Using Open-Standards Workflow Automation

to Enable a Cross-Enterprise Standard of Care

for VHA Suicide Risk Identification and Management

HL7 Connect-a-Thon Track Demonstrated a Breakthrough Workflow-to-Workflow Integration Capability

• Two different workflow implementation standards
• HL7: Clinical Practice Guidelines on FHIR (CPG on FHIR)
• BPM+ Health: Business Process Model and Notation (BPMN)
• VHA Mental Health Crisis Scenario
• Clinical Practice Guideline
• Emergency Department 🡪 Transfer to inpatient 🡪 Discharge to community care
• Executed a workflow between different organizations using different workflow protocols
• 3 points of care, 3 organizations, 3 technologies, 2 workflow design standards
• Exchanged workflow actions and status via standard data exchange (FHIR)
• Closed-loop process: tracked progress and status across all points in the workflow

1

Shane

Significance of the Connect-a-Thon Results

• Integrated workflow automation between organizations using open standards
• Configure workflows using open standards that scale
• Distribute enterprise standards of care
• Distribute integrated delivery network standards of care
• Extend the value of EHR through workflow solutions
• Optimize community care through closed-loop processes
• Optimize clinical operations through closed-loop processes

2

Shane

The Patient Journey for the Mental Health Crisis Scenario Occurred Across 3 Different Settings and Organizations

3

Five Lakes Hospital

Michigan VA Inpatient Psychiatric Unit

Outpatient Therapist

Question of the day

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How to best manage the State of the CPG between & across between CPG on FHIR, BPM+ Health and other automation instances ?

Mark

4

Request for the HL7 CDS workgroup:

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• We are seeking to create a sub-IG to create an interface/API to exchange “state” between to running orchestration of a same care plan.

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• A CPG on FHIR execution of the care plan and a BPM execution of the same care plan.

• A sub-IG that maps to BPM+ health notations could be a second phase of that project, but first phase is being able to exchange state status.

Rob

5

Denis

6

Denis

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Denis