LCC+-+Patient+Assessment+Summary+SWG+Meeting+Minutes+2012-05-16

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**Meeting Agenda:**

 * **ID** || **Key Discussion Items** || **Duration** || **Presenter** ||
 * 1 || Geisinger MDS Patient Assessment Summary Project Update || 5 Minutes || Leigh Ann ||
 * 2 || Update on C-CDA Ballot || 5 Minutes || Brett/Gaye/Zabrina ||
 * 3 || - Review OASIS PAS Rosetta Stone (posted to wiki) - Introduction of RTI Work (Judy Tobin at start of call) - MDS/OASIS/CARE Crosswalks (Don Mon at 3:45) ||  ||   ||

Ann Clarke, Cyndia Lundberg, Debby Schaefer, Ed Larsen, Emma Jones, Jennie Harvell, Jennifer Sisto, Judy Tobin, Latoya Thomas, LeighAnn Campbell, Mary St.Pierre, Madhu Shrestha, Sarah Gaunt, Shalina Wadhwani, Victor Palli, Zabrina Gonzaga
 * Attendance **

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Review the OASIS PAS Rosetta Stone to determine elements that should be included in the PASD || All Members ||  ||   ||

Meeting Notes

 * CMS CARE Crosswalk – Judy Tobin **
 * Judy and her team worked with RTI to develop a standardized set of data elements for health status and functional status
 * They would like to be able to crosswalk these data elements with existing elements and identify gaps in interoperability
 * The spreadsheet maps the full CARE data set and LOINC codes to MDS, OASIS, and IRFPAI; it also maps items on CARE tools forms to specific forms
 * This was created prior to the development of functional status templates (submitted May 4th) and has not been updated since February
 * There were items not in CARE that were represented in the other 3 assessments, and these have been included on the spreadsheet
 * They will write out a gap analysis summary on the data mapping crosswalk to highlight the inconsistencies in the spreadsheet; the gap analysis will be complete by the end of August or early September


 * Consolidated CDA Ballot **
 * On May 15th, the Structured Documents WG approved the Project Proposal; one change made is that it would update consolidation and be folded into the full guide at a later time
 * Any new document type will be balloted as a freestanding document


 * Don Mon Update **
 * RTI has a contract with CMS on the CARE Prototype Project to develop a continuity assessment data set whose elements will be included in assessment forms (MDS, OASIS, and IRFPAI); as forms evolve over time, there will be a migration of items coming from the CARE data set, which will allow CMS to conduct gap analyses
 * One suggestion is to align this data crosswalk with the work that Larry Garber and Terry O’Malley have put together on LTPAC


 * OASIS Summary & Rosetta Stone Spreadsheet **
 * Sue and Cindy shared a concern that in the CDA templates, if a SNOMED code is required, it will be problematic for LTPAC providers to implement due to limited availability of codes that match.
 * When there is not a SNOMED code, items will be represented in a model-of-use formats that indicate that a SNOMED code could not be found.
 * Jennie would like to study the spreadsheets presented since our SWG is focused on identifying the content needed for a PAS – need to look across instruments and assess which items are common, and which are not, in order to refine the list. Following that mapping – we can identify the gaps in SNOMED codes.
 * Brett is designing work for Geisinger based off of the Rosetta Stone that has been posted, but the content of the PASD is based on data elements from current federally required assessment instruments
 * The PAS SWG Leads will validate the data elements in the Rosetta Stone that should be included in the Patient Assessment Summary Document
 * Prior to next week, participants should look at the MDS items on the spreadsheet, stating the reason an element should or shouldn’t be included

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