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Introduction


 This section of the confluence keeps a chronological list of the minutes from the bi-weekly care plan meeting. 

Date

Time

Topic

Meeting Information

Meeting Minutes

 

5:00-6:00 PM
  • Use of _include Search Parameter to link FHIR resources
  • MCC Profile Updates
  • Upcoming Meetings

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Meeting ID: 532 857 1160

 

5:00-6:00 PM
  • Overview and Progress Updates
  • HL7 Connectathon 30 recap and Connectathon 31 plans
  • Long COVID Data Elements Analysis update
  • Support for Linking FHIR Resources Together
    • Use of Cardinality and Must Support
    • Use of _include Search Parameter

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Meeting ID: 532 857 1160

 

5:00-6:00 PM
  • HL7 May Connectathon 30 Overview
    • Scenario Data Review
    • Future Care Team Scenario (including SDOH support)
  • May Workgroup Meeting
    • PACIO Birds of a Feather
    • PCWG MCC eCare Plan Report Out (Thurs Q1)
    • Collaboration with LHS - Care Team DAM Project (Thurs Q4)
    • Other relevant sessions

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Meeting ID: 532 857 1160

 

5:00-6:00 PM
  • FHIR Goal Resource
    • Show and tell of MCC Goal Resource and Gravity Goal Resource approaches
    • Discuss similarities and differences
    • Identify gaps remaining
  • Interoperable goals
    • Capturing goals in provider/patient interaction to conform to Goal resource
    • Storage for goals i.e., MCC proposed approach
    • Display patient-authored goals in clinician app

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Meeting ID: 532 857 1160

 

5:00-6:00 PM
  • Profile and Value Set Approach (15 min)
  • FHIR: Handling Barriers and Supportive Factors (10 min)
  • Care Planning Connectathon Track Planning (10 min)
  • USCDI - Care Planning Data Elements (25 min)

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Meeting ID: 532 857 1160

 

5:00-6:00 PM
  • PACIO x Care Planning Connectathon Track Discussion (20 min)
  • Care Planning Connectathon Track Participation (5 min)
  • Provider and Patient/Caregiver App Demo and Discussion (35 min)

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Meeting ID: 532 857 1160

 

5:00-6:00 PM
  • Brief background and progress update
  • IG redesign
  • Long COVID domain
  • Connectathon
  • MCC eCare IG balloting timeline and PSS update

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Meeting ID: 532 857 1160

 

5:00-6:00 PM

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Meeting ID: 532 857 1160

 

5:00-6:00 PM
  • CMS Digital Quality Measurement Blue Print 

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Meeting ID: 532 857 1160

 

5:00-6:00 PM
  • Review Intervention Value sets

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Meeting ID: 532 857 1160

August 4, 20215:00-6:00 PM
  • Review Health Status and Evaluation Value Sets

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Meeting ID: 532 857 1160

Zoom Viewer Version:

the link below to share this recording with viewers:
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July, 21, 20215:00-6:00 PM
  • Provide a brief update on the MCC eCare plan project (the pilot team perspective)
  • Q&A with Laura Marcial, Dan Vreeman, and David Dorr

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Meeting ID: 532 857 1160

July 7, 20215:00-6:00 PM

Progress: Review last session (6/23), including a discussion of

issues around defining the creation of computable goals as needed for multiple chronic conditions, as well as associated issues in structuring the requisite data.

Plan:

1) Health Status elements review

2) Specific Care Plan issues for Multiple Chronic Conditions

3) Open Discussion

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Meeting ID: 532 857 1160

June 23, 20215:00-6:00 PM

Progress :

Review last session (6/9), included a discussion of issues around goal model in a variety of projects including MCC eCare Plan, The Gravity Project, FHIR Clinical Guidelines (CPG), PACIO,  and Problem-based Charting/Provider Notes/Team Management  

Plan:

1) Problem Definition: Creation of ‘computable goals’

2) Available tools for

   a- Structuring the guideline

   b- Formalizing the expression

   c- Accessing the data

3) Open Discussion

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Meeting ID: 532 857 1160

June 9, 20215:00-6:00 PM

Progress: Review last session (5/12), including: 

1) Project status update

2) Patient Administration update

3) Concept modeling for MCC Process Use Contexts


Plan:

1) Review Goal data element strategy

2) Invited speakers on MCC Goals, SDoH Goals, and Goals from the perspective of Problem-Based Charting and Provider Burden


Open Discussion

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Meeting ID: 532 857 1160

Recording, attendees and speakers listed here: June 9, 2021 Care Plan Topics Meeting Notes

May 12, 20215:00-6:00 PM
  • Progress: Review last session (4/28), including 
    • Review Social Health Concern data elements
    • Primer on how we use data element domains such as Pain and Food Insecurity
  • Plan:
    • Project status update
    • Patient Administration update
    • Concept modeling for MCC Process Use Contexts
  • Open Discussion

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Meeting ID: 532 857 1160

April 28, 20215:00-6:00 PM
  • Progress: Review last session (4/21) including
    1. Pain Domain elements and 
    2. Implications of the FHIR Care Plan Content Model relative to coverage for Multiple Chronic Conditions
  • Plan: 
    1. Review Social Health Concerns Data Element 
    2. Primer on how we use data element domains such as Pain
  • Open Discussion

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Meeting ID: 532 857 1160

April 21, 2021 5:00-6:00 PM
  • Progress: Value Set practices for MCC and CardioVascular Disease element review
  • Plan: Pain Domain element review and FHIR Care Plan Content Model implications for MCC
  • Open issues discussion

