Transitions+of+Care+(ToC)+Initiative

include component="page" wikiName="siframework" page="TOC HeaderHome" = Meeting Schedule = NOTE: Meetings are now on the S&I Framework "Transitions of Care" Google Calendar. This calendar is colored taupe on the wiki's calendar page.
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= Announcements =
 * Consensus on the Companion Guide to Consolidated CDA for Meaningful Use Stage 2 was achieved on Monday, October 22, 2012! Congratulations to everyone who helped to complete this document. The initial release of the Companion Guide and accompanying artifacts are available here.
 * If you are new to the Transitions of Care Initiative, start by reviewing the **Transitions of Care Quickstart** wiki page. The page contains resources, artifacts, and key deliverables pertaining to the ToC Initiative in each phase of the S&I framework, from background materials to implementation guidance and educational artifacts.

= Charter = 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.

Purpose and Goals
The mission of the Transitions of Care Initiative is to improve 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.The initiative supports national health initiatives, key healthcare stakeholders and healthcare priorities and is driven by one compelling question: "What if every care transition was enabled by an unambiguously-defined core set of high-quality clinical data?" The Transitions of Care Initiative seeks to support Meaningful Use Stage 1 that specifies the exchange of key clinical information among providers of care and with patients and other authorized entities electronically based on level of system capability, i.e., human readable, unstructured text or full interoperable structured data. The Initiative is coordinated by John Feikema, as of June 2012, with guidance from the Office of Interoperability and Standards (OIS) under the [|Office of National Coordinator].

Scope
The scope of the Transitions of Care 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. Please refer to the ToC Document Types wiki page for a summary of the clinical documents described in the Transitions of Care Use Case.

Success Metrics

 * ~ Outcome Metrics || # Number of providers using ToC outputs
 * 1) Number of organizations who have been certified to produce valid specifications (Software development/Tools organizations/Provider organizations)
 * 2) Time reduction for creation of a new minimal unstructured summary and structured summary document
 * 3) Cost reduction for creation of core elements within transitions of care
 * 4) Improvement in ability to achieve MU criteria ||
 * ~ Process Metrics || # Number of participants / organizations actively engaged in developing ToC Initiative outputs, e.g.,
 * Wiki user counts
 * Lines of code counts
 * Count of artifact downloads
 * Number of wiki edits, etc. ||

**Transitions of Care Initiative Timeline: January 2011 - February 2012**



**Transitions of Care Initiative Timeline: December 2011 - August 2012**

Initiative Members
Transition of Care Initiative stakeholders come from across the health care IT industry to make up the Transition of Care Initiative Members.

Initiative F2F and All Hands Meeting Minutes & Presentations
|| 2011-05-07 || Meeting Recording || 2012-06-18 || Meeting Recording || 2012-07-02 ||
 * **Meeting** || **Meeting Date** || **Link or File** || **Date Posted** ||
 * Full Initiative || 2011-04-18 || [[file:siframework/ToC Full Initiative Call 2011-04-18.pdf|Meeting Slides]] || 2011-04-26 ||
 * F2F Meeting || 2011-06-14 || [[file:siframework/F2F Meeting_ToC Full Initiative Meeting Slides_0613.pptx|Meeting Slides]] || 2011-06-23 ||
 * F2F Meeting || 2011-06-14 || Meeting Minutes || 2011-06-27 ||
 * F2F Meeting || 2011-06-15 || Meeting Minutes || 2011-06-23 ||
 * Full Initiative || 2011-06-27 || [[file:siframework/TOC All Hands_0627_Final.pdf|Meeting Slides]] || 2011-06-27 ||
 * Full Initiative || 2011-07-11 || [[file:siframework/TOC All Hands_0711_Final.pdf|Meeting Slides]] || 2011-07-11 ||
 * Full Initiative || 2011-07-25 || [[file:siframework/TOC All Hands_0725_Final.pdf|Meeting Slides]] || 2011-07-25 ||
 * Full Initiative || 2011-08-08 || [[file:siframework/TOC All Hands_0808_Final.pdf|Meeting Slides]] || 2011-08-08 ||
 * Full Initiative || 2011-08-22 || [[file:siframework/TOC All Hands_0822_Final.pdf|Meeting Slides]] || 2011-08-22 ||
 * Full Initiative || 2011-09-19 || [[file:siframework/TOC All Hands_0919_Final.pdf|Meeting Slides]] || 2011-09-19 ||
 * Full Initiative || 2011-10-03 || [[file:siframework/TOC All Hands_1003_Final.pdf|Meeting Slides]] || 2011-10-03 ||
 * Full Initiative || 2011-10-31 || [[file:siframework/TOC All Hands_1031_Final_2.pdf|Meeting Slides]] || 2011-10-31 ||
 * Full Initiative || 2011-11-14 || [[file:siframework/TOC All Hands_1114_Final.pdf|Meeting Slides]] || 2011-11014 ||
 * Full Initiative || 2011-12-05 || [[file:siframework/TOC All Hands_1205_Final.pdf|Meeting Slides]] || 2011-12-02 ||
 * Full Initiative || 2012-01-09 || [[file:siframework/TOC All Hands Presentation_0109_Final.pdf|Meeting Slides]] || 2012-01-09 ||
 * Full Initiative || 2012-02-06 || [[file:siframework/TOC All Hands Presentation_0206_Final.pdf|Meeting Slides]] || 2012-02-06 ||
 * Full Initiative || 2012-03-05 || [[file:siframework/TOC All Hands Presentation_0305_Final.pdf|Meeting Slides]] || 2012-03-05 ||
 * Full Initiative || 2012-04-02 || [[file:siframework/TOC All Hands Presentation_0402_Final.pdf|Meeting Slides]] || 2012-04-02 ||
 * Full Initiative || 2012-05-07 || [[file:siframework/TOC All Hands Presentation_0507_Final.pdf|Meeting Slides]]
 * Progress Report || 2012-05-21 || Meeting Recording || 2012-05-23 ||
 * Full Initiative || 2012-06-18 || [|Meeting Slides]
 * Full Initiative || 2012-07-02 || [[file:TOC All Hands Presentation_0702_Final.pdf|Meeting Slides]]
 * Progress Report || 2012-07-16 || Meeting Recording || 2012-07-17 ||
 * Full Initiative || 2012-08-06 || [[file:TOC All Hands Presentation_0806_Final.pdf|Meeting Slides]] || 2012-08-06 ||

