longitudinal coordination of care lcp swg monday, august 12, 2013
TRANSCRIPT
Longitudinal Coordination of Care
LCP SWGMonday, August 12, 2013
Agenda
2
Topic Presenter Time Allotted
Announcements and Reminders Evelyn 5 minutes
Care Plan C-CDA Revisions Lantana 55 minutes
• A Report to Congress on the Application of EHR Payment Incentives for Providers Not Receiving Other Incentive Payments was issued last week– The report has been uploaded to the LCC Reference Materials
wiki here– The full study can be found here:
http://aspe.hhs.gov/daltcp/reports/2013/ehrpi.shtml
Announcements
3
• Call for Pilot Participation!– LCC Pilot Wiki Page: http://wiki.siframework.org/LCC+Pilot+Plan
• Contains Pilot Survey, Pilot Overview Document, and Planning Template
– Pilots Launch is set for September 16th
• Meeting Reminders – LCC HL7 Tiger Team SWG meeting – Wednesday at 11am ET– LCP SWG meeting – Thursday at 5pm ET
4
Reminders
© 2011 Lantana Consulting Group, www.lantanagroup.com5
Care Plan - CDA Document Type Development
© 2011 Lantana Consulting Group, www.lantanagroup.com6
HAS SU
PPORT
HAS
REA
SON
Relationships (Happy Path)
Health Concern
(code= CONCERN or
RISK)[mood EVN]
Goal [mood GOL]
Outcome Observation [mood EVN]
Intervention [mood: INT/ RQO/ etc.]
[mood: EVN]
Observation [mood EVN]
REFERS TO
REFERS TO
HAS COMPONENT
EV
ALU
ATES
Progress Toward Goal Observation [mood EVN]
SUPP
ORTS
REFERS TO EVALUATIONS/OUTCOMES
HAS COMPONENT
HAS REASON
© 2011 Lantana Consulting Group, www.lantanagroup.com7
• Changed code on Health Concern Act (CONCERN/RISK)
• Can relate a Health Risk to a Health Concern
• Example in sample file
Overview of Risk Modeling
© 2011 Lantana Consulting Group, www.lantanagroup.com8
• New participants on document header
• authenticator (patient sign-off)
• participant (Caregiver/relative) documentationOf (responsible providers)
• performer (healthcare providers)
• relatedDocument
Care Plan Review
© 2011 Lantana Consulting Group, www.lantanagroup.com9
• Questions:
• 3 – Certification Periodo Seems to be about certifying that the patient does need
home health care, so that it can be paid for from federal funds
o How does it relate to the other dates?
Form 485 – Sample File
© 2011 Lantana Consulting Group, www.lantanagroup.com10
• Questions:
• Describe the relations/roles of dates and personnel, so we can put the right words in comments, e.g. "This is the person who performs the home health care."o 3 Certification period [from, to]
o 2 Start of care date
o 25 Date of HHA [Home Health Agency] Received Signed POT [Plan of Treatment]
o 23 Nurse's Signature and Date of Verbal SOC [Start of Care, Referral Date] Where Applicable
o 5 Provider No
o 7 Provider's Name, Address, and Telephone No
o 24 Physician's Name and Address
o 27 Attending Physician's Signature and Date Signed
Form 485 – Sample File
© 2011 Lantana Consulting Group, www.lantanagroup.com11
• Questions:
• 18B – Activities Permittedo "Activities permitted – crutches" – is it an instruction to the
patient or a description of the patient's mobility (functional status)?
Form 485 – Sample File
© 2011 Lantana Consulting Group, www.lantanagroup.com12
• Questions:
• Patient IDs: • Medical Record No - is this the facility patient ID?
• Patient's HI Claim Number
Form 485 – Sample File