Date: May 11, 2022
Minutes Approved as Presented
This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."
Physical Activity measurement and remediation project proposal
|~60 min||Physical Activity measurement and remediation project proposal|
Accenture (Russell Buchanan)
American Heart Association (Laurie Whitsel -Physical Activity Alliance, Maria Isler)
Project-Physical Activity Alliance, Time to Move- make physical activity assessments, prescriptions, and referrals a standard of care in the US healthcare System
Although there are many ways for individuals to collect and track information about physical activity through apps and devices there isn't a consistent or generally accepted way to represent information on physical activity levels in the EHR and therefore there isn't the ability to use that data to generate triggers or decision support, quality monitoring, public health surveillance, research
Create an HL7 FHIR IG that demonstrates how existing patterns and content established by other projects can be used with a standard physical activity and attain vendor and user adoption of the measure in EHRs to enable:
The ability render assessment tools that can be used to collect information about physical level
Standardize observations that can be in the chart at the point of care, and the plumbing in between. Get linkage to insurance coverage.
Looking for interested parties and people who want to help
Want to explore synergies with ongoing work in PH
Are standards being used to determine thresholds for moderative and strenuous activity? Yes
Trying to marry self reported data with device measures, but need standardized measures for both.
Level of precision – At first, what can be added to the chart that doesn’t create noise for the provider to create alerts/flags, as opposed to precision tool. The initial goal is to trigger the provider to talk with patient about their physical activity regardless of the precision of the data that triggered the discussion. Then work towards actively monitoring and linking to device data.
What is the work product? Headed towards an IG that is similar in scope but with less measures than what’s been done in Gravity. Structured Data Capture into observations into diagnosis into an order and eventually facilitate referrals. Looking to use existing standards that adopts some of the exchanges but limit scope to physical activity and address things that are missing, like assessment tools, vocabulary and profiles that are specific to physical activity.
Possible interaction with BSeR (Thurs Q1), and Gravity and possible reporting to public health. THEMES (SP)- project to create standardized vocabular for exercise measurement.
Work group involvement and support: Patient Care has offered to sponsor the project. American Heart Association has engaged Accenture to support the work. Because we didn't have our normal attendance no motion was made to indicate the PHWGs level of interest at this proposal stage.