Collaborative Care Messages
description
Transcript of Collaborative Care Messages
Collaborative Care Messages
For people who care
Max Walker
Co-Chair CBHS SIG
DHS (Vic) Australia
Who Care?
• General Practitioners
• Hospitals
• Primary Care Providers
• Allied Health Providers
• State Health Authorities
• Federal Health Authorities
Who Collaborates?
• General Practitioners
• Hospitals
• Primary Care Providers
• Allied Health Providers
• State Health Authorities
• Federal Health Authorities
• Others?
CCM - Collaborative Care Message
• When sharing isn’t transferring care
• Population Information?
We’ve got some patient data
We’ve got a complete clinical history
We’ve got some patient visits
We’ve got a complete drug chart
We’ve got problems
And Goals
And Pathways
And of course, we’ve got REL
We’ve got the lot
CCR – Collaborative Care Referral
• CCM with extra bits
• Bits of REF_I12
• Reason for referral and providers
• A Clinical Order
• And multiple patients
The bits from REF_I12
The Clinical Order
And multiple patients
But if you care, you really care
• And you want to know what’s happening
• You want to know if the referral has been accepted or rejected
• You want to know how the patients are going
• You want to know when treatment is complete
CCU – Collaborative Care Unsolicited Update
• Notification from the receiver, to the sender, that something has happened.
• Includes a Clinical History of treatment related to the referral
• CCR without Clinical Order
CCQ – Collaborative Care QueryCQU – Collaborative Query Update
• Demand an update on your referral
• And if thing’s aren’t going well, then there’s CCR Modify and CCR Cancel
Uses for CCR
• Collaborative Care Referral differs from Collaborative Care Message because it implies workflow.
• CCR lets you order stuff in an informed way
The CCM Suite
• Trigger Event I21 – Collaborative Care Message – Information from one Health Care Provider to another e.g. Discharge Summary, Registry Notification
• I16, I17 & I18 – Collaborative Care Referral – Implies a Transfer of Care – I16 is the Referral for a single or group of patients(?). Expect a Collaborative Care Update (CCU) back – I17 Modify CCR (expect CCU back) – I18 – Cancel CCR
The CCR Suite cont.
• I20 – CCU – Asynchronous Collaborative Care Update (ACK)
• I19 – Collaborative Care Query/Update – A trigger that sends sufficient information to find a previously sent Referral & hence generate a CCU
• I22 - Collaborative Care Fetch – Sends query to provider, repository, registry etc, on patient and returns Collaborative Care Information which is equivalent to a Collaborative Care Message