1. electronic Long-Term Services & Supports (eLTSS) Initiative All-Hands Workgroup Meeting January 21, 2016 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). 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 Evelyn Gallego10 mins Federal LTSS Partner IntroductionsKerry Lida10 mins eLTSS Pilot Support: RTM Working Session Approve/Authorize Plan/Services Section Beneficiary/Advocate eLTSS Plan Developer Payer Katiya Shell Grant Kovich 40 mins

4. Announcements ONC Releases Corrections and Clarifications to 2015 Edition Final Rule – What: ONC issued a Federal Register notice to provide corrections (e.g., corrects cross-references and citation omissions) and clarifications for the final rule entitled “2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program Modifications.” These corrections and clarifications will eliminate confusion and ambiguity, permitting stakeholders to better understand, implement, and comply with the final rule. – When: The final rule and notice are effective January 14, 2016. – Review the Federal Register Notice: https://www.gpo.gov/fdsys/pkg/FR-2015-12-11/pdf/2015-31255.pdf https://www.gpo.gov/fdsys/pkg/FR-2015-12-11/pdf/2015-31255.pdf 4

5. Announcements, cont’d… HCBS Quality Project Webinar will be hosting a public webinar on January 29 from 1:00-3:00pm ET – What: The HCBS Quality Project will be hosting a public webinar for Home and Community-Based Services Quality. – When: January 29 from 1:00-3:00pm ET – To Register: http://nqf.informz.net/z/cjUucD9taT01MjU3NzU3JnA9MSZ1PTE wNTI1MDU1NTAmbGk9MzI1OTgwNzI/index.html http://nqf.informz.net/z/cjUucD9taT01MjU3NzU3JnA9MSZ1PTE wNTI1MDU1NTAmbGk9MzI1OTgwNzI/index.html – Visit the Project Page: http://www.qualityforum.org/Measuring_HCBS_Quality.aspx http://www.qualityforum.org/Measuring_HCBS_Quality.aspx 5

6. Announcements, cont’d… CMS Accountable Health Communities Model Call for Grant Funding Applications – What: Over a five-year period, CMS will implement and test a three-track Accountable Health Communities Model (Track 1 Awareness, Track 2 Assistance and Track 3 Alignment) based on promising service delivery approaches. Each track features interventions of varying intensity that link beneficiaries with community services. CMS will award, through a competitive process, renewable one-year cooperative agreements to successful applicants (award recipients). – When: Application deadline March 31, 2016 – To submit Letter of Intent (due by Feb. 8, 2016): http://innovationgov.force.com/ahc http://innovationgov.force.com/ahc – To apply (must include LOI confirmation number): http://www.grants.gov/view-opportunity.html?oppId=280812 http://www.grants.gov/view-opportunity.html?oppId=280812 – For more information: https://innovation.cms.gov/initiatives/ahcmhttps://innovation.cms.gov/initiatives/ahcm 6

7. Announcements, cont’d… HL7 C-CDA Rendering Tool Challenge call for participation – What: The ONC and HL7 challenge the community to develop a viewer that enables clinicians to more efficiently review clinically relevant patient data from C-CDA documents. Cash prizes for winning submissions: 1 st Place Prize $15,000, 2 nd Place Prize $5,000. – When: Submission deadline is May 31, 2016 – To review the rules: http://www.hl7.org/events/toolingchallenge.cfm#rules http://www.hl7.org/events/toolingchallenge.cfm#rules – To submit: http://www.hl7.org/events/toolingchallenge.cfmhttp://www.hl7.org/events/toolingchallenge.cfm 7

8. Announcements State Health IT Policy Levers Compendium Released – What: The State Health IT Policy Levers Compendium provides information on how other states are using waivers, Medicaid Health Home State Plan Amendments and other state-level policy levers to advance health IT and interoperability goals. – Developed by HHS and ONC in coordination with states; this tool is intended to support state efforts of advancing interoperability and can also be used in service of delivery system reform providing better care, smarter spending, and healthier people. – Download the Compendium: https://www.healthit.gov/policy- researchers-implementers/health-it-legislation-and- regulations/state-hit-policy-levers-compendiumhttps://www.healthit.gov/policy- researchers-implementers/health-it-legislation-and- regulations/state-hit-policy-levers-compendium 8

9. Announcements, cont’d... CMS Updates its 2016 Quality Strategy – What: CMS has published an updated version of its 2014 Quality Strategy with a focus on applying the Administration’s strategy around person-centered care. This document guides the various components of CMS, including Medicaid, Medicare and the Center for Consumer Information and Insurance Oversight, as they work together toward the common goal of health system transformation. – Review the 2016 Quality Strategy: https://www.cms.gov/Medicare/Quality-Initiatives-Patient- Assessment-Instruments/QualityInitiativesGenInfo/CMS-Quality- Strategy.html https://www.cms.gov/Medicare/Quality-Initiatives-Patient- Assessment-Instruments/QualityInitiativesGenInfo/CMS-Quality- Strategy.html 9

10. Announcements, cont’d... Call for Participation: Help HL7 Help You Reduce C-CDA Implementation Inconsistencies – What: HL7 invites C-CDA users to complete a survey that will help clarify the inconsistencies and pain points encountered when sending and/or receiving CCDs, Discharge Summaries and/or Referral Notes. Collection of data on these three document types will continue for several months. Results will be shared via webinar once results are compiled. Respondents should have direct experience sending and/or receiving the document types noted above. – When: Survey available until March 2016 – Survey link: https://www.surveymonkey.com/r/C- CDA21Contenthttps://www.surveymonkey.com/r/C- CDA21Content 10

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12. Federal LTSS Partners 12 CMS: Disabled and Elderly Health Programs Group (DEHPG), Center for Clinical Standards and Quality (CCSQ), and Children and Adults Health Programs Group (CAHPG) – Ellen Blackwell – Jean Close – Josh Hardy – Amanda Hill – Barbara Holt – Kerry Lida – Stace Mandl – Tara McMullen – Michael Smith – Allison Weaver

13. Federal LTSS Partners, cont’d… 13 Administration on Community Living (ACL) – Caroline Ryan – Shawn Terrell Office of the National Coordinator (ONC) – Mera Choi – Arun Natajaran – Elizabeth Palena-Hall

14. eLTSS Initiative Timeline 14 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.Functional Requirements Matrix MARAPRDEC 15JAN 16 Pilot Execution

15. Reminder: Join the eLTSS Initiative To join the electronic Long Term Services and Supports (eLTSS) Initiative, go here: http://wiki.siframework.org/eLTSS+Join+the+Initiative. http://wiki.siframework.org/eLTSS+Join+the+Initiative Registered Members are included on all initiative communications, updates and announcements. – You may join as an Interested Party or a Committed Member. (More information about these options on the Join page.) Thank you! Your commitment and participation are critical to the success of the eLTSS initiative. 15

16. RTM Working Session Agenda DateRTM Meeting TopicParties of Interest January 14, 2016 Approve/Authorize Plan/Services Section a.Beneficiary/Advocate b.eLTSS Plan Developer c.Payer KY, A|D Vault, Care at Hand, FEi, Janie Appleseed, Kno2, MOW, Peer Place, Therap

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18. Next Steps If you are interested in piloting for round 2, please express your interest using the Pilot Interest Survey form: – http://wiki.siframework.org/electronic+Long+Term+Services+and+Supports+Pilot+Interest+ Survey http://wiki.siframework.org/electronic+Long+Term+Services+and+Supports+Pilot+Interest+ Survey 18 DateRTM Meeting TopicParties of InterestTip for Preparation January 14, 2016Create the Plan Section a.Beneficiary/Advocate b.eLTSS Plan Developer CO, CT KY, A|D Vault Care at Hand, eCaring, FEi, Janie Appleseed, MOW, Peer place, Therap Review or attempt to fill out this section of the RTM January 21, 2016Approve/Authorize Plan/Services Section a.Beneficiary/Advocate b.eLTSS Plan Developer c.Payer KY, A|D Vault, Care at Hand, FEi, Janie Appleseed, Kno2, MOW, Peer Place, Therap Review or attempt to fill out this section of the RTM January 28, 2016Send and Receive the Plan Section a.eLTSS Plan Developer b.eLTSS Plan Facilitator/Steward c.Payer CT, KY, MD, MN, A|D Vault, Care at Hand, eCaring, Janie Appleseed, Kno2, MOW, NDI, Peer Place, Therap Review or attempt to fill out this section of the RTM February 4, 2016Access, View, Review Plan Section a.Beneficiary/Advocate b.CB-LTSS Provider KY, MD, MN, All vendors Review or attempt to fill out this section of the RTM

19. FACA Meetings (Federal Advisory Committees) Upcoming FACA Meetings for January 2016 API Task Force Virtual Hearing - January 26, 2016 API Task Force Virtual Hearing - January 28, 2016 CTC Task Force Meeting- February 5, 2016 API Task Force- February 9, 2016 Precisions Medicine Task Force- February 12, 2016 CTC Task Force Meeting- February 19, 2016 API Task Force Meeting- February 22, 2016 HIT Policy Virtual Committee Meeting- February 23, 2016 HIT Standards Committee Virtual Meeting- February 24, 2016 Precision Medicine Task Force- February 26, 2016 Public attendance is encouraged https://www.healthit.gov/facas/calendar/2016/1 19

20. eLTSS Initiative: Project Team Leads ONC Leadership – Mera Choi (mera.choi@hhs.gov)mera.choi@hhs.gov – Elizabeth Palena-Hall (elizabeth.palenahall@hhs.gov)elizabeth.palenahall@hhs.gov CMS Leadership – Kerry Lida (Kerry.Lida@cms.hhs.gov)Kerry.Lida@cms.hhs.gov Community Leadership – 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@emiadvisors.net)evelyn.gallego@emiadvisors.net Project Management – 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 Pilot Guide Development – Grant Kovich (grant.kovich@accenture.com)grant.kovich@accenture.com Pilots Management – Jamie Parker (jamie.parker@esacinc.com)jamie.parker@esacinc.com Standards and Technologies Identification – Angelique Cortez (angelique.j.cortez@accenture.com)angelique.j.cortez@accenture.com 20