1. eLTSS Plan Content Sub-Work Group Kickoff Meeting May 5, 2015 11:00am–12:00pm 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 – Hold = Elevator Music = frustrated speakers and participants This meeting is being recorded – 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. – Send comments to All Panelists so they can be addressed publically in the chat, or discussed in the meeting (as appropriate). 2 From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute All Panelists

3. Agenda 3 TopicTime Allotted Welcome and Announcements5 minutes Overview of the eLTSS Initiative Goals and Use Case5 minutes eLTSS Plan Content SWG Overview Objectives Methods/Approach 10 minutes Project Timeline5 minutes Introduction to Domains and Data Elements20 minutes Discussion/Reactions10 minutes Homework and Next Steps5 minutes

4. Meeting Reminders eLTSS Plan Content SWG Meetings are held Tuesdays @ 11:00am – 12:00pm Eastern – Next meeting: May 12, 2015 from 11:00am–12:00pm Eastern – Meeting information can be found on the Wiki: http://wiki.siframework.org/eLTSS+Plan+Content+SWG – Duration: May 5–July 21 (11 Weeks) eLTSS All-Hands Meetings are held Thursdays @ 12:30pm Eastern – Next meeting: May 7, 2015 from 12:30–2:00pm Eastern – Meeting information can be found on the Wiki: http://wiki.siframework.org/electronic+Long- Term+Services+and+Supports+%28eLTSS%29 http://wiki.siframework.org/electronic+Long- Term+Services+and+Supports+%28eLTSS%29 4 REMINDER - Please check the Wiki for the latest meeting schedule – meeting link and call in numbers may change.

5. Recap: eLTSS Initiative Goal Identify and harmonize electronic standards that can enable the creation, exchange and re-use of interoperable service plans for use by health care and community-based long-term services and supports providers, payers and the individuals they serve. 5

6. eLTSS Use Case Context for SWG (1 of 2) 6

7. eLTSS Use Case Context for SWG (2 of 2) This initiative will identify key assessment domains that will inform the creation of a structured, longitudinal, person- centered electronic LTSS plan for CB-LTSS beneficiaries. The eLTSS plan will be designed in such a way that it can be exchanged electronically across multiple CB-LTSS settings (e.g., adult day services, beneficiary homes, group homes, foster homes, assisted living, supportive housing, home health and hospice), institutional settings (e.g. hospitals, nursing facilities, primary care, post-acute care) and with beneficiaries and payers. 7

8. eLTSS Plan Content SWG Objectives Identify and harmonize a core set of domains that will inform the creation of a structured, longitudinal, person-centered electronic LTSS plan for CB-LTSS beneficiaries: clinical and non-clinical domains with terminology consistent across the six TEFT states and example list of individual data element mappings under each of the defined domains 8

9. eLTSS Plan Content SWG Method & Approach The eLTSS Plan Content SWG will: Identify a core set of domains – Identify concrete definitions and key attributes for the domains Define criteria for evaluating each domain – Relate to state, Meaningful Use, and Use Case requirements – Look for synergies within other initiatives (i.e. IMPACT Act, National Core Indicators Domains, NQF Pro Domains, etc.) Perform domain validation – Internal validation tools (e.g. matrix) – Gap mitigation Finalize and present consensus list of domains Outline example data elements based on approved domains 9

10. eLTSS Initiative Timeline 10 Timelines for Consideration: Two Pilot Phases, SDO Ballot Cycles Q3 ‘14Q4 ‘14Q1 ‘15Q2 ‘15Q3 ‘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 Initiative Kick Off: 11/06/14 Phase 1: Pre-Discovery Phase 2: Use Case Development & Functional Requirements Phase 3: Standards & Harmonization Identify/harmonize core domains Example data elements Phases 2-3: eLTSS Plan Content SWG

11. eLTSS Plan Content SWG Timeline (1 of 3) 11 Week Target Date eLTSS Plan Content SWG Meeting Tasks Homework due Fridays 12pm Eastern 15/5Kickoff Introduction to Domains and Data Elements States begin to identify current relevant domains 25/12 Introduce/Review Domain Harmonization Matrix Validate Domain Mappings Review domain mappings Continue to identify relevant domains 35/19 Finalize Validation of Domain Mappings Validate/Populate Additional State Domains within Matrix Review domain mappings Continue to identify relevant domains 45/26 Finalize List of Additional State Domains Identify Baseline for Domain Standards Evaluation Validate Criteria for Domain Standards Evaluation Review criteria for domain standards evaluation 56/2 Identify Baseline for Domain Standards Evaluation Validate Criteria for Domain Standards Evaluation Review criteria for domain standards evaluation 66/9 Finalize Validation Criteria for Domain Standards Evaluation Begin Evaluation of Domains per Validated Criteria Perform domain evaluation per assigned section 76/16 Continue Evaluation of Domains per Validated Criteria Perform domain evaluation per assigned section

