|
Action Item
|
Description
|
Business Benefits
|
Status
|
| Healthcare DTF
Roadmap V1.0b |
Documents
Healthcare DTF accomplishments and plans |
Provides
insight into available and planned specifications |
Available
at OMG.org as corbamed/99-11-01 |
| Healthcare DTF
Roadmap V2.0 |
Formal
update to V1.0b |
Updated
information |
In
progress |
| Healthcare DTF
Toolkit 2.0 release |
Healthcare DTF
"starter" components for instructional purposes |
Quick
start on Healthcare DTF-compliant implementations |
In
progress. Initial
version available from Los Alamos National Laboratory, POC David
Forslund |
| Person
Identification Service (PIDS) |
Service
used for unique identification of persons by matching person
traits and identifiers |
Enables
unique person identification across heterogeneous systems
requiring interoperability.
Benefits clinician, patient, and manager stakeholders. |
Second
Revision Task Force completed; implementations available |
| Terminology Query Service (TQS) |
Service
used to access terminological information for use in mediation,
presentation and dynamic discovery. |
Minimizes
cost of semantic mediation among heterogeneous systems requiring
interoperability. Benefits
clinician, patient, manager, educator, and researcher
stakeholders. |
First
Revision Task Force completed; implementations available |
| Clinical
Observations Access Service (COAS) |
Service
used to retrieve clinical information about a person.
The information may be of many types (text, measurements,
wave forms etc.). |
Enables
clinical information retrieval across heterogeneous systems
requiring interoperability.
Benefits clinician, patient, manager, educator, and
researcher stakeholders. |
Adopted;
implementations available |
| Resource Access Decision (RAD) |
Service
used to obtain authorization decisions and administrating access
decision policies for medical information. |
Mitigates
risk of unauthorized disclosure.
Benefits patient stakeholder primarily. |
Adopted;
implementations in progress |
| Clinical Image
Access Service (CIAS) |
Service
used to retrieve and manage images. |
Enables
affordable clinical image retrieval and management across
heterogeneous systems requiring interoperability.
Benefits clinician, patient, educator, and researcher
stakeholders. |
Architecture
Board Approved; in Finalization Task Force |
| Summary List
Management Service (SLIMS) |
Service
used to compile and manage medical summary lists. |
Enables
transfer of healthcare summary lists across disparate systems.
Primarily benefits clinician and patient stakeholders. |
RFP
issued; submission development in progress |
| Health
Information Locator Service (HILS) |
Service
used to locate the segments of a distributed patient record. |
Enables
diverse systems to interoperate; locates information in spite of
system differences. Benefits
all stakeholders. |
RFP
issued; submission development in progress |
| Health Data Interpretation Facility (HDIF) |
Service
used to aid decision support activities. |
Expedites
analysis of health information retrieved from heterogeneous
sources. Primarily
benefits clinician, manager, educator, and researcher
stakeholders. |
RFP
issued; submission development in progress |
| Medical Transcription Management (MTM) |
Service
used for transcription of clinical information about the patient
- to be entered into the patient record. |
Enables
transcription services to be distributed over Integrated
(healthcare) Delivery Networks in spite of automated information
system differences. Benefits
all stakeholders. |
RFP
issued; submission development in progress |
| Order Entry / Tracking Service (OE/TS) |
Service
to enable the creation and tracking of clinical orders, often
made between departments and facilities. |
Enables
health service orders to be electronically given and tracked
across organizational boundaries.
Benefits clinician and patient stakeholders. |
Request
For Proposal in development |
| Party Management Facility |
Management
of relationships between parties; rights, roles,
responsibilities, authority.
Joint effort with Finance DTF and others in the “People
Who Like People" group. |
Will
enable transactions across diverse organizational and automated
information system boundaries.
Benefits all stakeholders. |
Request
For Proposal in development |
| Pharmacy Interaction Service (PIF) |
Service
to facilitate the communication of prescription information
between pharmacy prescribers and pharmacy dispensers. |
Enables
presriptions to be electronically given, tracked and dispensed
across organizational and disparate computing boundaries. Benefits clinician and patient stakeholders. |
Industry
Request for Information (RFI) issued. |
| Remittance Management
Service |
Interface
between Claims Management Service and accounts payable (for
payer) and accounts receivable (for provider). |
Aids
financial operational efficiency.
Benefits managerial stakeholders. |
Request
For Information (RFI) distributed |
| Charge Capture
Management Service |
Service
for collection of the information needed to enable effective
charging for: procedures, drugs administered, supplies used,
services etc. |
Will
aid internal cost control procedures.
Primarily benefits managerial stakeholders. |
Industry
Request for Information (RFI) issued. |
| Claims Management Service |
Requesting
payment from a HBP for services provided (services provided by
claimant or provided by a third party).
Includes: initial claim, tracking claim status,
responding to requests for info. from the payer etc. |
There
are various perspectives on this: provider perspective, payer
perspective, patient (or guarantor) perspective.
