TOC+Implementation+Guidance+SWG+Meeting+Minutes+6-06-2012

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**Meeting Agenda:**

 * **Topic** || **Time Allotted** ||
 * Welcome & Announcements || 5 Minutes ||
 * Review of Homework Assignments || 10 Minutes ||
 * Review of Clinical Scenario 1 || 40 Minutes ||
 * Homework Assignments for June 11 Meeting || 5 Minutes ||

Attendance
Bebet Navia, Ed Larsen, Emma Jones, George Cole, Holly Miller, J. Michael Fitzmaurice, Jennifer Sisto, Meredith Lewis, Robin Barnes, Russell Leftwich, Shalina Wadhwani

Meeting Notes

 * Welcome & Announcements**
 * The ToC Implementation Guidance SWG will resume its normal meeting schedule next Monday from 5:30 – 7:00 PM EDT

Review of Homework Assignments: Validation of “A” Elements and MU2 Elements, Column A
 * David Tao has worked with Ashley Swain to crosscheck all references in the spreadsheet to CCDA
 * Russell Leftwich spoke with Lindsay Hoggle to validate requirements on Diet and Nutrition
 * David Tao moved all requirements in MU2 to Column A on the spreadsheet
 * Ashley Swain is currently working through the spreadsheet to all information is correct
 * Disability status should reflect functional status in the CCDA; David Tao would verify this and report on it next week*
 * There were no concerns from SWG members about ToC CEDD data elements that were classified with an “A” priority
 * When there is an “x” is a Closed Loop Referral, it means it is something that could potentially be exchanged, either pertinent positive information or pertinent negative information
 * Culturally Sensitive Patient Care refers to data about the patient so a provider can provide more sensitive care; if there is not a place in the header of the CCDA headers to place some of this information, is there another place to put it?
 * I t makes sense to include the ability to have free text in the culturally sensitive patient care section of CCDA
 * We need to make sure we have a clear view of how this type of information is included in CCDA – how do you move data elements in CCDA. Meredith will reach out to Bob Yencha on how to do this and will see if he’s available to attend the next call
 * Is there an example of a section or elements where pertinent positive or pertinent negative would not apply? In a closed loop referral
 * Everyone is in agreement with the “B” priority closed-loop referral classifications for Invasive and Non-Invasive Procedures, Reason for Consult Request, Admitting and Discharging Diagnoses,
 * Patient Instructions now include the closed loop referral from PCP to specialist
 * For Consult Assessment and Plan Recommendations, there are a number of “deleted” elements that will be included with the request physician
 * Encounter Care Team Members and Diet Description have been changed to X +/- for PCP to specialist and specialist to PCP

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