Developmental+Sample+Mock-Up+of+TOC

include component="page" wikiName="siframework" page="TOC Header" ** Transitions of Care Initiative **



=Overview of the Transitions of Care Initiative= Transitions of Care is an S&I Initiative focused on improving the exchange of core clinical information among providers, patients and other authorized entities electronically in support of meaningful use and IOM-identified needs for improvement in the quality of care.

Purpose & Goals of Initiative
The main purpose for the Transitions of Care Initiative is to define the key clinical information to be exchanged during transitions of care.

Meaningful Use Stage 1 and foreseen Stage 2 requires information to be exchanged in transition of care. Implementers are often confused on how to use the specifications to exchange the required data. The exchange of clinical summaries is hampered by ambiguous common definitions of what data elements must at a minimum be exchanged, how they must be encoded, and how those common semantic elements map to MU specified formats (C32/CCD and CCR). Finally, the lack of a robust toolset to aid in development and validation of conformant templated clinical documents is a major impediment to the widespread adoption of the standards.

The scope of this Initiative is as its first priority support for Meaningful Use Stage 1 summary of care (Eligible Provider, Eligible Hospital, and Critical Access Hospital) requirements for transition of care and transition of care to consumer and as a second priority support for expected Stage 2 requirements.

Success, Outcome & Process Metrics

 * **Success Metrics** || * Success metrics are currently being defined in the TOC Success Metrics WG ||
 * **Outcome Metrics** || * Number of providers using ToC outputs # Number of organizations who have been certified to produce valid specifications (Software development/Tools organizations/Provider organizations)
 * Time reduction for creation of a new minimal unstructured summary and structured summary document
 * Cost reduction for creation of core elements within transitions of care
 * Improvement in ability to achieve MU criteria ||
 * **Process Metrics** || * Number of participants and organizations actively engaged in developing ToC Initiative outputs such as wiki user counts, lines of code counts, artifact downloads and the overall number of wiki edits. ||

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