About our Workgroups
Committed members participate in at least one of the following w orkgroups under the Transition of Care project: Russell Leftwich, MD David Tao || * Focused on producing guidance on care transition exchange package implementations to meet clinician needs and Meaningful Use Stage 1 and Stage 2 requirements Ed Larsen || * Focused on identifying and developing the relevant use cases and functional requirements supporting the business needs for exchange and interoperability. || Complete || Implementation Requirements || Mayuri Patel || * Create Transitions of Care deployment models to evaluate how the Transitions of Care specification would work even implemented & Vocabulary || Holly Miller, MD Russell Leftwich, MD || * Create and re-use harmonized information models that reflect the content identified by both the TOC and LRI Use Cases Harmonization || Brett Marqaurd || * Identify, analyze and harmonize CDA Header, Section and Entry issues. || Complete || Documentation || Keith Boone Pete Gilbert || * Publication of DSTU and strategy for impact on HITSP documents. || Complete ||
 * ~ Workgroup ||~ WG Leads ||~ Description ||~ Status of Workgroup ||
 * Implementation Guidance || Holly Miller, MD
 * Results of the analysis will be contained in "Companion Guide" and released for public use || In-Progress ||
 * Use Case & Requirements || Amy Berk
 * Architecture &
 * Identify the policies, services, and other dependencies that are needed to ensure that a Transitions of Care specification is implementable. || Complete ||
 * Reference Implementation || Mark Bamberg || * Augment the work of other ToC Workgroups (Architecture, CEDD/Vocabulary, Standards, etc.) by developing a reference implementation.
 * a programmatically accessible Reference Library modeling ToC data format(s), and
 * a tool which will utilize the reference library to validate and transform ToC data from a source format to a desired ToC Information Packet output.
 * Perform Demonstrations and Pilots of the tools developed, with a participating organization. || Complete ||
 * Clinical Information Model
 * Identifies the vocabulary elements and value sets needed to support the Transitions of Care Clinical Information Model. || Complete ||
 * Standards Analysis || John Donnelly || * Identify the core standards and implementation guides that will be analyzed for use in the Transitions of Care specification, and conduct an analysis of the standards/IG’s against the Transitions of Care Use Case Requirements. || Complete ||  ||
 * CDA Consolidation Project -
 * CDA Consolidation Project -

How to Get Involved

 * **Keep me Informed**
 * To be notified about significant events and announcements from the project, follow this site
 * **How can I contribute?**
 * Visit the Getting Started as a Participant page
 * Review the list of Initiative workgroups to see where you can contribute
 * Refrain from defacement, abuse, commercial promotion, or other content that violates our Wiki Use Guidelines
 * **Add my organization as an official member**
 * Submit a Statement of Commitment on behalf of your organization
 * For more information, also contact admin@siframework.org

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