1. electronic Long-Term Services & Supports (eLTSS) Initiative All-Hands Workgroup Meeting June 25, 2015 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). o Please DO NOT use the Q&A—only the presenter sees Q&A, not necessarily the person facilitating the discussion 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 LTPAC HIT Summit DebriefEvelyn Gallego5 mins eLTSS Plan Content SWG DebriefGrant Kovich5 mins eLTSS Use Case Consensus Voting ReviewEvelyn Gallego40 mins Concert Series Presentation: Right Care NowDr. Susan Abend30 mins

4. Announcements National Association of States United for Aging and Disabilities (NASUAD) “National Home and Community Based Services (HCBS) Conference” – What: The conference always sees a strong presence from U.S. Health and Human Services ranging from the Administration for Community Living including AoA, Office of Disability and IADD to CMS, HRSA, SAMHSA, Office of Developmental Disabilities, and other federal agencies. – When: August 31 – September 3, 2015 – Where: Washington Hilton ~ Washington, D.C. – To register: https://www.hcbsconference.org/ehome/index.php?event id=113072& https://www.hcbsconference.org/ehome/index.php?event id=113072& 4

5. LTPAC HIT Summit June 21-23 Debrief TEFT Program Presentation on Day 1: CMS, ONC and CO IMPACT Act Presentation: one response, many uses Risk of innovative technologies: enchanting but expensive; measuring cost and ROI not sufficient. – e.g. ATM adoption increased after blizzard Innovative insurance models: Life Choices Service Planning Interoperability challenges arise more from people, process and workflow issues rather than technology Partnership with ‘trading partners’ is important: need to have all components of car available plus the motor to drive it 5

6. Concert Series Presentations 6 Organizations are invited to present on an existing project or initiative that is related to the eLTSS scope of work and/or will help inform the eLTSS target outcomes and deliverables These projects do not have to be technically-focused Criteria for consideration: Has solution, whether it is technical or process driven, been implemented in a one or more of the eLTSS settings: home and community-based setting or clinical setting? Does solution incorporate existing or emerging standards and/or other relevant guidance?

7. Concert Series Presentations: Logistics Presentations will be scheduled as part of the weekly eLTSS Community Meetings and will occur the last 30 mins of the call Duration: 15-20 mins webinar (or demo); 5-10 mins Q&A eLTSS Workgroup activities will always take precedence over concert series presentations If you have an interest in participating, please contact Evelyn Gallego (evelyn.gallego@siframework.org ) and Lynette Elliott (lynette.elliott@esacinc.com)evelyn.gallego@siframework.orglynette.elliott@esacinc.com A pre-planning meeting will be scheduled prior to any public demonstration 7

8. Timelines for Consideration: Two Pilot Phases, SDO Ballot Cycles eLTSS Initiative Roadmap 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 8 Initiative Kick Off: 11/06/14 Phase 1: Pre-Discovery Phase 2: Use Case Development & Functional Requirements Phase 3: Standards & Harmonization

9. Use Case End-to-End Review & Consensus Timeline DateItem 5/21Open End-to-End Review 5/28Review End-to-End Comments (Close End-to-End Review at 8pm ET) 5/29-6/3End-to-End Review Comment Dispositions 6/4Open Consensus Voting 6/11Close Consensus Voting at 8:00pm ET 6/12-17Consolidate Votes and Address “No” Votes 6/18, 6/25Review Final Comment Dispositions and Discuss Comments 6/26Publish Consensus Voting Results 9

10. Project Charter and eLTSS Glossary FINAL Published Project Charter located here: http://wiki.siframework.org/electronic+Long- Term+Services+and+Supports+%28eLTSS%29+Charter http://wiki.siframework.org/electronic+Long- Term+Services+and+Supports+%28eLTSS%29+Charter eLTSS Glossary posted here: http://wiki.siframework.org/eLTSS+Glossary http://wiki.siframework.org/eLTSS+Glossary – The eLTSS Glossary is a working document containing eLTSS-relevant terms, abbreviations and definitions as defined by stakeholders – We are looking for your feedback and comments Discussion Thread available Submit any change requests via the Change Request Form located on the wiki – Reminder: the Glossary is a living document and content may change as the initiative progresses 10

11. Goals for the eLTSS Initiative Identify key assessment domains and associated data elements to include in an electronic Long-term Services & Supports (eLTSS) plan Create a structured, longitudinal, person-centered eLTSS plan that can be exchanged electronically across and between community-based information systems, clinical care systems and personal health record systems. 11

12. eLTSS Plan Content SWG Timeline (1 of 3) 12 Week Target Date eLTSS Plan Content SWG Meeting Tasks Homework due Fridays 12pm Eastern 15/5 Kickoff 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 Validate/Populate Additional State Domains within Matrix Review domain mappings Continue to identify relevant domains 45/26 Finalize List of Additional State Domains Review domain mappings 56/2 Perform Initial Domain Harmonization Each state to provide definitions for domains 66/9 SWG Approach: Open Forum Each state to provide data elements for domains 76/16 Introduce Harmonized Domain Definitions Each state to comment on domain definitions 86/23 MEETING CANCELLED DUE TO AHIMA LTPAC SUMMIT TBD

