LCP+SWG+Meeting+Minutes+06-05-2012

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Meeting Notes

 * Sue is in the process of working on the next iteration of the whitepaper; incorporating edits submitted over the weekend.
 * Jennie had a conversation with Liz Palena Hall yesterday regarding the HITPC meeting in July.
 * Liz is working on a "companion" document that will be concurrently delivered to the HITPC in July. ONC contracted with RTI a few months ago and asked them to produce a document that would inform the materials that would be submitted to HITPC. ONC asked RTI to create a background document with the "state of play" - how MU program touches LTPAC providers and patients. As part of the contract, RTI conveyed a round table conversation about a month ago in which several participants from S&I Framework attended. Attendees were asked to provide input to inform the paper, and discuss certification criteria. The conversation talked a lot about the work underway in the S&I Framework, LCC WG. Liz anticipates her paper discussing the "state of play," certification criteria, and a summary of the roundtable conversation which described the activities of the 3 SWGs.
 * In having this conversation with Liz, it seemed like the S&I Framework paper needs to be laid out in two parts; Part 1: Summary of S&I Framework Activities and Part 2: Need for standards - functional status, cognitive status, pressure ulcers.
 * This care plan whitepaper does not need to solve the problem, or completely articulate all of the care planning problems and should be framed in - ONC recognizes the importance of consistently articulating care plan components.
 * Victor recommends adding an additional section to the whitepaper that contains timelines for the S&I Framework activities.
 * Jennie thinks there is still a lot of work left to do on the HH Plan of Care, particularly around specifications.
 * There is no plan of care document type in C-CDA, so somebody is going to have to partner with HL7 to advance this document type.
 * The group has been defining the plan of care from a data sets perspective, from a clinical perspective. Harmonization will look at standards.
 * As Sue described, the ongoing iteration and discussion between knowledgable and engaged S&I Framework collaborators between components and relationships between care plan, Jennie thinks that it would be a huge mistake to say to the HITPC that "here is a fully baked cake"
 * The message needs to be, "we don't know what the ingredients are" - further discussion with a larger group of people to increase our confidence in the outcomes
 * Ed explained that the idea that we can define a longitudinal plan of care is difficult. The main contribution that the S&I Framework can make, is to put the HH POC through the S&I Framework process, and see how it works.
 * Laura recommended that the group is clear that we're focusing on one peice of the puzzle, and that by doing this, we'll gain experience in how this works in the real-world.

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