Longitudinal Coordination of Care (LCC) Pilots Documentation. GSIHealth : Health Home Data Exchange via Direct 01/06/2013. Pilot Team.
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GSIHealth: Health Home Data Exchange via Direct
Identify the members of your organization who will be supporting this pilot. If possible include the role he/she will play in the pilot and contact information
GSIHealth provides a Care Coordination Software platform for Health Information Exchange especially in the Health Home and ACO continuum.
We will be piloting the use of the NHIN Direct Protocol (http://wiki.directproject.org/home ) to transfer a C-CDA document containing Health Home Care Plan and Assessment Information
Data will be sent from an Electronic Care Plan and Assessment Tool (TREAT) to an Email Client and possibly an EHR, via secure channels, demonstrating Provider to Provider Exchange.
TREAT will demonstrate EHR-like maintenance of operational Care Plan and Assessment data, The LCC Enhanced C-CDA Document (Care Plan) sent to the Email Client will be human readable.
If a Care Plan is sent to an EHR, we would like to demonstrate parsing the CarePlan elements into operational data.
Diagram below shows overall architecture
Please use this section to document which of the 5 LCC Standards (Transfer Summary, Consultation Request, Consult Note, Care Plan, and/or Home Health Plan of Care ) you are intending to pilot. Please be as specific as possible.
Exchange of Clinical Information from Provider/System/Careteam to Provider/System/Careteam
See Diagram above
What is your proposed timeline given we want to wrap-up Pilots by Q4 2014
Since we already facilitate the exchange of Health Home data within the healthcare enterprise, it would be difficult to demonstrate further success at the organizational level. Rather we see the LCC effort as a way of standardizing our integration efforts, making the task of Health Home Data Exchange simpler and less risky.
Our scope is defined by the boundaries of the Direct Project, using a Care Plan C-CDA document. We want health home providers, including Care Navigators to be immediately alerted to patient care plan changes and assessment data. This workflow may include Direct Messaging to an email client over a secure channel.
Finding an EHR who has Direct XD Capability and that can parse the new CarePlan elements in short order is the highest risk. Thus we have left that for a “bonus” feature.
We are looking for an EHR vendor who has Direct XD Capability and is willing to try and parse out the elements of the Care Plan C-CDA document to obtain Care Plan and Assessment data.