Office of the National Coordinator for Health IT Longitudinal Coordination of Care Community-led initiative

January 10, 2013

From: Susan E. Campbell, Committed Member of the (open source) ONC Longitudinal Coordination of Care Community-led initiative

The Office of the National Coordinator for Health IT (ONC) is seeking your participation in the S&I Framework Initiative,  Longitudinal Coordination of Care (LCC) Workgroup (WG). The LCC WG is a community-led initiative charged with supporting and advancing interoperable electronic health record (EHR) systems and patient-centric interoperable health information exchange across the Long-term and Post-Acute Care (LTPAC) spectrum. Over the past year, the LCC WG has been engaged in developing a standardized patient assessment tool and refining standards and implementation guidance for consideration in Meaningful Use Stage 3. More specifically, the LCC WG and its three sub-workgroups are addressing the following challenges:

  1. Absence of an interoperable, longitudinal care plan which aligns, supports and informs care delivery regardless of setting or service provider
  2. Lack of clear and harmonized terminologies and definitions for care plans
  3. Lack of robust, interoperable EHR systems across the LTPAC spectrum with the ability to electronically exchange clinical information
  4. Underserved community with multiple care settings and needs that exceed exchange of clinical information

Key accomplishments (with hyperlinks) of the LCC WG include:

LCC Use Case. Outlines three scenarios for health information exchange between:

  1. an acute care hospital and home health agency (HHA)
  2. a skilled nursing facility (SNF) and the Emergency Department (ED)
  3. a Physician and a HHA. Two of the scenarios center on the Home Health Plan of Care (HH-POC), based on the CMS 485 form.

Transitions of Care and HH-POC Data Set. Builds from the LCC Use Case and identifies over 480 data elements needed by receiving clinicians to safely and appropriately care for patients at times of transitions of care.

Care Plan Glossary. Describes a key list of care plan terms, definitions and components to be considered
for MU stage 3.

The LCC WG is a community-led initiative that is mainly funded and driven by public and private sector partners, each of which is truly committed to overcoming the interoperability challenges in long-term and post-acute care transitions. These dedicated groups include my company, Care Management Professionals.  We hope it could also include the Case Management Society of America (CMSA) and your own firm, Case Management Innovators.

Given the current timeline to respond to the Health IT Policy Committee (HITPC) Stage 3 Meaningful Use Request for Comment (RFC), the LCC WG has hosted a series of webinars to give key stakeholder groups additional information on the current recommendations and questions related to care plans and other key LTPAC priority areas including transitions of care and advance directives. The LCC WG is focused on gathering and consolidating LTPAC community comments and feedback on the existing recommendations in order to develop a unified and targeted response to influence Stage 3 MU recommendations.

We encourage you to review one of the four presentations and recordings of these webinars which are now available on the LCC wiki page here. The LCC WG wants to ensure all LTPAC stakeholder groups have the opportunity to shape Stage 3 MU recommendations and ultimately influence the development of a collaborative model of care that encompasses a longitudinal and comprehensive care plan.

An initial draft of LCC WG comments is now available here for
your review and additional input.

We also invite you to participate in the LCC WG weekly calls. The
schedule and webex information for these calls are available here.



Susan E.
Campbell, PhD, RN-BC(IN), CPHQ, CCM, CIC

Care Management Professionals

Committed LCC Committee Member

Evelyn Gallego, ONC S&I LCC Initiative Coordinator

Dr. Larry Garber, LTPAC SWG Lead

Dr. Terry O’Malley, LTPAC SWG Lead

Dr. Bill Russell, LCP SWG Lead

Sue Mitchell, LCP SWG & PAS SWG Lead

“Interconnected Health 2012” April 2-4, 2012 in Chicago Second Call for Participation [repost]

Needham, MA, USA and Ann Arbor, MI, USA and Chicago USA – December 22, 2011 – OMG®, Health Level Seven® International (HL7), and Healthcare Information and Management Systems Society (HIMSS), today announced the Call for Participation for “Interconnected Health 2012: Enabling Health through High-Impact IT.” The event will be held at the Hyatt Regency O’Hare in Chicago, IL on April 2-4, 2012. Registration and abstract submission details may be found online at


Interconnected Health 2012 will focus on approaches, challenges, and solutions affecting the ability to connect health organizations and systems, and the role of IT as an enabler in achieving this connectivity. Geared toward the CxO suite and senior leaders within healthcare organizations, Interconnected Health provides a venue to hear what peer organizations are doing (both within the US and abroad), to exchange ideas, and to interact with peers who are leaders in this space.


