Using a Knowledge Grid to Enhance Messages in Michigan

Using a Knowledge Grid to Enhance Messages in Michigan Using a Knowledge Grid to Enhance Messages in Michigan - Start

2017-09-30 51K 51 0 0

Using a Knowledge Grid to Enhance Messages in Michigan - Description

. Copyright 2017 - Michigan Health Information Network Shared Services. 1. Jim Edwards, Director of Development. jim.edwards@mihin.org. Allen Flynn, Pharm.D. ajflynn@med.umich.edu. Agenda. Statewide Health Directory services. ID: 591939 Download Presentation

Download Presentation

Using a Knowledge Grid to Enhance Messages in Michigan




Download Presentation - The PPT/PDF document "Using a Knowledge Grid to Enhance Messag..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.



Presentations text content in Using a Knowledge Grid to Enhance Messages in Michigan

Slide1

Using a Knowledge Grid to Enhance Messages in Michigan

Copyright 2017 - Michigan Health Information Network Shared Services

1

Jim Edwards, Director of Development

jim.edwards@mihin.org

Allen Flynn, Pharm.D

ajflynn@med.umich.edu

Slide2

Agenda

Statewide Health Directory servicesActive Care Relationship servicesCurrent medication reconciliation workflowLearning Health for Michigan infrastructureEnhanced medication reconciliation workflowPersona storiesEnhanced medication reconciliation demonstration

2

Slide3

Statewide Health Directory

Manages organizations, providers and the multiple relationships between themContains electronic addresses used to route information to providers

3

Copyright 2017 - Michigan Health Information Network Shared Services

Health Directory

Name

Specialty

Practice unit

Practice organizations

Related organizations

Delivery

oreferences

…additional attributes

Slide4

Active Care Relationships

4

Primary Care Provider

Linkage

Patient

Copyright 2017 - Michigan Health Information Network Shared Services

Declared

active care relationships

between patients and providers

13,535,374 16,466

In Michigan:

Active Care Relationships:

Providers:

Slide5

Trusted Data Sharing Organization

(TDSO)

Trusted Data Sharing Organization

(TDSO)

Medication Reconciliation

Current Workflow

Health Directory

1) Patient discharged from hospital,

message sent to TDSO, MiHIN

2) MiHIN checks patient-provider attribution and identifies recipients

3) MiHIN retrieves contact and delivery preference for each recipient

from directory

4) Notifications routed to recipients based on electronic address and preferences

Primary Care

Specialist

Pharmacist

Patient

Health

Plan

Patient to Provider Attribution

5

Copyright 2017 - Michigan Health Information Network Shared Services

Slide6

Copyright 2017 - Michigan Health Information Network Shared Services

Can We Make the Workflow Smarter?

6

Slide7

Learning Health for MichiganInfrastructure

Slides: Allen J. Flynn, 2017 Charles P. Friedman, 2016, 2017

Connecting Health

for Michigan 2017

kgrid.org

Slide8

The Knowledge Grid Infrastructure Approach

Need: Computable Knowledge ‘FAIRness’Why? State-wide Learning Depends on Effective Computable Knowledge Sharing How? Knowledge Grid and Its Components

Learning Health Sciences

kgrid.org

Slide9

LH4M & Knowledge FAIRness

Learning Health Sciences

9

F

indable

A

ccessible

I

nteroperable

R

eusable

To Make Computable

Knowledge a

Statewide Resource

It Has to Be “FAIR”

Slide10

Rapid, Transparent Statewide Knowledge Sharing

Knowledge Grid

Learning Health Sciences

Digital Library

Digital Library

Digital Library

Slide11

Why? Speeding Up Knowledge to Practice

EHRs/eHealth

Learning Health Sciences

Knowledge

Objects

1. Computable Knowledge

2. Knowledge Management

Digital Library

Corroboratory

Mechanisms

3. Maintain Trust

Object

Shelf

4. Connect Knowledge to Practice

Slide12

What is Knowledge Grid, by Components?

