Longitudinal Coordination of Care Pilots WG Monday, August 4, 2014

Meeting Etiquette Remember: If you are not speaking, please keep your phone on mute Do not put your phone on hold. If you need to take a call, hang up and dial in again when finished with your other call o Hold = Elevator Music = frustrated speakers and participants This meeting is being recorded o Another reason to keep your phone on mute when not speaking Use the “Chat” feature for questions, comments and items you would like the moderator or other participants to know. o Send comments to All Panelists so they can be addressed publically in the chat, or discussed in the meeting (as appropriate). From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute All Panelists

3 Reminder Join the LCC WG & Complete Pilot Survey

TopicPresenter Welcome & AnnouncementsEvelyn, Lynette Discussion: CMS CDS TipsheetEvelyn Next StepsLynette Agenda 4

Purpose –Provide tools and guidance for managing and evaluating LCC pilot Projects –Create a forum to share lessons learned and best practices –Provide subject matter expertise –Leverage existing and new partnerships Goals –Bring awareness on available national standards for HIE and care coordination –Real world evaluation of parts of most recent HL7 C-CDA Revisions Implementation Guide (IG) –Validation of ToC and Care Plan/HHPoC datasets Pilot Work Group Purpose and Goals 5

Meeting Reminders S&I Framework Hosted Meetings: LCC Pilot WG meetings are every other Monday from 11:00– 12:00 pm Eastern –Focus on validation and testing of LCC Standards for Transitions of Care & Care Plan exchange HL7 Structured Documents WG Meetings Thursdays from 10:00 – 12:00pm Eastern –WebEx: –Dial In: ; Access Code: A pre-publication draft of CCDA R2.0 specification was distributed to the SDWG list serv on July 3 rd : ( Comments were accepted until July 11 th. Currently discussing CCDA R2.0 Template OID versioning issue.

HL7 Patient Care WG Meeting Reminders Coordination of Care Services Specification Project –Provide SOA capabilities/models to support coordination of patient care across the continuum –Reconciling May 2014 Ballot Cycle Comments –Current working documents found here: –Tuesdays from 5:00 – 6:00pm ET Meeting Information : –Web Meeting URL: 41XMZR3-3MNZ 41XMZR3-3MNZ »Meeting Number: –Phone: , Participant Code:

HL7 Patient Care WG Meeting Reminders, cont’d... Care Plan Project –Reconciling May 2014 Ballot Cycle Comments for the updated Care Plan DAM and story boards. –Current working documents found here: –Every other Wednesday from 4:00 – 5:30pm ET Next meeting is August 13 th Meeting Information: –Web Meeting URL: eetings/j.php?J= eetings/j.php?J= –Phone: , Participant Code:

HL7 Patient Care WG Meeting Reminders, cont’d... Health Concern Topic –Developing Health Concern DAM for September HL7 Ballot Cycle –Current working documents found here: –Thursdays from 4:00 – 5:00pm ET Next meeting scheduled for August 7 th Meeting Information: –Web URL: ber ber »Meeting Number: »Phone: , Participant Code:

HL7 Patient Care WG Meeting Reminders, cont’d... Patient Care FHIR Resources and Profiles Reviewing/Finalizing storyboards for the HL7 Sept WGM FHIR Clinical Connectathon Developing FHIR Resource for Referral and Transition/Transfer of Care Current working documents found here: –Thursdays from 5:00 – 6:30pm ET Next meeting scheduled for August 7 th Meeting Information: –Web URL: –Meeting Number: »Phone: , Participant Code:

HIMSS Health Story Roundtable Why attend? –Advocate and build support for the Health Story Project –Collaborate and network with Health Story Project supporters –Engage with industry leaders in monthly meetings –Participation is open to any HIMSS Members at no additional cost Meets monthly on the 1 st Monday from 4pm-5pm ET. Upcoming meetings scheduled for August 4 th and September 8 th Meeting Information: –Web URL: Click here to view agenda and download the calendar invitation (this link will also work to join the meeting)Click here to view agenda and download the calendar invitation –Meeting Number: –Meeting Password: meeting –To receive a call back, provide your phone number when you join the meeting, or call the number below and enter the access code. »Call-in toll-free number (US/Canada): »Call-in toll number (US/Canada):

