longitudinal coordination of care (lcc) workgroup (wg) lcc all hands meeting april 4, 2013 1
TRANSCRIPT
Longitudinal Coordination of Care (LCC) Workgroup (WG)
LCC All Hands Meeting
April 4, 2013
1
Meeting Etiquette
• Remember: If you are not speaking, please keep your phone on mute
• Do not put your phone on hold. If you need to take a call, hang up and dial in again when finished with your other call o Hold = Elevator Music = frustrated speakers and
participants• This meeting is being recorded
o Another reason to keep your phone on mute when not speaking
• Use the “Chat” feature for questions, comments and items you would like the moderator or other participants to know.o Send comments to All Participants so they can
be addressed publically in the chat, or discussed in the meeting (as appropriate).
From S&I Framework to Participants:Hi everyone: remember to keep your phone on mute
All Participants
Agenda
• Summary of LCC WG Accomplishments for March 2013
• LCC WG Timeline
• LCC Use Case 2.0 Overview
• Call For Participation: HL7 Ballot Tiger Team
• Next Steps
• Revised LCC WG Meeting Schedule
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Summary of LCC WG Accomplishments
• Kicked off development of LCC Use Case 2.0 focused on Interoperable Care Plan Exchange
• Presented at the FACA HITSC meeting on 3/27 and the HITPC meeting on 4/3
• Kicked off the LCC Outreach and Stakeholder Engagement Plan– CMS Care Tool Team– CMS esMD (integration of esMD digital signature standard for
Home Health Plan of Care digital signature requirement)– NY Downstate Care Coordination group– HL7 Patient Care WG
• IMPACT Project completed development of high-level Transition of Care Implementation Guide
LCC WG Timeline: Mar 2013 – Dec 2013
Mile
ston
es
Pilot Identification & Engagement
Care Plan IGs Complete
Lantana Contract Awarded
HL7 Project Scope Statement Due
HL7 Intent to Ballot DueHL7 Fall Ballot Open
NY Pilots Monitoring
LCC Care Plan Use Case 2.0 Development & Consensus
IMPACT ToC Pilot Monitoring
IMPACT Care Plan Pilot Monitoring
HL7 Ballot Publication
ToC IGs Development (Transfer Summary, Referral Note, Consult Note)
ToC IGs Complete
HL7 Final Ballot Due
LCC Stakeholder Engagement: Lantana, IMPACT, ASPE, NY, CMS
Care Plan/ Home Health Plan of Care IG Development
HL7 Ballot Package Development
HL7 Ballot & Reconciliation
FACA LCC WG Briefings
LCC & HL7 Care Plan Coordination
IMPACT Go-LiveNY Care Coordination Go-Live
LCC Use Case 2.0 – Interoperable Care Plan
Exchange
Use Case 2.0 – Interoperable Care Plan Exchange• Focus on the functional requirements for an
Interoperable Care Plan exchange
• LCC Use Case 2.0 Wiki Page (http://wiki.siframework.org/LCC+WG+Use+Case+2.0)
– We have a comment form to provide feedback on UC sections (http://wiki.siframework.org/LCC+Use+Case+2.0+Comments)
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Date Item Homework (Due Friday COB)
3/11 - 3/18/13
10.0 Scenario (User Stories, Base/Alternate Flow, Functional Requirements, Activity Diagram, Sequence Diagram)
Review: User Stories, Base Flows
3/25/13 3.0 Use Case Scope (Background, In / Out of Scope, Communities of Interest)
Finalize: User Stories, Base FlowsReview: In / Out of Scope, Communities of Interest
3/26/13 3.0 Use Case Scope (In / Out of Scope, Communities of Interest)
Finalize: In Scope, Out of ScopeReview: Communities of Interest, Assumptions
4/1/13 3.0 Use Case Scope•Communities of Interest
Finalize: Communities of InterestReview: Assumptions, Pre-Conditions, Post-Conditions
5.0 Use Case Assumptions
4/2/13 5.0 Use Case Assumptions Finalize: Assumptions, Pre / Post-ConditionsReview: Actors and Roles
6.0 / 7.0 Pre-Conditions, Post-Conditions
4/8/13 8.0 Actors and Roles Review: Actors and Roles
4/9/13 8.0 Actors and Roles Finalize: Actors and RolesReview: Risks, Issues and Obstacles; Dataset Requirements
4/15/13 11.0 Risks, Issues, and Obstacles Finalize: Risks, Issues and Obstacles; Dataset Requirements
12.0 Dataset Requirements
4/16/13 Appendices Finalize: Appendices, Use Case Diagram, Value Statement
9.0 Use Case Diagrams
4.0 Value Statement
LCC Use Case 2 Development Schedule
Items in italics will drawn directly from the LCC Project Charter or created offline directly from other sections and will be included in the end-to-end review
Use Case Outline
• 1.0 Preface and Introduction**
• 2.0 Initiative Overview– 2.1 Initiative Challenge Statement**
• 3.0 Use Case Scope– 3.1 Background**– 3.2 In Scope– 3.3 Out of Scope– 3.4 Communities of Interest
• 4.0 Value Statement**
• 5.0 Use Case Assumptions
• 6.0 Pre-Conditions
• 7.0 Post Conditions
• 8.0 Actors and Roles
• 9.0 Use Case Diagram
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•10.0 Scenario: Generic Provider Workflow– 10.1 User Stories– 10.2 Activity Diagram
