2020-12-17 HIV CDS ePrompt Pre-LaunchMeeting notes

Date 17 Dec 2020

Agenda

Welcome

Introductions

Pedro talk about project

HIT support tool

Russell - contracts and next steps

Materials

Attendees

NACHC Informatics Team

Julia Skapik (Deactivated)

Pedro B Carneiro (Deactivated)

Raymonde Uy (Unlicensed)

Andrea Price Old Account (Deactivated)

Tara Radke

Uriel R. Felsen - Montefiore

Viraj Patel - Montefiore

Chris Grasso - Fenway

Ana Karchmer - Fenway?

Sudha Nagalingam

Ashley Ballard - Ohio

Lindsay Weaver

Aaron Pajares - Montefiore

Sudha Nagalingam - El Rio

Erin Doherty - Ohio

Tiffany White - Ohio

Sharon Rikin - Montefire

Dana Vallangeon - Ohio

Heidi Kurgat

Discussion items

Item	Who	Notes
Intro to Project	Pedro B Carneiro (Deactivated)	Two main deliverables A series of monthly data extracts - we sent the data requirements and a template with the RFP so you'd know the data points that will be asked. Development of 2 CDS tools - that make sense for you - to identify patients for clinical guidelines that the CDC put forward for testing - everyone, and then every 3 months. We will develop the tools, you do the implementation.
Project Tech Overview	Julia Skapik (Deactivated)	CDC is interested in developing a data system that can be used across many sites. Apply that data to patient care to make practice better Close care gaps We have set up a cloud-based structure, implementing FHIR based ... not required, but we envision building content using FHIR so it can be shared with health care community. http://build.fhir.org/ig/HL7/cqf-recommendations/examples/hiv/hiv-guideline.html https://github.com/ncpi-fhir/fhir-101 https://www.diameterhealth.com/blog/blog-post/fhir-data-quality/ CDS could mean something changing color or automatically ordering a test.
Meetings	Pedro B Carneiro (Deactivated)	Monthly 1:1 Coaching Quarterly All Partner Meetings Harvest Meeting
Admin	Russell Brown (Deactivated)	We will be creating a Scope of Work - we are closed 24 Dec 2020 to 03 Jan 2021 Will send SOW and budget that you handed in Once we get your SOW and budget, we package everything and send it as a contract, takes 2 weeks for package to get through the process. Will be sent via Adobe sign to the main POC in your application. Contract is executed and work begins
Current thinking about - challenges, frustration, missed opportunities	Julia Skapik (Deactivated)	El Rio They have implemented a rapid start for newly diagnosed. The EMR is NextGen, but will be switched to Epic. New diagnoses are not tracked in the EMR, done manually in spreadsheet. Fenway Lack of consistency and standardization of data Montefiore Use Epic, best practice alert for HIV testing. If someone has not had a test in one year, there is an alert. There is a plethora of alerts, is broad and generic. Not sure how much it is used. Diverse patient and provider population, working across several centers. HIV falls to the pull of multiple conditions. Ohio Challenge: Improving linkage to care metric Identifying who needs screening based on risk, intervals
Food for thought: what are the other components of your work that align with the HIV work?	Julia Skapik (Deactivated)	Billing? Program reporting requirements? What happens about the HIV test - next steps and roles for who does what next. What is actionable? Not just to hand back to NACHC and CDC - ask providers, MA, care counselors: What is missing that would make your life much better? What are your pain points (having to enter data into another system, having to fill out a form?)
Next Steps	Pedro B Carneiro (Deactivated)	Partners will send Doodle poll for launch meeting towards end of January Will send the SOW draft by 23 Dec 2020