Meeting+Minutes+12-19-11

//NOTE: This template serves as a base layout for capturing and structuring meeting minutes. Please recognize that the structure may change to meet individual WG needs.//

**Meeting Agenda:**

 * **Topic** || **Time Allotted** ||
 * Brief Recap of LCC WG and LTPAC Care Transitions SWG Scope and Charter || 10 mins ||
 * User Story and Use Case Development - Leveraging ToC WG's Work || 30 mins ||
 * Meeting plan over the holidays (none until 1/9) || 5 mins ||
 * Homework to flesh out parts of the use case and submit by Jan 3 || 10 mins ||
 * General Discussion || 5 mins ||

Attendance
Larry Garber, Terry O'Malley, Paul Burnstein, Meredith Lewis, Charlotte Weaver, Kris Cyr, Sue Mitchell, Susan Campbell, Laura Heerman, Jim Brennan

Action Items
(utilizing ToC Use Case document where possible). || Kris Cyr to moderate and organize. All members contributing || In Process || ???? ||
 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || What HL7 Workgroup does the Care Transition SWG fit into for balloting? || Laura Heerman + group input || Not started || 1/23/12 ||
 * 2 || Post Scenarios from the ToC Workgroup Use Case || Terry O'Malley || Not started || 1/16/12 ||
 * 3 || Begin development of User Stories, including definition of data elements
 * 4 || Post examples of Transfer of Care documentation. || ??? || Not started || 1/23/12 ||

**Key Discussion Points:**

 * We are one of three sub-workgroups (SWG), and our SWG is focused on Care Transitions among Long Term and Post Acute Care (LTPAC) providers. The other two sub-workgroups are working on a Longitudinal Care Plan and Patient Assessment Summary.
 * The Care Transitions SWG will build off the broader Transitions of Care (ToC) Workgroup, and will also leverage other standards groups such as HL7 and IHE. A question was raised about the Implementation Guide relative to HL7 balloting.
 * The three Sub-Workgroups must work in a coordinated manner and also stay in sync with other standards (CIM, CDA, green CDA, etc.).
 * The goal is to develop a standard in time for Stage 3 Meaningful Use.
 * Resolutions:**
 * Laura Heerman is familiar with the HL7 balloting process and asked the SWG which HL7 workgroup we would fit into? The group agreed that a fall ballot would be a reasonable objective.

**Key Discussion Points:**

 * The overall ToC Workgroup has developed a 60 page Use Case document.
 * User Stories are specific "transactions" in an overall Use Case. The hierarchy is:
 * Use Case at the highest level
 * Multiple "Scenarios" within a Use Case
 * Multiple User Stories (transactions) within a Scenario
 * When developing a Use Case, it is generally a good practice to start at the "atomic level" with User Stories, and define the "Actors" and data associated with the User Story. "Actors" are usually defined as people but can also be defined as systems.
 * Once the User Stories (transactions) are defined, a determination should be made as to whether the User Stories bubble up to an overall Use Case, and/or whether multiple Use Cases should be developed.
 * There was discussion among the group that the number of User Stories should be streamlined as much as possible in order to keep the Use Case(s) concise and meaningful.
 * The Care Transitions SWG will most likey start with 4 Scenarios. User Stories will need to be developed for each Scenario. There may be sources of User Stories that have already been developed, including those from the ToC Workgroup Use Case. Using Bill Russell's Use Case as a source was discussed.
 * A question was raised as to whether each of the 3 SWGs should develop its own Use Case, or whether a single Use Case could be developed across all 3 SWGs?
 * Resolutions:**
 * The SWG will begin development of User Stories working toward development of a Use Case.

Next Steps

 * See Action Items above.
 * Begin User Story development for a Use Case.
 * Next Meeting on January 9, 2102. No meetings over the holidays.