o 10.2.1 Base Flowo 10.2.2 Alternate Flow
– 10.3 Functional Requirementso 10.3.1 Information Interchange Requirementso 10.3.2 System Requirements
– 10.4 Sequence Diagram
•11.0 Dataset Requirements
•12.0 Risks, Issues and Obstacles
•Appendices
– Related Use Cases– Previous Work Efforts– References ** Leverage content from Charter
Draft sections complete
Content available for review
LCC HL7 Tiger Team Overview
Lead: Dr. Russ Leftwich
Overview
• HL7 Tiger Team Issues/Topics
– Tiger Team Objectives
– Importance of LCC Engagement with HL7
• Care Coordination Service (CCS) May Ballot (sponsored by HL7 Patient Care WG, co-sponsors Clinical Decision Support WG, Service Oriented Architecture WG)
• Care Plan Domain Analysis Model (DAM) September Ballot (sponsored by HL7 Patient Care WG, co sponsored by Structured Documents WG)
• Structured Documents WG
– Establish artifacts and ballot comments
– Harmonize Care Plan DAM
– Schedule
Tiger Team Objectives
• Educate the LCC Community on the HL7 processes and framework
• Educate the LCC Community on the HL7 Ballots relevant to LCC
• Generate comments to the Care Coordination Service and Care Plan Domain Analysis Model (DAM) Ballots for May and September 2013 to align LCC Objectives with HL7 Work Products
Importance of LCC and HL7 Coordination
• Care Coordination Service May Comment Ballot (HL7 Patient Care and Service Oriented Architecture WGs)– This is being balloted separately from the Care Plan DAM, so
LCC comment is necessary to harmonize the two work products
• Care Plan Domain Analysis Model September Ballot (HL7 Patient Care WG)
– Shared glossary of terms– Alignment of the various care plan components between LCC
and HL7 (Risks, Barriers, Relationships, Prioritization, etc)
Establish Tiger Team Artifacts and Ballot Comments
• Comments in MS Excel Ballot Package
• Presentations for updates to HL7 Workgroups
Schedule – April 2013SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
1 2 3 4 5 6
7 8 9 10 11 12 13
11 AM ET: HL7 Care Coordination Services Overview
to LCC
14 15 16 17 18 19 20
11 AM ET: LCC Tiger Team
Meeting for CCS Ballot
Preliminary CCS Ballot
Comments Due
21 22 23 24 25 26 27
11 AM ET: Final LCC CCS Ballot
Review Meeting
Final CCS Ballot
Comments Due
28 29 30
LCC CCS Ballot
Comments Due to HL7
Schedule – May 2013SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
1 2 3 4
11 AM ET: HL7 DAM Overview and Comment Outline
5 6 7 8 9 10 11
11 AM ET: HL7 DAM Tiger Team Presentation by Larry Garber to
HL7 Patient Care WG
12 13 14 15 16 17 18
11 AM ET: HL7 DAM Tiger Team
19 20 21 22 23 24 25
11 AM ET: HL7 DAM Tiger Team Preliminary DAM Ballot
Comments Due
26 27 28 29 30 31
11 AM ET: HL7 DAM Tiger Team--
DAM Ballot Preliminary Comments Presentation to
HL7
Schedule – June 2013SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
1
2 3 4 5 6 7 8
11 AM ET: HL7 DAM Tiger Team
9 10 11 12 13 14 15
11 AM ET: HL7 DAM Tiger Team
16 17 18 19 20 21 22
11 AM ET: HL7 DAM Tiger Team
Final DAM Ballot
Comments Due23 24 25 26 27 28 29
11 AM ET: Final HL7 DAM Tiger Team Meeting
--
DAM Final Comments
Presentation to HL7
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Sign-up for the Tiger Team
• If you are interested in joining the LCC HL7 Ballot Tiger Team, please:– Email Becky Angeles at [email protected]– Participate in the Wednesday, April 10th meeting at 11:00am
EST
• We will setup the HL7 Tiger Team SWG and wiki page in the next few days
• HL7 Care Coordination Services will be giving a presentation of their ballot content as part of the April 10th Launch Meeting– https://siframework2.webex.com/siframework2/onstage/g.php?t=
a&d=660274192– Dial In: +1-650-479-3208– Access code: 660 274 192
Next Steps
• Lantana developing scope statement for ToC and Care Plan/HHPoC Implementation Guide development
– ToC IG development scheduled to start next week
– Care Plan/HHPoC IG development scheduled to start in May
• Monitor IMPACT Project Go-Live in May
• Continue outreach to key LCC Stakeholder groups
– Professional Associations, EHR vendors, CMS Care Planning Programs
• Develop/Execute on Pilot Engagement Plan
– MA and NY entities have committed to pilot pre-balloted LCC standards before end of year
• Develop and submit Tiger Team Recommendations to HL7 WGs
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LCC WG Revised Meeting Schedule
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• LCP SWG will move to Thursdays at 11am EST starting next week– This would give everyone more time to process Monday’s meeting
artifacts and review artifacts for the Thursday meeting
• Monthly LCC Meetings– All Hands will meet this Thursday at 9am, will move to the first Tuesday
of the Month starting May 7th at 10am EST
– LCC Leads will meet the second Tuesday of the Month – next meeting is Tuesday, April 9th at 10am EST