LCC+WG+Meeting+Minutes+11-10-2011

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Longitudinal Coordination of Care WG Meeting

 * Date:** 11-10-2011
 * Time:** 9:00-10:00am EDT
 * Dial-in:** 1-408-600-3600 | **Passcode:** 660 213 377

Attendance
Greg Alexander, Richard Brennan, Matt Cairns, Leigh Ann Campbell, Tom Check, Kris Cyr, Michelle Dougherty, Evelyn Gallego, Liz Palena Hall, Jennie Harvell, Stan Harter, Meredith Lewis, Deanna Loftus, Jim Logan, Kory Mertz, Teresa Mota, Terry O'Malley, Sue Mitchell, Eva Powell, Erik Pupo, Bill Russell, Smriti Singal, Larry Wolf, Clare Wrobel, Dana Voss, Jim Youngkin

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 11-10-2011 || Add content (e.g., challenge statement, goals, objectives) to the Longitudinal CC WG Charter wiki page for review by the WG || All Participants || Open || 11-24-2011 ||
 * 2 || 11-10-2011 || Create an excel document to capture and organize an environmental scan cataloging relevant user stories and scenarios || Bill Russell, Teresa Mota, Terry O'Malley, Jennie Harvell, Eva Powell || Open || TBD ||
 * 3 || 11-10-2011 || Add content (e.g., challenge statement, goals, objectives) to the LCC LTPAC Care Transition SWG wiki page for review by the WG || Terry O'Malley, Jennie Harvell || Open || 11-24-2011 ||
 * 4 || 11-10-2011 || Add content (e.g., challenge statement, goals, objectives) to the LCC Longitudinal Care Plan SWG wiki page for review by the WG || Eva Powell, Jim Logan, Tom Check, Susan Campbell, Bill Russell, Larry Wolf || Open || 11-24-2011 ||
 * 5 || 11-10-2011 || Add content (e.g., challenge statement, goals, objectives) to the LCC Patient Assessment Summary SWG wiki page for review by the WG || Jim Logan, Michelle Dougherty, Sue Mitchell, Leigh Ann Campbell, Jennie Harvell || Open || 11-24-2011 ||

Agenda Items

 * 1) Welcome and Announcements
 * 2) Review WG Organizational Structure
 * 3) Review WG Charter
 * 4) Identify Next Steps

Meeting Notes

 * Announcements**
 * WG meeting on 11-17 is canceled due to ONC Grantees Meeting in Washington, DC
 * There will be action items derived from this morning's meeting to cover the next two weeks

>>
 * Organization Structure**
 * Organizational structure has been reviewed by the WG leads,and Jitin Asnaani Initiative Coordinator
 * There have been various changes to the chart based off last WG meeting's comments and subsequent meetings.
 * The results of these revisions are the following SWGs:
 * Longitudinal Care Plan SWG
 * Jennie Harvell made comments and they have been incorporated into the individual SWG page.
 * Exchange of LTPAC Care Transition Data SWG
 * The majority of care transitions will be from provider to provider but the WG will need to focus on the transition points to and from the hospital.
 * This is conceptually more similar to a discharge summary.
 * Patient Assessment Summary SWG
 * The point was made that the description needs to be more clear for the SWG.
 * This SWG entails a component of the complete set of documents that illustrate the story of a patient.
 * The scope of the WG will need to be broader in terms of which transitions of care are incorporated
 * There will be a need to manage the care plan across a multitude of sites.
 * There will need to be support from the entire WG to determine the coordination points and making sure that the federal partners are rightfully involved and working to support the progress of the WG.
 * The point was made to incorporate a timeline detailing the short-term work products as well as long-term goals.
 * The vision for the SWG is to provide an Implementation Guide that includes a background information and that could possibly include a spreadsheet tracking the process around the aligning the ONC Challenge Grantees, Beacon communities and allow the overall WG to have the best knowledge of their work through a central location.
 * To mitigate against ambiguity of the work products it was proposed that Summary documents, Care Plan documents, and Exchange documents could all be tracked through a spreadsheet that includes data groupings, status of plan, HL7 comments and proposed changes.
 * The vision statement should include a master care plan that other care plan pieces could interact with a future vision that every patient has a care plan accessible through a cloud computing network.
 * Although this "master care plan" won't be accomplished in the LCC WG, this overall WG effort could serve as a pathway to that vision.
 * A concern was raised on what segments of information should flow and be defined within LCC and that the focus of the WG should be on information exchange
 * When data elements are identified, there needs to be a vetting process that aligns the data models to each SWG, and that all the SWG will need to aligned with how they specifically define and build-out data elements
 * Content that is created across the groups is structured in a similar format- the three SWGs should work in parallel to optimally determine resource need
 * Data elements that are built will need to be created within a standard format that can indicate future quality measures
 * Ultimately our goal is to create care transitions that are safe as well as a care transition plan that could help

Next Meeting

 * Date:** 12-01-2011
 * Time:** 9:00-10:00am EDT

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