time frame that is convenient for you)
| HIV Prevalence/New Infections per year/percent of pop that lives with HIV | Demographics (however you define them - your categories) | Substance Abuse Profile/Rate | |||||
|---|---|---|---|---|---|---|---|
| Race | Ethnicity | Gender Identity | Sex Assigned at Birth | Sexual Orientation | |||
| AllianceChicago | |||||||
| El Rio | Percent of Health Center Population Living with HIV/AIDS: 1.5% (2019) New HIV Diagnoses in 2019: 62 (this number includes new infections diagnosed within the organization and outside referrals to El Rio SIA upon a positive HIV diagnosis outside of our El Rio system) | 2% - Asian 0.08% - Native Hawaiian 0.16% - Other PI 4.45% - African American 7.26% - American Indian 80.87% - White 0.99% - More than one Race 4.38% - Unreported/Refused All Race Data: UDS, 2019 | 57% Hispanic/Latinx (UDS, 2019) 42% Non-Hispanic (UDS, 2019) 1% Refused (UDS, 2019) | 0.55% - Transgender (UDS, 2019) | 41%- Male (UDS, 2019) 59%- Female (UDS,2019) | 3.1%- Lesbian, Gay, Bisexual (UDS, 2019) 1.7% -Other/Something Else (UDS, 2019) | 3.95% Other Substance-related Disorders (excluding tobacco) and Alcohol-related Disorders (UDS, 2019) |
| Fenway | |||||||
| Montefiore | |||||||
| Ohio | Lower Lights CHC Health Center Patients living with HIV - 0.19% (21 pts) New HIV Dx: UDS 2020 Southeast CHC Health Center Patients living with HIV - 0.46% (37 pts) New HIV Dx: 10 (HIV Linkage to Care measure) 2020 UDS Data | Lower Lights CHC 2% Asian 1% Other PI 22% Black/AA 49% White 14% more than one race 12% Unreported/Refused 2020 UDS Data Southeast CHC 0.8% Asian 0.05% Native Hawaiian 0.05% Other PI 30.8% Black/AA 0.4% AI/AN 62.2% White 3.1% More than one race 2.6% Unreported/Refused 2020 UDS Data | Lower Lights CHC 15% Hispanic/Latino 77% Non Hispanic Latino 8% Unreported/Refused 2020 UDS Data Southeast CHC 2.2% Hispanic/Latino 97.5% Non Hispanic Latino 0.3% Unreported/Refused 2020 UDS Data | Lower Lights CHC 0.18% Transgender 2020 UDS Data Southeast CHC 0.73% Transgender 2020 UDS Data | Lower Lights CHC 3894 (36%) Male, 5664 (53%) Female 2020 UDS Data Southeast CHC 3977 (50.2%) assigned male 3737 (49.7%) assigned female 2020 UDS Data | Lower Lights CHC Lesbian/gay (1%) Bisexual (0.8%) Something else /don’t know (15%) 2020 UDS Data Southeast CHC 3.1% Lesbian/gay 4.6% Bisexual 1.1% Something else/don't know 2020 UDS Data | Lower Lights CHC 6.0% Other Substance-related disorders (excluding tobacco use and alcohol-related disorders) Southeast CHC 26.2% Other Substance-related disorders (excluding tobacco use and alcohol-related disorders) 2020 UDS Data |