Care Plan Initiative project 2011

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Go to: Care Plan Project - PCWG
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Go to: Care Plan Topic project (Project contents prior to 2011)

This is the Care Plan project initiated in 2011. Latest updates on this project has been moved to the Care Plan Project 2012.

Return to: Care Plan Project 2012

Introduction

Care Plan has been balloted some years ago as DSTU. However, it was felt at that time that more work needed to be done in defining care plan, the components of the care plan, identifying use cases and use. The plan for 2011 is to first develop a Domain Analysis Model (DAM) for the Care Plan, and then decide on follow on activities. The HDF 1.5 (HL7 development framework) approach will be followed. HL7 PC will work together with various groups including HL7 Work Groups (e.g. EHR, Structured documents), IHE, NEHTA, Canada Health Infoway, and others.

Project Co-Leaders

Laura Heermann Langford

Intermountain Healthcare, USA

Phone: 801.290.6888

Email: Laura.Heermann@imail.org

Stephen Chu

NEHTA Australia

Phone: +61.416.960.333

Email: stephen.chu@nehta.gov.au

Meeting Information

The Care Plan project team meets via conference call on a regular basis. The group will report to the HL7 Patient Care Workgroup through one of the Co-Chair or at the HL7 meetings.

• Standing Meeting Date/Time: every second Wednesday (starting on Feb. 1st for winter 2012 period) at 17h00 NA Eastern Time /16h00 NA Central Time/ 15h00 NA Midwest Time/ 14h00 NA Pacific Time/ 22h00 UK / 23h00 Central Europe / 08h00 Australia
  • Interim meetings can be scheduled if needed.
• Duration: 90 to 120 minutes (1,5 to 2 hours)
• Call Logistics- voice
  • Phone Number: 770-657-9270
  • Participant Passcode: 943377#

• Call Logistics- screen sharing/

To be determined

Meeting Agendas and Minutes

Agendas and Minutes

Project Deliverables and Working Documents

• Description of deliverables

• Working Documents-CP

• Reference Material-CP

• Glossary-CP

Note: the following list of deliverables will be adjusted as the project progresses.

REQUIREMENTS DEFINITION
These are the working versions of the Care Plan requirements, as the DAM work progresses.

• HL7 Care Plan Requirements-Draft v0_1-20120229c.doc

STORYBOARDS (SB)
The following list of storyboards covers the relevant range of situations sufficient to identify the needs for Care Plan interoperability.

-Acute Care

-Chronic Care

-Home Care

-Pediatric Allergy

-Pediatric Immunization

-Perinatology

-Stay healthy

Note: Primary care encounters appear in many of the above SB. We may decide to add a specific Primary Care SB as we move along.

LATEST VERSIONS of Storyboards (in alphabetical order)

• AcuteCare_storyboard_kmc_20120118-updated 20120201.doc

• Chronic-Conditions_Care-Plan-Storyboard_V0-5_Revised 2012-01-06.docx

• Home Care Care Plan Storyboard V0_4a- Final- 2012-02-28a.docx

• Pediatric Allergy Care Plan Storyboard 20120229 final.doc

• Pediatric_Immunization_Care_Plan_Storyboard_v0_5_20120314a.doc

• Perinatology StoryBoard v0_5-20120229.docx

• Stay_Healthy_Health_Promotion-_Care_Plan_SB-_Update Final 2012-03-04.docx

• Stay Healthy Health Promotion Appendix B info exchanged- 20120214.docx

OLDER VERSIONS of Storyboards (in alpha order, most recent on top)

