LCPNotes_3272012

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**Meeting Agenda:**

 * **Topic** || **Time Allotted** ||
 * Face to Face Reminder (April 11-13 in Alexandria, VA) || 5 Minutes (Kris) ||
 * LCC Use Case || 50 Minutes (Kris) ||
 * Next Steps || 5 Minutes (Kris) ||

Attendance
Ann Clarke, Bill Russell, Ed Larsen, Emma Jones, Jennie Harvell, Kris Cyr, Larry Wolf, Laura Heermann Langford, Rhonda York, Shalina Wadhwani, Steven Cason, Sue Mitchell, Teresa Strickland

Meeting Notes
Face to Face logistics are on the wiki page; hopefully everyone can attend if possible Still need to acknowledge the PAS work in the Use Case in some way, having discussions with Keystone Beacon as to how we incorporate that information into the Use Case Ensure broadly that we are supporting that effort Initial Transactions – Three generic transitions; development for broad use, but want to make clear that a couple specific sites are used in that development (HHA and SNF) Within Home Health data, about 96% of total data elements are covered Overview of the flow of work – support team to create initial document for review by work group leads followed by full group review and commenting Functional Requirements – Actors and Roles Should probably add information about the origin of the care plan – comes from primary care or shared between hospitals and primary care Trying to stay out of operational space/provider level – potentially out of scope Might need more distinction between plan of care/transition of care roles Ambulatory care is providing updates to the care plan, but home care doesn’t receive those updates Need to add this to the role section for LTPAC HHA/SNF Connecting goals to existing payloads – indexing back to ICD 9/ICD 10 problem list, specific CCD concepts Care Plan could be a separate kind of document than the PAS – such as a plan of care section that would be added to the specifications for the CDA We are not trying to walk ahead of standards and harmonization that will look at the requirements for the care plan; care plan would include or potentially include other data that is preexisting or already defined about interoperability Important for us to figure out where the work rolls up in the end – Care plan is the interdisciplinary piece and plan of care is the physician-specific piece “Baseline” plan of care that would stem from primary care; what the patient is like when they’re not having problem (standard of measurement basically) Reset if a patient reaches a different plateau of function Physicians don’t provide a global patient assessment; provide status of individual problems Nursing nomenclature provides overall status items

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