Long-Term+&+Post-Acute+Care+WG+Meeting+10-27-2011

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Long-Term & Post-Acute Care WG Meeting 10-27-2011

 * Date:** 10-27-2011
 * Time:** 9:00-10:00am EDT
 * Dial-in:** 1-408-600-3600 | **Passcode:** 660 213 377

Attendance
Greg Alexander, Richard Brennan, Matt Cairns, Kris Cyr, Michelle Dougherty, Richard Eshbach, Larry Garber, Evelyn Gallego, Traci Gercone, Allen Hobbs, Patrice Kuppe, Russell Leftwich, Terry O'Malley, Kory Mertz, Meredith Lewis, Jim Logan, Sue Mitchell, Mary Perez, Bill Russell, Pamela Russell, Smriti Singal,Teresa Strickland, Dana Voss, Jim Youngkin

Action Items
LTPAC WG Committed Member Guidance wiki page. Contact Meredith Lewis for any assistance. || Participants || Open ||  ||
 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 10-6-2011 || Continue to get started on the Wiki and complete the steps required to become a committed member as defined on the
 * 4 || 10-27-2011 || Review the Longitudinal Care WG Overview, posted under reference materials on the WG home page, and provide comments through the discussion tab on the Longitudinal Care WG Charter wiki page. || Participants || Open ||  ||

Agenda Items

 * 1) Welcome and Announcements
 * 2) WG Leads Presentation
 * 3) Identify Next Steps

Meeting Notes
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 * Announcements**
 * There will be a TOC All Hands Meeting on Monday, October 31, 2011
 * The LTPAC WG will be leveraging several of the outputs from the CIM/Vocab WG and the All-Hands Meeting could be a great opportunity for LTPAC committed members to obtain additional background on TOC
 * Longitudinal Care WG Presentation**
 * Presentation was created to re-frame the purpose of the LTPAC WG and was renamed the Longitudinal Care WG to be more inclusive
 * A disclaimer was brought up that this group is meant to be inclusive to groups and individuals who are interested in serving the WG and that the names and initials on the PowerPoint slides were not by any means final
 * The WG vision was developed from the F2F and the central idea is to create a longitudinal plan for the individual and to manage the patient's encounters within the Healthcare system over time
 * The question was raised on whether the long-term care was mostly a geriatric focused care as opposed to ob-gyn or pediatric
 * LTPAC care is not necessarily age-based and includes home care
 * Russ Leftwich raised the concern that another WG was being formed to develop a longitudinal care plan- there will be a need to connect and determine if there will be a duplication of efforts
 * Four component sub workgroups would be chartered to provide direct support around the longitudinal care plan
 * Longitudinal Care Plan
 * Patient Assessment Summary
 * Data Exchange at TOC
 * Data Coordination across Sub-Groups
 * Responsible for being coordinating center of the group to make sure the work aligns with MU, ONC's directives and that the work is continuously aligned with the efforts throughout the S&I Framework
 * Sub group leaders will be responsible for the following:
 * Recruit committed members from broad range of stakeholder groups
 * Coordinate discussion of committed members
 * Coordinate with existing efforts, tools and standards in their domain
 * Ensure consistency and alignment of work across sub teams as part of WG Leadership Group weekly call
 * Produce summary of work products to be included in the final output of the LCWG
 * Co-Chairs will have the following role
 * Support the work of the sub-groups
 * Work with the Sub-group leads and other committed members constitute the LCWG Leadership Group which will:
 * Reconcile the work of the sub groups
 * Assure that the work group outputs are on target
 * Assure that the output of the LCWG is consistent with S&I, MU, CMS and ONC goals
 * Prepare the final product of the LCWG
 * Identify opportunities to advance the objectives and deliverables of the LCWG
 * The overall WG leadership group is responsible for the final output of the work and the co-chairs will drive the progress of the work products
 * These were the following outputs as determined for the WG:
 * Describe pertinent use cases
 * Identify relevant work/efforts/tools/standards
 * Define subsets of data elements pertinent to each use case
 * Identify and fill gaps in current CIM/CDA content to satisfy all of subgroup’s use cases
 * Map these data elements to domain’s existing tools/documents (AKA Rosetta Stone)
 * Create CDA Implementation Guides Propose pilot implementations
 * The hope is that before MU Stage is ready, each work product will be complete and that the proposed LCWG will have LCWG related activities at the HIMSS town hall
 * Work Group Support
 * Deloitte Consultants - Meredith Lewis, Dev Dasgupta, Ashley Swain & Erik Pupo
 * Will support CIM and development of a S&I process wide Clinical Information Model
 * Will provide help with logistics
 * Committed Members
 * Will need to fill out S&I Framework Committed member form on the S&I Framework Join wiki page
 * For more guidance please visit LTPAC WG Committed Member Guidance wiki page
 * Only have to submit a statement of commitment for each initiative (TOC, LRI, PD etc.)
 * Overall
 * There is a concern that the WG does not commit overlapping efforts and that the WG obtains buy-in for the overall vision from current committed members, S&I leadership, ONC, CMS and HL7
 * Additionally, there was concern that patients dealing with ambulatory care and alternative long term care may not be included within the care coordination WG
 * The point was made that it would be difficult to formulate care planning if there was a lack of understanding behind which particular LTPAC organizations might be included within the scope of a longitudinal care plan

>
 * Next Steps**
 * [|Review the Longitudinal Care Work Group Overview] and provide comments through the discussion tab on the Longitudinal Care WG Charter wiki page.

Next Meeting

 * Date:** 11-3-2011
 * Time:** 9:00-10:00am EDT

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