TOC+Implementation+Guidance+SWG+Meeting+Minutes+4-27-2012

include component="page" wikiName="siframework" page="TOC Header"

**Meeting Agenda:**

 * **Topic** || **Time Allotted** ||
 * Update on Structured Documents WG || 20 Minutes ||
 * Update on ToC Companion Guide || 40 Minutes ||

Attendance
Ashley Swain, Bebet Navia, Bob Yencha, David Tao, Ed Larsen, Emma Jones, Holly Miller, Meredith Lewis, Shalina Wadhwani

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Review the Clinical Scenario in the Transition from PCP to Specialist || All Members ||  ||   ||

Meeting Notes

 * Announcements**
 * This is a reminder that the Friday 3:00 PM – 4:00 PM Implementation Guidance SWG meeting will be the last at this time; meetings will now take place on Mondays from 5:30 PM – 7:00 PM EDT


 * Structured Documents Update**
 * 5 of the 6 proposals presented to Structured Docs last week were accepted for the out-of-cycle ballot
 * The design for each of these proposals should be finalized by the time the ballot is available, and will be discussed in the ToC Companion Guide


 * Companion Guide Update**
 * This Companion Guide will be focused on information shared in transitions of care
 * Even though the guide will not discuss specific data elements, information capture will be one of the key focuses
 * The guide should also show what functionality the end-user system needs to have in order to show what choices the physician can make
 * Should determine the sections in CCDA to accommodate Stage 2 proposed rulemaking at the ToC Use Case, the next steps is to look at the document template types that exist in CCDA and conduct a best-fit analysis to determine how document template types should work, given the purpose
 * The ToC Companion Guide outlines key activities. These focus on:
 * Clinical Scenarios – defining the clinical information exchanged
 * MU2 states 10% of your transition should be sent in an electronic message; addressing transitions in non closed-loop scenarios are out of scope of this Use Case
 * Document Recommendation – conducting an assessment of CCDA documents to provide best practices guidance
 * Additional Guidance – addressing any ambiguity or issue to support successful implementations


 * Next Steps**
 * Homework for the group should be to review the first clinical scenario by looking at the flow from the primary care physician to the specialist
 * Focus on what the requirements are in Stage 2 Meaningful Use that are relevant to the flow from the primary care physician to the specialist in the first clinical scenario
 * The ToC Implementation Guide SWG will update the ToC community on the work they’ve done during the All Hands call on Thursday to receive additional feedback and revisions on the work
 * They will start by addressing MU2, discuss ToC requirements, then discuss templates of best fit on Monday, April 30th from 5:30 PM – 7:00 PM
 * CCDA Structure will review:
 * 3a – Required Sections
 * 3b – Recommended Document Template

include component="page" wikiName="siframework" page="space.template.inc_contentleft_end"