Longitudinal Coordination of Care LCP SWG

Longitudinal Coordination of Care LCP SWG Monday, August 12, 2013

Agenda

Announcements • A Report to Congress on the Application of EHR Payment Incentives for Providers Not Receiving Other Incentive Payments was issued last week • The report has been uploaded to the LCC Reference Materials wiki here • The full study can be found here: http://aspe.hhs.gov/daltcp/reports/2013/ehrpi.shtml

Reminders • Call for Pilot Participation! • LCC Pilot Wiki Page: http://wiki.siframework.org/LCC+Pilot+Plan • Contains Pilot Survey, Pilot Overview Document, and Planning Template • Pilots Launch is set for September 16th • Meeting Reminders • LCC HL7 Tiger Team SWG meeting – Wednesday at 11am ET • LCP SWG meeting – Thursday at 5pm ET

Care Plan - CDA Document Type Development

Relationships (Happy Path) HAS COMPONENT HAS COMPONENT • Observation [mood EVN] Health Concern (code= CONCERN or RISK) [mood EVN] Goal [mood GOL] EVALUATIONS/OUTCOMES REFERS TO Progress Toward Goal Observation [mood EVN] HAS REASON EVALUATES REFERS TO HAS SUPPORT REFERS TO SUPPORTS Intervention [mood: INT/ RQO/ etc.] [mood: EVN] Outcome Observation [mood EVN] HAS REASON

Overview of Risk Modeling • Changed code on Health Concern Act (CONCERN/RISK) • Can relate a Health Risk to a Health Concern • Example in sample file

Care Plan Review • New participants on document header • authenticator (patient sign-off) • participant (Caregiver/relative) documentationOf (responsible providers) • performer (healthcare providers) • relatedDocument

Form 485 – Sample File • Questions: • 3 – Certification Period • Seems to be about certifying that the patient does need home health care, so that it can be paid for from federal funds • How does it relate to the other dates?

Form 485 – Sample File • Questions: • Describe the relations/roles of dates and personnel, so we can put the right words in comments, e.g. "This is the person who performs the home health care." • 3 Certification period [from, to] • 2 Start of care date • 25 Date of HHA [Home Health Agency] Received Signed POT [Plan of Treatment] • 23 Nurse's Signature and Date of Verbal SOC [Start of Care, Referral Date] Where Applicable • 5 Provider No • 7 Provider's Name, Address, and Telephone No • 24 Physician's Name and Address • 27 Attending Physician's Signature and Date Signed

Form 485 – Sample File • Questions: • 18B – Activities Permitted • "Activities permitted – crutches" – is it an instruction to the patient or a description of the patient's mobility (functional status)?

Form 485 – Sample File • Questions: • Patient IDs: • Medical Record No - is this the facility patient ID? • Patient's HI Claim Number

Longitudinal Coordination of Care LCP SWG