2021.09.08 EQRS Program Working Group Meeting

• Call will be recorded for the purpose of capturing further meeting notes and action items.  Any objections please inform the host

• We are trying a new process in introducing some of the EQRS development to the EDIs a little earlier
• We would like to share with EDIs a view of what is in development before the upcoming system demos

• In the middle of developing corporate roles at this time
• There is an enabler for this in PI15 to research all of the user roles in EQRS
• Will be adding to the corporate role POC for anyone that needs to do things in there as well as the viewer
• By the end of this iteration hoping to be able to request one in Dev, test and push up to pre prod to get those requests the corporate role in the global app, approve them, view and switch the corporate roles and then make sure they can view all of the facilities, initial work and see how they are coming through
• Will also be working on all the documentation, authorization logic, savyint and entitlements that have to go through the process
• Definitely in the thick of the development right now in the backend and building out the frontend and refactoring as necessary so the user will be able to do it from one login
• Per Howard, what is the definition of corporate role
  • Per Michael it is how they do it in the UI to request that role in the approvals that goes through people that log into the portal
  • It has already been defined
  • There is a primary owner field, secondary owner field, managed by field and the mapping for it to submit the data via EDSM; if you as a corporate entity are in one of those fields, you will have access to that facility
  • You will still need to go through the security official to request the role and approve the role
• When will this be available?
  • Trying to implement by the end of PI15
  • Need to keep in mind delivery of this feature could slip depending on progress in development, testing, etc

Pneumococcal

• For demo, see meeting recording below (00:52:17)
• Vaccination has been tied to the patient information
• When a patient is admitted to one facility from another the vaccination data stays with them
• Comment from Chris Brown -  The patient isn't the one filling out the information so the question "Is your physical address the same as your nursing home address?" 
  • Need to clarify, making the question clearer. reword the question keeping in mind the patient is not the one entering the information
  • Also need to review the question "Is your physical address the same as your mailing address?"
  • Anitha will take it back to the team to update the questions and their descriptions
• Comment from Howard - under the Contact Information section, the field "Do not contact" is confusing
  • Need clarity because answering "Yes or No" causes confusion
• Question from Vlad - Is there verification if entering a second PCB13 shot with a different date? Is there a warning?
  • Per Yvette - When you submit the ID, if you have a different date then we're going to update this record; if it's the same ID, they will update the record; if it's a different ID, they will add a record
  • If it's a different ID but same date, they will add a record
  • The user will see multiple vaccinations displayed, not overwrite the other one
  • Who can delete a record? Any user who can currently delete (for example a facility editor, network patient editor or system administrator)
  • Now that vaccinations are tied to the patient, they go with the patient
    • For example, if a patient leaves FKC  and goes to DCI, DCI with the right role would be able to delete a record
    • The vaccination data is tied to the patient itself and whomever the patient is admitted to, whichever facility is the facility that has scope over them and can make changes to their vaccination data
  • Right now only collecting Pneumococcal
  • COVID-19 was added to the drop down as a Vaccination Type just for testing purposes to make sure what is in the database would display
  • Currently it is based on which vaccine is chosen; for pneumococcal there are two; if you select PCV13 there is only one dose date allowed to be entered; PPSV23 will allow date of second dose
• Question from Chris Brown - will influenza be included in this release?
  • Per Yvette, it will depend on CMS, right now for this PI, only have information for pneumococcal
• Suggestion to have just the vaccination type, name, and date
• That is how the state immunization registries work
• It would be nice to align our data fields with the state registries; there is a lot of standardization on immunization registries across the country
• The org ID is what helps the ADO know what the record is
• Per Rachelle Caruthers - Washington it not a reporting state, but there are 12 states that they report each and every dose of every vaccine given in our clinics, to the registry
  • It is mandatory for every state to report covid19 within 24 hours of administration so every one of their clinics is reporting to the state registries for he covid vaccination
• Need to have a separate conversation why aren't we developing feeds into EQRS from the immunization registries and getting all of the data there
• Per Howard, who has been working with the states, has the data centralized somewhere
  • Lisa asked if Howard could work with the states to get permission to put the data in a CMS repository?
  • Howard suggest working with Lisa to request for the data; Kelly Llewellyn has been involved at the state HIE level
    • Howard will gather some information and send to Lisa

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