Coordination of Care Services Specification Project

Project Information

Overiew

The Care Coordination service is a standards development/specification effort being undertaken by HL7 to be followed by SOA specification work at the OMG. This project falls under the Healthcare Services Specification Program (HSSP) and will be done in collaboration with the HL7 Patient Care and HL7 Clinical Decision Support work groups.

The objective is to provide SOA capabilities to support patient care coordination across the continuum. The viewpoint of these capabilities is the patient as he or she crosses care settings and interacts with care givers with different focus and specialties. The context is episodes of care spanning multiple organizations, the interactions at the boundaries of care transitions, and the subset of information necessary and sufficient to support these interactions.

The CCS will support shared and coordinated care plans. The CCS will support multidisciplinary care team members to communicate changes resulting from care plan interventions and collaborate in removing barriers to care. The CCS will provide on demand synchronization of information to keep the virtual care team on the same page and prevent having the patient fall through the cracks of the silos of care.

Care Team members will collaborate around these shared plans, coauthoring plan elements as the team observes. Structurally, the shared Care Plan will serve to coordinate specialty care plans, and will have the ability to seamlessly navigate to them without requiring physical centralization of data storage.

Automated Clinical Decision Support systems will be first class participants in proposing care plan actions.

Functional Model Development

We are developing the Service Functional Model (SFM) text on Wiki pages - we invite your participation:

• Business Scenarios
• Capability Sets
• Functional profiles (to be reworked based on the capabilities list)

• More information can be found at the HSSP CCS Wiki Page

Domain Analysis and Information Models

• The content of care coordination and care planning is being undertaken as part of the Care Plan Initiative Project

Project Facilitators

• Enrique Meneses, Healthcare Solutions Architect, Careflow Solutions
• Jon Farmer, Product Manager, Thrasys

Project Scope Statement

Link to project scope statement and details from Project Insight Searchable Database

Related Discussions Listserv

Listserv Messages

• Patient Care Listserv Messages
• SOA Listserv Messages
• Clinical Decision Support Listserv Messages

Sign up here:

• Patient Care listserv
• SOA listserv
• Clinical Decision Support listserv

Manage your listserv subscriptions here.

Meeting Information

When: Every Tuesday at 5 PM US ET

Meeting URL: https://meetings.webex.com/collabs/#/meetings/detail?uuid=M4T1NA5U0J86NDDWK7B6L0034Q-3MNZ

Meeting Number: 195 053 369

Audio Connection: USA Call-in number: 770-657-9270

Participant access code: 071 582

Status

• The current effort is to advance both the Care Plan Domain Analysis Model (DAM) and the CSS operation set.
• Current effort occurring as part of Patient Care bi-weekly Care Plan modeling meetings
• Soliciting input on weekly day/times for SOA services specification meeting Doodle Poll here

Issues/Hot Topics

• CCS issues tracking at GForge repository.

Project Documents

• Link to working documents/wiki pages
• Link to project GForge
• Link to reference documentation on GForge, HL7 Web site WG Documents/Presentations page, or external web pages