LTPAC+Care+Transitions+SWG+2012-02-27

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**Meeting Agenda:**

 * = **ID** ||= **Key Discussion Items** ||= **Duration** ||= **Presenter** ||
 * = 1 ||= Edits/Additions to CARE tool data elements ||= 30 mins ||= All ||
 * = 2 ||= Coordination with Other Workgroups ||= 10 mins ||= Terry, Larry ||
 * = 3 ||= Use Case Update ||= 10 mins ||= Kris, Terry ||
 * 4 || Next Steps on CARE Tool and Use Case || 10 mins || Terry, Larry ||

Attendance
Ed Larsen, Emily Kearns, Larry Garber, Liz Milton, Paul Burnstein, Meredith Lewis, Rhonda York, Shalina Wadhwani, Terry O'Malley, Jim Brennan, Kris Cyr, Susan Campbell

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Sue will redo charts, send to Caryn for editing and reposting || Susan Campbell || Open || 2/28/2012 ||
 * 2 || Group will respond to posted homework assignments || All || Open || 3/5/2012 ||

Workbook Organization - Homework

 * Within each tab under a role group, there are different transitions of care that that role group is involved in
 * The three assessment tools -ERFPAI, MDS, Oasis, all have a floor to ceiling effect
 * Didn't include information for safe and efficient transition of care - ensure that the transition is safe; with that in mind also to remember that there is a cost of ascending clinicians to gather the information that we would want to have (discharge planning)
 * Not every role group listed along the bottom participates in these transfers, just some of them
 * Left hand column are care tool elements; three homework files (function, wound, impairments)
 * Select tabs that apply to you as a clinician to fill in for the homework - what you would need if you were in one of these roles (if you aren't in one, don't fill it out)
 * Approach as a clinician receiving a patient
 * Will get as many opinions as we can, give good clues as to what should be suggested
 * Homework needs to be in by Monday March 5
 * How can the group participate in the HL7 process; definining content is critical but will not go anywhere if we can influence the politics around this work

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