longitudinal coordination of care pilots wg monday, october 28, 2013
TRANSCRIPT
Longitudinal Coordination of Care
Pilots WGMonday, October 28, 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
• 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]
Topic Presenter
Welcome & Announcements Evelyn
Roll Call – Introductions Becky
Open Forum Q&A Community
Next Steps
Agenda
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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 Care Plan 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 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 Ballot comments
Meeting Reminders
HL7 Patient Care WG Meetings• Care Plan every 2nd Wednesday from 5:00 – 6:30pm ET (4:00 in Nov)
– Focus on Care Plan DAM Ballot Reconciliation
– Next meeting scheduled for Oct. 30th
– Phone: +1 770-657-9270, Participant Code: 943377
• NEW* Patient Care Health Concern Topic• Meetings every 2nd Thursday from 4:00 – 5:00pm Eastern
• Next meeting scheduled for Nov. 7th
• Phone: +1 770-657-9270, Participant Code: 943377
• Care Coordination Service• Meetings every Tuesday 5:00 - 6:30 pm ET (4:00 in Nov)• CCS ballot reconciliation, new CCS ballot for Jan 2014
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
• 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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• Iona Thraen, Director of Patient Safety for Utah Department of Health
• Christol Green, Wellpoint• Cindy Levy, CPHIMS Advisor for Shape Hitech• Diane Evans, Senior Advisor for Impact Advisors• Gordan Raup, Chief Technical Officer for Datuit• Janel Welch, Academy of Nutrition and Dietetics/Nutrition sub-
committee• Laura Heerman-Langford, United Health Care• Les Keepper, community member interested in secure platforms to
pass MU• Susan Campbell, Brockdale Neighborhood Health Center• Terry O’Malley, LTPAC co-lead, LCC lead, Associate PI on IMPACT
Project• Jennie Harvell, HHS Office of the Assistant Secretary for Planning
and Evaluation
Roll Call and Introductions
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• Are there any issues you would like to address?
– How the new CCD standards relate to MU and whether the current standards support MU1 and MU2 requirements rather than MU3
– How the LCC Pilot Program ties directly already published standards
– How NIEM relates to the LCC/HL7 effort
• What type of partners/organizations are you looking for?
– Provider organizations that focus on patient interaction to improve outcomes
– Integrated delivery systems that exchange among health care providers, long term service and support providers, and patients
Open Forum Q&A
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• What is the current level of HIT/HIE adoption in your organization?
– General consensus said adoption is either in early stages or has not yet happened and is hindered by the focus on efforts to meet basic requirements for MU1 and 2
• Do you have a vendor partner? If not, are you willing to help us let you find one?
– Attendees expressed interest in assistance with finding a vendor partner
• Other topics/comments for future discussion?
– Alignment at the organizational level
Open Forum Q&A
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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
User Scenario S&I Use Case8. Exchange of Care Plan LCC Use Case 2.0
9. Exchange of Patient Goals LCC Use Case 2.0
10. 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
• 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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• 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
14LCC Wiki Site: http://wiki.siframework.org/Longitudinal+Coordination+of+Care