LTPAC+Care+Transitions+SWG+2012+03+19

include component="page" wikiName="siframework" page="LCC Header"

Attendance
Ann Clarke, Charlotte Weaver, Ed Larsen, Emma Jones, Larry Wolf, Rhonda York, Shalina Wadhwani, Terry O’Malley, Kris Cyr, Zeshan Rajput, Jennie Harvell, Sue Mitchell, Susan Campbell

Meeting Notes
Use Case Scoping – LCC work streams are complimentary but can often divide focus; need to determine what specifically will be advanced through the S&I process and how the group can effectively influence policy There is a difference between how we drive the use case versus how we drive policy Need to ensure the scope is manageable and can be taken through the S&I process by making sure that all of the sections being articulated in the Use Case support transactions, not policy Needs to be designed for business and technical implementers, not policy makers Policy white paper would wrap up the work that is important but may not be vital to Use Case transactions Have prioritized LTPAC transitions, but still is a fairly large number Would like to reuse as much of the ToC work as possible to focus total number of transactions to the clinical data needed for a patient to start receiving care Use Home Health/SNF as guiding senders/receivers; include scenario 3 to articulate 485 requirements Look at the following transactions: Scenario 1 - Acute Care to LTPAC - LTPAC to Acute Care - Referral – LTPAC to specialist or outpatient services Scenario 2 - Patient Communications with care giver/PHR Scenario 3 - HHA to Physician/Physician to HHA

Should a specific LTPAC to LTPAC transition be added? Acute care to LTPAC would give a close reflection of this Perhaps reword the “referral” transaction; appears that LTPAC is the one doing the referring Use assumptions to articulate the CDA structure/data elements Discuss whether we need to include LTPAC to LTPAC Presentation is posted on the Use Case page wiki for future reference Looking at HHA and SNF as LTPAC “poster children” they account for 75-80% of LTPAC traffic; good way to simplify without losing a lot of data Perhaps could further scope down the information – could just do this to Home Health and back and include all types of transitions; also enter side story with OASIS data elements Additional of SNF and back brings more complexity but also brings in side story of reusing MDS Also adds a feeling of inclusion for some LTPAC facilities Shift/rewrite of the Use Case to be the implementation guidance as opposed to the policy recommendations; section off for review, then provide input on final draft

include component="page" wikiName="siframework" page="space.template.inc_contentleft_end"