I thought I might follow up this a just a bit on what went on with these meetings. Originally we were going to present some results from our meetings on these topics. However the government shutdown put a crimp in those plans. So we met in both groups with whoever attended to go over case studies and have some dialog on the topic. The data meeting was pretty small however Dr. Jaffe Ceo of HL7 came in and basically had a roundtable discussion on a variety of topics. We did review our case studies and got some consensus on the topics.
•Scenario 1: Moving From Country to Country &
Immunizations
•Scenario 2: Broken Eyeglasses
•Scenario 3: Planned Care
•Scenario 4: Patient has a heart attack
and ends up in the ER (or patient is hit by a car)
•Scenario 5: Group of students traveling
with someone acting on behalf of, or in the place of, a parent, legal guardian,
patient, or subject who needs to obtain medical records for treatment
•Scenario 6: Ran out of/forgot prescription medication while on
vacation and need it refilled (for example blood pressure medication)
•Scenario 7: Ambulatory (patient has pre-existing condition such as diabetes
that has been out of control and needs to be addressed.
#1 and #2 weren't very popular. There was considerable discussion to combine a few of the other topics together. A moderator from ONC took down the comments and will use them for the next meeting.
Workforce was much better attended and have a large amount of folks from the EU present. What I found fascinating was the big difference between the EU and US where it comes to education and employment. In the EU what you get your degree in is what you stay in for a career path for the most part. Not always the case here in the US. Also many governmental jobs require masters degrees which also will eliminate younger workers. Here in the US usually it is experience more than the degree. The question of how will match job skills and roles to some type of standard was bantered around. ONC talked about the Meaningful use cert . It appears there was interest on both sides at looking at certification based program. We'll see where this leads.