12. eLTSS Plan Content SWG Timeline (2 of 3) 12 Week Target Date eLTSS Plan Content SWG Meeting Tasks Homework due Fridays 12pm Eastern 86/23 Continue Evaluation of Domains per Validated Criteria Begin Listing Example Set of Data Elements per Each Domain Perform domain evaluation per assigned section States begin to identify data elements per each domain 96/30 Begin Review of Consensus List of Domains Review Gap Mitigation Plan Continue Listing/Mapping Example Set of Data Elements per Each Domain Vote on consensus list of domains Continue to identify data elements per each domain 107/7 Finalize Consensus List of Domains to Present to eLTSS All-Hands Continue Listing/Mapping Example Set of Data Elements per Each Domain Continue to identify data elements per each domain 107/9 Present Consensus List of Domains to eLTSS All-Hands eLTSS Community provides feedback 117/14 Review Community Feedback on Consensus List of Domains Continue Listing/Mapping Example Set of Data Elements per Each Domain Finalize Consensus List of Domains with eLTSS Community Feedback Finalize data elements per each domain

13. eLTSS Plan Content SWG Timeline (3 of 3) 13 Week Target Date eLTSS Plan Content SWG Meeting Tasks Homework due Fridays 12pm Eastern 117/16 Present Final Consensus List of Domains to eLTSS All- Hands None 127/21Final Meeting Finalize Listing/Mapping Example Set of Data Elements per Each Domain None

14. Introduction to Domains and Data Elements For eLTSS Initiative, want to list domains and data elements present within the eLTSS Plan – Requires input from data sharing experts = YOU Top-down approach to classifying eLTSS plan elements: Domain = High-level description that specifies the attributes of a data element – Can be the basis for several data elements Data Element = More granular term that serves a specific function – Attributes are based on a domain – Function is described by field labels and definition 14

15. Grocery Store Analogy (1 of 4) eLTSS Plan content can be thought of as a grocery store – Thousands of items within a grocery store, yet organized in a meaningful way to easily locate items – Similar mapping can be used to understand domains and data elements Aisles represent plan components or Domains Items within each aisle represent component details or Data Elements Items (Data Elements) are segmented into grocery bags for categorization within the eLTSS Plan 15

16. Grocery Store Analogy (2 of 4) 16 Brief Person-Centered Profile Activities of Daily Living Instrumental Activities of Daily Living Demographic/ Background Information My Personal Story Cognitive Function & Memory/Learning Care Team Alerts/Notifications Clinical Information Social Support, Engagement, Integration Service Info Financial / Payer Info Behavior Concerns Functional Status Each aisle has different data items

17. Grocery Store Analogy (3 of 4) 17 AISLE 1: My Personal Story GOALS PREFERENCES PRIORITIES INTERESTS DESIRED OUTCOMES Each aisle has different “shelves” of data elements Beneficiary can select data elements to put in the eLTSS Plan

18. Grocery Store Analogy (4 of 4) 18 Data elements are then segmented appropriately into grocery bags Easy retrieval of information by beneficiary and care team INTERESTS GOALS PRIORITIES PREFERENCES DESIRED OUTCOMES

19. Checkpoint 19 Activities of Daily LivingMedical Conditions Meal PreparationVital Signs ShoppingPreventative Health TransportationMedications EmploymentPain BathingVision DressingHearing Managing MedicationsSkin Condition Domains = High-level descriptors with many data elements underneath Data Elements = Granular terms that represent individual components

20. Discussion Discussion/Reactions 20

21. 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 – Each state to begin identifying current relevant domains. – Due Friday, May 8 by 12:00pm Eastern. Next eLTSS Plan Content SWG Meeting – Will focus on introducing and reviewing the Domain Harmonization Matrix and validating domain mappings. – Tuesday, May 12 from 11:00am – 12:00pm Eastern http://wiki.siframework.org/eLTSS+Plan+Content+SWG Thank you! Your commitment and participation are critical to our success. 21

22. eLTSS Plan Content SWG Contact Information For questions, please contact your support leads: – eLTSS Plan Content SWG Lead: Grant Kovich, grant.kovich@accenture.com grant.kovich@accenture.com – eLTSS Plan Content SWG Co-Lead (Arizona): Name, Email – eLTSS Plan Content SWG Co-Lead (Colorado): Name, Email – eLTSS Plan Content SWG Co-Lead (Georgia): Name, Email – eLTSS Plan Content SWG Co-Lead (Kentucky): Name, Email – eLTSS Plan Content SWG Co-Lead (Maryland): Name, Email – eLTSS Plan Content SWG Co-Lead (Minnesota): Name, Email – Initiative Coordinator: Evelyn Gallego, evelyn.gallego@siframework.org evelyn.gallego@siframework.org – Project Manager: Lynette Elliott, lynette.elliott@esacinc.orglynette.elliott@esacinc.org 22