Long-Term+&+Post-Acute+Care+WG+Meeting+10-13-2011

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Long-Term & Post-Acute Care WG Meeting 10-13-2011

 * Date:** 10-13-2011
 * Time:** 9:00-10:00am EDT
 * Dial-in:** 1-408-600-3600 | **Passcode:** 660 213 377

Attendance
Amy Berk, Tom Check, Trisha Curran, Kris Cyr, Larry Garber, Evelyn Gallego, Jim Logan, Sue Mitchell, Sarah Nicholls, Terry O'Malley, Pamela Russell, Jason Spears, Teresa Strickland, Ashley Swain, Clare Wrobel, Dana Voss, Jim Youngkin

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 10-13-2011 || Create a Project Charter based off the LTPAC Roadmap and include language on the WG's differences from other S&I Framework Initiative || Harm Team || Open ||  ||
 * 2 || 10-6-2011 || Continue to 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 ||  ||
 * 4 || 10-13-2011 || There is a need to determine an official lead for the LTPAC WG - please send all nominations and recommendations to Meredith Lewis || Participants || Open ||  ||
 * 5 || 10-13-2011 || Post relevant presentations and reference materials to the LTPAC main wiki Page || Participants || Open ||  ||
 * 6 || 10-13-2011 || Create a glossary of LTPAC relevant acronyms || Harm Team || Open ||  ||
 * 7 || 10-13-2011 || Provide information on the challenge grants to incorporate in the roadmap, and upload visuals/slides that would help the WG define the scope of their work and Provide an overview of the LTPA || Bill Russell || Open ||  ||

Agenda Items

 * 1) Welcome and Announcements
 * 2) Review LTPAC Roadmap
 * 3) Identify Next Steps

Meeting Notes

 * Announcements**
 * Please note the webex passcode for the LTPAC WG changes every week.
 * The LTPAC Roadmap is a wiki page which contains background on the Roadmap as well as multiple versions.
 * There will be an S&I Framework Face-to-Face Meeting next week and the LTPAC WG will NOT be meeting.
 * The Roadmap can serve as the charter for the WG but a member had brought up the point that an outlined charter could be helpful for WG members
 * To Provide Feedback on the LTPAC Roadmap - follow the guidelines below-
 * Navigate to the [|Discussion Page] and provide comments based off the document being reviewed OR
 * Email any revisions and comments to Meredith Lewis


 * LTPAC Roadmap**


 * Jennie Harvell made edits early on in reference to finalizing the statistics of the Introduction Section and on bolstering the rationale for the WG
 * She also incorporated further statistics on “LTPAC service”, expenditures for these services, and estimates of the number of persons served.
 * The suggestion was made to the change the first header from "LTPAC WG Background" to "LTPAC Background"
 * There is a need to define Community Based Services that refers to the evening service access points, meals-on-wheels, services provided through the outside of the purview of the home health agency.
 * A question was raised on the scope of the overall LTPAC Roadmap in terms of where does the care begin and where it specifically ends.
 * Bill will distribute the variety of graphics on the scope of LTPAC community work and made the point that hospice interchanges would need to highlighted as well
 * The comment was made that the language behind bi-directional communication in terms of the LTPAC relevant exchange scenarios needed to be more consistent
 * LTPAC Analysis and Environmental Scan Section Edits
 * There are other forms than the CMS 485 form that contain relevant data elements, but there is a risk that others may not be granular enough and so the WG should focus on the patient-focused care as opposed to focusing on the facility
 * "Floors" refers to references from a specific programs such as Mass. Impact Program & "Ceilings" refer to more than information transfer but actual care coordination. At a minimum it would be great to scale the "Ceilings" when defining the scope of the LTPAC WG
 * The point was raised to incorporate references to the four challenge grants as they all have unique components that could contribute to our work
 * ToC CIM can be reviewed by the WG to provide further context - the vision is to produce an overall S&I Framework CIM.
 * There has been a mapping between CIM data elements and groupings within the Consolidated CDA to verify that data elements didn't fall through the gap.
 * The LTPAC WG will be provided content and additional data elements to the ToC CIM which will be the basis for the S&I Framework CIM and the modifications will advise an HL7 committee on the balloting process.
 * Terry O'Malley described a proposal to leverage the work done on the IMPACT project to accelerate this S&I LTPAC Workgroup where 1000 role and transition specific responses that were received from providers were leveraged and used to create a composite list of data elements that meets requirements for any high priority receiver for LTPAC care. The next steps are determining what are the essential data element requirements for every care transition.


 * Next Steps**
 * Continue to review Roadmap comments offline and provide additional revisions to the Harmonization team OR post to the Roadmap discussion page

Next Meeting

 * Date:** 10-20-2011
 * Time:**9:00-10:00am EDT

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