1. electronic Long-Term Services & Supports (eLTSS) Initiative All-Hands Workgroup Meeting February 4, 2016 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. 3 Agenda TopicPresenterTimeframe Welcome Announcements Lynette Elliott10 mins TEFT Grantee Status UpdatesJamie Parker, TEFT Grantees10 mins eLTSS Pilot Support: RTM Working Session Access, View, Review the Plan Beneficiary Advocate CB-LTSS Provider Jamie Parker40 mins

4. Announcements ONC Releases Corrections and Clarifications to 2015 Edition Final Rule – What: ONC issued a Federal Register notice to provide corrections (e.g., corrects cross-references and citation omissions) and clarifications for the final rule entitled “2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program Modifications.” These corrections and clarifications will eliminate confusion and ambiguity, permitting stakeholders to better understand, implement, and comply with the final rule. – When: The final rule and notice were effective January 14, 2016 – Review the Federal Register Notice: https://www.gpo.gov/fdsys/pkg/FR-2015-12-11/pdf/2015-31255.pdf https://www.gpo.gov/fdsys/pkg/FR-2015-12-11/pdf/2015-31255.pdf 4

5. Announcements, cont’d… CMS Accountable Health Communities Model Call for Grant Funding Applications – What: Over a five-year period, CMS will implement and test a three-track Accountable Health Communities Model (Track 1 Awareness, Track 2 Assistance and Track 3 Alignment) based on promising service delivery approaches. Each track features interventions of varying intensity that link beneficiaries with community services. CMS will award, through a competitive process, renewable one-year cooperative agreements to successful applicants (award recipients). – When: Application deadline March 31, 2016 – To submit Letter of Intent (due by Feb. 8, 2016): http://innovationgov.force.com/ahc http://innovationgov.force.com/ahc – To apply (must include LOI confirmation number): http://www.grants.gov/view-opportunity.html?oppId=280812 http://www.grants.gov/view-opportunity.html?oppId=280812 – For more information: https://innovation.cms.gov/initiatives/ahcmhttps://innovation.cms.gov/initiatives/ahcm 5

6. Announcements, cont’d… HL7 C-CDA Rendering Tool Challenge call for participation – What: The ONC and HL7 challenge the community to develop a viewer that enables clinicians to more efficiently review clinically relevant patient data from C-CDA documents. Cash prizes for winning submissions: 1 st Place Prize $15,000, 2 nd Place Prize $5,000. – When: Submission deadline is May 31, 2016 – To review the rules: http://www.hl7.org/events/toolingchallenge.cfm#rules http://www.hl7.org/events/toolingchallenge.cfm#rules – To submit: http://www.hl7.org/events/toolingchallenge.cfmhttp://www.hl7.org/events/toolingchallenge.cfm 6

7. Announcements State Health IT Policy Levers Compendium Released – What: The State Health IT Policy Levers Compendium provides information on how other states are using waivers, Medicaid Health Home State Plan Amendments and other state-level policy levers to advance health IT and interoperability goals. – Developed by HHS and ONC in coordination with states; this tool is intended to support state efforts of advancing interoperability and can also be used in service of delivery system reform providing better care, smarter spending, and healthier people. – Download the Compendium: https://www.healthit.gov/policy- researchers-implementers/health-it-legislation-and- regulations/state-hit-policy-levers-compendiumhttps://www.healthit.gov/policy- researchers-implementers/health-it-legislation-and- regulations/state-hit-policy-levers-compendium 7

8. Announcements, cont’d... CMS Updates its 2016 Quality Strategy – What: CMS has published an updated version of its 2014 Quality Strategy with a focus on applying the Administration’s strategy around person-centered care. This document guides the various components of CMS, including Medicaid, Medicare and the Center for Consumer Information and Insurance Oversight, as they work together toward the common goal of health system transformation. – Review the 2016 Quality Strategy: https://www.cms.gov/Medicare/Quality-Initiatives-Patient- Assessment-Instruments/QualityInitiativesGenInfo/CMS-Quality- Strategy.html https://www.cms.gov/Medicare/Quality-Initiatives-Patient- Assessment-Instruments/QualityInitiativesGenInfo/CMS-Quality- Strategy.html 8

9. Announcements, cont’d... Call for Participation: Help HL7 Help You Reduce C-CDA Implementation Inconsistencies – What: HL7 invites C-CDA users to complete a survey that will help clarify the inconsistencies and pain points encountered when sending and/or receiving CCDs, Discharge Summaries and/or Referral Notes. Collection of data on these three document types will continue for several months. Results will be shared via webinar once results are compiled. Respondents should have direct experience sending and/or receiving the document types noted above. – When: Survey available until March 2016 – Survey link: https://www.surveymonkey.com/r/C- CDA21Contenthttps://www.surveymonkey.com/r/C- CDA21Content 9

10. Announcements, cont’d… Modified Requirements Traceability Matrix (RTM) -What: eLTSS Data Set Worksheet – In an effort to further assist pilots with the piloting process, the RTM has been modified to include this worksheet. It was designed to further capture data elements and their values that currently exist in your pilot’s specific LTSS Care Plan. -A more detailed review of this worksheet will be presented in an upcoming eLTSS All-Hands meeting (date TBD). -Posted on the eLTSS Wiki Site: -http://wiki.siframework.org/file/view/eLTSS%20Dataset%20Fillable%20 Worksheet%201.25.16%20final.pdf/573100023/eLTSS%20Dataset%20Fill able%20Worksheet%201.25.16%20final.pdfhttp://wiki.siframework.org/file/view/eLTSS%20Dataset%20Fillable%20 Worksheet%201.25.16%20final.pdf/573100023/eLTSS%20Dataset%20Fill able%20Worksheet%201.25.16%20final.pdf 10

