1. electronic Long-Term Services & Supports (eLTSS) Initiative All-Hands Workgroup Meeting December 4, 2014 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 & Evelyn Pre-Discovery Project Charter Review – Timeline Project Charter Review – Value Statement Section Evelyn Next StepsLynette

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 the Project Charter – All Hands Meetings will be held Thursdays from 12:30 to 1:30pm Eastern – Next Meeting is December 11, 2014 – 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 Home and Community Based Services Quality Webinar – Friday December 5 th from 12pm-2pm ET – The National Quality Forum (NQF) will host a public webinar to kick off the Home and Community-Based Services project. This project will develop a conceptual framework and perform an environmental scan to address performance measure gaps in home and community based services to enhance the quality of community living. Interested parties are invited to join in to learn about the project and upcoming opportunities for stakeholder engagement. Webinar Registration Link – http://nqf.commpartners.com/se/Rd/Rg.aspx?716512 http://nqf.commpartners.com/se/Rd/Rg.aspx?716512 Call for nominations to the NQF advisory committee – http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemI D=78187 http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemI D=78187 Information on the NQF HCBS project – http://www.qualityforum.org/Measuring_HCBS_Quality.aspx http://www.qualityforum.org/Measuring_HCBS_Quality.aspx 7

8. Concert Series Presentations 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? 8

9. 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 9

10. 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 10 Initiative Kick Off: 11/06/14 Phase 1: Pre-Discovery Phase 2: Use Case Development & Functional Requirements Phase 3: Standards & Harmonization

11. 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 11

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13. 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 Statement Target Outcomes and Expected Deliverables Finalize: Scope Statement Section Review: Value Statement; Target Outcomes and Expected Deliverables Dec 11 Standards and Other Reference Materials Stakeholders and Other Interested Parties Concert Series Presentation #1 (CMS/ACL Person- Centered Planning Policies) Finalize: Value Statement; Target Outcomes and Expected Deliverables Review: Standards and Other Reference Materials; Stakeholders and Other Interested Parties Dec 18 Potential Risks Consensus Voting Orientation Finalize: Standards and Other Reference Materials; Stakeholders and Other Interested Parties Review: Potential Risks Dec 25 Jan 1 End of Year Holiday: NO MEETINGS Jan 8 End to End Review Project Charter Start Project Charter consensus voting Finalize: Project Charter comments on all Sections Jan 9 - 16 Consensus Voting on Finalized Charter Jan 15 Kick-off Use Case & Functional RequirementsFinalize: Publish Final Project Charter eLTSS Project Charter Review Schedule 13

14. 14 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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16. 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 16

17. 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 NEXT WEEK CONCERT SERIES Presentation: –CMS and ACL Person-Centered Planning Policies 17

18. eLTSS Initiative: Project Team Leads ONC Leads – Elizabeth Palena-Hall (elizabeth.palenahall@hhs.gov)elizabeth.palenahall@hhs.gov – Mera Choi (mera.choi@hhs.gov); Farrah Darbouze (farrah.darbouze@hhs.gov)mera.choi@hhs.govfarrah.darbouze@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 18