longitudinal coordination of care pilots wg monday, november 4, 2013

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Longitudinal Coordination of Care Pilots WG Monday, November 4, 2013

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Page 1: Longitudinal Coordination of Care Pilots WG Monday, November 4, 2013

Longitudinal Coordination of Care

Pilots WGMonday, November 4, 2013

Page 2: Longitudinal Coordination of Care Pilots WG Monday, November 4, 2013

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 recordedo 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 Panelists 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 Panelists

Page 3: Longitudinal Coordination of Care Pilots WG Monday, November 4, 2013

• http://wiki.siframework.org/Longitudinal+CC+WG+Committed+Member+Guidance• http://wiki.siframework.org/LCC+Pilots+WG

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ReminderJoin the LCC WG & Complete Pilot Survey

** If your contact information has recently changed, please send your updated information to Becky Angeles at [email protected]

Page 4: Longitudinal Coordination of Care Pilots WG Monday, November 4, 2013

Topic Presenter

Welcome & Announcements Lynette

Recap: LCC Pilot Options Evelyn

Meaningful Use Mapping to LCC Pilot Options Evelyn

Meaningful Use Matrix Review Sue

IMPACT Project Go-Live Update Larry/ Terry

Next Steps Lynette

Agenda

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Page 5: Longitudinal Coordination of Care Pilots WG Monday, November 4, 2013

Meeting Reminders

S&I Framework Hosted Meetings: http://wiki.siframework.org/Longitudinal+Coordination+of+Care • LCC Pilot WG meetings are Mondays from 11:00– 12:00 pm Eastern

– Focus on validation and testing of LCC Standards for Transitions of Care & Care Plan exchange

• LCC All Hands WG meetings are Mondays & Thursdays from 5:00– 6:00 pm Eastern – These meetings are facilitated in partnership with Lantana and will focus on

discussion and review of HL7 C-CDA R2 Ballot Comments

HL7 Structured Documents WG Meetings• Wednesdays from 10:00 – 11:00am Eastern

• WebEx: https://www3.gotomeeting.com/join/216542046• Dial In: +1 770-657-9270; Access Code: 310940• Focus on ballot reconciliation of HL7 C-CDA R2 Ballot comments

• Thursdays from 10:00 – 12:00pm Eastern– WebEx: https://iatric.webex.com/iatric/j.php?ED=211779172&UID=0&RT=MiMxMQ%3D%3D

– Dial In: 770-657-9270; Access Code: 310940– Focus on block voting of HL7 C-CDA R2 Ballot comments

Page 6: Longitudinal Coordination of Care Pilots WG Monday, November 4, 2013

Meeting Reminders

HL7 Patient Care WG Meetings• Care Plan every 2nd Wednesday from 4:00 – 5:00pm ET • Focus on Care Plan DAM Ballot Reconciliation

– Next meeting scheduled for Nov. 13th

– Phone: +1 770-657-9270, Participant Code: 943377

• NEW* Patient Care Health Concern Topic• Meetings every 2nd Thursday from 4:00 – 5:00pm ET

• Next meeting scheduled for Nov. 7th

• Phone: +1 770-657-9270, Participant Code: 943377

• Care Coordination Service• Meetings every Tuesday 4:00 - 5:00 pm ET • CCS ballot reconciliation, new CCS ballot for Jan 2014

Page 7: Longitudinal Coordination of Care Pilots WG Monday, November 4, 2013

FACA Meeting Reminders

HIT Policy Committee• Next meeting scheduled for Nov. 6th from 9:30 – 3:00pm ET• Update from CAW re: Care Planning & voluntary LTPAC certification• http://www.healthit.gov/facas/calendar/2013/11/06/hit-policy-committee

HITPC Meaningful Use WG• Next meeting scheduled for Nov. 7th from 10:00 – 11:30am ET• Update on MU3 Recommandations• http://www.healthit.gov/facas/calendar/2013/11/07/policy-meaningful-use-workgroup

HIT Standards Committee• Next meeting scheduled for Nov. 13th from 9:00 – 3:00pm ET• http://www.healthit.gov/facas/calendar/2013/11/13/hit-standards-committee

Page 8: Longitudinal Coordination of Care Pilots WG Monday, November 4, 2013

LCC Pilot WG Timeline: Aug 2013 – Sept 2014

Mile

ston

es

Updated HL7 C-CDA IG

Complete

HL7 Fall Ballot Close

LCC Pilot Monitoring & Evaluation

LCC Pilot Proposal Review

HL7 Ballot Publication

LCC Pilots Close

HL7 Ballot & Reconciliation

LCC Pilot WG Launch

IMPACT Go-Live

NY Care Coordination Go-Live

HL7 C-CDA IG Revisions

LCC Pilot Wrap-Up

LCC Pilot Test Spec. Complete

HL7

Bal

lot

LCC

Pilo

t WG

Page 9: Longitudinal Coordination of Care Pilots WG Monday, November 4, 2013

• Purpose– Provide tools and guidance for managing and evaluating

LCC pilot Projects– Create a forum to share lessons learned and best

practices– Provide subject matter expertise– Leverage existing and new partnerships

