Reminder: Do not include any PHI or PII in Confluence. If you require 508 accessibility assistance or any other support for this system, then please send an email to onc-jira-questions@healthit.gov
If you would like to follow the progress of work done by LCC, you are more than welcome to participate in the following HL7 Workgroups, to which all LCC work has been transitioned:
- Structured Documents WG
- Responsible for C-CDA Standard Revisions
- Meets every Thursday from 10 to 12pm ET
- HL7 Structured Documents Wiki Reference the "Upcoming Calls" section for web meeting and dial-in information
- Patient Care WG
- Responsible for Care Plan, Care Coordination and Health Concern Topic
- Care Plan Project meets every other Weds from 4 to 5:30pm ET
- Health Concern Topic meets every other Thursday from 4 to 5pm ET
- HL7 Patient Care Wiki Reference the "Upcoming Calls" section for web meeting and dial-in information
Download the Closing Ceremony presentation: LCC Closing Ceremony Presentation Materials
View the Closing Ceremony recording: View on Vimeo
Implementation Resources
IG Artifact | Description | Date Uploaded |
LCC Candidate Standards 2012-04-12 | LCC Candidate Standards List | 4/12/2012 |
LCC Candidate Standards 2012-07-10 | LCC Candidate Standards List | 7/10/2012 |
IMPACT Project High Level Implementation Guide | SEE Transitions of Care IG | January 2013 |
LCC Use Case 2.0 Functional Requirements | Care Plan Exchange Use Case functional requirements | May 2013 |
Introductory Materials | C-CDA R2 Introductory Materials | August 2013 |
Templates and Supporting Documents | Pre-balloted C-CDA R2 Implementation Guide | Aug 2013 |
Assessment Summary Document and Questionnaire Assessment Implementation Guide | Balloted by LTPAC | December 2012 |
Initiative Artifacts
Artifact | Description | Completion Date |
Consolidated CDA Implementation Guide | C-CDA R1 Implementation Guide | 1/11/2012 |
C-CDA R2 Implementation Guide | C-CDA R2 Templates for Clinical Notes DSTU R2 Implementation Guide | September 2013 |
Care Plan White Paper | Meaningful Use Requirements for Transitions of Care and Medically Complex and/or Functionally Impaired Persons White Paper | 08/21/2012 |
Care Plan Glossary | List of terminology and definitions used in Care Plan documentation | December 2012 |
Background
Improving transitions of patients across acute and post-acute care settings has been a key driver of recent healthcare reform initiatives and regulations. Ineffective care transitions are widely recognized as major contributors to poor quality and waste. Gaps in treatment and poor communication among provider groups and between providers and patients have been shown to diminish patient health and increase costs. The Meaningful Use (MU) Electronic Health Record (EHR) Incentive Program addresses this gap by introducing two new measures to improve care coordination during Transitions of Care (ToC): 1) medication reconciliation during ToC and 2) Summary of Care record for ToC/referrals.
The ONC ToC Initiative emerged to identify and develop the standards that would enable the electronic exchange of core clinical information among providers, patients and other authorized entities so that Stage 1 and Stage 2 MU ToC requirements could be met. The ToC Initiative standards target specific provider groups or disciplines—eligible providers (EPs) and eligible hospitals (EHs)—and the software developers and vendors who would design or upgrade EHR systems to enable the exchange. Absent from these scenarios are the exchange requirements for interdisciplinary interventions and care planning across the continuum of care, regardless of setting or service provider. This limitation highlights a critical gap in both the provider and patient populations targeted by the MU Program. For example, each year an average of fifteen million medically complex and/or functionally impaired individuals receive care services not only from eligible provider groups, but also from nursing facilities (NFs), home health agencies (HHAs), long-term care hospitals (LTCHs), inpatient rehabilitation facilities (IRFs) and a wide array of social services and supports. The quantity of service delivery encounters required by these individuals, as well as the failure to deliver and coordinate needed services, are significant sources of frustration and errors, and thereby drivers of healthcare expenditures.
The S&I Longitudinal Coordination of Care (LCC) Initiative builds on the ToC Initiative standards and aims to address identified gaps in transitions of care and care planning.