Longitudinal Coordination of Care (LCC) Workgroup (WG)

LCC All Hands Meeting

April 4, 2013

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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 Participants 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 Participants

Agenda

• Summary of LCC WG Accomplishments for March 2013

• LCC WG Timeline

• LCC Use Case 2.0 Overview

• Call For Participation: HL7 Ballot Tiger Team

• Next Steps

• Revised LCC WG Meeting Schedule

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Summary of LCC WG Accomplishments

• Kicked off development of LCC Use Case 2.0 focused on Interoperable Care Plan Exchange

• Presented at the FACA HITSC meeting on 3/27 and the HITPC meeting on 4/3

• Kicked off the LCC Outreach and Stakeholder Engagement Plan– CMS Care Tool Team– CMS esMD (integration of esMD digital signature standard for

Home Health Plan of Care digital signature requirement)– NY Downstate Care Coordination group– HL7 Patient Care WG

• IMPACT Project completed development of high-level Transition of Care Implementation Guide

LCC WG Timeline: Mar 2013 – Dec 2013

Mile

ston

es

Pilot Identification & Engagement

Care Plan IGs Complete

Lantana Contract Awarded

HL7 Project Scope Statement Due

HL7 Intent to Ballot DueHL7 Fall Ballot Open

NY Pilots Monitoring

LCC Care Plan Use Case 2.0 Development & Consensus

IMPACT ToC Pilot Monitoring

IMPACT Care Plan Pilot Monitoring

HL7 Ballot Publication

ToC IGs Development (Transfer Summary, Referral Note, Consult Note)

ToC IGs Complete

HL7 Final Ballot Due

LCC Stakeholder Engagement: Lantana, IMPACT, ASPE, NY, CMS

Care Plan/ Home Health Plan of Care IG Development

HL7 Ballot Package Development

HL7 Ballot & Reconciliation

FACA LCC WG Briefings

LCC & HL7 Care Plan Coordination

IMPACT Go-LiveNY Care Coordination Go-Live

LCC Use Case 2.0 – Interoperable Care Plan

Exchange

Use Case 2.0 – Interoperable Care Plan Exchange• Focus on the functional requirements for an

Interoperable Care Plan exchange

• LCC Use Case 2.0 Wiki Page (http://wiki.siframework.org/LCC+WG+Use+Case+2.0)

– We have a comment form to provide feedback on UC sections (http://wiki.siframework.org/LCC+Use+Case+2.0+Comments)

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Date Item Homework (Due Friday COB)

3/11 - 3/18/13

10.0 Scenario (User Stories, Base/Alternate Flow, Functional Requirements, Activity Diagram, Sequence Diagram)

Review: User Stories, Base Flows

3/25/13 3.0 Use Case Scope (Background, In / Out of Scope, Communities of Interest)

Finalize: User Stories, Base FlowsReview: In / Out of Scope, Communities of Interest

3/26/13 3.0 Use Case Scope (In / Out of Scope, Communities of Interest)

Finalize: In Scope, Out of ScopeReview: Communities of Interest, Assumptions

4/1/13 3.0 Use Case Scope•Communities of Interest

Finalize: Communities of InterestReview: Assumptions, Pre-Conditions, Post-Conditions

5.0 Use Case Assumptions

4/2/13 5.0 Use Case Assumptions Finalize: Assumptions, Pre / Post-ConditionsReview: Actors and Roles

6.0 / 7.0 Pre-Conditions, Post-Conditions

4/8/13 8.0 Actors and Roles Review: Actors and Roles

4/9/13 8.0 Actors and Roles Finalize: Actors and RolesReview: Risks, Issues and Obstacles; Dataset Requirements

4/15/13 11.0 Risks, Issues, and Obstacles Finalize: Risks, Issues and Obstacles; Dataset Requirements

12.0 Dataset Requirements

4/16/13 Appendices Finalize: Appendices, Use Case Diagram, Value Statement

9.0 Use Case Diagrams

4.0 Value Statement

LCC Use Case 2 Development Schedule

Items in italics will drawn directly from the LCC Project Charter or created offline directly from other sections and will be included in the end-to-end review

Use Case Outline

• 1.0 Preface and Introduction**

• 2.0 Initiative Overview– 2.1 Initiative Challenge Statement**

• 3.0 Use Case Scope– 3.1 Background**– 3.2 In Scope– 3.3 Out of Scope– 3.4 Communities of Interest

• 4.0 Value Statement**

• 5.0 Use Case Assumptions

• 6.0 Pre-Conditions

• 7.0 Post Conditions

• 8.0 Actors and Roles

• 9.0 Use Case Diagram

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•10.0 Scenario: Generic Provider Workflow– 10.1 User Stories– 10.2 Activity Diagram

o 10.2.1 Base Flowo 10.2.2 Alternate Flow

– 10.3 Functional Requirementso 10.3.1 Information Interchange Requirementso 10.3.2 System Requirements

– 10.4 Sequence Diagram

•11.0 Dataset Requirements

•12.0 Risks, Issues and Obstacles

•Appendices

– Related Use Cases– Previous Work Efforts– References ** Leverage content from Charter

