1. electronic Long-Term Services & Supports (eLTSS) Initiative All-Hands Workgroup Meeting January 15, 2015 1

2. 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 2

3. http://wiki.siframework.org/electronic+Long-Term+Services+and+Supports+%28eLTSS%29 3 Reminder: Join the eLTSS Initiative 3

4. 4 Agenda TopicPresenter Welcome Meeting Reminders & Announcements eLTSS Roadmap Lynette Elliott Evelyn Gallego Pre-Discovery Project Charter Review – Timeline End-to-End Review Discussion/Dispositions Evelyn Gallego Refresher: Consensus Voting ProcessLynette Elliott Overview: eLTSS GlossaryEvelyn Gallego Presentation: KOR Health DemonstrationMallesh Murugesan David McDonald Next StepsLynette Elliott

5. All Hands Workgroup Meeting Structure Our Community Meetings are scheduled for one hour a week. We believe your time is valuable and appreciate your participation in this initiative. In order to make the most of our time together, we will start the meeting software for all community meetings at 12:25 pm Eastern. – This gives attendees time to log in to the WebEx and then dial in to the teleconference prior to the meeting start. We will begin the All Hands Meetings at precisely at 12:30 pm Eastern with administrative items and announcements. 5 Thank you for your participation and we look forward to working with you in the coming months.

6. Plan for the Coming Weeks All Hands Meetings will be held over the next several weeks to finalize and vote on Project Charter – All Hands Meetings will be held Thursdays from 12:30 to 1:30pm Eastern – Next Meeting is January 22, 2015 – Meeting information can be found on the wiki: http://wiki.siframework.org/electronic+Long-Term+Services+and+Supports+%28eLTSS%29 http://wiki.siframework.org/electronic+Long-Term+Services+and+Supports+%28eLTSS%29 6 Meeting URLhttps://siframework2.webex.com/siframework2/onstage/g.p hp?t=a&d=662453276 Dial In1-650-479-3208 Passcode662 453 276 Attendee IDProvided by Webex upon login REMINDER Please check the wiki for the latest meeting schedule. REMINDER Please check the wiki for the latest meeting schedule.

7. Upcoming Meetings LTPAC HIT Summit CALL FOR ABSTRACTS – The call for abstracts is open for the Long-Term and Post-Acute Care (LTPAC) Health IT Summit, the premier health IT conference for the LTPAC sector, coming up in June 2015 in Baltimore, MD. Don’t miss the opportunity to increase your visibility and reach a broad audience of healthcare professionals. Call for Abstracts Information Page – http://www.ltpachealthit.org/content/call-abstracts-2015- ltpac-health-it-summit http://www.ltpachealthit.org/content/call-abstracts-2015- ltpac-health-it-summit Deadline for Abstract Submissions – January 23, 2015 How to Submit Your Abstract – https://ahima.confex.com/ahima/ltpachit2015/cfp.cgi https://ahima.confex.com/ahima/ltpachit2015/cfp.cgi 7

8. Upcoming Meetings ONC Annual Meeting – February 2-3, 2015 – The Office of the National Coordinator for Health IT (ONC) will hold the 2015 Annual Meeting in Washington, D.C. The two-day meeting will gather over 1,200 health IT partners for two days of plenaries and breakout sessions. Space is limited, so please register as soon as possible. Location – Washington Hilton ~ 1919 Connecticut Avenue ~ Washington, DC 20009 Webinar Registration Link – http://www.capconcorp.com/event/onc2015/registration/ http://www.capconcorp.com/event/onc2015/registration/ Agendas and additional details – http://www.healthit.gov/oncmeeting http://www.healthit.gov/oncmeeting 8

9. Upcoming Concert Series Presentations February 5 th : Project Health Design and ODLs March 5 th : Right Care Now Project 9

10. Concert Series Presentation Invitation Organizations are invited to present on an existing project or initiative that is related to the eLTSS scope of work and/or will help inform the eLTSS target outcomes and deliverables These projects do not have to be technically-focused Criteria for consideration: Has solution, whether it is technical or process driven, been implemented in a one or more of the eLTSS settings: home and community-based setting or clinical setting? Does solution incorporate existing or emerging standards and/or other relevant guidance? 10

