Longitudinal+Care+Plan+Development

include component="page" wikiName="siframework" page="LCC Header" =Longitudinal Care Plan Documentation= This wiki page is used to capture reference materials, discussion and consensus decisions relevant to the development of a longitudinal care plan. This work is being championed by the members of the Longitudinal Care Plan SWG. All members and interested parties are encouraged to upload resource materials, and contribute to the discussion.

Introduction
The goal of the Longitudinal Care Plan SWG is to evaluate the best practices in technology enabled care planning and coordination and to document the associated information streams and processes as well as the current and emerging standards for care planning. The long-term goal of the SWG is to solidify the concept of the Longitudinal Care Plan, define the information model necessary to support its adoption, and to conduct a gap analysis to inform future efforts to implement a patient center longitudinal care plan.

The definition of the longitudinal care plan is a longer-term effort for the Longitudinal Care Plan SWG. This effort will include the definition, content, sections, and documented standards of a care plan that can support a variety of patient populations. Given the breadth and depth of the work required, the scope of the work will need to be further refined to ensure success__.__ The following is a list of in-scope activities for the SWG, based on the Longitudinal Care Plan SWG Charter.
 * Examination of care plan domain map, including the relationships between comprehensive interdisciplinary problems (e.g., medical and behavioral, functional, care giving and self care deficits, including medical and/or nursing diagnoses)
 * Identification of causative factors, goals, manifestations of illness, as well as strengths and opportunities, and human service opportunities
 * Discuss workflow and technology barriers to a distributed, patient centered care plan informing multiple systems in parallel as part of the gap analysis
 * Development of an environmental scan that describes previously accomplished work to define a care plan

Works in Progress
[] || In-progress; Susan presented the document to the SWG on 2/21/2012 || Susan Campbell || 02/14/2012 ||
 * = **Name & Link** ||= **Description** ||= **Status** ||= **Owner & Contributors** ||= **Last Update** ||
 * [|Care Plan References] || The document contains a list of relevant artifacts, research materials and ongoing efforts that will inform the development of a longitudinal care plan.
 * [|Updated Care Plan References] || The document contains a list of relevant artifacts, research materials and ongoing efforts that will inform the development of a longitudinal care plan. [] || Latest version || Susan Campbell || 2/29/2012 ||

Reference Materials
Reference materials should be uploaded to the LCC WG Reference Materials wiki page, "Longitudinal Care Plan" table.

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