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Care Plan (CP) Team Meeting Notes (As updated during meeting)

Care Plan (CP) Team Meeting Notes (As updated during meeting). André Boudreau (a.boudreau@boroan.ca) Laura Heermann Langford (Laura.Heermann@imail.org) 2011-03-16 (No. 6). HL7 Patient Care Work group. Agenda for March 16th.

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Care Plan (CP) Team Meeting Notes (As updated during meeting)

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  1. Care Plan (CP) Team Meeting Notes(As updated during meeting) André Boudreau (a.boudreau@boroan.ca) Laura Heermann Langford (Laura.Heermann@imail.org) 2011-03-16 (No. 6) HL7 Patient Care Work group

  2. Agenda for March 16th • Presentation by Canada (Ron Parker and Sasha Bojicic) on the COPD use case they developed: • Done, see separate PP deck with discussion notes. See also the COPD use case document • Next meeting (March 23rd): • Review IHE approach to care coordination and planning, including the nursing perspective • Peter and co-chair of IHE AU • Laura Heermann Langford, co-chair of PCCC • Start defining the in-scope and out-of-scope contents and aspects of care plan • Update from Danny • Then, decide on the deliverables and how we will produce the DAM

  3. Updated Agenda for March 9th • Review inventory and examples of Care Plan (CP) use cases (Laura) • Still in progress • Model developed for dynamic CP: see slide 6 and 7 • Laura will update to a more complete cycle for CDM (Chronic Disease Management), with different sites of care within one system, and different sites with different systems • We need to include sites that need to be informed of CP without delivering care per say • Review material received on care plan types (dynamic, interchanged) (Stephen)- done. See slide 8-9 • Review material received on care plan structure (Stephen)- done -see slide 10 • Review IHE approach to care plans (André)- see attached PCCP doc- postponed

  4. Participants- Meetg of 2011-03-16 p1

  5. Participants- Meetg of 2011-03-16 p2

  6. Other participants on 2011-03-16 • Ron Parker • Sasha Bojicic

  7. Meeting Notes 2011-03-16- p1 • See PP deck on COPD Use Case • Danny • Been looking at Structured Docs standards • Looking also at some use cases • Tried to develop a spreadsheet on components of Care Plan • We have committed of the DAM • Identify the deliverables • Decide on the methods and techniques • BPMN: needs to be socialized more as a method • Functional perspective in addition to dynamic and exchanged components • Also links to referral process • Also links to EHR/EMR contents • Contents may vary based on context and particular care involved • Include links to evaluation components (may be outcome related, e.g. blood sugar level), include target dates

  8. Meeting Notes 2011-03-16- p2 • Wiki (see appendix for structure of current wiki page) • Wait until we have clarified • PRIORITY: Ensure to have the place for meeting notes and working docs • Also, post meeting call-in info

  9. Scope of 2011 Care Plan Initiative • In scope • Out of scope

  10. Action Items as of 2011-02-16/23

  11. Appendix

  12. Definition of Care Plan on Wiki • The Care Plan Topic is one of the roll outs of the Care Provision Domain Message Information Model (D-MIM). The Care Plan is a specification of the Care Statement with a focus on defined Acts in a guideline, and their transformation towards an individualized plan of care in which the selected Acts are added. • The purpose of the care plan as defined upon acceptance of the DSTU materials in 2007 is: • To define the management action plans for the various conditions (for example problems, diagnosis, health concerns)identified for the target of care • To organize a plan for care and check for completion by all individual professions and/or (responsible parties (including the patient, caregiver or family) for decision making, communication, and continuity and coordination) • To communicate explicitly by documenting and planning actions and goals • To permit the monitoring, and flagging, evaluating and feedback of the status of goals, actions, and outcomes such as completed, or unperformed activities and unmet goals and/or unmet outcomes for later follow up • Managing the risk related to effectuating the care plan, • Source: http://wiki.hl7.org/index.php?title=Care_Plan_Topic_project

  13. Actual Care Plan Topicproject HL7 Wiki • further to: Care Plan Topic & Ordersets • further to: Care Plan Glossary • further to: Care Plan Storyboards • further to: Care Plan Use cases • Contents • 1 Introduction • 2 Project Need • 3 Project Scope • 4 Project Team • 5 Action items • 6 Project Process • 7 Project Objectives and Deliverables • 8 Success Criteria • 9 Project Timeline • 10 Project Resources • 11 Project Budget • 12 Links to relevant documents • 13 Participants • 13.1 Users of the Care Plan Topic • 13.2 Annonators of the Care Plan Topic • 13.3 Liasons of the Care Plan Topic • 13.4 Developers of the Care Plan Topic • 13.5 Contributors of the Care Plan Topic • 14 Sub Projects

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