Long-Term+&+Post-Acute+Care+WG+Meeting+10-6-2011

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Long-Term & Post-Acute Care WG Meeting 10-6-2011

 * Date:** 10-6-2011
 * Time:** 9:00-10:00am EDT
 * Dial-in:** 1-408-600-3600 | **Passcode:** 660 213 377

Attendance
Jitin Asnaani, Amy Berk, Tom Check, Kris Cyr, Michelle Dougherty, Richard Eshbach, Larry Garber, Liz Palena Hall, Jennie Harvell, Russell Leftwich, Kory Metz, Holly Miller, Sue Mitchell, Terry O’Malley, Pamela Russell, Teresa Strickland, Claudia Williams, Dana Voss, Jim Younkin

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 10-6-2011 || Review the LTPAC Roadmap and provide and comments/revisions to the Harmonization Team || Participants || Open ||  ||
 * 2 || 10-6-2011 || Get started on the Wiki and complete the steps required to become a committed member. Contact Meredith Lewis for any assistance. || Participants || Open ||  ||
 * 3 || 10-6-2011 || Fill out the numbers for Medicaid populations and expenditures based off the links Jennie Harvell provided inside her comments she made to LTPAC Roadmap v2 || Participants || Open ||  ||

Agenda Items

 * 1) Introductions
 * 2) S&I Framework Overview
 * 3) Getting Started as a Committed Member
 * 4) LTPAC WG Objectives

Meeting Notes

 * Introduction**
 * Each WG attendant provided an brief intro and background on their LTPAC involvement
 * The announcement was made that Meredith Lewis, Dev Dasgupta, & Ashley Swain (Harmonization Team) will provide the necessary S&I Framework support


 * Overview**
 * S&I Framework is a forum enabled by integrated functions, processes, and tools for implementers and experts to establish standards and guidance that enable health information exchange
 * S&I Framework represents one investment and approach adopted by the Office of Standards & Interoperability to fulfill its charge of enabling harmonized interoperability specifications to support national health outcomes and healthcare priorities
 * Approach
 * To create a collaborative, coordinated incremental standards process, with ONC & Federal Advisory Committee support and led by a community of federal and industry participants
 * The ultimate goal is to enable Government as a Platform: provide tools, coordination, andharmonization to help the community drive solutions and adoption
 * S&I Transitions of Care (ToC) Initiative
 * The S&I ToC initiative was motivated by one very compelling question: what if every care transition was accompanied by an unambiguously-defined core set of high-quality clinical data?
 * Essentially the initiative provides guidance toward decision-making based on the requirements of meaningful use and IOM-identified needs for improvement in the quality of care
 * The LTPAC WG will be linking off from the ToC WG but it will be a community driven initiative to be able to provide background on the WG’s scope and course correct if needed.
 * Getting Started**
 * Sign up for wikispaces account to start interacting with the S&I framework wikipage
 * Wiki is the central collaboration tool used across the framework
 * Webex system is used to connect WG members for meetings and details will be provided later on
 * To-do List
 * Read through Initiative Phases and Outputs Wiki Page to understand more about each S&I Framework initiative.
 * Review the Guidelines for Community Participation Wiki Page to understand what being an S&I Framework participant means.
 * Fill out your statement of commitment by navigating to the Statement of Commitment Tracker.
 * Read the Steering and Consensus Process and IPR Policy.
 * Add your name to the list of committed members on the LTPAC WG page
 * Committed Member Guidelines
 * An Initiative Committed Member is an organization or individual who has a particular interest in solving the Challenge Statement and reaching the Initiative Goal and commits to actively achieve the Initiative Deliverables (WG assignments).
 * Committed Members are there to support the WG progress, participating in Consensus, review the meeting minutes and contribute to the discussion page that is taking place.
 * Good Standing Guidelines
 * To be in “good standing” with the Initiative members, committed members should:
 * Attend most meetings of the Initiative
 * Supply input in most Consensus decisions
 * Provide committed deliverables or drafts of deliverables in a timely fashion.
 * Be familiar with the relevant documents, including minutes of past meetings.
 * Follow Initiative discussion on the wiki, mailing lists, or other established for a
 * Comply with the IPR and Conflict of Interest policy


 * LTPAC Roadmap Objectives**


 * LTPAC Roadmap Objectives were developed by Harmonization team in coordination from Jennie Harvell and it can be accessed under the main WG page under works in progress
 * Roadmap Objectives
 * Create a LTPAC Roadmap with a high-level overview of outcomes and tasks
 * Develop Use Cases that include clinical workflows and information exchanges
 * Define the key clinical information required in every LTPAC care transition
 * Collaborate with TOC Initiative work groups to create an implementation path forward for the LTPAC community that utilizes Consolidated CDA Guide
 * Formulate an information exchange profile (LTPAC Exchange Profile) reflecting unique aspects and needs for EHR systems in the LTC setting as well as expand the scope of the meaningful use definition to include exchange of TOC documents with providers
 * Develop certification requirements for EHR & LTPAC vendors in anticipation of LTPAC pilots
 * Additional objectives identified by the workgroup members
 * The purpose of LTPAC Roadmap was to provide a high level scope for the WG and to set initial terms of success. The aim was to leverage existing flexible S&I Framework processes and support from committed members in achieving progress. It is by no means concrete and so the WG should look optimize it as the meetings progress.
 * Russell Leftwich made the request to see a summary of LTPAC current state work within the HIT to provide additional background for the WG
 * The point was brought up that a ,ove toward greenCDA work could be within the scope of the LTPAC WG later on
 * There will be a need to define sections of the CDA standard and then will proceed to “green” the sections to make them easier to publish. Our consideration where be around which sections are “candidates to be greened” but will be a secondary concern along getting the gaps in data elements correct.
 * Terry O’Malley brought up the point that high level process flow modifications to the user scenarios would need to be incorporate to include transitions to and from the hospital to inpatient floor emergency room and outpatient testing sites


 * Next Steps**
 * Review Roadmap and provide comments to the Harmonization team

Next Meeting

 * Date:** 10-13-2011
 * Time:**9:00-10:00am EDT

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