13. eLTSS Plan Content SWG Timeline (2 of 3) 13 Week Target Date eLTSS Plan Content SWG Meeting Tasks Homework due Fridays 12pm Eastern 96/30 Finalize Domain Definition Harmonization Validate State Domain Mappings via Definitions and Data Elements Each state to comment on domain mapping 107/7 Continue State Domain Mappings via Definitions and Data Elements Each state to comment on domain mapping 117/14 Finalize State Domain Mappings via Definitions and Data Elements Each state to comment on domain mapping 127/21 Begin Review of Consensus List of Domains Begin Listing Example Set of Data Elements per Each Domain Perform domain evaluation per assigned section Each state to identify data elements 137/28 Review of Consensus List of Domains Review Gap Mitigation Plan Continue Listing Example Set of Data Elements per Each Domain Vote on final list of domains on Wiki Each state to identify data elements 14 8/4 Finalize Consensus List of domains to Present to eLTSS All-Hands Continue Listing Example Set of Data Elements per Each Domain Each state to identify data elements 8/6 Present Consensus List of Domains to eLTSS All-Hands eLTSS Community post comments on Wiki

14. eLTSS Plan Content SWG Timeline (3 of 3) 14 Week Target Date eLTSS Plan Content SWG Meeting Tasks Homework due Fridays 12pm Eastern 15 8/11 Review Community Feedback on Consensus List of Domains Continue Listing Example Set of Data Elements per Each Domain Finalize Consensus List of Domains with eLTSS Community Feedback Each state finalize data elements per domain 8/13 Present Final Consensus List of Domains to eLTSS All- Hands None 168/18 Final Meeting Finalize Listing/Mapping Example Set of Data Elements per Each Domain None

15. 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 provide data elements for their previously identified domains. – Due Friday, June 19 by 12:00pm Eastern Next eLTSS Plan Content SWG Meeting – June 23 SWG Meeting Cancelled due to AHIMA LTPAC Summit – Tuesday, June 30 from 11:00am – 12:00pm Eastern http://wiki.siframework.org/electronic+Long- Term+Services+and+Supports+%28eLTSS%29 http://wiki.siframework.org/electronic+Long- Term+Services+and+Supports+%28eLTSS%29 Thank you! Your commitment and participation are critical to our success. 15

16. eLTSS Plan Content SWG Contact Information For questions, please contact your support leads: – eLTSS Plan Content SWG Lead: Grant Kovich, grant.kovich@accenture.comgrant.kovich@accenture.com – eLTSS Plan Content SWG Co-Lead (Arizona): Lauren Wiggins-Prole, lauren.wiggins@azahcccs.gov lauren.wiggins@azahcccs.gov – eLTSS Plan Content SWG Co-Lead (Colorado): Pam Russell, prussell@corhio.org prussell@corhio.org – eLTSS Plan Content SWG Co-Lead (Connecticut): Dr. Minakshi Tikoo, tikoo@uchc.edu tikoo@uchc.edu – eLTSS Plan Content SWG Co-Lead (Georgia): Irina Connelly, irina.connelly@gtri.gatech.edu irina.connelly@gtri.gatech.edu – eLTSS Plan Content SWG Co-Lead (Kentucky): Sheena Batts, sheena.batts@ky.gov sheena.batts@ky.gov – eLTSS Plan Content SWG Co-Lead (Maryland): David Wertheimer, david.wertheimer@Maryland.gov david.wertheimer@Maryland.gov – eLTSS Plan Content SWG Co-Lead (Minnesota): Tom Gossett, tom.l.gossett@state.mn.us tom.l.gossett@state.mn.us – Initiative Coordinator: Evelyn Gallego, evelyn.gallego@siframework.orgevelyn.gallego@siframework.org – Project Manager: Lynette Elliott, lynette.elliott@esacinc.comlynette.elliott@esacinc.com 16

17. eLTSS Use Case Consensus Voting 0 “NO” votes or Abstentions 20 YES votes 13 YES with Comments votes – We will share dispositions and discuss comments on today’s call 17

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19. eLTSS Initiative: Project Team Leads ONC Leads – Elizabeth Palena-Hall (elizabeth.palenahall@hhs.gov)elizabeth.palenahall@hhs.gov – Patricia Greim (Patricia.Greim@hhs.gov)Patricia.Greim@hhs.gov CMS Lead – Kerry Lida (Kerry.Lida@cms.hhs.gov)Kerry.Lida@cms.hhs.gov Federal Lead – Jennie Harvell (jennie.harvell@hhs.gov)jennie.harvell@hhs.gov Community Leads – Andrey Ostrovsky (andrey@careathand.com)andrey@careathand.com – Nancy Thaler (nthaler@nasddds.org)nthaler@nasddds.org – Terry O’Malley (tomalley@mgh.harvard.edu)tomalley@mgh.harvard.edu Initiative Coordinator – Evelyn Gallego-Haag (evelyn.gallego@siframework.org)evelyn.gallego@siframework.org Project Management & Pilots Lead – 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 eLTSS Plan Content SWG Lead – Grant Kovich (grant.kovich@accenture.com)grant.kovich@accenture.com Standards Development Support – Angelique Cortez (angelique.j.cortez@accenture.com)angelique.j.cortez@accenture.com Harmonization – Atanu Sen (atanu.sen@accenture.com)atanu.sen@accenture.com 19