TOC+Implementation+Guidance+SWG+Meeting+Minutes+6-11-2012

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**Meeting Agenda:**

 * Welcome & Announcements
 * Review of Clinical Scenario 1
 * Review of Clinical Scenario 2
 * Homework Review

Attendance
Ashley Swain, David Tao, Emma Jones, Ernest Grove, Holly Miller, Lester Keepper, Meredith Lewis, Robin Barnes, Russell Leftwich, Russell Ott, Sandy Stuart, Shalina Wadhwani

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Update timeline to reflect delay in mapping of clinical scenarios || Meredith Lewis ||  ||   ||
 * 2 || Follow-up with Ashley Swain and Bob Yencha on Encounters' closed-loop referrals || Support Team ||  ||   ||
 * 3 || Follow-up with Ashley Swain to validate Women's Health elements || Meredith Lewis ||  ||   ||
 * 4 || Follow-up with Erik Pupo on Primary Care and Designated Providers Elements || Support Team ||  ||   ||
 * 5 || Reconcile the latest version of the spreadsheet with David Tao's version || Support Team ||  ||   ||

Meeting Notes

 * Welcome & Announcements**
 * Review of timeline – we are slightly behind in the mapping of requirements to clinical scenarios
 * We have only gotten through closed-loop referrals and still have to address hospital discharge, so the timeline might be extended since we originally allotted 5 weeks for the review of clinical scenarios
 * We will add a weekly Wednesday call for the SWG to complete mappings on time


 * Review of Clinical Scenario 1**
 * The WG agrees that in a closed-loop referral, encounter information is not relevant
 * The WG leads and support team will follow-up with Ashley Swain and Bob Yencha on Encounters
 * ToC CEDD Components that were unchanged include Family History, History of Present Illness, Medical History, Operative Summary, Physical Activity, Physical Exam, Surgical/Procedural History
 * Meredith will follow up with Ashley Swain to validate the elements categorized under Women’s Health, as the WG members think these elements should be captured elsewhere (e.g. Problem List, Social History, etc.); the suggestion is to delete the entire object
 * Review of Systems was changed to X+/- in both closed loop referrals
 * The SWG members added X+/- to Desired Outcomes, categorized under Goals, but it otherwise was unchanged


 * Review of Clinical Scenario 2**
 * Scenario 2 focuses on discharging physician in hospital setting to PCP and discharging physician in hospital setting to patient
 * Today the SWG is focusing on discharging physician in hospital setting to PCP
 * There were no disagreements to CEDD Object Classifications with Culturally Sensitive Patient Care, Medication Lists, Medication Type
 * The SWG will receive clarification from Erik Pupo on the elements categorized under Primary Care and Designated Providers; if they don’t receive clarification they will remove the Object
 * Social History was changed to X+/- and smoking history is now required under Social History Details
 * At least one Vital Sign is now required; this spreadsheet will be reconciled with David Tao’s latest version and it will be revisit at the next meeting

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