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HL7 Care Plan (CP) Project Care Coordination Services Project Health Concern Topic Updates. September 2013 WGM Update: Part 2 Project leads: Stephen Chu Laura Heermann Langford. *C are Plan Project wiki: http://wiki.hl7.org/index.php?title=Care_Plan_Project_2012

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hl7 care plan cp project care coordination services project health concern topic updates

HL7 Care Plan (CP) ProjectCare Coordination Services ProjectHealth Concern TopicUpdates

September 2013 WGM Update: Part 2

Project leads:

Stephen Chu

Laura Heermann Langford

  • *Care Plan Project wiki:

http://wiki.hl7.org/index.php?title=Care_Plan_Project_2012

  • * Care Coordination Project wiki:

http://wiki.hl7.org/index.php?title=Care_Coordination_Capabilities

pcwg updates part 2
PCWG Updates – Part 2
  • Includes:
    • CCS
    • Process/dynamic models
    • CQI collaboration
    • Forward plan
    • Health concern topic
care coordination services ccs
Care Coordination Services (CCS)

CCS functional capabilities

  • Developed in collaboration with HL7 SOA to support
    • Care team member interactions: communications and collaborations
    • Patient assessments
    • Care planning and execution processes
    • Progress tracking
    • Care team reviews

Detailed working draft at:

http://wiki.hl7.org/index.php?title=Care_Coordination_Capabilities

ccs example
CCS Example

Care Planning and Execution Processes

  • Create care plans, plans of care, treatment plans
  • Support single and multi disciplinary views and interactions
  • Ensure required services and resources are available for execution of the plan
  • Mark and track execution status of activities
    • Start, Suspend, Resume, Cancel, Complete activities
  • Make use of best practice re-useable plan “templates”
  • Plan changes are pushed to care team stakeholders
ccs functional model
CCS Functional Model
  • First ballot: May 2013
  • Ballot reconciliation still in progress
  • To continue post Cambridge WGM via conference calls (Tuesday 5:00pm US Eastern)
dynamic model s
Dynamic Model(s)
  • Many CCS ballot comments concern processes of care plan development, negotiation, review, approval, synchronisation, reconciliation/harmonization, etc
  • Care plan project team decided to initiate development of dynamic model(s) to capture processes required to support these activities
dynamic model s1
Dynamic Model(s)

Step 1: Mind Maps and Storyboards

dynamic model s2
Dynamic Model(s)

Step 1:

Mind Map(s)

And

Storyboards

collaboration with cqi
Collaboration with CQI
  • First meeting with CQI group (Tuesday lunch)
  • Discussions focused on
    • CQI quality requirements and implications for Care Plan model and CCS design
  • Outcome:
    • PCWG will review storyboards/use cases developed by CQI group
    • Post Cambridge conference calls to explore how care plan model may support CQI quality requirements
forward plan
Forward Plan
  • Continue Care Plan DAM ballot reconciliation
    • Care Plan DAM 2nd Informative Ballot – January or May 2014
  • Complete CCS ballot reconciliation
    • CCS 2nd Ballot planned for January 2014
  • Continue Care Plan processes storyboards and dynamic models development
  • Begin collaboration with CQI group on Care Plan model review/refinement in accordance with CQI quality requirements
pcwg projects
PCWG Projects
  • PCWG welcomes your participation and appreciate your contributions in any or all of the PCWG projects
    • Allergy/Intolerance
    • Care Plan
    • Health Concern (starting soon)
  • For more information:
    • http://wiki.hl7.org/index.php?title=Patient_Care
  • Join our regular conference calls
    • Wednesdays at 5 PM US ET