Call for Abstracts

The conference Review Committee is seeking proposals for presentations based on “real-world” organizational experiences, evaluations, case studies or research papers relevant to the conference themes of interconnected healthcare, information sharing, service-oriented architecture, enterprise architecture, business process management, and interoperability. Please indicate whether you are recommending your submission for the Executive Summit, the Functional Track, or the Technical Track. Topics may include (but aren’t limited to):


Business Enablement (Enterprise Architecture, Business Process Management)

Architecture (Business, System, SOA and Technical)

Information Semantics, Ontology, Vocabulary

Application Innovation (Integration, Open Source, Legacy Enablement, etc.)

Infrastructure Innovation (Virtualization, Cloud Computing, Device Integration)

Information Sharing Strategy, Governance and Implementation

Modeling (SoaML, SysML, BPMN, etc.)


The abstract submission deadline January 20, 2012. For abstract submission guidelines and the submission form, visit


Program Committee

Charles “Chuck” Friedman, Chief Scientific Officer, Office of the National Coordinator for Health IT (ONC), HHS

Mark Frisse, MD, MS, MBA, Accenture Professor of Biomedical Informatics, Vanderbilt University Medical Center

Dr. Hon S. Pak, CEO, Diversinet

Jim St.Clair, Senior Director, Interoperability and Standards, HIMSS

John Quinn, CTO, Health Level Seven International


Registration & Information

InterconnectedHealth is hosted by OMG, HL7 International, and HIMSS. The early-bird registration discount is available until February 24, 2012. Registration information is available at Exhibit space is available; for more information contact Mike Narducci at +1-781-444 0404. Sponsorship opportunities are available; contact Ken Berk at or +1-781-444 0404.


About Health Level Seven (HL7) International

Founded in 1987, Health Level Seven International ( is the global authority for healthcare Information interoperability and standards with affiliates established in more than 30 countries. HL7 is a non-profit, ANSI accredited standards development organization dedicated to providing a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic health information that supports clinical practice and the management, delivery and evaluation of health services. HL7’s more than 2,300 members represent approximately 500 corporate members, which include more than 90 percent of the information systems vendors serving healthcare. HL7 collaborates with otherstandards developers and provider, payer, philanthropic and governmentagencies at the highest levels to ensure the development of comprehensive and reliable standards and successful interoperability efforts.
HIMSS is a cause-based, not-for-profit organization exclusively focused on providing global leadership for the optimal use of information technology (IT) and management systems for the betterment of healthcare. Founded 50 years ago, HIMSS and its related organizations are headquartered in Chicago with additional offices in the United States, Europe and Asia. HIMSS represents more than 38,000 individual members, of which more than two thirds work in healthcare provider, governmental and not-for-profit organizations. HIMSS also includes over 540 corporate members and more than 120 not-for-profit organizations that share our mission of transforming healthcare through theeffective use of information technology and management systems. HIMSS frames and leads healthcare practices and public policy through its content expertise, professional development, research initiatives, and media vehicles designed to promote information and management systems’ contributions to improving the quality, safety, access, and cost-effectiveness of patient care. To learn more about HIMSS and to find out how to join us and our members in advancing ourcause, please visit our website at

About OMG
OMG® is an international, open membership, not-for-profit computer industry standards consortium. OMG Task Forces develop enterprise integration standards for a wide range of technologies and an even wider range of industries. OMG’s modeling standards enable powerful visual design, execution and maintenance of software and other processes. For more information, visit

About Open Health Tools
Open Health Tools is an open source community with a vision of enabling a ubiquitous ecosystem where members of the Health and IT professions can collaborate to build interoperable systems that enable patients and their care providers to have access to vital and reliable medical information at the time and place it is needed. Open Health Tools will generate a vibrant active ecosystem involving software product and service companies, medical equipment companies, health care providers, insurance companies, government health service agencies, and standards organizations. More information at


Code Generation 2010 Call for Speakers

Submission Deadline – Friday, January 15th, 2010

Code Generation 2010 is seeking high-quality session proposals covering any aspect of MDSD (including Domain-Specific Languages (DSLs), Model-Driven Architecture (MDA), Software Factories, Domain-Specific Modeling, Generative Programming, Software Product Lines and related areas). For full details and instructions on how to submit a session please click here.  

