You are viewing an old version of this page. View the current version.

Compare with Current View Page History

« Previous Version 50 Next »

eCare Plan Joint NIH/NIDDK AHRQ Project

eCare Plan Home

Announcements

Welcome to the Multiple Chronic Conditions (MCC) e-Care Plan Project Page


Overview 

This project will involve development of an open-source SMART on FHIR-based electronic (e-)care plan application to enable clinicians to better manage patients with MCC, including chronic kidney disease (CKD), type 2 diabetes (T2D), cardiovascular disease (CVD), pain and opioid use disorder (OUD). The application will be developed to align with emerging industry standards with the goal of creating publicly available, scale-able artifacts and services that could be used nationwide.

Project Purpose

The Development of a SMART on FHIR e-Care Plan application, implementation guide and clinical information models for persons with multiple chronic conditions. 



Project Objectives

  • Develop & test a SMART on FHIR e-care plan application
    • Create clinical information models (CIM) using existing CKD data elements & standards
    • Develop e-care plan application and implementation guide (IG) for point of care data review/entry
    • Implement & evaluate the e-care plan application in diverse clinical settings in patients with MCC, including CKD
  • Establish an e-care plan repository and development collaborative
  • Expand the draft e-care plan application & IG to include cardiovascular disease (CVD), type 2 diabetes & chronic pain
    • Expand the CKD data elements & CIMs to consider additional conditions
    • Revise e-care plan application & IG to incorporate expanded DESS and pilot test feedback.
  • Disseminate all project deliverable through open source channels

Project Goals

  • Promote the interoperable collection, use, and sharing of comprehensive, person-centered health and social data across settings;
  • Facilitate coordinated, person-centered care planning approaches that integrate the full care team (including the patient) across settings; and
  • Build data capacity to conduct pragmatic Patient Centered Outcomes Research (PCOR).

Upcoming MCC eCare plan WorkGroup Meetings

All upcoming MCC eCare plan HL7 workgroup meeting dates and information can be found here


Project Deliverable Timeline

<Suggest adding a description of the deliverable>

Deliverable NameDescriptionDeliverable StatusLink to Deliverable 
1 Implementation Guide
In progressHL7 MCC eCare plan page
2 Clinical Information Models


In progressMCC Clinical Information Model (CIM) Analysis and Development
3 SMART on FHIR Application
Not startedTBD


Upcoming Testing Opportunities

The MCC eCare plan project is planning to test at the HL7 34th Annual Plenary & Working Group Meeting in Baltimore, MD September 21-25 2020.

Stay tuned for more information.


MCC Project RoadMap 



Project Contacts

Name TitleOrganization Email
Kevin AbottCOR NIH 

kevin.abbott@nih.gov

Jenna NortonPMONIH jenna.norton@nih.gov
Saadia Miran
NIHsaadia.miran@nih.gov
Tom HickePMCognitive Medical Systems thicke@cognitivemedicine.com

Space contributors


{"mode":"list","scope":"descendants","limit":"5","showLastTime":"true","order":"update","contextEntityId":10518539}