Blog from June, 2020

Survey was sent to the mailing list, received some responses:

• needed to add newer participants to mailing list
• more responses were sent during call

Looking at the responses, and considering the e-mail from Terry O'Malley, the LTC to acute care was the front-runner for our next use case.

We had more discussions on the various options, and next step.

In addition, the ONC Tech Forum will take place virtually on August 10-11. They will have an "exhibit area", and we are expecting that the 360X project will have presence there. Details will be coming over the next few meetings. Based on that, our focus for the general meetings should be on getting our documentation in the best shape possible for August 10.

Discussion focused on what use cases to consider:

• Current workload - based on following, we may take one new use case, and possibly a second.
  • finish publication of 360XL
  • Improve documentation
    • Insurance and prior authorization description - update IG and finish change proposals
    • Use of Argonaut FHIR scheduling - update IG
• Possible new use cases:
  • LTC facility outbound transfer - to acute, to another LTC faciltiy, to home care
  • eConsult - a consult based on documentation only, no patient visit (in person or tele-)
  • Referrals related to Social Determinants of Health (SDH)
• Additional discussion:
  • Patient involvement - this needs to be better documented (add to current workload)
  • Payer interactions - this needs to be better documented
    • prior authorizations (already in workload)
    • in/out of network (add to current workload)
• Followup - create a survey of the following use case options and send to mailing list
  
  • LTC to Acute
  • LTC to LTC
  • eConsults
  • SDH referrals

Discussions on the relevance of 360X and the COVID-19 pandemic, and future development of the specification:

• Nursing homes/LTC faciltities are hot-spots, what can be done to help care givers?
  • LTC to acute referrals/transfers
  • Acute to nursing home re-admits (Note that the re-admit may not be to the same facility that originated the referral)
• Extra-clinical services, can we extend 360X there?
  • different context for content, C-CDA has too much information, most of it not useful for the referral recipient.
  • BSeR has initial work in that area, as well as the Gravity Project

It seems that looking at LTC to acute referrals is a logical next step.

Discussion to continue next week, June 19th. 

No call today, due to a demo for the VA/DoD