Longitudinal Coordination of Care

LTPAC SWGMonday, April 29, 2013

• ONC S&I Update• Announcements• Transition of Care Implementation Guide Kick-off (Lantana)

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Agenda

• Lantana C-CDA Revision Project Kick-off

• LCC WG presentation to the HITPC MU WG SWG #3 Improve Care Coordination

– Date: April 30 2013

– Time: 10:30 to 12:00 EST

• Call for Pilots!

– We are seeking vendors and healthcare delivery organizations to pilot evolving standards

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ONC S&I Update

• LCC HL7 Tiger Team SWG: Collaborate on LCC-related projects from HL7. Please join our meetings on Wednesdays at 11am ET

– Information about the Tiger Team can be found on the wiki at: http://wiki.siframework.org/LCC+HL7+Tiger+Team+SWG

• Check out the 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)

• Meeting Reminders (this week)– LTPAC SWG meeting – Monday at 11am ET– LCC HL7 Tiger Team SWG meeting – Wednesday at 11am ET– LCP SWG meeting – Thursday at 11am ET

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Announcements

© 2011 Lantana Consulting Group, www.lantanagroup.com5

eLCC - CDA IG Development

Project Overview

April 29, 2013

© 2011 Lantana Consulting Group, www.lantanagroup.com6

Objective

Develop national data standards for information exchange of a Longitudinal Coordination of Care Dataset.

Expand on the document types and templates to include HL7 Implementation Guides (IGs) for new and enhanced document types:

•New: Transfer Summary

•New: Referral Note

•Enhanced: Consult Note

© 2011 Lantana Consulting Group, www.lantanagroup.com7

Background

• Improving Massachusetts Post Acute Care Transfer (IMPACT) project

• Resulted in a Transfer of Care Dataset: 500 data elements that are necessary during a patient transfer of care

• Data set is organized into 5 groups: 1. Transfer of Care

2. Consultation Request

3. Shared Care Encounter Summary

4. Care Plan

5. Home Health Plan of Care

© 2011 Lantana Consulting Group, www.lantanagroup.com8

Stakeholders and Participants

• NYeC: New York eHealth Collaborative

• CCITI NY: Continuum of Care Improvement Through Information New York

• Healthix, Inc

• ONC S&I Framework

• IMPACT Project team

• HL7 International Structured Documents Work Group

© 2011 Lantana Consulting Group, www.lantanagroup.com9

Deliverables

• Functional Specification

• Templates: create up to 30 new CDA templates

• Sample Files: sample files to accompany each document type

• Schematron: validation rules

• HL7 CDA IG(s): final implementation guide(s) for DSTU*

• HL7 Ballot Package

• HL7 Ballot Reconciliation

• Published HL7 CDA IG

*Draft Standard for Trial Use

© 2011 Lantana Consulting Group, www.lantanagroup.com10

Project Timeline

AprTask 1: Background

Analysis• S&I stakeholder meetings• Identify relevant precedentTask 2: Functional

Specifications/Setting Specific Rules

• S&I stakeholder meetings• Develop mapping sheet• Define setting specific

rules

May Jun Jul Aug Oct Nov DecSep

Task 4: Templates• Develop templates

Meetings

Deliverables

LEGEND:

Task 6: Ballot Material• Produce schematron

validation rules• Develop IG• Review IG with Tiger Team• Deliver IG to S&I• Update and submit IG and

materials for ballotTask 7:

Reconciliation/Publication

• Develop ballot comment tracking table

• Lead reconciliation meetings

• Publish IG

HL7 Reconciliation meeting frequency and dates TBD

DraftDraft

Task 5: Sample Files• Develop sample files

Task 3: Project Scope Stmt• Draft Project Scope

Statement

© 2011 Lantana Consulting Group, www.lantanagroup.com11

Next Steps:

1. Schedule Open Stakeholder Weekly Meetings

S&I LCC Long-Term Post-Acute Care (LTPAC) Transition SWG meeting (need approval from S&I group)

http://wiki.siframework.org/LCC+Long-Term+Post-Acute+Care+%28LTPAC%29+Transition+SWG

Mondays, 11:00 am to 12:00 noon EST

Webinar: siframework1.webex.com

Call in number: Pending

© 2011 Lantana Consulting Group, www.lantanagroup.com12

Next Steps continued:

2.Review draft of HL7 Project Scope Statement

3.Determine content and structure requirements for each Document-Type

4.Define ambiguous data elements and data sets that are in scope

5.Utilize MASS HIE IMPACT dataset as a source for the project

6.Begin template design