11. Timelines for Consideration: Two Pilot Phases, SDO Ballot Cycles eLTSS Initiative Roadmap Q3 ‘14Q4 ‘14Q1 ‘15 Q2 ‘15 Q3 ‘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 5: 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 11 Initiative Kick Off: 11/06/14 Phase 1: Pre-Discovery Phase 2: Use Case Development & Functional Requirements Phase 3: Pilot Guide Development Q4 ‘16

12. Reminder: Join the eLTSS Initiative To join the electronic Long Term Services and Supports (eLTSS) Initiative, go here: http://wiki.siframework.org/eLTSS+Join+the+Initiative. http://wiki.siframework.org/eLTSS+Join+the+Initiative Registered Members are included on all initiative communications, updates and announcements. – You may join as an Interested Party or a Committed Member. (More information about these options on the Join page.) Thank you! Your commitment and participation are critical to the success of the eLTSS initiative. 12

13. TEFT Grantee Pilot Milestones through January 2016 13 Milestones Colorado On-site Meetings at Both Communities Identification of Provider Staff and Clients Completion of Provider Data Use/Sharing Agreements On-Site Meetings with the vendor technology and readiness Connecticut Establish Pilot Plan Identification of Partners Launch Pilot Georgia Participant Identification/Recruitment Conduct Outreach Activities Prepare materials for Pilot Participants Conduct Pilot o Identify and Validate data Items via Stakeholder Interviews, Focus Group Town Halls & Solicit Input for Additional Data Items not in use today o Identify and Validate Potential Vocabulary Standards for Coded Data Items o Capture Qualitative Feedback

14. TEFT Grantee Pilot Milestones through January 2016 (cont’d...) 14 Milestones (cont) Kentucky Design complete Maryland Identification of Provider Staff and Beneficiary Pilot Population Completion of Provider Data Use/Sharing Agreements Minnesota Identification of Provider Staff and Clients Completion of Provider Data Use/Sharing Agreements Inventory and Characterize Participating Provider Technology and Readiness

15. Pilot Updates TEFT Colorado Department of Health Care Policy & Financing Connecticut Department of Social Services Division of Health Services Georgia Department Community Health Kentucky Office of Administrative & Technology Services Maryland Department of Health & Mental Hygiene Minnesota Department of Human Services Non-TEFT Care at Hand eCaring FEi Systems Kno2 Meals on Wheels Peer Place Therap 15

16. RTM Working Session Agenda DateRTM Meeting TopicParties of Interest February 4, 2016 View, Access and Review the Plan a.Beneficiary/Advocate b.CB-LTSS Provider KY, MD, MN, All Vendors

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18. Next Steps If you are interested in piloting for round 2, please express your interest using the Pilot Interest Survey form: – http://wiki.siframework.org/electronic+Long+Term+Services+and+Supports+Pilot+Interest+Survey http://wiki.siframework.org/electronic+Long+Term+Services+and+Supports+Pilot+Interest+Survey 18 DateRTM Meeting TopicParties of InterestTip for Preparation February 11, 2016 Update the Plan Section a.Beneficiary/Advocate b.eLTSS Plan Facilitator/Steward KY, MN, All vendors Review or attempt to fill out this out section of the RTM February 18, 2016 Review/Questions regarding RTM, updated RTM worksheet and data elements All members Confirm selected subdomains Begin identifying questions you want to ask based on sub domains February 25, 2016 Review/Questions regarding RTM, updated RTM worksheet and data elements All members Confirm selected subdomains Begin identifying questions you want to ask based on sub domains MarchData elementsAll members Begin mapping sub domains and questions to coded elements AprilPilot Completion ActivitiesAll members Provide feedback and findings on pilot

19. FACA Meetings (Federal Advisory Committees) Upcoming FACA Meetings for January 2016 CTC Task Force Meeting- February 5, 2016 API Task Force- February 9, 2016 Precisions Medicine Task Force- February 12, 2016 CTC Task Force Meeting- February 19, 2016 API Task Force Meeting- February 22, 2016 HIT Policy Virtual Committee Meeting- February 23, 2016 HIT Standards Committee Virtual Meeting- February 24, 2016 Precision Medicine Task Force- February 26, 2016 Public attendance is encouraged https://www.healthit.gov/facas/calendar/2016/1 19

20. eLTSS Initiative: Project Team Leads ONC Leadership – Mera Choi (mera.choi@hhs.gov)mera.choi@hhs.gov – Elizabeth Palena-Hall (elizabeth.palenahall@hhs.gov)elizabeth.palenahall@hhs.gov CMS Leadership – Kerry Lida (Kerry.Lida@cms.hhs.gov)Kerry.Lida@cms.hhs.gov Community Leadership – Mary Sowers (msowers@nasddds.org)msowers@nasddds.org – Terry O’Malley (tomalley@mgh.harvard.edu)tomalley@mgh.harvard.edu Initiative Coordinator – Evelyn Gallego-Haag (evelyn.gallego@emiadvisors.net)evelyn.gallego@emiadvisors.net Project Management – 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 Pilot Guide Development – Grant Kovich (grant.kovich@accenture.com)grant.kovich@accenture.com Pilots Management – Jamie Parker (jamie.parker@esacinc.com)jamie.parker@esacinc.com Standards and Technologies Identification – Angelique Cortez (angelique.j.cortez@accenture.com)angelique.j.cortez@accenture.com 20