11. Concert Series Presentations: Logistics Presentations will be scheduled as part of the weekly eLTSS Community Meetings Duration: 15 to 20 mins webinar (or demo); 5 to 10 mins Q&A Presentations will occur following eLTSS Workgroup activities i.e. eLTSS workgroup will work on project charter review during first part of meeting; concert series presentation will occur during second half of meeting eLTSS Workgroup activities will always take precedence over concert series presentations If you have an interest in participating, please contact Evelyn Gallego (evelyn.gallego@siframework.org ) and Lynette Elliott (lynette.elliott@esacinc.com)evelyn.gallego@siframework.orglynette.elliott@esacinc.com A pre-planning meeting will be scheduled prior to any public demonstration 11

12. Timelines for Consideration: Two Pilot Phases, SDO Ballot Cycles eLTSS Initiative Roadmap Q3 ‘14Q4 ‘14Q1 ‘15Q2 ‘15Q3 ‘15Q4 ‘15Q4 ‘17 Phase 4: Pilots & Testing Pilot site readiness Implementation of solution Test User Stories and Scenarios Monitor Progress & Outcomes Utilize Requirements Traceability Matrix Phase 4: Evaluation Evaluate outcomes against Success Metrics and Criteria Update Implementation Guidance Develop, review, and finalize the Use Case and Functional Requirements Pre-Planning Call for Participation Conduct Environmental Scan Success Criteria Stakeholder Engagement Finalize Candidate Standards Standards Gap Analysis Technical & Standards Design Develop Requirements Traceability Matrix Develop Implementation Guide Launch initiative Review and Finalize Charter Review initial Candidate Standards 12 Initiative Kick Off: 11/06/14 Phase 1: Pre-Discovery Phase 2: Use Case Development & Functional Requirements Phase 3: Standards & Harmonization

13. Goals for the eLTSS Initiative Identify key client assessment domains and associated data elements to include in an electronic Long-term Services & Supports (eLTSS) plan Create a structured, longitudinal, person-centered eLTSS plan that can be exchanged electronically across and between community-based information systems, clinical care systems and personal health record systems. We will use Health IT to establish a person-centered electronic LTSS record, one that supports the person, makes him or her central to the process, and recognizes the person as the expert on goals and needs.* * Source: Guidance to HHS Agencies for Implementing Principles of Section 2402(a) of the Affordable Care Act: Standards for Person-Centered Planning and Self-Direction in Home and Community-Based Services Programs 13

14. DateAll Hands WG Meeting TasksHomework (Due Wednesdays by COB) Nov 13 Project Charter Orientation Background Section & Challenge Statement Review: Background Section, Challenge Statement Nov 20 Scope StatementFinalize: Background Section/Challenge Statement Review: Scope Statement Section Nov 27Thanksgiving Holiday: NO MEETING Dec 4 Value StatementFinalize: Scope Statement Section Review: Value Statement Dec 11 Target Outcomes and Expected Deliverables Standards and Other Reference Materials Concert Series Presentation #1 (CMS/ACL Person- Centered Planning Policies) Finalize: Value Statement; Review: Target Outcomes and Expected Deliverables, Standards and Other Reference Materials; Stakeholders and Other Interested Parties Dec 18 Stakeholders and Other Interested Parties Potential Risks Consensus Voting Orientation Finalize: Standards and Other Reference Materials; Review: Stakeholders and Other Interested Parties, Potential Risks Dec 25 Jan 1 End of Year Holiday: NO MEETINGS Jan 8 Potential Risks Consensus Voting Orientation Finalize: Potential Risks Review: All Project Charter Sections Jan 9 – 13 th End to End Review Project Charter Jan 15 th Finalize Project Charter; Present eLTSS Glossary Concert Series Presentation: KOR Health Jan 18 – 26th Consensus Voting eLTSS Project Charter Review Schedule 14

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16. 16 Draft Project Charter Review Document will be presented on-screen Edits and comments will be added to the document itself Updated version will be posted to wiki Draft Charter wiki page: http://wiki.siframework.org/electronic+Long- Term+Services+and+Supports+%28eLTSS%29+Chart er http://wiki.siframework.org/electronic+Long- Term+Services+and+Supports+%28eLTSS%29+Chart er Document download link will also be posted at the top of this page

