TOC+Implementation+Guidance+SWG+Meeting+Minutes+7-2-2012

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**Meeting Agenda:**

 * Welcome & Announcements
 * Update on Diet & Nutrition Discussion
 * Review of Goodness of Fit Analysis
 * Homework Assignments

Attendance
Ashley Swain, David Tao, Ed Larsen, Elaine Ayres, Emma Jones, Lindsey Hoggle, Meredith Lewis, Robin Barnes, Russell Leftwich, Sandy Stuart, Serafina Versaggi, Shalina Wadhwani, Susan Campbell

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Calculate scores for each ToC candidate document || Ashley Swain/David Tao ||  ||   ||
 * 2 || Validate the presentation of the requirements mapping spreadsheet || WG members ||  ||   ||

Meeting Notes

 * Welcome & Announcements**
 * The S&I Framework is updating the wiki to standardize the pages across multiple initiatives; the ToC wiki should be affected next week
 * There will not be a ToC IG SWG meeting on Wednesday, July 4th


 * Update on Diet & Nutrition Discussion**
 * Last week we walked through the issues identified around diet & nutrition data and the requirements mapping workbooks
 * Lindsey Hoggle and Elaine Ayres shared a document that highlights the transition from the clinical information model (CIM) to the CEDD to show where information may have been lost
 * They agreed to schedule a call at the end of the week to discuss where the implementation challenges are
 * They want to make sure some of the data lost will be included in the Companion Guide


 * Review of Goodness of Fit Analysis**
 * Ashley Swain and David Tao have been looking at the data requirements for each transition of care
 * They agreed information sent to the patient should be the same as information sent to the provider
 * Now, they want to map these requirements against Meaningful Use and Transitions of Care
 * The Goodness of Fit Scoring Algorithm compares requirements with CCDA doctypes; the Requirements Mapping worksheet on the ToC wiki page contains details
 * Bottom line:
 * Discharge from Hospital: Discharge Summary is best fit for ToC clinical scenarios; CCD or Discharge Summary are both good fits for MU2 only
 * Closed Loop Referral: CCD id best fit for MU2 and for both the ToC Referral and Consult scenarios; Consult Note is also good fit for ToC Scenarios
 * The Goodness of Fit Scoring Algorithm needs to be validated
 * If the ToC “A” section and CCDA doctype requires it within structured entries, the score is 3
 * If the ToC “B” section and CCDA doctype includes it as optional (should or may), the score is 2
 * If the ToC section is in CCDA doctype but constraints differ (A is optional, B is required), the score is 1
 * If the ToC section is not a CCDA doctype, the score is 0
 * Ashley and David will add the scores for each candidate document; obvious not good fits were not scored
 * The WG leads agreed that if you as a provider have a reason not to report certain information, that is up to the provider
 * In the Companion Guide, the text will vocalize the information in the spreadsheet (this should include guidance on diet discussions)
 * If a template is not included in a document type, it can still be included in the recommendations


 * Homework Assignments**
 * WG members should validate and offer suggestions on how the information in the Requirements Mapping workbook should be presented (on the Discussion tab on the ToC Implementation Guide SWG wiki page)

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