Sessions could cover topics such as:

Tool and technology adoption 

Defining and implementing modeling languages 

Code Generation and Model Transformation tools and approaches 

Language evolution and modularization 

Domain Analysis and Domain Engineering 

Meta Modeling 

Runtime virtual machines versus direct code generation 

Flexibility in code generation 

Approaches to code generation 

Approaches to combined development (partial code generation with partial handwritten code) 

Case studies and interactive sessions based on any aspect of these and related approaches are particularly encouraged although more theoretical sessions are also welcome.

Accepted speakers have their conference fees waived.

For full details and instructions on how to submit a session please visit: 

Code Generation 2010  |  June 16 – 18, 2010  |  Cambridge, UK.

The conference is organized by Software Acumen and supported by OMG.

St. Joseph Medical Center (Houston) and MedConcierge to Demonstrate Telemedicine Solutions at FTTH Council Conference

Top Houston Hospital Selects MedConcierge to Offer
Telemedicine to Corporations and Master Planned

September 8, 2009 (Sarasota, FL & Houston, TX) – St. Joseph Medical Center, the largest, Level 3 trauma hospital in downtown Houston, has selected MedConcierge to provide its advanced telemedicine solution to leading communities and corporations. Both parties will demonstrate the user experience and benefits of telemedicine during the upcoming 2009 FTTH Conference & Expo taking place at the George R. Brown Convention Center in Houston, September 27th through October 1st.

"We are very excited to demonstrate the MedConcierge at St. Joseph Medical Center service to local community developers and corporate executives at the upcoming Fiber to the Home Conference," states St. Joseph chief executive officer Phillip D. Robinson, "Telemedicine will clearly be at the center of healthcare delivery moving forward and leveraging the technological advantages of the MedConcierge service over fiber-optic communications will help us extend patient services, generate additional revenue and save costs."

"St. Joseph is a leader in the Houston area, and we are thrilled to play a role in helping them deliver health and wellness services to residents of FTTH communities in and around the Houston metropolitan area," says MedConcierge director Rob Scheschareg. "Telemedicine offers competitive and financial benefits in a cost-effective fashion that is critical in today's market environment. We look forward to meeting service providers and developers at the FTTH Conference & Expo who want to take advantage of the billions being spent by consumers and the government in the next 30 months on home-based telemedicine."

Substantial news coverage, increasing consumer interest and adoption, and the allocation of billions of dollars in Federal stimulus funds specifically for broadband and healthcare information technology have placed telemedicine at the forefront of applications that benefit from fiber to the home networks.

"Fiber to the home provides benefits to consumers and employers that truly improve the quality of life. From our own industry research to that of our members and market followers, it is becoming increasingly evident that consumers want the benefits of improved healthcare services and access to doctors that services like MedConcierge and healthcare providers like St. Joseph can provide," states Joe Savage, president of the FTTH Council. "Telemedicine is a prime example of the type of applications that will be on display at our upcoming conference demonstrating the power of fiber".

To showcase the user experience, benefits and implementation of telemedicine services, MedConcierge and St. Joseph Medical Center will be hosting a number of activities at the upcoming 2009 FTTH Conference & Expo.  These include:

Corporate VIP Demonstration & Reception, Tuesday, September 29th.  For more information call the Corporate Health Connection at St. Joseph Medical Center at (713) 756-8600. 

MedConcierge Booth in the Fiber Zone, located on the show floor during exhibit hours. 

Phillip D. Robinson, CEO, St. Joseph Medical Center will be discussing telemedicine over FTTH networks as part of the Closing Keynote presentation Wednesday, September 30th at 2:00 pm.

For information about these events, visit the conference website at

About St. Joseph Medical Center

St. Joseph Medical Center, downtown Houston's only general acute care hospital, partners with Houston physicians to provide comprehensive health care to all.  As Houston's first hospital, St. Joseph Medical Center provides services for outpatients as well as inpatients, with a full continuum of care in surgery, cancer care, emergency care, Women's services, cardiovascular services, wound care, rehab, sports medicine, Corporate Health Connection and more. For more information on St. Joseph Medical Center, please visit or call 713.757.1000.