Draft sections complete

Content available for review

LCC HL7 Tiger Team Overview

Lead: Dr. Russ Leftwich

Overview

• HL7 Tiger Team Issues/Topics

– Tiger Team Objectives

– Importance of LCC Engagement with HL7

• Care Coordination Service (CCS) May Ballot (sponsored by HL7 Patient Care WG, co-sponsors Clinical Decision Support WG, Service Oriented Architecture WG)

• Care Plan Domain Analysis Model (DAM) September Ballot (sponsored by HL7 Patient Care WG, co sponsored by Structured Documents WG)

• Structured Documents WG

– Establish artifacts and ballot comments

– Harmonize Care Plan DAM

– Schedule

Tiger Team Objectives

• Educate the LCC Community on the HL7 processes and framework

• Educate the LCC Community on the HL7 Ballots relevant to LCC

• Generate comments to the Care Coordination Service and Care Plan Domain Analysis Model (DAM) Ballots for May and September 2013 to align LCC Objectives with HL7 Work Products

Importance of LCC and HL7 Coordination

• Care Coordination Service May Comment Ballot (HL7 Patient Care and Service Oriented Architecture WGs)– This is being balloted separately from the Care Plan DAM, so

LCC comment is necessary to harmonize the two work products

• Care Plan Domain Analysis Model September Ballot (HL7 Patient Care WG)

– Shared glossary of terms– Alignment of the various care plan components between LCC

and HL7 (Risks, Barriers, Relationships, Prioritization, etc)

Establish Tiger Team Artifacts and Ballot Comments

• Comments in MS Excel Ballot Package

• Presentations for updates to HL7 Workgroups

Schedule – April 2013SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

1 2 3 4 5 6

7 8 9 10 11 12 13

11 AM ET: HL7 Care Coordination Services Overview

to LCC

14 15 16 17 18 19 20

11 AM ET: LCC Tiger Team

Meeting for CCS Ballot

Preliminary CCS Ballot

Comments Due

21 22 23 24 25 26 27

11 AM ET: Final LCC CCS Ballot

Review Meeting

Final CCS Ballot

Comments Due

28 29 30

LCC CCS Ballot

Comments Due to HL7

Schedule – May 2013SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

1 2 3 4

11 AM ET: HL7 DAM Overview and Comment Outline

5 6 7 8 9 10 11

11 AM ET: HL7 DAM Tiger Team Presentation by Larry Garber to

HL7 Patient Care WG

12 13 14 15 16 17 18

11 AM ET: HL7 DAM Tiger Team

19 20 21 22 23 24 25

11 AM ET: HL7 DAM Tiger Team Preliminary DAM Ballot

Comments Due

26 27 28 29 30 31

11 AM ET: HL7 DAM Tiger Team--

DAM Ballot Preliminary Comments Presentation to

HL7

Schedule – June 2013SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

1

2 3 4 5 6 7 8

11 AM ET: HL7 DAM Tiger Team

9 10 11 12 13 14 15

11 AM ET: HL7 DAM Tiger Team

16 17 18 19 20 21 22

11 AM ET: HL7 DAM Tiger Team

Final DAM Ballot

Comments Due23 24 25 26 27 28 29

11 AM ET: Final HL7 DAM Tiger Team Meeting

--

DAM Final Comments

Presentation to HL7

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Sign-up for the Tiger Team

• If you are interested in joining the LCC HL7 Ballot Tiger Team, please:– Email Becky Angeles at becky.angeles@esacinc.com– Participate in the Wednesday, April 10th meeting at 11:00am

EST

• We will setup the HL7 Tiger Team SWG and wiki page in the next few days

• HL7 Care Coordination Services will be giving a presentation of their ballot content as part of the April 10th Launch Meeting– https://siframework2.webex.com/siframework2/onstage/g.php?t=

a&d=660274192– Dial In: +1-650-479-3208– Access code: 660 274 192

Next Steps

• Lantana developing scope statement for ToC and Care Plan/HHPoC Implementation Guide development

– ToC IG development scheduled to start next week

– Care Plan/HHPoC IG development scheduled to start in May

• Monitor IMPACT Project Go-Live in May

• Continue outreach to key LCC Stakeholder groups

– Professional Associations, EHR vendors, CMS Care Planning Programs

• Develop/Execute on Pilot Engagement Plan

– MA and NY entities have committed to pilot pre-balloted LCC standards before end of year

• Develop and submit Tiger Team Recommendations to HL7 WGs

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LCC WG Revised Meeting Schedule

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• LCP SWG will move to Thursdays at 11am EST starting next week– This would give everyone more time to process Monday’s meeting

artifacts and review artifacts for the Thursday meeting

• Monthly LCC Meetings– All Hands will meet this Thursday at 9am, will move to the first Tuesday

of the Month starting May 7th at 10am EST

– LCC Leads will meet the second Tuesday of the Month – next meeting is Tuesday, April 9th at 10am EST