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Virtual C-CDA Implementation-a-Thon 5

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Event Date: Thursday, June 22, 2017

Planning Committee

Name Affiliation
Calvin Beebe Mayo Clinic
Benjamin Flessner Redoxengine
Brett Marquard River Rock
Dave Hamill HL7
Matt Rahn ONC
David Degandi Cambia Health Solutions
Shawn Muer Veterans Administration
William Ormerod Cerner
Joe Lamy Social Security Administration
Michael Clifton Epic
Lisa Nelson Life Over Time Solutions
John Donnelly IntePro Solutions
Matt Blackmon The Sequoia Project
Didi Davis The Sequoia Project
Joe Quinn Optum
Evelyn Gallego

Draft Agenda

The Word doc link below is the detailed agenda that will be used during the IAT session. The 'inline' wiki agenda below is the overview/shell used to create the detailed agenda.

Virtual IAT #5
Start Stop Activity Host
NOON 12:10 PM Introduction to track leaders Dave
Start Stop Activity Host Start Stop Activity Host
Track 1 - Transition of Care Documents Track 2 - Care Plan Discussion & Documents
12:10 PM 12:20 PM Exchange Documents Calvin 12:10 PM 1:00 PM Care Plan Discussion Host
12:20 PM 1:00 PM Referral Note Matt 1:00 PM 1:10 PM Exchange Documents Lisa
1:00 PM 1:35 PM Continuity of Care Ben 1:10 PM 2:00 PM Care Plan Lisa
1:35 PM 2:00 PM Discharge Summary Brett 2:00 PM 2:10 PM Summary of Issues Host
2:00 PM 2:10 PM Summary of Issues Host
Report Out - General Session
Start Stop Activity Host
2:10 PM 2:25 PM Track 1 issues report out Calvin
2:25 PM 2:40 PM Track 2 issues report out Lisa
2:40 PM 3:20 PM Selected issues for discussion Host
Ask the ONC - General Session
3:20 PM 3:40 PM ONC Topic of the Day Matt
3:40 PM 3:55 PM Ask the ONC Matt
Wrap-up - General Session
3:55 PM 4:00 PM Track 2 issues report out Dave

Draft Scenarios

Track 1 - Referral Note Scenario

  • File:IAT-T1-REF.docx
    • Test Health Concern expressed by Patient
    • Test Current Medication list
    • Test Problems with authors
    • Test historical implant of knees


Track 1 - Continuity of Care Scenario

  • File:IAT-T1-CCS.docx
    • Test Current Medication list from referral, with one change
    • Local problems and referral problems on list (including knee implant)
    • Referral results presented in summary generated
    • Current results capture by current providers
    • Assessment, Plan of Treatment and Goal section support


Track 1 - Discharge Summary Scenario

  • File:IAT-T1-DIS.docx
    • Test Admission Medication from transition
    • Test Medication Activity
    • Test Discharge Medication
    • Test intent to take additional medication in future
    • Test support for complex lab, micro & text reports
    • Test procedure to implant pacemaker
    • Local problem and transition / referral problems (including knee implant) on list
    • Assessment, with updated Plan of Treatment and Goal section support


Track 2 - Care Plan -HANDS-ON- Scenario 1

  • Participants acting as Care Plan Creators will supply documentation of the Patient Story Scenario they are supporting, and generate the associated C-CDA Care Plan Document.
    • Examine Health Concerns
    • Examine Goals
    • Examine Interventions
    • Examine Health Status Evaluations and Outcomes
    • Examine Other sections of content that may be present
  • Participants active as Care Plan Consumers will process the created care plan and demonstrate the extent to which they can:
    • Attach the care plan document to the participants record in their system
    • Render the contents of the document for human review
    • Process available machine entries from the document (to the extent they are available)
  • Address these questions
    • In what ways does the Care Plan show patient health concerns?
    • In what ways does the Care Plan show patient goals?
    • In what ways does the Care Plan indicate the patient's preferences for care?
    • In what way does the plan document planned actions for specific conditions?
    • In what way does it show the progress or completion status associated with interventions or goals?
    • In what ways does the Care Plan or address a patient's self-management care plan?
    • In what way is the patient's personal advance care plan (Advance Directives documents)?


Track 2 - Care Plan -HANDS-ON- Scenario 2

  • File:IAT-T2-CP-S2.docx
  • Participants acting as Care Plan Creators will supply documentation of the Patient Story Scenario they are supporting, and generate the associated C-CDA Care Plan Document.
    • Examine Health Concerns
    • Examine Goals
    • Examine Interventions
    • Examine Health Status Evaluations and Outcomes
    • Examine Other sections of content that may be present
  • Participants active as Care Plan Consumers will process the created care plan and demonstrate the extent to which they can:
    • Attach the care plan document to the participants record in their system
    • Render the contents of the document for human review
    • Process available machine entries from the document (to the extent they are available)
  • Address these questions
    • In what ways does the Care Plan show patient health concerns?
    • In what ways does the Care Plan show patient goals?
    • In what ways does the Care Plan indicate the patient's preferences for care?
    • In what way does the plan document planned actions for specific conditions?
    • In what way does it show the progress or completion status associated with interventions or goals?
    • In what ways does the Care Plan or address a patient's self-management care plan?
    • In what way is the patient's personal advance care plan (Advance Directives documents)?

Track 2 - Care Plan -DISCUSSION- What abilities does your system support to customize which of these elements are included within the care plan and how these elements are displayed? What kinds of triggers (e.g. a risk score or event) do you support to indicate different care management actions? How does you system handle care plan version control across care team members? Do you capture the date of the last review or change in plan? Do you generate a scheduled date for reviewing and updating the plan. How are you planning to identify gaps in care?

Pre-Published Patient Information

Pre-Published Practitioner Information