Announcements

Welcome to the e-Care Plan for People with Multiple Chronic Conditions (MCC) Project Page

We are seeking implementers or organizations to participate in the Care Coordination track that will be hosted by the AHRQ/NIDDK eCare plan for individuals The eCare Plan for People with Multiple Chronic Conditions Project . We strongly encourage EHR and HIE participation to help us test and validate these FHIR specifications.

The MCC eCare plan project plans to kick-off Connectathon Planning meetings call August 3, 2020.

presented at HIMSS2021 August 11 at 2:30 PM - 3:30 PM PST

• To view the HIMSS presentation click here

To follow join our FHIR IG development meetings with the HL7 Patient Work Group please follow the link hereClick here see the care coordination planning meeting material . The project team is current reviewing the MCC DESS and would appreciate feedback. The link is in the Project Deliverables table below.

To hear an overview of the project visit the link here to download our powerpoint click MCC eCare Plan Overview 20200624 Final (1).pptx

Project Objectives

• Develop & test a SMART on FHIR e-care plan application
  • Create clinical information models (CIM) using existing CKD data elements & standards
  • Develop e-care plan application and implementation guide (IG) for point of care data review/entry
  • Implement & evaluate the e-care plan application in diverse clinical settings in patients with MCC, including CKD
• Establish an e-care plan repository and development collaborative
• Expand the draft e-care plan application & IG to include cardiovascular disease (CVD), type 2 diabetes & chronic pain
  • Expand the CKD data elements & CIMs to consider additional conditions
  • Revise e-care plan application & IG to incorporate expanded DESS and pilot test feedback.
• Disseminate all project deliverable through open source channels

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Project Goals

• Promote the interoperable collection, use, and sharing of comprehensive, person-centered health and social data across settings;
• Facilitate coordinated, person-centered care planning approaches that integrate the full care team (including the patient) across settings; and
• Build data capacity to conduct pragmatic Patient Centered Outcomes Research (PCOR).

Upcoming MCC eCare plan WorkGroup Meetings

All upcoming MCC eCare plan HL7 workgroup meeting dates and information can be found here

To get the information from the June 24th Stakeholder kick-off please follow the link here

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Projectdeliverables Projectdeliverables

Project Deliverable Timeline

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Testing Testing

Upcoming Testing Opportunities

The MCC eCare plan project plans to test at the HL7 Virtual FHIR Connectathon 25  September 9-11 2020.

We are seeking implementers or organizations to participate in the Care Coordination track that will be hosted by the AHRQ/NIDDK eCare plan for individuals with Multiple Chronic Conditions Project. We strongly encourage EHR and HIE participation to help us test and validate these FHIR specifications.

• Click here to sign up for Care Coordination track participation.
• Review our Care Coordination track proposal page for more details on the system actors, patient scenario and testing scenes. 

Tentative schedule

Date

Agenda

Care Coordination track planning kick-off.

NIDDK Care Coordination Kick-off Meeting 03Aug20.docx

HL7 Connectathon 25 Planning Meeting Kickoff 2020080Final.pptx

MCC SMART on FHIR App, Develop composite persona, finalize scenario and scene breakdown, and develop draft Care Plan.

Address emerging details, testing needs/assumptions, and track logistics.

Conduct pre-Connectathon testing

Connectathon Testing Sept. 9th to 11th

MCC Project RoadMap 

Image RemovedView our previous HL7 FHIR IG testing tracks 

• January 2021 Care Coordination Track: 2021-01 Care Coordination Track
• September 2020 Care Coordination Track: 2020-09 Care Coordination Track

MCC Project RoadMap 

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Project Contacts