Long-Term+&+Post-Acute+Care+WG+Meeting+10-20-2011

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Long-Term & Post-Acute Care WG Meeting 10-20-2011

 * Date:** 10-20-2011
 * Time:** 9:00-10:00am EDT
 * Dial-in:** 1-408-600-3600 | **Passcode:** 660 213 377

Attendance
Amy Berk, Tom Check, Jim Logan, Russell Leftwich, Trisha Curran, Bill Russell, Sue Mitchell, Todd Smith, Annessa Kirby, Jennie Harvell, Greg Alexander, Kevin Chaney, Larry Garber, LaToya Thomas, Liz Palena Hall, Marisa Scala-Foley, Kris Cyr, Michelle Dougherty, Nancy Bridgman, Patrice Kuppe, Richard Brennan, Theresa Strickland, Terry O’Malley, Rich Kernan, Erik Pupo, Meredith Lewis

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 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 ||  ||
 * 2 || 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 ||  ||
 * 3 || 10-13-2011 || Post relevant presentations and reference materials to the LTPAC main wiki Page || Participants || Open ||  ||

Agenda Items

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

Meeting Notes

 * Announcements**
 * Updates from S&I F2F Meeting and October 14 Convening Event
 * Comments from Tom Check
 * Impressed by the initiatives’ work in how to manage care of patient.
 * Raised the topic of the challenge of how to engage patient and other care team members relies on what data is collected and utility of tools developed.
 * Comments from Bill Russell
 * Expressed concern that there is a lack of care coordination efforts, initiatives seem to be more focused on the transition workflow itself.
 * Proposed for LTPAC WG to incorporate actual plan of care in deliverables.
 * Stated that there is a parallel CMS initiative and would like to see LTPAC WG’s work incorporated in their efforts. It was debated on Friday call if LTPAC transitions are strictly facility-defined.
 * Proposed for members to consider a more patient-centered WG name and focus, such as longitudinal care plan.
 * In summary, the WG members voiced support for a Longitudinal Care Plan focus.


 * WG Lead Nomination Discussion**
 * The S&I Framework WGs are typically lead by 1-2 participants
 * The leads typically attend weekly lead Touch Points on Tuesdays with support teams
 * They are responsible for facilitating discussion and creating meeting materials (i.e. presentations, agenda)
 * Nominations: Bill Russell, Terry O’Malley, Larry Garber
 * The WG members supported nominations


 * ASPE/AHIMA Overview**
 * Jennie Harvell presented PowerPoint, which can be found on the WG home page under "Reference Materials"
 * Clarification slide 5—linked to LOINC, SNOMED-CT, and other relevant codesets rather than create new codes
 * Efforts focused on identifying a clinically-relevant subset of data elements for summary document to be utilized during the transition process.
 * MDS/OASIS Assessment instruments are the greatest opportunity to engage LTPAC facilities in health IT.
 * Most documents are available on ASPE website; some will be posted in the coming weeks.
 * Question from Bill Russell: OASIS and MDS patient assessments are not updated during plan of care, rather updates occur at specified intervals. Do we have a sense of the fit for these documents to be used at the transition with relevant and timely data?
 * Response from Jennie Harvell: Patient assessments (MDS & OASIS) are required by CMS to be completed at certain intervals dependent on the facility. In some cases, the assessments were found to be up to 89 days old and not clinically-relevant at the time of need. Feedback obtained included that some information is better than none. This feedback drove their effort to identify a subset of data elements that are clinically-useful during the transition of care. Geisinger & KeyHIE will be utilizing this summary to identify gaps and suggest potential improvements. Jim Younkin is the lead on this effort and will be providing the feedback.
 * Community has a great interest in the utility of these documents.
 * Time spent on completion of these assessments needs to focus on the workflow, so as not to reduce utility and promote active completion of patient assessments.
 * Medication reconciliation practices require the greatest attention.


 * Next Steps**
 * Continue to review LTPAC Roadmap and provide comments to the Harmonization Team for reconciliation, or provide comments through the discussion tab

Next Meeting

 * Date:** 10-27-2011
 * Time:** 9:00-10:00am EDT

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