Longitudinal Coordination of Care

LCP SWGMonday, August 12, 2013

Agenda

2

Topic Presenter Time Allotted

Announcements and Reminders Evelyn 5 minutes

Care Plan C-CDA Revisions Lantana 55 minutes

• A Report to Congress on the Application of EHR Payment Incentives for Providers Not Receiving Other Incentive Payments was issued last week– The report has been uploaded to the LCC Reference Materials

wiki here– The full study can be found here:

http://aspe.hhs.gov/daltcp/reports/2013/ehrpi.shtml

Announcements

3

• Call for Pilot Participation!– LCC Pilot Wiki Page: http://wiki.siframework.org/LCC+Pilot+Plan

• Contains Pilot Survey, Pilot Overview Document, and Planning Template

– Pilots Launch is set for September 16th

• Meeting Reminders – LCC HL7 Tiger Team SWG meeting – Wednesday at 11am ET– LCP SWG meeting – Thursday at 5pm ET

4

Reminders

© 2011 Lantana Consulting Group, www.lantanagroup.com5

Care Plan - CDA Document Type Development

© 2011 Lantana Consulting Group, www.lantanagroup.com6

HAS SU

PPORT

HAS

REA

SON

Relationships (Happy Path)

Health Concern

(code= CONCERN or

RISK)[mood EVN]

Goal [mood GOL]

Outcome Observation [mood EVN]

Intervention [mood: INT/ RQO/ etc.]

[mood: EVN]

Observation [mood EVN]

REFERS TO

REFERS TO

HAS COMPONENT

EV

ALU

ATES

Progress Toward Goal Observation [mood EVN]

SUPP

ORTS

REFERS TO EVALUATIONS/OUTCOMES

HAS COMPONENT

HAS REASON

© 2011 Lantana Consulting Group, www.lantanagroup.com7

• Changed code on Health Concern Act (CONCERN/RISK)

• Can relate a Health Risk to a Health Concern

• Example in sample file

Overview of Risk Modeling

© 2011 Lantana Consulting Group, www.lantanagroup.com8

• New participants on document header

• authenticator (patient sign-off)

• participant (Caregiver/relative) documentationOf (responsible providers)

• performer (healthcare providers)

• relatedDocument

Care Plan Review

© 2011 Lantana Consulting Group, www.lantanagroup.com9

• Questions:

• 3 – Certification Periodo Seems to be about certifying that the patient does need

home health care, so that it can be paid for from federal funds

o How does it relate to the other dates?

Form 485 – Sample File

© 2011 Lantana Consulting Group, www.lantanagroup.com10

• Questions:

• Describe the relations/roles of dates and personnel, so we can put the right words in comments, e.g. "This is the person who performs the home health care."o 3 Certification period [from, to]

o 2 Start of care date

o 25 Date of HHA [Home Health Agency] Received Signed POT [Plan of Treatment]

o 23 Nurse's Signature and Date of Verbal SOC [Start of Care, Referral Date] Where Applicable

o 5 Provider No

o 7 Provider's Name, Address, and Telephone No

o 24 Physician's Name and Address

o 27 Attending Physician's Signature and Date Signed

Form 485 – Sample File

© 2011 Lantana Consulting Group, www.lantanagroup.com11

• Questions:

• 18B – Activities Permittedo "Activities permitted – crutches" – is it an instruction to the

patient or a description of the patient's mobility (functional status)?

Form 485 – Sample File

© 2011 Lantana Consulting Group, www.lantanagroup.com12

• Questions:

• Patient IDs: • Medical Record No - is this the facility patient ID?

• Patient's HI Claim Number

Form 485 – Sample File