ONC 4 th Annual Consumer Health IT Summit SAVE THE DATE: September 15, 2014 (Washington DC) –The Summit will feature: Highlights of new and innovative ways to promote patient and family engagement, including the Blue Button Initiative "Bright spots" that demonstrate what digital health data and technology can do Discussions about ways to engage underserved populations and to improve patient participation in clinical trials Dialogue about frontier areas such as personalized medicine and patient generated health data and how they can help to improve health DETAILS WHEN:Monday, September 15, AM – 5 PM EDT WHERE:Wilbur Cohen Auditorium ~ 330 Independence Ave, SW, Washington, D.C. (use the entrance on C Street) COST:Free. First-come, first served (registration limited). Stay tuned for additional updates including registration.

FACA Meeting Reminders HIT Standards Committee Next meeting scheduled for August 20 th from 9:00am – 3:00pm ET HIT Policy Committee Next meeting scheduled for August 6 th from 9:00am – 1:15pm ET HIT Policy Committee Meaningful Use WG Canceled until further notice HIT Quality Measures Vendor Tiger Team Canceled until further notice HIT Policy Committee Accountable Care WG Workgroup has been retired as of 05/29/14 meeting

LCC Pilot WG Timeline: Aug 2013 – Sept 2014 Aug-Sept 13Nov 13Dec- Jan 14Feb- Mar 14Apr- May 14Jun- Jul 14Aug- Sep 14 Milestones Revisions for HL7 CCDA IG Complete HL7 Fall Ballot Close LCC Pilot Monitoring & Evaluation LCC Pilot Proposal Review HL7 Ballot Publication LCC Pilots Close HL7 Ballot & Reconciliation LCC Pilot WG Launch NY Care Coordination Go-Live HL7 C-CDA IG Revisions LCC Pilot Wrap-Up LCC Pilot Test Spec. Complete HL7 Ballot LCC Pilot WG GSI Health Go-Live IMPACT Go-Live

Upcoming LCC Pilots Meeting Presentations Upcoming presentations: August 18 th : IMPACT Updates September 1 st : NO PILOTS WG MEETING (Labor Day Holiday) September 15 th : VHA Care Plan Demo September 22 nd : GSI Health Pilots & Healthix Lessons Learned September 29 th : LCC Pilots Initiative Closing Ceremony

16 CMS CDS Tip Sheet

CMS Clinical Decision Support Non-Alert TipSheet Provides an overview of Clinical Decision Support (CDS) and what Meaningful Use requires for CDS. Identifies Care Plan as innovative types of CDS that meet the MU definition. Download Link: Guidance/Legislation/EHRIncentivePrograms/Downloads/ClinicalDecisionSupport_ Tipsheet-.pdfhttp:// Guidance/Legislation/EHRIncentivePrograms/Downloads/ClinicalDecisionSupport_ Tipsheet-.pdf

CMS Clinical Decision Support Non-Alert TipSheet Why is this important? –To meeting Meaningful Use requirements for CDS, you must implement 5 CDE interventions –Of those 5, one can be Care Plan –Meeting Meaningful Use = Profit! Download Link: Guidance/Legislation/EHRIncentivePrograms/Downloads/ClinicalDecisionSupport _Tipsheet-.pdfhttp:// Guidance/Legislation/EHRIncentivePrograms/Downloads/ClinicalDecisionSupport _Tipsheet-.pdf

Homework Assignments: –Complete Pilot Survey –Sign up as an LCC Committed Member –Submit Pilot Documentation Proposals Available on the LCC Pilot SWG Wiki: to Lynette Elliott If you would like to learn more about participating in the eLTSS Initiative, please Evelyn Gallego Next Steps 19

LCC Leads –Dr. Larry Garber –Dr. Terry O’Malley –Dr. Bill Russell –Sue Mitchell LCC/HL7 Coordination Lead –Dr. Russ Leftwich Federal Partner Lead –Jennie Harvell Initiative Coordinator –Evelyn Gallego Project Management –Pilots Lead: Lynette Elliott –Use Case Lead: Becky Angeles LCC Initiative: Contact Information 20 LCC Wiki Site: