1. Longitudinal Coordination of Care LTPAC SWG Monday, April 29, 2013

2. ONC S&I Update Announcements Transition of Care Implementation Guide Kick-off (Lantana) 2 Agenda

3. Lantana C-CDA Revision Project Kick-off LCC WG presentation to the HITPC MU WG SWG #3 Improve Care Coordination –Date: April 30 2013 –Time: 10:30 to 12:00 EST Call for Pilots! –We are seeking vendors and healthcare delivery organizations to pilot evolving standards 3 ONC S&I Update

4. LCC HL7 Tiger Team SWG: Collaborate on LCC-related projects from HL7. Please join our meetings on Wednesdays at 11am ET –Information about the Tiger Team can be found on the wiki at: http://wiki.siframework.org/LCC+HL7+Tiger+Team+SWG http://wiki.siframework.org/LCC+HL7+Tiger+Team+SWG Check out the LCC Use Case 2.0 Wiki Page (http://wiki.siframework.org/LCC+WG+Use+Case+2.0)http://wiki.siframework.org/LCC+WG+Use+Case+2.0 –We have a 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 Meeting Reminders (this week) –LTPAC SWG meeting – Monday at 11am ET –LCC HL7 Tiger Team SWG meeting – Wednesday at 11am ET –LCP SWG meeting – Thursday at 11am ET 4 Announcements

5. © 2011 Lantana Consulting Group, www.lantanagroup.com 5 eLCC - CDA IG Development Project Overview April 29, 2013

6. © 2011 Lantana Consulting Group, www.lantanagroup.com 6 Objective Develop national data standards for information exchange of a Longitudinal Coordination of Care Dataset. Expand on the document types and templates to include HL7 Implementation Guides (IGs) for new and enhanced document types: New: Transfer Summary New: Referral Note Enhanced: Consult Note

7. © 2011 Lantana Consulting Group, www.lantanagroup.com 7 Background Improving Massachusetts Post Acute Care Transfer (IMPACT) project Resulted in a Transfer of Care Dataset: 500 data elements that are necessary during a patient transfer of care Data set is organized into 5 groups: 1. Transfer of Care 2. Consultation Request 3. Shared Care Encounter Summary 4. Care Plan 5. Home Health Plan of Care

8. © 2011 Lantana Consulting Group, www.lantanagroup.com 8 Stakeholders and Participants NYeC: New York eHealth Collaborative CCITI NY: Continuum of Care Improvement Through Information New York Healthix, Inc ONC S&I Framework IMPACT Project team HL7 International Structured Documents Work Group

9. © 2011 Lantana Consulting Group, www.lantanagroup.com 9 Deliverables Functional Specification Templates: create up to 30 new CDA templates Sample Files: sample files to accompany each document type Schematron: validation rules HL7 CDA IG(s): final implementation guide(s) for DSTU* HL7 Ballot Package HL7 Ballot Reconciliation Published HL7 CDA IG * Draft Standard for Trial Use

10. © 2011 Lantana Consulting Group, www.lantanagroup.com 10 Project Timeline Apr Task 1: Background Analysis S&I stakeholder meetings Identify relevant precedent Task 2: Functional Specifications/Setting Specific Rules S&I stakeholder meetings Develop mapping sheet Define setting specific rules MayJunJulAugOctNovDecSep Task 4: Templates Develop templates Meetings Deliverables LEGEND: Task 6: Ballot Material Produce schematron validation rules Develop IG Review IG with Tiger Team Deliver IG to S&I Update and submit IG and materials for ballot Task 7: Reconciliation/Publication Develop ballot comment tracking table Lead reconciliation meetings Publish IG HL7 Reconciliation meeting frequency and dates TBD Draft Task 5: Sample Files Develop sample files Task 3: Project Scope Stmt Draft Project Scope Statement

11. © 2011 Lantana Consulting Group, www.lantanagroup.com 11 Next Steps: 1. Schedule Open Stakeholder Weekly Meetings S&I LCC Long-Term Post-Acute Care (LTPAC) Transition SWG meeting (need approval from S&I group) http://wiki.siframework.org/LCC+Long-Term+Post- Acute+Care+%28LTPAC%29+Transition+SWG Mondays, 11:00 am to 12:00 noon EST Webinar: siframework1.webex.comsiframework1.webex.com Call in number: Pending

12. © 2011 Lantana Consulting Group, www.lantanagroup.com 12 Next Steps continued: 2. Review draft of HL7 Project Scope Statement 3. Determine content and structure requirements for each Document-Type 4. Define ambiguous data elements and data sets that are in scope 5. Utilize MASS HIE IMPACT dataset as a source for the project 6. Begin template design