electronic Long-Term Services and Supports (eLTSS) Overview
The electronic Long-Term Services & Supports (eLTSS) Initiative launched on November 6th, 2014. This initiative is an ONC-CMS partnership focusing on the identification and harmonization of electronic standards that can enable the creation, exchange and re-use of interoperable service plans for use by health care and community-based long-term services and supports providers, payers and the individuals they serve. These plans can help to improve the coordination of health and social services that support an individual’s mental and physical health.
This initiative is driven by the requirements of the CMS Testing Experience and Functional Tools (TEFT) in community-based long-term services and supports (CB-LTSS) Planning and Demonstration Grant Program created in the Affordable Care Act (ACA).
If you have questions or would like to be included in eLTSS-related emails, please contact Becky Angeles at becky.angeles@carradora.com.
Announcements
HL7 September 2020 Virtual Connectathon
- eLTSS participated in the HL7 September Connectathon as part of the PACIO-eLTSS Transitions of Care Track
- Download the eLTSS September 2020 Connectathon Report
- To view a recording of the PACIO-eLTSS Transitions of Care Track Introductory Webinar, or to download a copy of that presentation, go to https://confluence.hl7.org/display/FHIR/2020-09+PACIO-eLTSS+Post-Acute+Care+Transition+Summary
Proposed eLTSS FHIR IG STU Update
- The HL7 CBCP Workgroup is proposing several non-substantive changes be implemented in the eLTSS FHIR IG as an STU Update. To review the proposed changes and to submit comments please go to https://confluence.hl7.org/pages/viewpage.action?pageId=91984239
An eLTSS Community Update was conducted on Thursday July 16, 2020
- This update included a report on eLTSS testing at the HL7 May 2020 Virtual Connectathon and an outline of plans for eLTSS testing at the HL7 September 2020 Virtual Connectathon
- Also on this update representatives from the State of Missouri shared their takeaways from the May Connectathon, and Patient Centric Solutions demonstrate their implementation of eLTSS within their PatientShare system
- Download the July 2020 eLTSS Community Update presentation
- To access presentations from previous community updates, please visit the eLTSS Past Meetings page
HL7 May 2020 HL7 Virtual Connectathon
eLTSS participated in the PACIO-eLTSS Post-Acute Care Transition Summary Track and the Care Coordination Track of the May 2020 Virtual HL7 Virtual Connectathon
- Download the Initial eLTSS Connectathon Report Out
- Download the PACIO-eLTSS Post-Acute Care Transition Summary Track Report Out
Please join the weekly HL7 Community-Based Care and Privacy (CBCP) Working Group (WG) Calls on Tuesdays 12:00 – 1:00pm EST
- URL: https://zoom.us/j/6754075337/ Conference Audio: +1 929-436-2866/ Access Code: 675 407 5337
Agenda at https://confluence.hl7.org/pages/viewpage.action?pageId=82914156
eLTSS Project Artifacts
| Final Artifacts | |
|---|---|
| eLTSS FHIR Implementation Guide | The eLTSS FHIR Implementation Guide (IG) Release 1 - US Realm is based on FHIR R4. It was developed to support the exchange of data generated during the planning and provision of long-term services and supports and is currently scoped to data commonly found on LTSS service plans. |
| eLTSS Reference Implementation | The eLTSS Reference Implementation supports the establishment of an eLTSS FHIR R4 server which utilizes the eLTSS FHIR Implementation Guide and provides five eLTSS sample data bundles for testing |
| eLTSS Informative Document | The HL7 Cross-Paradigm Information Sharing for Electronic Long-Term Services & Supports (eLTSS), Release 1 - US Realm Informative Document was balloted through the September 2018 HL7 ballot cycle. This document describes how Home and Community-Based Services (HCBS) data requirements, documented in the 56 data elements included in the eLTSS Dataset, can be represented for exchange and sharing using nationally recognized content and vocabulary standards. |
| eLTSS Dataset C-CDA Mapping | The Georgia Team mapped the Final eLTSS Dataset to HL7 C-CDA Release 2.1. This mapping is included as an appendix in the eLTSS Informative Document balloted through the September 2018 HL7 ballot cycle and will be updated as needed to address ballot comments. |
The Georgia Team mapped the Final eLTSS Dataset to HL7 FHIR R4 (build 14355). This mapping is included as an appendix in the eLTSS Informative Document balloted through the September 2018 HL7 ballot cycle and will be updated as needed to address ballot comments. | |
| Final eLTSS Dataset & Summary | The final eLTSS Dataset is the culminating deliverable of the eLTSS Initiative which is comprised of core and non-core data elements. This dataset was developed and vetted through two rounds of piloting, harmonization and disposition activities. The Summary includes a high-level overview of the creation of the eLTSS Dataset, methodology, and vision for dataset integration. |
The Executive Summary is a high-level overview of the eLTSS initiative, covering aspects from inception, to execution of piloting and harmonization activities. | |
| eLTSS Initiative Summary | The eLTSS Initiative Summary is a detailed review of the eLTSS initiative, describing all aspects from inception, to execution of piloting and harmonization activities. |
| eLTSS Briefing | A synopsis of the technical background of this initiative's work including challenges, pilot methodology and vision for next steps with an SDO. |
| eLTSS Round 1 Published Dataset | This is the final Harmonized Dataset that was consented by the eLTSS Initiative Community during Round 1 of piloting. Definitions for each data element is included. |
| eLTSS Project Charter | The document describes the overall eLTSS project charter, including the challenge statement, scope, deliverables and timelines. |
| eLTSS Use Case | A use case is a methodology used in system analysis to identify, clarify, and organize system requirements. The eLTSS Use Case is developed by community input framed by the Project Charter content. |
| eLTSS Glossary | A community-driven glossary that was actively developed during Round 1 of eLTSS. Final updates were made August 2015. |
| Presentations (downloading is recommended over viewing these presentations on Confluence) | |
Project Overview and Call for Participation | |
| Concert Series Presentations | Organizations presented on an existing project or initiative related to the eLTSS scope of work and/or helped to inform the eLTSS target outcomes and deliverables. |
| Round 1 Pilot Plan Presentations | Presentations detailing pilot goals and intentions, standards under consideration, ecosystem and how success would be defined by each pilot. |
| Round 2 Pilot Plan Presentations | Presentations describing the methodology of how each pilot tested and validated the round 1 eLTSS Published Dataset. |
| Round 2 Final Pilot Report Out Presentations | Presentations explaining each pilot's accomplishments, lessons learned and ideas for a path forward. |
Presentation highlighting the accomplishments to date for the eLTSS project, including: the published eLTSS Data Set, Grantee Reviews, Lessons Learned and Next Steps | |
| Federal Partner Webinars | These meetings are designed to inform and educate Federal Partners of the eLTSS Initiative to progress, promote discussion of LTSS electronic capture and exchange and identify collaborative opportunities.
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