1. electronic Long-Term Services & Supports (eLTSS) Initiative All-Hands Workgroup Meeting July 23, 2015 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). o Please DO NOT use the Q&A—only the presenter sees Q&A, not necessarily the person facilitating the discussion From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute All Panelists 2

3. 3 Agenda TopicPresenterTimeframe Welcome Announcements eLTSS Roadmap Lynette Elliott10 mins eLTSS Plan Content SWG DebriefGrant Kovich5 mins Discussion: eLTSS Pilot Options/Tiered Approach Grant Kovich45 mins

4. Announcements The National Quality Forum (NQF) HCBS Committee has released an Interim Report for Comment on “Addressing Performance Measure Gaps in Home and Community- Based Services to Support Community Living: Initial Components of the Conceptual Framework” – Open for comment July 17 th – August 17th – http://www.qualityforum.org/Measuring_HCBS_Quality.aspx http://www.qualityforum.org/Measuring_HCBS_Quality.aspx 4

5. Announcements, cont’d… 2015 Healthy Aging Summit – What: HHS is seeking broad participation from diverse federal and non-federal subject matter experts across a multitude of disciplines. Whether you are a clinician or health care consumer, public health official or constituent, educator or student, caregiver or care receiver, your involvement at this Summit will help to ensure that all Americans live longer, healthier lives. – When: July 27 – July 28, 2015 – Where: Omni Shoreham Hotel ~ Washington, D.C. – Agenda: http://www.2015healthyagingsummit.org/agenda.html http://www.2015healthyagingsummit.org/agenda.html – To Register: http://www.2015healthyagingsummit.org/registration.html http://www.2015healthyagingsummit.org/registration.html 5

6. Announcements, cont’d… Draft report on Advancing Person-Centered Care for Dual Eligible Beneficiaries – Open for comment through July 27, 6pm ET – http://www.qualityforum.org/MAP_Dual_Eligible_Beneficiaries _Workgroup.aspx http://www.qualityforum.org/MAP_Dual_Eligible_Beneficiaries _Workgroup.aspx 6

7. Announcements, cont’d… National Association of States United for Aging and Disabilities (NASUAD) “National Home and Community Based Services (HCBS) Conference” – What: The conference always sees a strong presence from U.S. Health and Human Services ranging from the Administration for Community Living including AoA, Office of Disability and IADD to CMS, HRSA, SAMHSA, Office of Developmental Disabilities, and other federal agencies. – When: August 31 – September 3, 2015 (Note: eLTSS and S&I specific workshops are Sept. 2 from 4:15-5:30pm ET) – Where: Washington Hilton ~ Washington, D.C. – To register: https://www.hcbsconference.org/ehome/index.php?eventid=1 13072& https://www.hcbsconference.org/ehome/index.php?eventid=1 13072& 7

8. Announcements, cont’d… mHealth Summit – What: The 2015 mHealth Summit explores what is new in mobile, telehealth and connected health—from the impact on healthcare delivery, clinical care and patient/consumer engagement to new technologies, research, investment activities, policy and shifts in the business environment. – When: December 8 – December 11, 2015 – Where: Gaylord National Resort and Convention Center ~ Washington, D.C. – To register: http://www.mhealthsummit.org/registrationhttp://www.mhealthsummit.org/registration 8

9. Announcements, cont’d… CSAC Recommendations on Person and Family Centered Care Phase 2 Measures finalized – More information: http://www.qualityforum.org/ProjectMaterials.aspx?proje ctID=73867 http://www.qualityforum.org/ProjectMaterials.aspx?proje ctID=73867 – Access Final Report: http://www.qualityforum.org/Publications/2015/03/Perso n-_and_Family-Centered_Care_Final_Report_- _Phase_1.aspx http://www.qualityforum.org/Publications/2015/03/Perso n-_and_Family-Centered_Care_Final_Report_- _Phase_1.aspx 9

10. eLTSS Initiative Timeline 10 Phase 1 Pilots & Testing … Pilot Guide Development Use Case & Functional Requirements Pre-Discovery DEC 14JUNJAN FEBMAYJULAUGSEPOCTNOV Kick Off 11/06/14 Evaluation... Content Work Stream Content Work Stream eLTSS All-Hands Work Group Use Case 1. eLTSS Use Case eLTSS Plan Content SWG 1.eLTSS Plan Domains & Data Elements Pilot Guide Development 1.Candidate Standards & Technologies 2.Three-tiered implementation Approach 3.Requirements Traceability Matrix 4.Pilot Guide (Phase 1) MARAPRDEC 15JAN 16 Pilot Execution

