LCC+WG+Meeting+Minutes+01-05-2012

include component="page" wikiName="siframework" page="LCC Header" =Longitudinal Coordination of Care WG All Hands Meeting=
 * Date:** 01-05-2012
 * Time:** 9:00-10:00am EDT
 * Dial-in:** 1-408-600-3600 | **Passcode:**  669 383 214

Attendance
Jim Bratton, Susan Campbell, Tom Check, Kris Cyr, Michelle Dougherty, Larry Garber, Jennie Harvell, Rich Kernan, Patrice Kuppe, Meredith Lewis, Brett Marquard, Ginny Meadows, Elizabeth Milton, Sue Mitchell, Elizabeth Nelson, Terry O’Malley, Russell Ott, Erik Pupo, Bill Russel, Dave Shevlin, Smiriti Singal, David Susanto, Jennifer Sisto, Karen Utterback, Shalina Wadhwani, Saunya Williams, Larry Wolf, Clare Wrobel, Bob Yencha, Rhoda York

**Meeting Agenda**

 * **Key Discussion Items** || **Duration** ||< **Presenter** ||
 * Welcome & Announcements || 05 Minutes || Meredith Lewis ||
 * S&I Framework Overview || 10 Minutes ||< Meredith Lewis, Kris Cyr ||
 * Summary of WG Progress to Date || 10 Minutes ||< SWG Leads ||
 * Use Case Process Overview || 10 Minutes ||< Kris Cyr ||
 * Standards Harmonization Overview || 20 Minutes ||< Meredith Lewis, Jennifer Sisto ||
 * Review Next Steps || 05 Minutes ||< Meredith Lewis, Kris Cyr ||

Meeting Notes
To download a copy of the meeting presentation,.

S&I Framework Process

 * S&I Framework is a forum enabled by integrated functions, processes, and tools for implementers and experts to establish standards and guidance that enable health information exchange
 * Slide 6 of the presentation provides an overview of the S&I Framework process
 * Chevrons at the top of the process slide will be removed and replaced with dates
 * Standards analysis (analysis of candidate standards) and the identification of data sets overlaps slightly because the activities inform one another
 * The activities of the 3 SWGs will likely overlap one another, which may require the development of separate timelines

WG Progress to Date & Use Case Overview

 * The SWG leads re-introduced themselves to the WG participants, and provided brief updates on their progress to date
 * Jennie Harvell is interested in seeing how the various activities, occurring in addition to use case development, will be coordinated
 * Kris Cyr provided a review of the use case process, which includes a gap analysis of the Transitions of Care Use Case
 * The objective is to create a use case that from a conceptual and business requirements standpoint groups together all aspects of the SWGs, but specific subjects may lay outside of the WG. The structure of the use case can accommodate detail in the user stories.

Standards Process Overview

 * Jennifer Sisto provided a brief overview of the value of working with standards, as well as potential questions that may be asked about standards
 * Meredith Lewis provided an overview of the harmonization of standards process, which includes the identification of candidate standards, selection of a standard, development of an implementation guide, and support to pilot demonstrations
 * Pilots are intended to be early adopters that test the implementation guide and provide feedback.
 * This is an iterative process that includes real-world testing of the process to ensure it is truly useful.
 * Process encourages providers and vendors to work together to resolve barriers to implementation that may come up during testing.
 * Brett Marquard mentioned the recent HITSC meeting that recommended a call to use the Consolidated CDA guide. There are templates and data elements in there that may be missing and need to be added to, so we have a place to build out additional items.
 * As the SWGs move through the S&I Framework process, the end requirements will be funneled through the standards analysis process, which includes the analysis of candidate standards like the Consolidated CDA.

Next Steps

 * Focus next week will be on completing the gap analysis of the Transitions of Care Use Case, using the wiki as a tool to make changes
 * Jennie Harvell shared that an important next step given the short timeline is coordinating with other organizations, such as HL7, and expressed a desire to present to them the scope of work we’d like them to consideration to help us advance the standards needed to support our information exchange needs.
 * In the context of regulations, we are expecting to see MU Stage 2 proposals coming out within the next month or so. The HITPC will provide recommendations on MU Stage 3 in the spring as well.

Reference Materials

 * Transitions of Care Use Case

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