ToC+-+Success+Metrics+Meeting+Minutes+07-26-2011

include component="page" wikiName="siframework" page="TOC Header"
 * Date**: July 26th, 2011
 * Name**: Transition of Care (ToC) Success Metrics


 * Agenda**:
 * **Topic** || **Owner** || **Time** ||
 * Review of Adoption Category || John || 3:00-3:10 ||
 * Update on Confirmation of Scope per Arien –PD/CAs have been approved || Amy || 3:10-3:15 ||
 * Overview of Assigned Metrics and Progress Towards Relevant Success Criteria in Each Category || John || 3:20-3:50 ||
 * Next Steps || John || 3:50-3:55 ||
 * Adjourn || n/a || 3:55 ||

__Workgroup Attendees__: John Donnelly, Susan Nedza, Cyndalynn Tilley, Susan Campbell, Ed Larsen
 * Attendees**

__Panelist Attendees__: Amy Berk, Brandy Hays


 * Action Items:**
 * **Action Item** || **Next Steps/ Status** || **Lead** || **Contributors** || **Due Date** ||
 * Review and Comment on the ToC Metrics Matrix || In Progress || John Donnelly, Dr. Holly Miller || Workgroup Members || **__Ongoing__** ||
 * Consolidate Adoption and Process Spreadsheets into one || In Progress || Amy Berk || None || 7/28/2011 ||
 * Reach out to Victoria/Virginia/Deloitte regarding Provider Directories and Certificate Interoperability || In Progress || Amy Berk || Victoria/Virginia || 8/2/2011 ||
 * Create definitions/glossary of terms for adoption metrics || In Progress || Russell Leftwich, Susan Nedza || Workgroup Members || 8/2/2011 ||


 * __Notes from Discussion:__**
 * __Review of Adoption Category__**
 * Last Week: Reviewed category of Adoption: Identified stage 1, stage 2 in terms of electronic data exchange data elements
 * Identify approach/algorithm to address success metrics for adoption metrics
 * For Adoption, Stage 2 (ToC Core Data Elements) Denominators should not be entities –Separate out EPs and EHs?
 * Initially in group (process measures) recommended – EPs should not be apart because providers have various ways of responding through various methods
 * WG Member: “Most providers don’t know how they are configured”
 * Support Lead “The individual EP is the only one that can apply for MU benefits.”
 * Would need these statistics: How many implementations of each EHR system are there? How many providers account for MU status?
 * WG Member: Need a glossary of terms for the terms used in the ToC success metrics spreadsheet. Answer: John has this as a to-do from the last meeting...will work with the Use Case Simplification.
 * WG Member: “Not only do we need a glossary, we need a definition for how we compute this number” – Potential EPs, vs.
 * Group should work on the glossary task off line. à Need volunteers for this effort.
 * WG Member: Need to look at ToC document exchanges to/from those who are not EPs or have not applied to be an EP yet. There may be providers who are on the care team (physical therapists) that aren’t eligible facilities, but if the document goes to these providers, this should be considered in the metrics.
 * Should the non-EP/non-EH exchanges be included in regular metrics or separated out?
 * MU attestations -- updated spreadsheet to reflect MU attestations instead of CMS attestations-Completed
 * Care Providers Use of Provider Directories (Line 12 of spreadsheet) – what should these metrics be? à this will be taken offline
 * Line 12 and Line 14 (Care Providers Use of Certificate Authorities) will be tackled offline
 * Adoption Category is pretty complete.
 * WG Member: The transmission of information in context is important – need baseline understanding of quality of care in particular transition scenarios.
 * Need a column for a proposed algorithm to compute these metrics. Also specify whether we can get this data now, or should be measure during a later stage of MU.


 * __Process Metrics Spreadsheet__**
 * What do the Colors mean? – The colors denote: Work in Progress, have questions, or want to highlight an important point
 * Worked through each of the data elements that are listed - To make it easier, put the title and most important words in uppercase print.
 * Number of discharges that have been sent to/from the receiving organizations ß Specify that these are electronic discharge summaries.
 * Assumption: all metrics are on electronic exchanges
 * Usage of the term “clinical summary” is consistent with MU verbiage
 * The number of current updated clinical data summaries/the total structured data elements

Overview of Assigned Metrics and Progress Towards Relevant Success Criteria in Each Category
 * __Update on Confirmation of Scope per Arien –PD/CAs have been approved__**


 * __Next Steps__**
 * Russell Leftwich / Susan Nedza – glossary terms
 * Amy – follow up w/ PD and CI
 * Review Susan and Theresa’s spreadsheet (Line items 14-17) and post comments to wiki or send directly to Susan
 * Amy – post comprehensive spreadsheet to Wiki

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