11. eLTSS Artifacts Final published Project Charter is located here: 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 eLTSS Glossary posted here: http://wiki.siframework.org/eLTSS+Glossaryhttp://wiki.siframework.org/eLTSS+Glossary – The eLTSS Glossary is a working document containing eLTSS-relevant terms, abbreviations and definitions as defined by stakeholders – We are looking for your feedback and comments Discussion Thread available Submit any change requests via the Change Request Form located on the wiki Final published Use Case document is located here: – http://wiki.siframework.org/electronic+Long- Term+Services+and+Supports+%28eLTSS%29+Use+Case http://wiki.siframework.org/electronic+Long- Term+Services+and+Supports+%28eLTSS%29+Use+Case 11

12. Goals for the eLTSS Initiative Identify key 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. 12

13. eLTSS Plan Content SWG Timeline 13 Week Target Date eLTSS Plan Content SWG Meeting Tasks Homework due Fridays 12pm Eastern 96/30 Continue Domain Definition Harmonization Continue Exemplar Data Element Identification Each state to comment on domain mapping 107/7 Continue Domain Definition Harmonization Continue Exemplar Data Element Identification Each state to comment on domain mapping 117/14 Continue Domain Definition Harmonization Continue Exemplar Data Element Identification Each state to provide feedback on domains, sub- domain definitions, and exemplar data elements 127/21 Continue Domain Definition Harmonization Continue Exemplar Data Element Identification None 137/28 FINAL MEETING Complete Domain Definition Harmonization Complete Exemplar Data Element Identification None The final meeting of the Plan Content SWG will be 7/28 Exemplar data elements will be aligned to identified candidate standards during eLTSS All-Hands Meetings

14. eLTSS Plan Content SWG Next Steps Sign up for the eLTSS Plan Content SWG on the Wiki – http://wiki.siframework.org/eLTSS+Plan+Content+SWG http://wiki.siframework.org/eLTSS+Plan+Content+SWG – Joining the eLTSS Plan Content SWG ensures that you are included on workgroup communications and announcements. Homework – None Final eLTSS Plan Content SWG Meeting – Tuesday, July 28 from 11:00am – 12:00pm Eastern http://wiki.siframework.org/electronic+Long- Term+Services+and+Supports+%28eLTSS%29 http://wiki.siframework.org/electronic+Long- Term+Services+and+Supports+%28eLTSS%29 Thank you! Your commitment and participation are critical to our success. 14

15. eLTSS Plan Content SWG Contact Information For questions, please contact your support leads: – eLTSS Plan Content SWG Lead: Grant Kovich, grant.kovich@accenture.comgrant.kovich@accenture.com – eLTSS Plan Content SWG Co-Lead (Arizona): Lauren Wiggins-Prole, lauren.wiggins@azahcccs.gov lauren.wiggins@azahcccs.gov – eLTSS Plan Content SWG Co-Lead (Colorado): Pam Russell, prussell@corhio.org prussell@corhio.org – eLTSS Plan Content SWG Co-Lead (Connecticut): Dr. Minakshi Tikoo, tikoo@uchc.edu tikoo@uchc.edu – eLTSS Plan Content SWG Co-Lead (Georgia): Irina Connelly, irina.connelly@gtri.gatech.edu irina.connelly@gtri.gatech.edu – eLTSS Plan Content SWG Co-Lead (Kentucky): Sheena Batts, sheena.batts@ky.gov sheena.batts@ky.gov – eLTSS Plan Content SWG Co-Lead (Maryland): David Wertheimer, david.wertheimer@Maryland.gov david.wertheimer@Maryland.gov – eLTSS Plan Content SWG Co-Lead (Minnesota): Tom Gossett, tom.l.gossett@state.mn.us tom.l.gossett@state.mn.us – Initiative Coordinator: Evelyn Gallego, evelyn.gallego@siframework.orgevelyn.gallego@siframework.org – Project Manager: Lynette Elliott, lynette.elliott@esacinc.comlynette.elliott@esacinc.com 15

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17. Next Steps HOMEWORK: Complete eLTSS Pilot Interest Survey http://wiki.siframework.org/electronic+Long+Term+Services+and+Support s+Pilot+Interest+Survey http://wiki.siframework.org/electronic+Long+Term+Services+and+Support s+Pilot+Interest+Survey –We are actively seeking organizations to pilot the eLTSS Plan using the candidate technologies and standards that will be identified in the eLTSS Pilot Guide 17

18. eLTSS Initiative: Project Team Leads ONC Leads – Elizabeth Palena-Hall (elizabeth.palenahall@hhs.gov)elizabeth.palenahall@hhs.gov – Patricia Greim (Patricia.Greim@hhs.gov)Patricia.Greim@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 Community Leads – Andrey Ostrovsky (andrey@careathand.com)andrey@careathand.com – 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@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 eLTSS Plan Content SWG Lead – Grant Kovich (grant.kovich@accenture.com)grant.kovich@accenture.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