Transition of Care (ToC) Initiative

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Recent Updates
  • Transition of Care Kickoff presentation slides can be downloaded here.  Check back soon to access the recording.
  • Register for the ToC Use Case & Requirements Workgroup meeting here.** Use this link to receive your unique dial-in/webinar information.  In the future, the process will likely change to make it more conversational.  We appreciate your patience as we strive to make participation as easy as possible.

Charter

Meaningful Use Stage 1 and foreseen Stage 2 requires information to be exchanged in transition of care. Implementers are often confused on how to use the specifications to exchange the required data.  The exchange of clinical summaries is hampered by ambiguous  common definitions of what data elements must at a minimum be exchanged, how they must be encoded, and how those common semantic elements map to MU specified formats (C32/CCD and CCR). Finally, the lack of a robust toolset to aid in development and validation of conformant templated clinical documents is a major impediment to the widespread adoption of the standards

Purpose and Goals

Meaningful Use:  Exchange key clinical information among providers of care and with patients and other authorized entities electronically  based on level of system capability, i.e., human readable, unstructured text or full interoperable structured data

  • Enable Clinical Summary validation services to be available such that if an organization passes validation, they have a high degree of confidence that any other organization passing the same validation has a 99.9% opportunity to understand the same core clinical information whether as unstructured data or structured and encoded data. 
  • Reduce template development time through new tools and process developed through the S&I Framework and public/private activities (such as Open Health Tools) by a factor of 1.5x. Reduce time to create a new unstructured  and structured documents based on the HL7 CDA by 10% in 2011 and by 25% in 2013

Scope

The Scope of this Initiative is as its first priority support for Meaningful Use Stage 1 summary of care (Eligible Provider, Eligible Hospital, and Critical Access Hospital) requirements for transition of care and transition of care to consumer and as a second priority support for expected Stage 2 requirements.

Success Metrics

 

Outcome Metrics
  1. Number of providers using ToC outputs
  2. Number of organizations who have been certified to produce valid specifications (Software development/Tools organizations/Provider organizations)
  3. Time reduction for creation of a new minimal unstructured summary and structured summary document
  4. Cost reduction for creation of core elements within transitions of care
  5. Improvement in ability to achieve MU criteria
Process Metrics
  1. Number of participants / organizations actively engaged in developing ToC Initiative outputs, e.g.,
    1. Wiki user counts
    2. Lines of code counts
    3. Count of artifact downloads
    4. Number of wiki edits, etc.

Timeline

Schedule

  • Transition of Care Project Kickoff Meeting - Monday, January 31st - 2pm ET.
  • Telecom Occurs every Wednesday effective 2/9/2011 until 12/28/2011 from 3:00 PM to 4:30 PM (ET).

Members

Transition of Care initiative stakeholders come from across the health care IT industry to make up the Transition of Care Initiative Members.

About our Workgroups

Note: Initiative members will determine necessary workgroups with launch of initiative. Below are an initial list of proposed Workgroups by the Initiative Coordinators.

Committed members participate in at least one of the following workgroups under the Transition of Care project:

Workgroup WG Lead WG Support Leads Description
Use Case & Requirements TBD Amy Berk RN, MSN
Ed Larsen
Focused on identifying and developing the relevant use cases and functional requirements supporting the
business needs for exchange and interoperability
Vocabulary TBD   Focused on communication/expression of specifications in CCR and CDA
Harmonization TBD
  Documents differences in C83 and CCR

The Transition of Care project is coordinated by Arien Malec with the guidance of the Office of Interoperability and Standards (OIS) under the Office of National Coordinator.

How to Get Involved

  • Keep me Informed
    • To be notified about significant events and announcements from the project, follow this site
  • How can I contribute?
    • Visit the "Getting Started as a Volunteer" page
    • Review the existing Lab Interface project's workgroups to see where you can contribute
    • Refrain from defacement, abuse, commercial promotion, or other content that violates our Wiki Use Guidelines
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  1. Feb 23, 2011

    Hello! Doug Pratt is the primary Siemens representative to this initiative, but I will be attending today's call. I have a question/suggestion about one of the Outcome Metrics which, to me, seems misworded.

    "2. Number of organizations who have been certified to produce valid specifications (Software development/Tools organizations/Provider organizations)"

    There aren't many organizations actually producing specifications (this initiative is one of them, as well as HL7, IHE, etc.). Shouldn't the objective say instead:

    "2. Number of organizations who have been certified to produce valid ToC Clinical Summaries conforming to the ToC specifications (Software development/Tools organizations/Provider organizations)"

    ?

    Thanks,

    David Tao