LCC+Use+Case+White+Paper+Parking+Lot

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This page will be used as a running list of topics or specific items to be covered in the LCC White Paper
Use Case Page 24: In every other situation you would require a Business Partner agreement and DURSA to be able to bring about such an information exchange. Is there some plan to alter hospital and other LTPAC licensing to include the DURSA-like agreements in their legal status to support such “informal” arrangements, or can I open my own “Campbell’s Home Health Agency or Speciality Hospital tomorrow and accept information about patients who might like to receive an assessment for home care services or occupy a bed? Or are you at least requiring that the information systems must be certified ones for the “informal agreement” to be implementable…i.e. the patient can go to Campbell’s Home Health Agency or Campbell’s specialty hospital as long as the admissions system is receiving information about the transfer via any currently certified E.H.R. or implementation of Direct that has attested to its compliance with HIPAA Privacy and Security standards? Note that hospital licensing and other provider organization licensing is an activity managed by states (in MA it is the Dept. of Public Health).
 * **Original Use Case Text ** || **Comment to be Addressed in White Paper ** ||
 * The HHA reviews the transition of care summary and incorporates it into its information system. It sends a home health team member to assess the patient and initiate the Home Health Care Plan (HH CP). || Dr. Bill Russell once again articulated his belief that Care Plan would be the better term to use for Nursing Care Plans saving Plan of Care for PCP (MD or NP) care planning objective. He specifically indicated he views Plan of Care as a subset of the overarching Care Plan (that idealized “ultimate” repository of all long term goals and short term objectives). Note that we need to leave room for discipline specific care plans. Thus a nursing care plan may be designated RN-CP or LPN-CP, a physical therapy one is PT-CP, a respiratory therapy one is R-CP or RS-CP, etc. leaving the overarching CP to be where these plans are all integrated by the Integrator Don Berwick talked about that we now appear to be calling Coordinator of Care (preferred) or Care Coordinator (already used as a job title so not preferred for this purpose). ||
 * Note: It is important to distinguish the Home Health POC from the Plan of Care section in the current C-CDA. While the C-CDA plan of care section may be utilized for some of the LCC POC data elements, the LCC POC is more broadly conceived and will likely utilize many sections of the C-CDA as appropriate . || Sounds like a circularity. I think what you mean is that C-CDA has a Plan of Care Section but it is based on the ToC use case. You seem to be saying that due to the LCC Use Case being more broadly defined, the C-CDA PoC section will need to be updated or non-PoC C-CDA sections are likely to be used as well. ||
 * The LCC Baseline Use Case extends the ToC Use Case into the complex information exchange requirements for persons who receive long-term post-acute care. In addition, the LCC Baseline Use Case extends beyond additional Transitions of Care requirements to an initial set of Plan of Care requirements based on the components found in the Home Health Plan of Care (former CMS 485 form). || Ensure that white paper is called out and that the distinction between the HH POC and the broader Care Plan activity of the WG are defined. ||

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