For purposes of CHST this is seen from the viewpoint of
the provider. |
Industry
Request for Information (RFI) issued. |
| Person Demographics Service |
Service
to provide demographic information about persons (date of birth,
name, address, relationships to other people etc.) |
Will
enable improved unique person identification via PIDS and
population studies. Benefits
patient and managerial stakeholders primarily. |
Industry
Request for Information (RFI) issued. |
| Healthcare Relationship
Service |
Will
provide generic relationships and the types of these
relationships. May be included in Party Management Facility. |
Will
aid transactions across organizational and automated information
system boundaries. Benefits
all stakeholders. |
Industry
Request for Information (RFI) issued. |
| Health Benefit
Plan Management Service |
Sets
the parameters for a Health Benefit Plan. e.g. cost to member of
o/p visit, cost to member of prescription (generic or brand),
lifetime dollar maximums, drug exclusions, procedure exclusions
(e.g. cosmetic surgery). Includes
complex enterprise rules: e.g. if member's primary care
physician is a member of an association of physicians then s/he
must refer to other association members. |
Aids
primary care physician (PCP) management of large responsibility
within some HBPs - critical role in approving reimbursement for
care (gatekeeper). Benefits
clinician and managerial stakeholders. |
Industry
Request for Information (RFI) issued. |
| Eligibility Service |
Enables
verification that a person is enrolled in a Health Benefit Plan
and the enrolment is active.
This will be a query on the Enrolment Management Service.
Determines in which HBP the person is enrolled with and
if the HBP has parameters, these will be provided – e.g.
name/telephone number of Primary care physician |
Mitigates
risk of fraud and abuse of service.
Benefits managerial stakeholders. |
Industry
Request for Information (RFI) issued. |
| Care Authorization
Management Service |
Getting
authorization for the provision of a service or resource that is
not automatically covered by this Health Benefit Plan. |
Aids
operational efficiency. Benefits
clinician, patient, and managerial stakeholders. |
Industry
Request for Information (RFI) issued. |
| Enrollment Management
Service |
Establishes
a relationship between a person and a Health benefit plan.
E.g., employee and employer relationship puts employee
and employees family (sometimes) into an employer sponsored
health plan. Establishes
relationship (within HBP) between member and Primary Care
Physician (in some cases). |
Allows
interoperability across heterogeneous employer, insurance, and
heathcare provider information systems.
Benefits clinician, patient, and managerial stakeholders. |
Industry
Request for Information (RFI) issued. |
| Order Management Service |
Management
of Clinical Orders: ensuring that the correct sequence is
followed, that orders are forwarded to the correct
provider/department. |
Aids
enhancement of care quality.
Benefits clinician, patient, and managerial stakeholders. |
Future |
| Clinical Documentation Capture Service |
Service
used to expedite capture and storage of clinical information. |
Will
enhance distributed system performance.
Benefits all stakeholders. |
Future |
| Patient Record Management |
Service
providing evidentiality, metadata, review of records by
differing views and needs, medical quality assurance. |
Will
aid analysis and decision support necessary to improve care
quality, availability, and accessibility.
Benefits all stakeholders. |
Future |
| Referral Management Service |
The
act of requesting a Healthcare Specialist to perform services.
This act is performed by the physician who presently has
responsibility for the patient. |
Will
improve efficiency and effectiveness of the referral process.
Primarily benefits clinician and patient stakeholders. |
Future |
| Scheduling Facility |
Generic
facility that deals with scheduling what, where and when
(related to Workflow). |
Will
enable resource scheduling across organizational boundaries.
Primarily benefits managerial stakeholders. |
Future |
| Worklist Management Service |
Utilizes
information about planned activities to develop worklists for
specific agents. |
Will
enhance staff performance.
Primarily benefits clinician and managerial stakeholders. |
Future |
| Billing Service |
Service
will accommodate variable pricing based on sequence of
procedures performed |
Will
aid billing accuracy. Benefits
managerial stakeholders. |
Future |
| Transaction Based Costing |
Service
for health service cost calculation based on healthcare service
transactions. |
Will
aid billing accuracy. Benefits
managerial stakeholders. |
Future |
| Resource Utilisation Management |
Post
hoc assessment of resource utilisation. |
Aids
decision support and organizational efficiency. Benefits managerial stakeholders. |
Future |
| Terminology
Storage Service |
Update
of terminology reference used by TQS. |
Aids
operational efficiency; benefits all stakeholders. |
Future |
| Clinical Protocol Access Service |
Provide
complete or part clinical protocols for implementation as care
plans. |
Enhances
care efficiency and quality; benefits clinician and patient
stakeholders. |
Future |
| Location Service |
Provide
information on physical locations: postal addresses, map
references, wards etc. |
Provides
resource distribution information to aid decision support.
Benefits managerial stakeholders. |
Future |
| Resource Management Service |
Locate,
allocate and dispose of resources. |
Provides
tools to aid management of human, facility and equipment.
Benefits managerial stakeholders. |
Future |
| Supplies Service |
Locate,
allocate and dispose of consumable resources. |
Provides
tools to aid management of consumable supplies. Benefits managerial stakeholders. |
Future |
| Claims Re-Pricing Service |
Variable
Pricing based on sequence of procedures performed. |
Will
aid billing accuracy. Benefits
managerial stakeholders. |
Future |