• Chronic-Conditions_Care-Plan-Storyboard_V0-3_2011-11-30.docx

• Home Care Care Plan Storyboard V0_3c- 2012-02-12a BClifford.docx

• Home Care Care Plan Storyboard V0_3c- 2011-12-31a.docx

• Home Care Care Plan Storyboard V0_3a- 2011-12-07a.docx

• Home Care Care Plan Storyboard V0_2-20111118a TC mode.docx

• Home Care Care Plan Storyboard 20110929c.docx

• Home care Plan Storyboard 20110831b.docx

• Perinatology StoryBoard v0.4-20120106.docx

• Perinatology StoryBoard 20110915a-WGM update.docx

• Pediatric Allergy Care Plan Storyboard 20120201a.doc

• Pediatric Allergy Care Plan Storyboard 20120201-RS.doc

• Pediatric_Immunization_Care_Plan_Storyboard_v0_4_20120306.doc

• Pediatric Immunization Care Plan Storyboard_v0.3C_20120117.doc

• Perinatology StoryBoard 20110909a.docx

• Perinatology StoryBoard 20110831b.docx

• Stay_Healthy_Health_Promotion-_Care_Plan_SB-_final 20120214.docx

• • Stay Healthy Health Promotion- Care Plan SB- draft 2012-01-17a-updated 20120201a.docx

• Stay Healthy Health Promotion- Care Plan SB- draft 2012-01-17a.docx

ACTIVITY DIAGRAMS- BUSINESS PROCESS MODELS (BPM)
The business process models (BPM) are built with Enterprise Architect (Sparx Systems) but the files cannot be uploaded to this wiki. The xml version have been uploaded here in a zip file and can be read with any browser.

• Care Plan BPM for Chronic Care 20120411.zip

• BPM CC Encounter A and B- Primary Care Physician Initial Visit 2012-03-28.pdf

• BPM CC Encounter C and D - Hospital Admission and Follow-Up Visit 2012-03-28.pdf

OLDER VERSIONS OF MODELS These diagrams are provided in original Enterprise Architect format (eap) but zipped due to file size, and in pdf.

• Chronic Care Sequence Diagram20110622.zip
• Chronic Care Sequence Diagram 20110622.pdf

• Decision Support assisted Care Planning.pdf

CLASS DIAGRAM To be added here

GLOSSARY OF TERMS To be added here

Project Scope

To be revised.

THIS IS PAST CONTENTS THAT COULD BE LEVERAGED:

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 Care Provision: Care Plan 2007 DSTU Feedback 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,

Generally a care plan greatly aids the team (responsible parties – it could be the patient caregiver/family) in understanding and coordinating the actions that need to be performed for the person. The Care Plan structure is used to define the management action plans for the various conditions identified for the target of care. It is the structure in which the care planning for all individual professions or for groups of professionals can be organized, planned and checked for completion. Communicating explicitly documented and planned actions and goals greatly aids the team in understanding and coordinating the actions that need to be performed for the person. Care plans also permit the monitoring and flagging of unperformed activities and unmet goals for later follow up.

Project Objectives and Outcomes

To be revised. 1. Domain Analysis Model with the following deliverables (together with SD WG):

• • Definitions of Care Plan and others.
  • Work on storyboards and use cases (multiple). Emergency, Clinical hospital (discharge), Nursing home, chronic disease, primary care. Multidisciplinary. Example use cases can be: 1 chronic condition, obstetric case with transfer. After that CDA can use the work that is be done. CDS is an addition to the messages which already exist. They must be updated.
  • Dynamic model for the Care Plan Topic
  • Structural model. -> DAM (HDF within HL7)

Project Work Plan and Timeline

To be inserted.

Project Team and Ressources

Primary Sponsor/Work Group is Patient Care WG

Work Group Team Members

Role	Name	Email	Notes
Project Co-Lead	Laura Heermann Langford	Laura.Heermann@imail.org
Other interested parties	Stephen Chu	Co-Chair PCWG
Publishing facilitator	??
Vocabulary facilitator	??
Modeling facilitator	Luigi Sison	lsison@yahoo.com
Domain expert representative 1	??
Domain expert representative 2	??
Data Analyst facilitator	??
Business requirement analyst	??
Requirements process facilitator
Business requirement analyst
Requirements process facilitator	??
Implementor	??

Participants

Contributors of the Care Plan Topic

To be revised.

Collaborating with	Agreement status	Comments
IMIA-NI	Existing
IHE	Existing
CEN	Existing	Swedish Care Plan project

Download CEN materials from Sweden here: http://www.hl7.org/Special/committees/patientcare/docs.cfm

See also the reference material wiki page (link above)

Project Resources

Most will be done in normal committee work time, and online via meetings.

Project Budget

To be defined.

Action items

Table to be inserted.

=Ballot strategy - general||

To be defined.