CCS Comments Only Ballot Reconciliation

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Care Coordination Service Ballot Reconciliation

Comments Ballot - May 2013

Consolidated Excel Spreadsheet

Updated with changes from October 15th, 2013 CCS weekly meeting

Click here to view excel file: File:CCS-Consolidated-Ballot-Comments.xlsx

May 21, 2013

Attendees: Stephen Chu, Susan Campbell, Laura Heermann, Nan Hou, Emma Jones

Facilitator: Stephen Chu | Scribe: Enrique Meneses

Overview: Comment notes are captured in the uploaded consolidated ballot spreadsheet

In this meeting we did the following:

• Continued reconciliation of major negative comments from Dr. O'Malley
  • Team decided to invite him to an upcoming meeting to discuss with him remaining comments
  • Started reconciliation of minor negative comments

May 28, 2013

Attendees: Stephen Chu, Susan Campbell, Laura Heermann, Nan Hou, Emma Jones, Kevin Coonan, Russ Leftwich

Facilitator: Stephen Chu | Scribe: Enrique Meneses

Overview: Comment notes are captured in the uploaded consolidated ballot spreadsheet

In this meeting we did the following:

• Continued reconciliation of minor negative comments followed by comments submitted by Russ Leftwich on behalf of S&I LCC
  • Follow up action item: Email Bill Russell for clarification on comment #7 (structure of interventions and orders)
  • Again reemphasized we need an interaction diagram of a generic process

June 4, 2013

Attendees: Russ Leftwich, Susan Campbell, Stephen Chu, Laura Heermann, Emma Jones, Kevin Coonan

Facilitator: Stephen Chu | Scribe: Enrique Meneses

Future discussion item:

• Susan: need to capture the context of a meeting and associated activities.
  • e.g. may want to take a snapshot of the meeting and export as a CDA document
  • need to look at existing capabilities and decide what is needed for this

• Need to specify approach for dealing with governance and policies. It's out of scope for CCS but there needs to be a precise way of specifying the context required for policy evaluation.

• • What we mean by governance: A mechanism for determining agreement among care team including the patient with regards to decision authority.

• CCS will not specify capabilities for privacy, access, security and audit logging. These are general industry capabilities which should be common among the many SOA services defined by HL7. We still need to do due diligence in reviewing what we reference in the document (as it would represent a sort of "endorsement"). There exists an HSSP privacy, access and security specification which we could leverage. There are questions regarding it's alignment with the EHR FM which need to be answered. If this is to be defined by the patient care WG then there will be a separate project scope statement (and will be out of scope for CCS).

• Kevin: we need to make sure consumers understand we cannot define conformance to the SFM. The only way to specify conformance is against a technical specification (e.g. OMG phase). Agreed.

June 11, 2013

Attendees: Stephen Chu, Russ Leftwich, Susan Campbell, Laura Heermann, Emma Jones, Kevin Coonan, Nan Hou, Enrique Meneses

• Worked on ballot reconciliation. The comments are captured in the uploaded excel document.

June 18 - No Meeting

• Emma and Enrique joined. There were multiple conflicts with other meetings and vacations.

June 25, 2013

Attendees: Terrence O'Malley, Lynette Elliott, Stephen Chu, Russ Leftwich, Susan Campbell, Laura Heermann, Emma Jones, Kevin Coonan, Enrique Meneses

• Dr. O'Malley joined us to discuss his ballot comments and feedback
• The comments are captured in the uploaded excel document.
• We have multiple follow up action items to be worked out over email discussions.

July 2nd- No meeting

• There was no meeting this week

July 9th, 16th, 23rd, 30th 2013

These meetings were used to work on PCWG Care Plan Project Domain Analysis Model changes for the September ballot submission. This is a critical dependency for CCS and will address some of the ballot comments received in March.

Attendees: Stephen Chu, Laura Heermann, Russ Leftwich, Susan Campbell, Emma Jones, Kevin Coonan

Additional attendees July 30th: Becky Angeles, Rosemary Kennedy

August 6th - No meeting

• Meeting cancelled... multiple workgroup participants worked over the weekend to complete Care Plan DAM document for Care Plan Project 2012.

August 13th

Attendees: Nan Hou, Stephen Chu, Emma Jones, Enrique Meneses (Laura and Kevin on vacation).

• This was mostly a planning meeting
• We discussed the CDA LCC progress/status. The addition of "payment detail" to the care plan model may be necessary in the next version of the care plan model. The concepts of health plan and insurance may be US realm specific so we'll model as a more general "payment detail" concept if possible.
• Decided the care planning process model will be developed during the Care Plan Project Wednesday meeting.
  • CCS will continue moving forward with ballot reconciliation and use the coordination of care process models developed by PCWG to clarify and resolve many ballot comments
• Emma will help us get started with some use cases for reconciliation
  • We discussed order entry reconciliation but decided the scope of care coordination includes a lot more concepts beyond orders.
• Need to follow up with individuals who provided comments (for comments with dispositions).

August 20th

Attendees: Stephen Chu, Russell Leftwich, Laura Heermann, Emma Jones, Nan Hou, Enrique Meneses Facilitator: Stephen Chu

Agenda:

• Continue ballot reconciliation for
• Determine plan for process model development (will we start this Wednesday as part of the PCWG care plan project meeting or next week).
• Discuss project timeline and PSS update

August 27th

Attendees: Laura Heermann, Stephen Chu, Nan Hou, Emma Jones, Kevin Coonan, Susan Campbell, Iona Thraen (Bobbie Anderson) , Enrique Meneses Facilitator: Laura Heermann, Stephen Chu

Agenda:

• Continue ballot reconciliation for CCS
• Complete review of remaining comments from Terry in anticipation of our meeting with him next week.

September 3rd

Attendees: Terrence A O'Malley, Laura Heermann, Stephen Chu, Nan Hou, Emma Jones, Kevin Coonan, Iona Thraen, Enrique Meneses

Facilitator: Stephen Chu

Agenda:

• Dr. O'Malley to join us for reconciliation of his ballot comment submission.

Notes:

• In this meeting we completed discussions with Dr. O'Malley regarding this feedback.

September 10th

Agenda:

• Continue with ballot reconciliation

Oct 1st

Agenda:

• Continue with ballot reconciliation

Oct 8th

Agenda:

• Continue with ballot reconciliation

Oct 15th

Agenda:

• Continue with ballot reconciliation

DSTU Ballot - TBD

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