LCPNotes_3202012

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Attendance
Bill Russell, Jennie Harvell, Jennifer Sisto, Kris Cyr, Rhonda York, Shalina Wadhwani, Steven Cason, Ginny Curtin, Laura Heerman Langford, Emma Jones

Meeting Notes
Reminder: Face to Face April 11-13; register on the wiki website

Use Case Scoping Discussion – Information posted on the wiki is most current, and could be updated for people looking for more information on Impact project (there is some information under the references section) Ensure that all of the Use Case work supports business and technical implementers with a focus on specific transactions Crunch down to essential transactions, looking for the critical data for receiving clinician to begin safe care upon transfer Want to use existing ToC work as much as possible and add a scenario 3 to articulate 485 requirements There is some discussion as to whether we should define a specific LTPAC-LTPAC transition; there might be a few data elements that might not be included with the existing transitions planned Leveraging MDS/OASIS Patient Assessment Summary Work Want to align as closely as possible to LTPAC Transitions Work – Treat each PoC transaction as separate, but related, transaction Want to be clear about the assumptions and focus on functional requirements for the data, not on the operational implications This group is not focused on standards for transport; focus on the data needed Kris wanted to talk to esMD and see what their progress has been before he makes additional statements surrounding the topics; it could be tricky Look to include all of the data types defined in the VNSNY Use Case VNSNY Use Case is looking to standardized terminology; look to keep with and promote this decision Can define things functionally in the Use Case and then when it is passed to Standards and Harmonization they can help look at preexisting things to see what can make it interoperable from a data standpoint

Scenario 3 - 3 User stories overview Home Health allows a greater variety of different actors representing different roles Want to make clear that work needs to be kept focused on the interoperability of the document Kris is going to run the scenario by Tom Check to get his feedback since the group seems very amenable to the approach Might want to copy Rich Brennan (Home Health Association) on the information Would be tricky to assign a signature in the data process – need to get up to date on that (Brett or someone on structured documents might be helpful) Signature must be maintained throughout the document’s transfers (physician signature, nurse signature); need to know if templates can be signed Must also address durability Need to determine if care or reimbursement is the focus (or both?) Health Care Reform appears to be heading for less documentation in payment so that other provider-level decision making can be freed up from the constraint of the claims process Becomes the entity’s responsibility to work with the amount of money they’ve been given ICD-10 is to understand how and why the care is being rendered as it is so that some level of value can be attached to it (Unsure of how this syncs with RVU approach) Compensation for Home Health and SNF be a target for Stage 4 Meaningful Use

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