1. Longitudinal Coordination of Care LCP SWG Thursday, May 23, 2013

2. S&I Update Announcements and Reminders Use Case 2.0 –Schedule and Outline –12.0 Dataset Requirements –David Tao’s Comments on Base Flow, Alternate Flow, Assumption sections 2 Agenda

3. LCC WG participation in HITPC MU SWG #3 Care Coordination –Friday, May 24th from 9:00-11:00am EST Finalize Care summary (SGRP303) Finalize Care plan (SGRP304) Reconciliation (SGRP302) Interdisciplinary problem list (SGRP127) Med reconciliation/PDMP (SGRP125) Reminder to register for 2013 LTPAC HIT Summit –Date: June 16-18, 2013 –Location: Baltimore, MD –http://www.ahima.org/Events/EventCalendar/Event.aspx?Id=b88011a0-3d9f- 45cc-8454-60837c37baafhttp://www.ahima.org/Events/EventCalendar/Event.aspx?Id=b88011a0-3d9f- 45cc-8454-60837c37baaf Call for Pilot Participation! –If you or someone you know is interested in piloting Use Case 2.0 for Care Plan Exchange, please contact us at: evelyn.gallego@siframework.org, lynette.elliott@esacinc.com, becky.angeles@esacinc.comevelyn.gallego@siframework.org lynette.elliott@esacinc.combecky.angeles@esacinc.com 3 ONC S&I Update

4. Next Monday’s (5/27) LTPAC SWG Meeting is CANCELED due to the holiday Thursday LCP call will be moved to 5:00-6:00pm ET starting June 6th Meeting Reminders (next week) –LCC HL7 Tiger Team SWG meeting – Wednesday at 11am ET –LCP SWG meeting – Thursday at 11am ET Visit the LCC Use Case 2.0 Wiki Page for all current artifacts to review: (http://wiki.siframework.org/LCC+WG+Use+Case+2.0)http://wiki.siframework.org/LCC+WG+Use+Case+2.0 –Use the comment form to provide feedback on UC sections (http://wiki.siframework.org/LCC+Use+Case+2.0+Comments)http://wiki.siframework.org/LCC+Use+Case+2.0+Comments 4 Announcements and Reminders

5. 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 DateItemHomework (Due Friday COB) 3/11 – 3/18 10.0 Scenario (User Stories, Base/Alternate Flow, Functional Requirements) Review: User Stories 3/25 – 3/26 3.0 Use Case Scope (Background, In / Out of Scope, Communities of Interest) Finalize: User Stories, Base Flows, In / Out of Scope Review: Communities of Interest, Assumption 4/1 – 4/2 3.4 Communities of InterestFinalize: Communities of Interest, Assumptions, Pre- Conditions, Post-Conditions Review: Actors and Roles 5.0 Use Case Assumptions 6.0, 7.0 Pre-Conditions, Post Conditions 4/8 - 4/11 Finalize: Assumptions, Pre-Conditions, Post- Conditions, Communities of Interest 8.0 Actors and Roles Finalize: Assumptions, Pre-Conditions, Post- Conditions, Actors and Roles 4/15 – 4/18 Finalize: Communities of Interest, Assumptions, Actors and Roles Review: Base/Alternate Flows, User Stories Activity Diagrams Review: Base Flows, Activity Diagrams Finalize: Base Flows, Activity Diagrams 4/22 – 4/25 11.0 Risks, Issues, and ObstaclesFinalize: Risks, Issues and Obstacles Review: Sequence Diagrams 10.4 Sequence Diagram 5/2 – 5/9 10.3 Functional RequirementsFinalize: Sequence Diagrams, Functional Requirements Review: Use Case Diagrams, Appendices 9.0 Use Case Diagrams Appendices 5/16Discuss: ‘Incorporate’ Functional Requirements, Digital vs. Electronic Signature Requirement Finalize: Use Case Diagram Review: Appendices Finalize: Use Case Diagrams, Appendices Review: Dataset Requirements 5/23Community Feedback 12.0 Dataset Requirements End-to-End Review (preliminary)

6. 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 Use Case Outline 10.0 Scenario: Generic Provider Workflow –10.1 User Stories –10.2 Activity Diagram o 10.2.1 Base Flow o 10.2.2 Alternate Flow –10.3 Functional Requirements o 10.3.1 Information Interchange Requirements o 10.3.2 System Requirements –10.4 Sequence Diagram 11.0 Risks, Issues and Obstacles 12.0 Dataset Requirements Appendices –Related Use Cases –Previous Work Efforts –References –Glossary 6 ** Leverage content from Charter Draft sections complete Content available for review

7. Care Plan Document –Description –Document Change –Presentation –Question Context Privacy and Security Patient –Patient Data –Encounter Event –Observation Event 12.0 Dataset Requirements 7

8. Care Plan Data Elements –Health Concerns Standard Data Set: Diagnoses and Problems (includes Status) –Interventions Status –Goals of Intervention or Desired Outcome Status Timeline Milestones –Overall Goals for Care –Longitudinal Care Team Members (Patient, Principle Care Physician, Care Plan Manager, Principle Healthcare Provider, Principle Care Giver, Others (Relevant Specialists, Therapists, SW, etc) –Identification and Contact Information –Responsibility to Health Concern Set / Responsibility for Intervention (includes assessment) 12.0 Dataset Requirements 8

9. Care Plan Process Elements –Input data All potential Health Concerns –Problems –Risks –Barriers All potential Interventions All potential Goals –Prioritization Decision Making –Probabilities –Preferences/Overarching Goals –Potential Interventions 12.0 Dataset Requirements 9

10. Show Use Case 2.0 document –10.2.1.1 – Base Flow for Scenario 1 comments –10.2.2 – Alternate Flow Text comments –5.0 – Assumptions (already modified) David Tao’s Comments from the Wiki 10

11. http://wiki.siframework.org/file/view/LCC%20Care%20Plan%20Use %20Case%20Diagrams%202013-05- 01.pptx/430346374/LCC%20Care%20Plan%20Use%20Case%20Di agrams%202013-05-01.pptxhttp://wiki.siframework.org/file/view/LCC%20Care%20Plan%20Use %20Case%20Diagrams%202013-05- 01.pptx/430346374/LCC%20Care%20Plan%20Use%20Case%20Di agrams%202013-05-01.pptx Use Case Diagrams 11

12. http://wiki.siframework.org/file/view/Appendices%202013-05- 06.docx/430346584/Appendices%202013-05-06.docxhttp://wiki.siframework.org/file/view/Appendices%202013-05- 06.docx/430346584/Appendices%202013-05-06.docx Appendices 12