TOC+Implementation+Guidance+SWG+Meeting+Minutes+6-25-2012

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**Meeting Agenda:**

 * Welcome & Announcements
 * Nutritional & Diet Discussion
 * Review of Clinical Scenarios
 * Homework Assignements

Attendance
Ashley Swain, David Tao, Ed Larsen, Elaine Ayres, Emma Jones, George Cole, Holly Miller, Lindsey Hoggle, Meredith Lewis, Robin Barnes, Sandy Stuart, Shalina Wadhwani

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Schedule offline call with Lindsey Hoggle and Elain Ayres to come up with a solution for version control/achieving consensus approval || Meredith Lewis ||  ||   ||
 * 2 || Ensure all information across the columns align and the correct information is captured || Ashley Swain/Meredith Lewis ||  ||   ||
 * 3 || Review the spreadsheet to check for errors || WG Members ||  ||   ||

Meeting Notes

 * Welcome & Announcements:**
 * Last week the WG finished the hospital discharge scenarios and discussed the goodness of fit document
 * Today the WG will hear from the nutrition and diet community


 * Nutrition & Diet Discussion:**
 * Lindsey Hoggle and Elaine Ayres provided perspective from the nutrition and diet community and the role they will play in the S&I Framework
 * They want to ensure that certain elements going forward are included in the Diet & Nutrition sections of the Clinical Scenarios document
 * They believe there is a disconnect between some of the elements included in the Clinical Scenarios spreadsheet and the original definitions provided; they can work offline with Holly and the support team to ensure these elements are included
 * Dr. Holly Miller believes it would be more appropriate for the definitions to be revised by the CEDD WG, though Lindsey and Elaine would like to revise the data elements in this spreadsheet as well (also resulting in a revision in the Companion Guide)
 * All agree to determine what the current version of the CEDD is figure out where the original definitions were lost
 * Meredith Lewis will schedule an offline call figure out how to achieve consensus approval and come up with a solution for version control


 * Review of Clinical Scenarios:**
 * 3 activities feed into the Companion Guide: clinical scenarios, document recommendations, and implementation guidance fact finding
 * We have finished the review of closed loop referrals and discharging physicians in hospital setting to PCP
 * Dr. Miller believes that everything going to the doctor should also go to the patient; Meaningful Use includes a clause which states that for a specific reason, a doctor doesn’t have to give the patient information
 * It is reasonable that the provider’s information and patient’s information should be identical, so in terms of capability this should be available
 * Ashley Swain and Meredith Lewis will ensure all of the information across the columns aligns and the correct information is captured
 * As a homework assignment, the WG members will be review the spreadsheet to ensure there are no errors and think about the verbage used on the call
 * The final version will be reviewed on next Monday’s call

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