Transcript LCP SWG 2013-07-18

Longitudinal Coordination of Care
LCP SWG
Thursday July 18, 2013
Agenda
Topic
Presenter
Time Allotted
Announcements and Reminders
Evelyn
5 minutes
CMS Demonstration Grant
Evelyn
10 minutes
Care Plan C-CDA Revisions – Relationship Types,
Interventions/Instructions
Lantana
45 minutes
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Announcements and Reminders
•
Voting is CLOSED on the LCC Care Plan Exchange Use Case.
•
We received 24 votes (LCC has 124 Committed Member Organizations)
– 18 Yes
– 4 Yes (with Comments)
– 2 Object (with Comments)
•
•
Upcoming HITPC MU Meetings to review Care Plan Recommendations. Final
recommendations to be presented to HITPC in August
•
•
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HITPC MU: July 30th 2013 10:00 to 12:00pm EST http://www.healthit.gov/policyresearchers-implementers/policy-meaningful-use-workgroup-2
HITPC: Aug 7th 2013 9:30 to 3:00pm EST http://www.healthit.gov/policyresearchers-implementers/hit-policy-committee-19
Call for Pilot Participation!
•
•
•
http://wiki.siframework.org/LCC+Care+Plan+Exchange+Use+Case+Consensus
LCC gave a Presentation to ONC State HIE LTPAC CoP on July 17th 2013
LCC Pilot Wiki Page & Pilot Survey: http://wiki.siframework.org/LCC+Pilot+Plan
Meeting Reminders (this and next week)
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•
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LCC HL7 Tiger Team SWG meeting – Friday at 1:30pm ET
LTPAC SWG Meeting – Monday at 11am ET
LCP SWG Meeting – Monday at 5pm ET
LCC HL7 Tiger Team SWG meeting – Wednesday at 11am ET
LCP SWG Meeting – Thursday at 5pm ET
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CMS Demonstration Grant
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•
•
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The purpose of this funding opportunity announcement is to solicit applications
for participation in the Testing Experience and Functional Tools (TEFT) in
Community-Based Long Term Services and Supports (CB-LTSS) planning and
demonstration grant. The TEFT initiative furthers adult quality measurement
activities under Section 2701 of the Patient Protection and Affordable Care Act.
The Centers for Medicare & Medicaid Services (CMS) strategy for implementing
Section 2701 is to support state Medicaid agencies in collecting and reporting
on the adult core measures. The goals for the work conducted under the TEFT
are consistent with the National Quality Strategy, Section 3011 of the Affordable
Care Act, and CMS priorities to achieve better care, a healthier population, and
more affordable care.
Funding Opportunity Number: CMS-1H1-13-001
Eligible Applicants: State Governments
Award Ceiling: $500,000
Closing date for applications: 02NOV13
Grants.gov
link: http://www07.grants.gov/search/search.do;jsessionid=0CpKRyvHSyY3nd5
gFGhcKZPDrGLGr1nvD6WvQnyDzvD8MQzLxT62!828175176?oppId=195253&
mode=VIEW
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CMS Demonstration Grant
• States may participate in one or more of following TEFT
Components:
– Field test a beneficiary experience survey within multiple CBLTSS programs for validity and reliability;
– Field test a modified set of Continuity Assessment Record and
Evaluation (CARE) functional assessment measures for use with
beneficiaries of CB- LTSS programs;
– Demonstrate use of personal health record (PHR) systems with
beneficiaries of CB-LTSS; and
– Identify, evaluate and harmonize an electronic Long Term
Services and Supports (e-LTSS) standard in conjunction with the
Office of National Coordinator’s (ONC) Standards and
Interoperability (S&I) Framework.
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Care Plan - CDA Document
Type Development
Relationship Types & Interventions/Instructions
Sarah Gaunt
Gaye Dolin RN, MSN
July 18, 2013
© 2011 Lantana Consulting Group, www.lantanagroup.com
6
Objective
• Decide on modeling for Interventions/Instructions Section
© 2011 Lantana Consulting Group, www.lantanagroup.com
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C-CDA and LCC
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LCC: Interventions/Instructions Component
Interventions Section is an existing C-CDA Section
o
•
62387-6: Interventions (Class: DOC.MISC)
Instructions Section is an existing C-CDA Section
o
69730-0: Instructions (Class: DOC.MISC)
© 2011 Lantana Consulting Group, www.lantanagroup.com
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LCC Interventions/Instructions Component
• Definition:
Interventions are planned and ordered actions taken to maximize
the prospects of achieving the patient’s or provider’s goals of care,
including the removal of barriers to success.
Instructions are information or directions to the patient and other
providers including how to care for the individual’s condition, what to
do at home, when to call for help, any additional appointments,
testing, and changes to the medication list or medication
instructions, clinical guidelines and a summary of best practice.
Interventions include actions that may be ongoing (e.g. maintenance
medications that the patient is taking, or monitoring the patient’s
health status or the status of an intervention).
Instructions are a subset of interventions and may include self- care
instructions.
© 2011 Lantana Consulting Group, www.lantanagroup.com
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C-CDA Interventions Section
• Definition:
The Interventions section contains information about the specific
interventions provided. Depending on the type of intervention(s)
provided (procedural, education, application of assistive equipment,
etc.), the details will vary but may include specification of frequency,
intensity, and duration.
© 2011 Lantana Consulting Group, www.lantanagroup.com
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Proposal
• Change the C-CDA Interventions Section definition to be more like
the LCC Interventions/Instructions component definition.
• State that instructions are a subset of Interventions
• Leave the name of the section as Interventions Section
• Title is not mandated, so can choose own title
© 2011 Lantana Consulting Group, www.lantanagroup.com
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LCC Interventions Component
• Change Definition slightly (to be worked on):
Interventions are actions taken to maximize the prospects of achieving
the patient’s or provider’s goals of care, including the removal of
barriers to success. Interventions can be planned or ordered or
historical, etc.
Interventions include actions that may be ongoing (e.g. maintenance
medications that the patient is taking, or monitoring the patient’s
health status or the status of an intervention).
Instructions are information or directions to the patient and other
providers including how to care for the individual’s condition, what to
do at home, when to call for help, any additional appointments, testing,
and changes to the medication list or medication instructions, clinical
guidelines and a summary of best practice.
Instructions are a subset of interventions and may include self- care
instructions.
© 2011 Lantana Consulting Group, www.lantanagroup.com
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