LCP+SWG+Care+Plan+Structure

include component="page" wikiName="siframework" page="LCC Header" =Care Plan Structure= This wiki page will be used to facilitate discussion and collaboration on the deliverables listed below.

Works in Progress

 * = **Name & Link** ||= **Description** ||= **Status** ||= **Owner & Contributors** ||= **Last Update** ||
 * [|Care Plan Scoping Document] || This document describes the scope of the work. || Draft || Meredith Lewis & Laura Heermann Langford || April 24, 2012 ||
 * [|Care Plan Process Strawman] || This document includes a "strawman" for the process of care planning. || Draft || Bill Russell || April 24, 2012 ||
 * [|Care Plan Structure] || This document contains a "structure" for the care plan/plan of care. || Draft || Bill Russell || April 24, 2012 ||
 * [|Care Plan Structure (Presentation)] || Presentation referenced by Bill Russell on April 25 meeting || Draft || Bill Russell || April 25, 2012 ||
 * [|Care Plan Objects & Data Elements] || Care planning data identified in Transitions of Care Initiative || Draft || Meredith Lewis || April 26, 2012 ||
 * [|S&I Framework Data Dictionary] || Transitions of Care Initiative Data Dictionary || Final || Transitions of Care Initiative || March 2012 ||

Action Items

 * Due Friday, April 27**
 * Laura, Bill and Jennie to review the NPRMs for elements of a care plan, referencing Bill's presentation
 * Bill to collect the representations of the care plan including goals, instructions, treatment and interventions and highlight opportunities for reconciliation
 * Bill to develop a consolidated definition based on the NPRMs including inconsistencies in the terms, for review by the group
 * Bill, Russell and Meredith to discuss previously identified data from Transitions of Care Initiative
 * Laura, Sue and Jennie to review strawman and structure documents posted under "works in progress" and provide feedback to Bill

Purpose & Objectives
The purpose of this effort is to provide more definition around the concept of the "care plan" or "plan of care" referred to in the NPRMs for Meaningful Use Stage 2. The objectives of this effort are to define high-level functional requirements of the longitudinal care plan and identify standards that could support the data and functional requirements of the care plan. This effort also intends to evaluate the NPRMs for consistency in reference to the longitudinal care plan.

Goal and Scope
The goal of this effort is to provide a more in-depth briefing of the intent around the inclusion of the care plan and plan of care in the CMS and ONC NPRMs for Meaningful Use Stage 2.

Short-Term: April 30, 2012

 * A preliminary briefing document that informs submitted comments on the proposed requirements for Meaningful Use Stage 2. The document will include:
 * Summary of the discussion and planned activities occurring within the S&I Framework and outside the S&I Framework (e.g. HL7 Care Plan WG) to fully define the care planning process and the elements of a care plan/plan of care including patient instructions and goals
 * Summary of preliminary discussions between S&I Framework and HL7 regarding the capacity of the Consolidated CDA to support requirements ** (Larry) **
 * A review of how the CMS and ONC NPRMs define the elements of a care plan (e.g. plans, treatments, instructions and goals) ** (Jennie, Laura, Sue) **
 * Discussion of the processes involved with the act of "care planning" which results in artifacts of the care plan/plan of care
 * A list of preliminary functional requirements (data objects and data elements) for the care plan/plan of care that leverages previously identified requirements from S&I and HL7 **(Bill, Meredith, Laura, Terry)**
 * Evaluation of feasibility of patient goals and instructions
 * A list of data concepts missing from MU Stage 2, and mapping to existing Consolidated CDA templates

Long-Term: Summer 2012

 * A gap analysis between the requirements identified in previous phases of the work and the list of current Consolidated CDA templates.
 * A list of candidate standards available to support the care plan/plan of care referred to in the NPRMs for Meaningful Use Stage 2.
 * A preliminary environmental scan of care planning models.

Reference Materials
Reference materials should be uploaded to the LCC WG Reference Materials wiki page.

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