About MedConcierge, LLC

MedConcierge is the leading provider of telemedicine solutions for community developers and operators, broadband service providers, healthcare providers, and municipalities, that deliver personal, concierge healthcare services to consumers at home, at work and while traveling. Utilizing our award-winning, patent-pending technology, MedConcierge provides unparalleled private and secure access to certified doctors, specialists and content. MedConcierge offerings range from real-time, live videoconference consultations, on demand, 24/7 with leading doctors, specialists, psychiatrists and wellness experts, to educational content, health status monitoring and dynamic electronic medical records – all accessible from the comfort, privacy and convenience of homes and facilities. For more information, visit

The HIMSS HIE Open Source Task Force is seeking volunteers!

The purpose of the FY10 Open Source task force is to develop a white paper focused on open source deployments and opportunities of this technology solution within HIE. The monthly call is the first Thursday of every month at 1:00pm (ET). Contact Holly Gaebel <> to join this task force.

Please check out previously completed deliverables from this task force at the following links!

Evaluating Open Source Software for Health Information Exchange <> was prepared by the HIE Open Source Task Force as a primer on open source deployment in health information exchange environments.

Exploring the Use of Open Source Software for Health Information Exchange <> is a follow up white paper to 2008’s Evaluating Open Source Software for Health Information Exchange that was prepared by the HIE Open Source Task Force as a primer on open source deployment in health information exchange environments. This white paper focuses on assessing how open source software is used or planned to be used by HIE organizations.

Holly Gaebel
Coordinator, Healthcare Information Systems
Transforming Healthcare through IT
230 East Ohio Street, Suite 500
Chicago, IL 60611
Phone: (312) 915-9227
Fax: (312) 915-9511

Fred Trotter Announces FOSS Healthcare Conference, July 31st to August 2, Houston, TX

The local FOSS revolutionaries in Houston, TX have decided that it is time to restart hosting a conference/unconference focused exclusively on FOSS in healthcare. DOHCS ( ) is
awesome, but there is only so much that you can accomplish in a single
day. We
also feel that Californians should not be the only ones having all the
fun. So I am happy to announce the FOSS Healthcare conference.

The conference will be held here in Houston, TX the weekend
of July 31st to August 2. We are trying to coordinate to have the
WorldVistA conference at the same time/location, but for now that is
up in the air.

Early bird registration is really, really cheap. This is
very intentional. I know that budgets are tight and travel is often
the first thing to go. We are making early bird registration cheap
enough that you might be able to fund the trip out-of-pocket if you
are an individual contributor to a particular project. We also have
limited "spare room" availability so if you want to go, but cannot
afford a hotel, contact me offline ASAP. If I get an overwhelming
response to this, I may need to change to bigger facilities. So really
cheap early-bird registration has the added benefit of giving me a
good early head count. Early-bird registration is just $60 bucks. You
can SAVE TWO HUNDRED DOLLARS if you register early!

I have invited every project that I could think of, but I
know for a fact that FOSS in healthcare is much bigger than my meager
contact list. If you work with or know of an open source project with
serious impact in healthcare that might like to attend/present, please
forward them this invitation! Here are the rules for project

  • You have to be actually using the software live to be considered for
    a project invitation. No disrespect to alpha projects, but our
    resources are limited and we have to favor mature projects.
  • Project leaders can get two free tickets to the conference, one for
    a guest and one for a speaker. The speaker should be ready to give a
    10 minute summary talk on your project.
  • Please advertise this talk now on your own forums. The early-bird
    pricing, specifically for community members is only good for about a

I have already gotten commitments to speak from people that I consider
to be some of the top minds in FOSS healthcare. I can guarantee that
if you are a Medical or IT professional you will get good talks on
software that can make a difference in your world today. I am doing
everything that I can think of to ensure that different projects will
be able to cross-pollinate and grow.

If you are not sure if you can go… it is worth $60 to reserve a
spot… sign up today!

Ken Rubin on Practical Guide to SOA in Healthcare

From SOA Consortium

The Practical Guide to SOA in Healthcare, an output of the Healthcare Services Specification Project (HSSP), is a collaborative work of the OMG Healthcare Task Force & Health Level 7 (HL7).
The goal of HSSP is to develop SOA specifications for health,
specifically defining healthcare business services to enable
interoperability between organizations across the health domain.

not a standard, the practical guide provides context and guidance for
healthcare IT organizations and professionals considering SOA. Using a
fictitious example, the practical guide presents an 8-step process to
establish a healthcare SOA, from enterprise architecture through
sustainment, and includes valuable lessons learned.

