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Date

12

Attendees

Present

Name

Organization

Nancy Cornish

CDC

Manjula Gama-Ralalage

CDC

Riki Merrick

APHL

Christina Gallegos

APHL

Amy Liu

Inductive Health / APHL

 

Raj Dash

Duke / CAP

John Snyder

National Library of Medicine (SNOMED CT)

 

Andrea Pitkus

UW

Kathy Walsh

Labcorp

 

Rob Hausam

Hausam Consulting

 

Pam Banning

 3M

 

Sandy Jones

CDC 

Carmen Pugh

CDC

Discussion topics

Upcoming OOO

 

CSTE Presentation on wound cultures and Specimen CMT on 1/7 @ 1PM ET

Nancy

Specimen CMT - review of terms with questions

Christina / Amy

Previous Action Items

 

Specimen CMT pilot implementers

 

Specimen CMT - Hosting Options

 

  • How can we publish the content in the dB?

  • How do we decide what format to share this in - get input from EHR-s and LIS vendors.

  • Write letter of mulitple stakeholders to request EHR-s and LIS vendors to implement

    • indicating that this is a patient safety issue, as incorrect Abx treatment will contribute to multi-drug resistance (use CTSI findings to provide background)

      • focus on blood, urine, wound cultures (get data from NHSN, too)

    • Nancy is talking to DHQP about the linkage with specimen collection

    • While we have HIT certification that is for the EHR-s there is currently no enforcement for implementation at the organizations

    • need C-suite buy-in

    • Professional organizations - like CAP and ACOS and AJCC get them to write the synoptic reports (better structuring of data) - for surgical aspects - similar to what CAP has done for Cancer (though they do not have the SCT codes included in the past - may be including SNOMED CT starting in 2025, but they are also using the SCT codes for observables) https://www.facs.org/for-medical-professionals/news-publications/news-and-articles/bulletin/2021/12/synoptic-reporting-for-cancer-surgery-current-requirements-and-future-state/: The four CoC accreditation standards that include synoptic operative reporting requirements apply to sentinel lymph node biopsy for breast cancer (Standard 5.3), axillary lymph node dissection for breast cancer (Standard 5.4), wide local excision for primary cutaneous melanoma (Standard 5.5), and colonic resection for colon cancer (Standard 5.6). These accreditation standards were developed from the evidence-based recommendations for cancer surgery detailed in the Operative Standards for Cancer Surgery manuals.7,8

    • try to get AMA support to get providers to adopt this

    • Reach out to IDSA, too

Specimen CMT - education

 

  •  Need education for providers and IT folks that helps with set up of the EHR-S / LIS configuration

  • if we have a use case of how a patient is impacted on their journey through the healthcare system - CAP created a nice video that showed how patient care was affected by incorrect data https://infobeta.cap.org/shield/

Specimen CMT - tracking implementation impact

  • Setting baseline

  • Define metrics

 

 

Specimen CMT - Compare to NHS Medical Terminology testing

 

 Will get updated vocab at a later date

Future projects for this call after CMT

 

  • In general the call is intended as a forum for ANY messaging related issues to work out.

  • In the past we have

    • reviewed containers re-vive that - and how does that interact with devices (UDI identification?)

    • review code systems around additives (HL70371 and SCT substance and product hierarchies)

    • started work on cross-mapping between HL7 method codes and SNOMED CT procedure / technique concepts

      • American College of Surgeons is working on procedure protocol and synoptic data elements / surgical synoptic reports - we could work with them together on that

    • Look at other HL7 tables that we would want to migrate SCT (i.e., Specimen Condition table, etc.)

Recording:

 

From Chat:

Action items

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