1. Update from HIMSS - demo went very well, we will try to show it via Webex on a future call
  2. Long Term Care use case
    1. We want to make sure we scope this properly. There are significant differences among Skilled Nursing Facilities, Long Term Acute Hospitals, and Assisted Living Facilities
      1. Assisted Living Facilities would need detailed functional status, dietary requirements, social data, rehab services, if any, are outside of the facility
      2. SNFs usually have rehab capabilities on site; need only baseline functional status
      3. Long Term Care Acute Hospitals - previous (acute) level of care is still needed
      4. Conclusion: Long Term Care use case to focus on Skilled Nursing Facilities (NSF); make sure we don't mix with more general discharge planning or transition of care workflows
    2. SNF Referrals workflow points:
      1. requests to multiple facilities, hospital system must group them together
      2. Negotiations with the facilities until one is selected
      3. Include families in selection process
    3. Topics for further discussion

      1. referral identifier - one per request, or same one for multiple requests,

      2. how to manage negotiations

      3. what is closing the loop in this case

      4. What is necessary content in order to improve patient care

        1. Partners Healthcare has a list of red flags, therapy notes, high cost items that are sent with the request. In their experience, first-come, first-served is he most common approach in selecting the facility
      5. When sending requests to multiple facilities, what is the general approach? Two-step requests?

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