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Meeting ID: 532 857 1160

March 31, 20215:00-6:00 PM
  • Progress 
    • review last meeting
    • provided additional outcomes/goal model input 
    • reviewed Diabetes elements
    • value set tooling considerations
  • Plans 
    • value set naming practices applied to MCC eCare Plan
    • review CardioVascularDisease elements 
  • Predicaments - no new issues
  • Open Discussion with specific questions for the WG

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Meeting ID: 532 857 1160

March 17, 20215:00-6:00 PM
  • Progress (including recap from last meeting)
  • Plans (what we’re currently working on)
  • Predicaments (issues deliberately deferred)
  • Open Discussion

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Meeting ID: 532 857 1160

March 3, 2021

5:00-6:00 PM

  • Project Scope Review: problems and goals for MCC eCare Plan
  • Care Plan information model discussion
  • Strategy on increasing from one condition to multiple conditions
  • Discuss workgroup's recommendation on best collaboration practices
  • General discussion

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Meeting ID: 532 857 1160

January 6, 20215:00-6:00 PM

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Meeting ID: 532 857 1160

meeting minutes
December 16, 20205:00-6:00 PM

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Meeting ID: 532 857 1160

meeting minutes
December 9, 20205:00-6:00 PM

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Meeting ID: 532 857 1160

meeting minutes
November 23, 20205:00-6:00 PMCanceled 

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Meeting ID: 532 857 1160

meeting minutes
November 18, 20205:00-6:00 PMCanceled

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Meeting ID: 532 857 1160

meeting minutes
October 28, 20205:00-6:00 PMCanceled

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Meeting ID: 532 857 1160


October 14, 20205:00-6:00 PM ET
  • VSAC Authoring Permissions
    • Request the addition of a steward 
  • Change in primary contact/author for IG and PSS
  • Update ownership of HL7 Github

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Meeting ID: 532 857 1160

meeting minutes
September 30, 20205:00-6:00 PM ET
  • Should Care Plan be a data class in USCDI
  • Review of Draft Implementation Guide

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Meeting ID: 532 857 1160

meeting minutes
September 2, 20205:00-6:00 PM ET
  • General IG Review 
  • Review the profiles MCC will test in Sept Connectathon
  • Discuss "Custodian/Care plan Owner"
  • Connectathon Planning Updates
  • Date and time for Patient Care Care Planning meeting during the HL7 workgroup meeting
Connectathon

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Meeting ID: 532 857 1160

meeting minutes
August 19, 20205:00-6:00 PM ET
  • Medication Statement Vs US Core MedicationRequest within Care Plan Intervention (aka OutcomeReference)
  • A general overview of the current state of IG dev
  • Bonus if time allows* connectathon track (revised) plans
  • Discuss Care Plan maintained by (Plan Monitor Name)

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Meeting ID: 532 857 1160

meeting minutes
August 5, 20205:00-6:00 PM ET

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Meeting ID: 532 857 1160

July 22, 20205:00-6:00 PM ET
  • Review IG changes/additions
  • Review Chronic Kidney disease Profile relationship diagram changes
  • Review Care Plan profile relationship diagram
    • Including Questionnaire integration
  • Development of education material
    • All things care plan page
    • 5 minute education videos 

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Meeting ID: 532 857 1160

meeting minutes
July 8, 20205:00-6:00 PM ET
  • Relationship diagrams for the Care Plan and CKD profiles
  • How the IHE dynamic care plan can help to inform the relationship diagrams for those profiles


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Meeting ID: 532 857 1160

meeting minutes
June 24, 20205:00-6:00 PM ET

The MCC project will invite the larger stakeholder group to the patient care call for an overview of the project and a  progress status

Full Agenda

  • Background
  • Project Scope
  • Approach
  • Project Status
  • Next Steps

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Meeting ID: 532 857 1160

June 10, 20205:00-6:00 PM ET

PSS Review

Status of Content Profiles

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Meeting ID: 532 857 1160

meeting minutes
May 27, 20205:00-6:00 PM ET

Debrief on the Care Coordination Track

PCWG schedule past for June

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Meeting ID: 532 857 1160

meeting minutes
May 13, 2020 5:00-6:00 PM ETCanceled 

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Meeting ID: 532 857 1160

canceled
May 6, 20205:00-6:00 PM ETPSS Review

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Meeting ID: 532 857 1160

meeting minutes
April 29, 20205:00-6:00 PM ET

Confirmation of upcoming Care Plan meetings/cancelations (Katiya- 5 minutes)

MCC PSS editing ( Gay- 15 minutes)

IPS Vote ( IPS Lead/PCWG- 15 minutes)

Recording of Care plan overview (Lisa/group- 25 minutes)

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Meeting ID: 532 857 1160

meeting minutes
April 15, 20205:00-6:00 PM ET

HL7 May Connectathon Care Coordination Track Plan 

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Meeting ID: 532 857 1160

meeting minutes

April 8, 2020*

5:00-6:00 PM ET

*Joined the care plan DAM call to discuss:

Care team Attribution

Subscription to care plan updates 

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URL: https://join.freeconferencecall.com/patientcare

  • Phone Number: +1 563-999-2090
    • Participant Passcode: 792564
meeting minutes
April 1, 20205:00-6:00 PM ET

Transaction for Care Team Attribution

Subscription to Care Plan Updates 

IG Development Process

IG Task Plan/ Upcoming Agendas

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meeting minutes
March 18, 20205:00-6:00 PM ET

Separate listserve

MCC CIMs

Free conference call recording and sending the list of the attendee

Confluence page for questions that arise out of the project

 

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meeting minutes
March 4, 20205:00 - 6:00 PM ET

Communication plan

US Core Care Plan - Discussion and Clarification

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meeting minutes
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