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18. Consensus Voting Refresher Voting period January 18 – 26 We will be asking Committed Members of the initiative to vote on the electronic Long-Term Services and Supports Charter: – Yes A Yes vote does not necessarily mean that the deliverable is the ideal one from the perspective of the Initiative Member, but that it is better to move forward than to block the deliverable – Yes with comments If a Consensus Process attracts significant comments (through Yes with comment votes), it is expected that the comments be addressed in a future revision of the deliverable. – Formal Objection Must provide comments indicating a path to address the objection in a way that meets the known concerns of other members of the Community of Interest. "Formal Objection" vote without such comments will be considered Abstain votes. A Formal Objection means that the objector cannot proceed with the project unless the objections are met. It is acceptable and expected to use a Formal Objection in a first consensus round to communicate a point of view or process issue that has not been addressed in the drafting of the initial deliverable. Should a Consensus Process attract even one "Formal Objection" vote with comments from an Initiative Member, the deliverable must be revised to address the "Formal Objection" vote (unless an exceptional process is declared). – Abstain (decline to vote) Note: Each Organization, no matter the number of Committed Members, only receives 1 Vote. If there are multiple committed members from your organization please verify your collective vote with them.

19. Verifying your Commitment Level To verify you are a committed member go to the Members section of the Data Provenance Wiki page: http://wiki.siframework.org/eLTSS +Join+the+Initiative#Members http://wiki.siframework.org/eLTSS +Join+the+Initiative#Members Search for your name Verify your “Role” If you want to be a committed member and see that you are not please re-join or re sign up for the initiative indicating your new role: http://wiki.siframework.org/eLTSS +Join+the+Initiative http://wiki.siframework.org/eLTSS +Join+the+Initiative 19 Example Member List

20. Submitting your Vote (All votes due by January 26 th at 8pm ET / 5pm PT) 1.Review the eLTSS Charter (either using the Word document posted on the wiki or reading the Wiki page itself. Both are the same): http://wiki.siframework.org/electronic+L ong- Term+Services+and+Supports+%28eLTSS %29+Charter http://wiki.siframework.org/electronic+L ong- Term+Services+and+Supports+%28eLTSS %29+Charter 2.Complete the Voting Form on the wiki: – NOTE: You must be a Committed Member to Vote Yes Yes with comments. Formal Objection Abstain (decline to vote) 3.Submit your Vote 4.A message is displayed verifying your vote was recorded 20 2 2 3 3 4 4 Project Charter Section To participate in the Consensus for Data Provenance please do the following : 1 1

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23. Call for Participation To make this initiative a success, we need the help of volunteers who are eager to make rapid progress on this important project We need experts to develop standards, first-movers to pilot new tools, innovators to push the envelope, and patients and providers willing to give feedback Minimum commitment: regular participation in community meetings (1-2 hours / week) and active contribution to one or more workgroups (1-3 hours / month). It is okay to participate in one phase and not another. There will be opportunities for your organization to o Pilot new ways to give providers and beneficiaries’ access to information o Hear about and provide input to the latest policy and standard issues affecting information exchange and individual access o Directly contribute to a potential game-changer for health care 23

24. Next Steps JOIN THE INITIATIVE: The electronic Long-Term Services and Supports Initiative is OPEN for anyone to join. http://wiki.siframework.org/eLTSS+Join+the+Initiative http://wiki.siframework.org/eLTSS+Join+the+Initiative HOMEWORK: Please review and comment on the Proposed Project Charter http://wiki.siframework.org/electronic+Long- Term+Services+and+Supports+%28eLTSS%29+Charter http://wiki.siframework.org/electronic+Long- Term+Services+and+Supports+%28eLTSS%29+Charter Use Case: Kick-off scheduled for January 22 nd, 2015 24

25. eLTSS Initiative: Project Team Leads ONC Leads – Elizabeth Palena-Hall (elizabeth.palenahall@hhs.gov)elizabeth.palenahall@hhs.gov – Patricia Greim (Patricia.Greim@hhs.gov)Patricia.Greim@hhs.gov CMS Lead – Kerry Lida (Kerry.Lida@cms.hhs.gov)Kerry.Lida@cms.hhs.gov Federal Lead – Jennie Harvell (jennie.harvell@hhs.gov)jennie.harvell@hhs.gov Initiative Coordinator – Evelyn Gallego-Haag (evelyn.gallego@siframework.org)evelyn.gallego@siframework.org Project Management & Pilots Lead – Lynette Elliott (lynette.elliott@esacinc.com)lynette.elliott@esacinc.com Use Case & Functional Requirements Development – Becky Angeles (becky.angeles@esacinc.com)becky.angeles@esacinc.com Standards Development Support – Angelique Cortez (angelique.j.cortez@accenture.com)angelique.j.cortez@accenture.com Harmonization – Atanu Sen (atanu.sen@accenture.com)atanu.sen@accenture.com 25