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TIGER Initiative

Please read the Overview if you are not familiar with the vision and mission of the TIGER Initiative, please visit the TIGER website.

 

Next Meeting:  Friday, August 8, 2008 at 1 p.m. EDT

Please register in advance at https://www1.gotomeeting.com/register/860039873

 

Virtual Demonstration Center Collaborative 

The Virtual Demonstration Center Collaborative was formed to develop expand current thinking about what healthcare is, by engaging visitors to the demonstration lab in potential healthcare futures that demonstrate innovative, high-quality, and maximally efficient care scenarios in compelling ways. Visitors to the Center will better be able to participate in building improved healthcare future states. Read more about this team's Strategic Goals and Current Activities.

 

JOIN US!

Would you like to get more involved in this effort?  Do you have good examples, case studies, and or other information to share with this team?  We welcome your input.  We also welcome your participation in our work group teams.  Please send an email with your contact information to virtualdemo@tigersummit.com and we will contact you for more information. 

 

Work Groups

The virtual demonstration team is divide into three parallel paths/work groups to develop more detail around the demonstration scenarios. These work groups will meet prior to our next meeting, scheduled for January 14th at 2 p.m. Eastern, and report back their progress to the larger group in the Jan 14th meeting.

 

Work Group 1 – Johns Hopkins/IBM – physical simulation lab – to be led by Teresa

 

Work Group 2 – Future state scenarios based on the context of global trends (e.g., staff shortages, globalization, increases in chronic diseases, consumer empowerment, etc.). These will focus more on the abstract—or “art of the possible” as coined by Brian. – led by Jeanine Martin

 

Work Group 3 – Technology currently available today – A scenario-approach allows us to utilize current technologies (that are available today) and expand their use into the future.  Led by Teresa until another facilitator is identified.

 

Meeting Schedule 

 

Drafts

 

TIGER_Scenarios.doc

 

DRAFT SCENARIOS Posted by Christel Anderson, HIMSS canderson@himss.org

 
I propose that we use the HIMSS 2008 Interoperability Showcase scenarios as scenarios for the TIGER Virtual Demonstration center. Thirteen Clinical Scenarios demonstrating interoperability, focusing on clinician and patient access and information sharing across the continuum of care were demonstrated. 
 
The HIMSS Interoperability Showcase demonstrated the HITSP Use-Cases for Biosurveillance, Consumer Empowerment, Electronic Health Record Laboratory Results, Emergency Responder EHR, Medication Management, and related Security Constructs. These Use Cases exemplified through the demonstration of HITSP Interoperability Specifications and related constructs that pointed to consumer healthcare and public health as scenarios, which continuously flowed through the Showcase demonstration. These scenarios demonstrated the power of consumer participation in their healthcare through an interoperable healthcare record, opportunities for early detection, public health monitoring, improved care management, emergency response management, medication management, and the power of laboratory result and health record summary document sharing at the point of care. The work of HITSP is conducted through formally chartered Technical Committees. The HITSP Interoperability Specifications to enable implementation of these Use Cases can be found at http://www.hitsp.org/  excerpt from www. http://www.interoperabilityshowcase.org/
 
Below is a link on the HIMSS Interoperability Showcase 2008 scenarios presentation on using constructs from ONC/HITSP:
http://www.interoperabilityshowcase.org/docs/HITSP-IHE2008ShowcaseWorkshopPresentation.pdf
 
HIMSS Interoperability Showcase 2008 scenarios: http://www.interoperabilityshowcase.org/himss08/docs/handouts.pdf
 
“A Journey through the Patient Care Delivery Process” pages 9 -14 each act is a scenario
 
“A Private Matter” pages 15-16” each act is a scenario
 
Permission to use scenarios obtained from HIMSS Interoperability Showcase – additional citations of scenario use will be cited to: IHE International, HITSP and HIMSS Interoperability Showcase
 
Next steps? 1.) Feedback is requested – specifically we need to identify 2-4 scenarios that we would use. 

 

3 Vignettes

1.  Frequent interruptions - Trish Trangenstein - please review this vignette and give us your feedback and thoughts on the scenario and the technology solutions that could improve the patient care delivery process.

Frequentinteruptionvignette.doc

 Trish, have you thought about....

 

2.  Bedside access to information - Cathy Fant

 

3.  Communication handoffs - Teresa McCasky

 

PROPOSED Plan or Approach

 Submitted by Brian Gugerty - 11/29/07.  Here is a proposed approach for the TIGER Virtual Demonstration Center.  It came from a meeting at IBM where Johns Hopkins Medicine, IBM and TIGER representatives spent a day discussing what an effective Virtual Demonstration Center could be. 

 

1. Scenario-based, patient-centered, highly effective and efficient medium-sized clinical processes that are technology enabled and are likely, or at least possible, to be best practices implemented in a significant number of organizations 3-10 years into the future are specified and proposed to a TIGER VDC review board.

 

2. Selected processes are physically simulated.

 

3. As "real" as possible capture of the final, debugged physically simulated process is done and put up on the VDC in such a way that students, clinicians, and others world-wide will feel compelled to access it and be wowed when they do.  This will be a largely passive experience.

 

4. Supporting diagrams and information about each process will be available for interested wonks.

 

5. A highly interactive, more abstract, version of the process, but still emulating the "real" process, will also be created for each process. This could take the form of a Second Life-like web based experience, possibly massively, multi, role playing. Visitors can select an avatar and guide that avatar though the process. And then change roles and do it again...

 

Assumptions:

-an example of the large clinical process is the entire medication use--or management--process

-an example of medium sized clinical process is the medication administration step of the medication use process

- an example of a small sized clinical process is positive patient ID as sub-step of the medication administration process

- 1. above does not exclude cutting edge or innovative applications that are in use now or in development and scheduled for beta soon.

- during the first year, any process selected should have a significant nursing practice component, but interdisciplinary clinical team components as well as pt. participation components are welcome and encouraged.

 

PLEASE POST FEEDBACK ON THE ABOVE HERE:

 

From: pneidli@jhmi.edu

To: brian_gugerty@hotmail.com; andreac@us.ibm.com

Subject: Re: the it of TIGER VDC

 

Brian, it looks great. I am looking forward to participating in this exciting developing project. I think you have captured the essence of our conversations and added much clarity.

 Thanks

 Peggy

*******

Andrea Cotter :

This looks great. I think these steps will enable a "Branding" to occur

which will be essential to the communication and promotion encouraging

usage of the virtual demonstration. It not only encourages usage but

differentiates this from other "imposters" that might exist on the Web. I

recommend that there is a logo used or a "seal of approval" that indicates

 that it is a TIGER approved scenario.

 

Andrea Cotter

Director, Healthcare/Life Sciences Marketing

IBM Corporation, Somers, NY

******

 

Joyce Sensmeier:

Good concept!! I like Andrea's idea of branding. Very important to address that along the way to differentiate this TIGER work from other efforts. One thought I also have is there seems to be some similarity to the TCAB effort from RWJ and AAN. You may have already done this, but it might be good to link the two projects together is some way. Pam Cipriano would be a good contact to explore this.

 

Also, Pat Hinton Walker suggested on our Advisory Group call today that the consumer aspect be addressed in this effort, and I agree that is key.

 

thanks, Joyce

Joyce Sensmeier

VP Informatics, HIMSS

 

  

Brian, this would be a tremendous asset for healthcare organizations to deliver evidenced based practice.

 

Thanks!

Betty Herrman

FONE

 

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