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LCC -Proposal for Next Steps

LCC -Proposal for Next Steps. August 28, 2012. Discussion Points. Recap of Whitepaper Recommendations Critical milestones and activities driving LCC activities IMPACT Project deadlines and their impact on LCC activities Scope for Potential LCC Use Case 2.0

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LCC -Proposal for Next Steps

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  1. LCC -Proposal for Next Steps August 28, 2012

  2. Discussion Points • Recap of Whitepaper Recommendations • Critical milestones and activities driving LCC activities • IMPACT Project deadlines and their impact on LCC activities • Scope for Potential LCC Use Case 2.0 • Scope for developing Stage 3 MU Comments • Proposed key activities and timelines for LTPAC and LCP SWGs

  3. Recap: Whitepaper Recommendations

  4. External Drivers Standards Analysis & Recommendation (1-2months) Implementation Guidance Development (1- 2 months) IMPACT IMPACT Go-Live HITPC Pre-RFC Meeting Draft stage 3 Recs due Stage 3 RFC Distributed RFC Deadline (Dec 21) Final stage 3 Recs due to HHS HITPC Stage 3 MU ONC Synthesis of RFC Comments (1- 2 months) WGs reconcile RFC comments (1 month) HL7 Fall Ballot Closes HL7 Spring Ballot Open HL7 Ballots HL7 January Ballot Open

  5. IMPACT Project Deliverables For Consideration

  6. Key Questions for LCC WGs • Is there value in developing the IG for LCC Use Case 1.0 given the IMPACT Project Scope of Work? • If yes, how do we reconcile use case 1.0 with the IMPACT project data sets? • If no, let’s consider…

  7. …How to leverage IMPACT work for LCC WG activities • Build from IMPACT standards analysis work and IG to create LCC Use Case 2.0 (contains all ~450 data elements) • LCC Use Case 1.0 may no longer be relevant for S&I harmonization given additional data elements identified since LCC Use Case 1.0 consensus (June 2012) • LCC Use Case 2.0 will be handed off to S&I Harmonization Team (Deloitte). Deloitte team will then create ‘Care Plan IG’ which will be submitted for HL7 balloting • Monitor and review IMPACT contract work (standards analysis) as part of weekly LTPAC SWG call

  8. Scope for LCC Use Case 2.0 • LCC Use Case 2.0 and IG may not contain all data elements for the exchange of Collaborative Care Plans • LCC WG should revisit ‘baseline transaction and build’ presented during June LTPAC Collaborative Summit • Versions 2.0 to Version X.0 of LCC Use Case are built incrementally to add requirements of other trading partners (i.e. IRF, Behavioral Health, CBO) • Care Plan is built out from most simple to most complex (i.e. treatment plan, care plan…to collaborative care plan)

  9. From LTPAC Summit: Baseline Transaction and Build Master Longitudinal Care Use Case Future: Full LCP Support Version …: Other trading partners Round out full longitudinal picture Version 3: (IRF, Behavioral Health, CBO, ???) White Paper Roadmap lays out priority order to incrementally add requirements of other trading partners Building Incrementally Version 2: Include ~450 elements identified by the IMPACT Project (potential Use Case 2.) Version 1: Baseline Developed HH-POC Creates base Use Case Structure and focuses on HHA/ SNF as the starting point that gives the best overall coverage of data elements. Now: Foundation June 2012, Baltimore, MD

  10. Building a Common Terminology for the Care Plan Most resembles HHPoC MOST SIMPLE MOST COMPLEX The WP acknowledges there are at least 10 recognized nursing care plan models and vocabularies. The concepts, vocabularies and value sets are not standardized.

  11. Scope for Stage 3 MU comments • Map whitepaper recommendations against Stage 3 Preliminary Recommendations for ‘Improve Care Coordination’ • Leverage gap analysis to develop LCC Use Case 2.0 Out of Scope • Mapping WP to Stage 2 MU Final Rule • Part of Deloitte Scope of Work for ‘ToCCompanion Guide’ • Mapping WP to S&I Framework CEDD • Use Case 2.0 will need to be mapped to ToCCEDD

  12. Summary of Proposed Key Activities for LCC SWGs • Finalize and get consensus on ~450 Data Elements List - LTPAC • Monitor and review progress of IMPACT Project Standards Analysis and IG Development work - LTPAC • Update LCC Use Case to develop LCC Use Case 2.0 based on ~450 Data Elements List - LCP • Map Whitepaper recommendations against Stage 3 MU Preliminary recommendations – LCC and LCP Discussion Point: Which activities will be led by LTPAC SWG and which will be led by LCP SWG?

  13. LCC WG Timeline: Sept 2012 – May 2013 Finalize: Use Case Data Elements List (07SEP2012) Monitor: IMPACT Project Standards Analysis & IG Development (3-4 months) LTPAC SWG Monitor IMPACT Project Pilot (1-2 months) Mapping: Whitepaper to Stage 3 Preliminary Recommendations Use Case 2.0 Standards Analysis & Development Development: Use Case v2.0 (2 to 3 months) Development: Use Case 2.0 Implementation Guide LCP SWG Development: Stage 3 MU Recommendations Ballot Reconciliation Fall BallotPrep PAS SWG Implementation Guidance IMPACT Contract Awarded HL7 January Ballot Opens IMPACT Project Go-Live S&I Framework Contracts Expire Milestones HL7 Spring Ballot Opens HL7 Fall Ballot Closes Stage 3 MU RFC Deadline

  14. Other Discussion Points • Timeline for reconciling Use Case 1.0 or developing Use Case 2.0 and submitting to S&I Harmonization team • Timeline for S&I Harmonization Team to develop IG and put through HL7 balloting cycle • What version of Use Case will be developed to ensure submission of IG for January cycle? For May cycle? • Contract end dates for S&I Framework Support Contracts (end of Feb 2013)

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