• Goals– Bring awareness on available national standards for HIE

and care coordination– Real world evaluation of parts of most recent HL7 C-CDA

Revisions Implementation Guide (IG)– Validation of ToC and Care Plan/HHPoC datasets

Pilot Work Group Purpose and Goals

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Page 10: Longitudinal Coordination of Care Pilots WG Monday, November 4, 2013

Sample Pilot Options

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User Scenario S&I Use Case1. Exchange of CCD ToC Use Case

2. Exchange of Transfer Summary

LCC Use Case 1.0

3. Exchange of Consultation Request

LCC Use Case 1.0

4. Exchange of Consult Note

LCC Use Case 1.0

5. Exchange of Test/Procedure Report

LCC Use Case 1.0

6. Exchange of Test/Procedure Request

LCC Use Case 1.0

7. Exchange of HHPoC LCC Use Case 2.0

8. Exchange of Care Plan LCC Use Case 2.0

9. Exchange of Patient Goals

LCC Use Case 2.0

User Scenario S&I Use Case10. Exchange of Advance Directives LCC Use Case 1.0

11. Exchange of Pre-Test Screening Process

LCC Use Case 1.0

12. Exchange of Care Plan components for Patient Centered Value Management

LCC Use Case 2.0

13. Concordance- the extent to which the patient’s goals, interventions, concerns, outcomes match to the provider’s prioritization

LCC Use Case 2.0

14. Exchange of Transfer of Care (Discharge and ED Consult request)

LCC Use Case 2.0

15. Exchange of Instructions/ Interventions

LCC Use Case 2.0

Page 11: Longitudinal Coordination of Care Pilots WG Monday, November 4, 2013

Sample Pilot Options mapped to MU2

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User Scenario MU Category1. Exchange of

CCD/Clinical SummaryMU2: Summary of Care Record/ Clinical Summary

2. Exchange of Transfer Summary

MU2: Summary of Care Record/ Clinical Summary

3. Exchange of Consultation Request

4. Exchange of Consult Note

5. Exchange of Test/Procedure Report

MU2: Summary of Care Record/ Clinical Summary

6. Exchange of Test/Procedure Request

MU2: Summary of Care Record/ Clinical Summary

7. Exchange of HHPoC

8. Exchange of Care Plan

9. Exchange of Patient Goals

MU2: Summary of Care Record/ Clinical Summary

User Scenario MU Category10. Exchange of Advance

DirectivesMU2: Advance Directives

11. Exchange of Pre-Test Screening Process

12. Exchange of Care Plan components for Patient Centered Value Management

MU2: VDT ambulatory or inpatient summary

13. Concordance- the extent to which the patient’s goals, interventions, concerns, outcomes match to the provider’s prioritization

14. Exchange of Transfer of Care (Discharge and ED Consult request)

MU2: Summary of Care Record/ Clinical Summary

15. Exchange of Instructions/ Interventions

MU2: Summary of Care Record/ Clinical Summary

Page 12: Longitudinal Coordination of Care Pilots WG Monday, November 4, 2013

Meaningful Use Matrix Review

Sue Mitchell

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Page 13: Longitudinal Coordination of Care Pilots WG Monday, November 4, 2013

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IMPACT Go-Live Update

Larry Garber

Page 14: Longitudinal Coordination of Care Pilots WG Monday, November 4, 2013

• Homework Assignments:– Complete Pilot Survey– Sign up as an LCC Committed Member– Submit Pilot Documentation Proposals

• Available on the LCC Pilot SWG Wiki: http://wiki.siframework.org/LCC+Pilots+WG

• Email to Lynette Elliott ([email protected])

Next Steps

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Page 15: Longitudinal Coordination of Care Pilots WG Monday, November 4, 2013

• LCC Leads– Dr. Larry Garber ([email protected])– Dr. Terry O’Malley ([email protected]) – Dr. Bill Russell ([email protected]) – Sue Mitchell ([email protected])

• LCC/HL7 Coordination Lead– Dr. Russ Leftwich ([email protected])

• Federal Partner Lead– Jennie Harvell ([email protected])

• Initiative Coordinator– Evelyn Gallego ([email protected])

• Project Management– Pilots Lead: Lynette Elliott ([email protected])– Use Case Lead: Becky Angeles ([email protected])

LCC Initiative: Contact Information

15LCC Wiki Site: http://wiki.siframework.org/Longitudinal+Coordination+of+Care