During his
talk, Rubin spoke of the current state of global healthcare, and
anticipated changes with the new U.S. administration and Health IT
programs. Walking through the practical guide, meeting attendees were
keenly interested in the healthcare function to service mapping and the
reference architecture. Rubin emphasized that the reference
architecture is a starting point for people to think about the problem,
and extend and amend for their own situations.

Eclipse Open Source Software and OMG Open Specifications Symposium, Wednesday, June 25, 2008

Hosted by:

Eclipse Logo                OMG Logo

| Registration | Hotel Information | All Special Events | Back to TC Meeting Info |

Eclipse and OMG have jointly organized a one-day symposium to promote and build on the partnership between Eclipse’s open source software and OMG’s open specifications. The symposium is organized as a series of presentation sessions and discussions on corresponding OMG specifications and Eclipse projects. In each case the purpose will be to discuss the alignment between current specification and implemented software, and identify areas where the cooperation could be further improved in the future.

This symposium is a unique opportunity to participate in shaping the joint future of the Eclipse Open Source community and the OMG Open Specifications community. Please join us for a day of stimulating technical planning and discussion.


09:00-09:45 Introduction & Symposium Overview
Kenn Hussey, Program Manager, EA/Studio, Embarcadero Technologies, Inc.
Co-chair, Eclipse/OMG Symposia Program Committee
09:45-10:45 Session 1: MetaObject Facility (MOF)
Presentations by:
Hajo Eichler, Senior Architect, ikv++ technologies ag
Pete Rivett, CTO, Adaptive
10:45-11:00 Morning Refreshments
11:00-12:00 Session 2: UML & Profiles
Presentations by:
James Bruck, Software Developer, IBM
Dave Carlson, Architect, David Carlson & Associates, Inc.
12:00-14:00 Lunch & OMG Plenary Presentations
14:00-15:00 Session 3: Queries/Views/Transformations (QVT)
Presentations by:
Victor Roldan Betancort, Researcher, Open Canarias S.L.
Eduardo Victor Sánchez Rebull, Telecommunications Engineer, Open Canarias S.L.
15:00-15:30 Session 4: Object Constraint Language (OCL)
Presentation by:
Christian W. Damus, Software Developer, IBM
15:30-15:45 Afternoon Refreshments
15:45-16:45 Session 5: Ontology Definition Metamodel (ODM)
Presentations by:
Elisa Kendall, CEO, Sandpiper Software
Francisco Jose Marquina Muñoz, Software Engineer, Push the Button
16:45-17:00 Wrap-up / Next Steps
Ed Merks, Senior Technical Staff Member, IBM Toronto Software Lab
Eclipse Modeling Project Lead

SOA in Healthcare Workshop: Realizing Quality of Care, Business Value, and Delivery on IT’s Promise,

Focused on Real-World Experiences:

  • Examine Healthcare’s Challenges and SOA’s Role in Meeting Them
  • Benefit from Lessons Learned
  • Gain In-Depth Knowledge on SOA and Health Quality
  • Targeted to a Health-IT Savvy Audience

This workshop will feature numerous case studies, panel discussions and expert presentations.

Highlights include:

Keynote Presentations:

  • The Role of Healthcare IT in Quality Improvement, by Jon White, M.D., Health IT Portfolio Director, Agency for Healthcare Research and Quality (AHRQ)
  • Integrating Standards to Achieve Semantically Interoperable Healthcare IT Solutions, by Dr. Kenneth Lunn, Director of Data Standards and Products (NHS Connecting for Health, NPFIT, UK)
  • Implementing SOA at the Duke University Health System – The Journey and How It Enabled Big Wins, by Boyd Carlson, Senior Director, Application Development and Integration, Duke Health Technology Solutions

Presentations by Experts from:

Apelon, BlueCross BlueShield Excellus, Booz Allen Hamilton, Boston Medical Center, The Center for Biosecurity and Public Health Informatics Research, Chief Health Informatics Office, VHA, CSC, CSW Group Ltd, EDS, Inpriva, Inc., Integrating the Healthcare Enterprise (IHE), Intel Corporation, InterMountain Health Care, Kaiser-Permanente, Military Health System, DoD, MomentumSI, NCI Center for Bioinformatics and Information Technology, Open Health Tools, Rural & Regional Health & Aged Care Services Division, Dept. of Human Services (Victoria, Australia), Siemens Medical Solutions Health Services, and Sun Microsystems, The TriZetto Group, Inc., The University of Texas -Health Sciences Center at Houston, TIBCO Software and University of St. Gallen (Switzerland)