1. Longitudinal Coordination of Care LCP SWG Thursday July 25, 2013

2. TopicPresenterTime Allotted Announcements and RemindersEvelyn5 minutes Care Plan C-CDA Revisions: HHPoC Care Plan Document Template description Relationships (Happy Path) Care Plan Templates: Goal Observation Patient Preference Provider Preference Health Concern Act Intervention Act Lantana55 minutes Agenda 2

3. Voting is CLOSED on the LCC Care Plan Exchange Use Case. –We received 27 votes (LCC has 111 Committed Member Organizations) 19 Yes 7 Yes (with Comments) 1 Object (with Comments) –http://wiki.siframework.org/LCC+WG+Use+Case+2.0http://wiki.siframework.org/LCC+WG+Use+Case+2.0 Upcoming HITPC MU Meetings to review Care Plan Recommendations. Final recommendations to be presented to HITPC in August –HITPC MU: July 30 th, 2013 10:00am-12:00pm EST http://www.healthit.gov/policy- researchers-implementers/policy-meaningful-use-workgroup-2http://www.healthit.gov/policy- researchers-implementers/policy-meaningful-use-workgroup-2 –HITPC: Aug 7 th, 2013 9:30am-3:00pm EST http://www.healthit.gov/policy- researchers-implementers/hit-policy-committee-19http://www.healthit.gov/policy- researchers-implementers/hit-policy-committee-19 Call for Pilot Participation! –LCC Pilot Wiki Page: http://wiki.siframework.org/LCC+Pilot+Plan http://wiki.siframework.org/LCC+Pilot+Plan Contains Pilot Survey, Pilot Overview Document, and Planning Template Meeting Reminders (next week) –LTPAC SWG meeting – Monday at 11am ET –LCP SWG meeting – Monday at 5pm ET –LCC HL7 Tiger Team SWG meeting – Wednesday at 11am ET –LCP SWG meeting – Thursday at 5pm ET 3 Announcements and Reminders

4. © 2011 Lantana Consulting Group, www.lantanagroup.com 4 Care Plan - CDA Document Type Development Thursday, July 25, 2013

5. © 2011 Lantana Consulting Group, www.lantanagroup.com 5 Discuss Scope? Sample file based on CMS-485 Home Health Plan of Care (HHPOC)

6. © 2011 Lantana Consulting Group, www.lantanagroup.com 6 Recommendation to change second paragraph of description to the following: "A Care Plan represents one or more Plan(s) of Care and serves to reconcile and resolve conflicts between the various Plans of Care developed for a specific patient by different providers. While both a plan of care and a care plan include the patients life goals and require Care Team Members (including patients) to prioritize goals and interventions, the reconciliation process becomes more complex as the number of plans of care increases. The Care Plan also serves to enable longitudinal coordination of care." Care Plan (Document-level) template

7. © 2011 Lantana Consulting Group, www.lantanagroup.com 7 CAUSES REASON FOR Relationships (Happy Path) – SC changes Health Concern [mood EVN] Goal [mood GOL] Outcome Observation [mood EVN] Intervention [mood: INT/ RQO/ etc.] [mood: EVN] SUPPORTS Observation [mood EVN] RELATES TO IS COMPONENT OF EVALUATES

8. © 2011 Lantana Consulting Group, www.lantanagroup.com 8 Goal Observation Patient Preference Provider Preference Health Concern Act Intervention Act Templates to discuss

9. © 2011 Lantana Consulting Group, www.lantanagroup.com 9 Related documents? Other topics