esMD+LLP+eClinical+Template+Pilot

include component="page" wikiName="siframework" page="esMD SidebarRight" include component="page" wikiName="siframework" page="space.template.inc_contentleft_begin" include component="page" wikiName="siframework" page="esMD PageTabs" =Overview= CMS is working in collaboration with the DHHS Office of the National Coordinator for Health IT (ONC) to develop an electronic template that will assist providers with data collection during the Lower Limb Prosthetic (LLP) Face-to-Face Examination. This template may also facilitate the electronic submission of medical documentation.

CMS has developed data elements that they believe would be useful in supporting the documentation requirements for coverage of LLP. Once finalized these proposed data elements will be delivered to ONC for consideration and/or inclusion in ONC's development process. This list of data elements in NOT intended to be a final data entry form (see CMS website for the complete list).
 * Define progress notes for the Face-to-Face evaluation for a LLP
 * Define orders for LLP
 * Define required and supporting LCMP documentation
 * Define required and supporting LLP Supplier documentation
 * Specification of LLP equipment

=Objectives= The pilots are designed to validate multiple methods of implementing eClinical Templates in production environments to enable the responsible providers, consulting providers, and service/equipment suppliers to create, share, and provide medical documentation to CMS for the determination of coverage (prior authorization, pre-payment review, and post-payment audit). The pilots will test, in limited production, the ability to: =Pilot Streams= The eClinical Template Pilot Program will focus on three distinct "streams" intended to explore multiple methods of provider interaction, time to market, and incorporation of documentation into the medical record in the EHR. These streams are defined below, along with specific requirements for each:
 * Effectively interact with the responsible providers
 * Guide the collection of information for the specific use case (LLP in this case)
 * Incorporate information from Licensed/Certified Medical Professionals (LCMPs) and LLPs
 * Submit documentation via HIHs to CMS esMD Phase 1 gateway for CMS contractor review
 * Note: use of esMD Phase 1 is the preferred method of submission; however, other methods such as contractor portals, faxes, and paper submission will be considered



__Stream 1 – EHR Native eClinical Template__ Participants:
 * 1) Test the ability to incorporate eClinical Templates into EHR technology using the vendor’s native template capability and store the resulting data in the EHR database.
 * 2) Validate ability to generate eClinical Template medical documentation as PDF files to:
 * Send to LLP supplier
 * Submit via HIH using esMD Phase 1.
 * 1) EHR Vendor(s)
 * 2) HIH(s)
 * 3) Provider(s)
 * 4) LLP Supplier(s)

__Stream 2 – Structured Data Capture (SDC) eClinical Template__ Participants:
 * 1) Test the ability to utilize SDC eClinical Templates in EHR technology to prepopulate the template with EHR data, capture missing information, and store new information in the EHR (or incorporate a PDF created from the SDC eClinical Template).
 * 2) Validate ability to create the SDC eClinical Template medical documentation as PDF files to:
 * Send to LLP supplier
 * Submit via HIH using esMD Phase 1
 * 1) SDC eClinical Template Repository (link to)
 * 2) EHR vendor(s)
 * 3) HIH(s)
 * 4) Provider(s)
 * 5) LLP Supplier(s)

__Stream 3 – Web based portal eClinical Template__ Pilot Participants:
 * 1) Test the ability to a Web based portal eClinical Template to capture required and optional information, create a PDF representation and incorporate the resulting PDF result of the eClinical Template in the EHR.
 * 2) Validate ability to:
 * Exchange the PDF between the Provider, LCMP and LLP supplier
 * Submit via HIH using esMD Phase 1
 * 1) eClinical Template Web Portal vendor/service
 * 2) HIH(s)
 * 3) Provider(s)
 * 4) LLP supplier(s)

sean@oandp.com ||= Development || scott@qualityoutcomes.com ||= Development || mjm737@gmail.com ||= Development || m.pilley@strategichs.com ||= - || dicianno@pitt.edu ||= - || mark.codeablelanguage@gmail.com Susan Hemme susan.mediprofit@gmail.com ||= - || =Reference Materials=
 * Participating LLP Pilot Organizations:**
 * = **Organization** ||= **POCs** ||= **Status** ||
 * = Opie Software ||= Sean Dodds
 * = Quality Outcomes ||= Scott Williamson
 * = Syracuse Prosthetic Center ||= Michael Mahar
 * = Strategic Healthcare Solutions ||= Dr. Mark Pilley
 * = University of Pittsburgh ||= Brad Dicianno
 * = MediProfit ||= Mark Kimmel
 * **Reference Material Description** || **Link to Reference Material** ||
 * eDoC Use Case || esMD - Electronic Determination of Coverage ||
 * CMS LLP e-Clinical Template || [|Suggested LLP Electronic Clinical Template v5 (posted 11/06/2013)] ||
 * eClinical Template for LLP Pilot description || [[file:siframework/esMD Pilots LLP 3.7.2014 V2.2a.pptx|esMD Pilots LLP 3.7.2014 V2.2a.pptx]] ||
 * esMD Pilots Launch Presentation || [[file:esMD Pilots V1.1.pptx]] ||
 * esMD Pilot Project Profile || [[file:esMD_PilotProjectProfile_v2.docx]] ||
 * Pilot Organizations, PoCs, and Organization Types || [[file:Pilot Organizations, PoCs, and Organization Types.xlsx]] ||

include component="page" wikiName="siframework" page="esMD Contacts" include component="page" wikiName="siframework" page="space.template.inc_contentleft_end" Click here to review PPA Pilot requirements! CMS is working in collaboration with the DHHS Office of the National Coordinator for Health IT (ONC) on pilot(s) to allow providers to register with payers to receive electronic medical documentation requests (eMDRs), and to allow payers to respond to a registration request to receive eMDRs.  CMS is working in collaboration with the DHHS Office of the National Coordinator for Health IT (ONC) to develop an electronic template that will assist providers with data collection during the Lower Limb Prosthetics (LLP) Face-to-Face Examination. This template may also facilitate the electronic submission of medical documentation. CMS has developed data elements that they believe would be useful in supporting the documentation requirements for coverage of LLP. Once finalized these proposed data elements will be delivered to ONC for consideration and/or inclusion in ONC’s development process. This list of data elements is NOT intended to be a final data entry form (see – CMS web site for the complete list) · Define progress notes for the Face to Face evaluation for a LLP · Define orders for LLP · Define required and supporting LCMP documentation · Define required and supporting LLP Supplier documentation Specification of LLP equipment