PASMinutes2012_2_14

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**Meeting Agenda:**

 * <  ||~ **Key Discussion Items** ||< **Duration** ||< **Presenter** ||
 * < 1. ||< Review MDS Changes for April ||< 20-25 ||< Sue ||
 * < 2. ||< Geisinger's MDS-CCD Conversion Questions ||< 20-25 ||< LeighAnn ||
 * < 3. ||< Update on ToC Use Case Revision ||< 5 ||< Kris ||
 * < 4. ||< Next Steps ||< 5 ||< Team Leads ||

Attendance
Sue Mitchell, Rhonda York, Jennie Harvell, Meredith Lewis, Brad Marquard, Leigh Ann Campbell, Emma Jones, Maria Moen, Susan Campbell, Zabrina Gonzaga, Terri Peterson, Allen Hobbs

Meeting Notes

 * Looked at current list of MDS data elements and compared to new data dictionary that supports new release
 * Yellow highlighting refers to change in some manner to that particular data element
 * Modification shows new verbage in blue with strikethrough text
 * Determine whether something needs to be pulled to the summary or not - what information would an acute care provider want to obtain (subset that is a clinically relevant picture that is easily consumable)
 * Determine the most salient points to make available from the MDS for interoperability
 * Balance is a very important factor -how soon will staff need to get into a home; should really consider these items
 * Mental Status Evaluation - how does the score translate into this section?
 * Gap between how the patient performed versus how the patient perceived they performed
 * Important to keep this separate for mentally stable versus dementia patients
 * Should the same questions for the Mental Status section be applied to Balance?
 * Value of providing nutritional information - Section K, whether before or after admittance
 * **Leigh Ann**: Took MDS and made a summary document; Geisinger application sits on server of any home health agency and monitors uploading of MDS, pulls out pieces and uploads them into the MDS summary document ---> Health Exchange
 * PCP can be pull up document to get a snapshot of the vital parts of patient's care history
 * Helpful for a physician who isn't necessarily directly involved in someone's care
 * Patient is prompted with who/which institutions they want to share their data; completely governed by patient authorization
 * Sue will put latest updates on the wiki - if everyone could pull that down and look at it (it will show all of the changes, regardless of selection for summary)
 * Next week go through the rest of it and finish up going through questions from Leigh Ann

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