EHRs/eHealth

Knowledge Grid

1. Knowledge Objects

2. Digital Library

Existing Health IT

4. Activator

Digital Library

Learning Health Sciences

3. FAIRness Mechanisms

or

Analytic Results of Interest

5. RESTful services

Slide13

1. Computer-Processable Knowledge Objects

Articles

Results

of Interest

Knowledge Objects

Description

Interface

Computer-

Processable

Knowledge

“Payload”

Guidelines

Learning Health Sciences

Slide14

Learning Health Sciences

Example Knowledge Object Source from Oncology

Slide15

Learning Health Sciences

Here Is the Written Knowledge

Slide16

Types of Knowledge Objects

Learning Health Sciences

Type

Input

Service

Output

Calculation

Individual Features

“Do the Math”

Numeric Result

e.g., predictive models

or

dosage calculator

Interpretation

Facts of the Case

Apply Best Practice

Health Knowledge

Written or Verbal Instruction

e.g., computable

guideline

Presentation

Image Parameters

Apply Communication

Best Practice

Knowledge

Visual

Display

or Image

e.g.,

iconarray

Tailoring

Facts & Features About

the Output Recipient

Apply Psychological

and

Communication

Best Practice Knowledge

Individualized,

Evidence-Based

Multimedia Message

e.g., motivational messages of encouragement for an individual who is more likely to respond to them

Slide17

2. Digital Library to Manage and Share Knowledge

Capability to Curate and Manage

Online Collections

of Knowledge Objects

Digital Library

Learning Health Sciences

Slide18

3. Mechanisms to support Knowledge FAIRness

Technical Safeguards to Protect Knowledge Objects

Records of Knowledge Object Use

Links to Knowledge Sources

Learning Health Sciences

F

indable

A

ccessible

I

nteroperable Reusable

FAIR means

:

Slide19

Learning Health Sciences

4. & 5. Connect Linked Knowledge to Practice

”Request”

”Response”

Shelf

Engine

Activator

Knowledge

Objects

Payloads

eHealth

Applications

EHRs

&

Apps

People

Wanting

to Know

Best

Practices

RESTful

Services

Slide20

Knowledge Grid by Components

EHRs/eHealth

kgrid.org

1. Knowledge Objects

2. Digital Library

Existing Health IT

4. Activator

Digital Library

Learning Health Sciences

3. FAIRness Mechanisms

or

Analytic Results of Interest

5. RESTful services

More Info

Slide21

Trusted Data Sharing Organization

Trusted Data Sharing Organization

(TDSO)

Enhanced Medication Reconciliation

Workflow

Health Directory

1) Patient discharged from hospital,

message sent to TDSO, MiHIN

2) MiHIN checks Knowledge Grid, enhances

message as appropriate

3) MiHIN checks

patient-provider attribution and identifies recipients

5

) Notifications routed to recipients based on electronic address and preferences

Primary Care

Specialist

Patient

Health

Plan

4

) MiHIN retrieves contact and delivery preference for each recipient

from directory

Patient to Provider Attribution

21

Copyright 2017 - Michigan Health Information Network Shared Services

Pharmacist

Slide22

Persona Stories

Christy Munson gets a new opioid prescription which may put her at risk for dependence Alice Vargas gets a new prescription that puts her at risk of respiratory depression

22

Copyright 2017 - Michigan Health Information Network Shared Services

Slide23

Christy Sees Specialist for Chronic Lower Back Pain and Fatigue

23

Copyright 2017 - Michigan Health Information Network Shared Services

Christy Munson’s medications are checked A newly started opioid is foundEnhanced content sent with the outbound Medication Reconciliation (Intelligence)

Knowledge ObjectMedications Are CheckedAdvanced Clinical Decision SupportNew Opioid(Alert Message)Respiratory Depression-

Slide24

Alice Sees Physician for Insomnia/Anxiety

24

Copyright 2017 - Michigan Health Information Network Shared Services

Alice Vargas’ medications are checkedDangerous combination found that can cause respiratory depression (Triple threat)Primary care physician receives enhanced message and is informed of the potential harm (Intelligence)

Knowledge ObjectMedications are CheckedAdvanced Clinical Decision SupportNew Opioid-Respiratory Depression(Alert Message)

Slide25

Enhanced Medication Reconciliation Demonstration

25

Copyright 2017 - Michigan Health Information Network Shared Services

Slide26

Thank You

Allen Flynn, Pharm. DDepartment of Learning Health Sciences, University of Michiganajflynn@med.umich.edu Jim EdwardsDirector of DevelopmentJim.Edwards@mihin.org

26

Copyright 2017 - Michigan Health Information Network Shared Services


About DocSlides
DocSlides allows users to easily upload and share presentations, PDF documents, and images.Share your documents with the world , watch,share and upload any time you want. How can you benefit from using DocSlides? DocSlides consists documents from individuals and organizations on topics ranging from technology and business to travel, health, and education. Find and search for what interests you, and learn from people and more. You can also download DocSlides to read or reference later.