Collaborative%20Care%20Messages

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Collaborative Care Messages

• For people who care
• Max Walker
• Co-Chair CBHS SIG
• DHS (Vic) Australia

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Who Care?

• General Practitioners
• Hospitals
• Primary Care Providers
• Allied Health Providers
• State Health Authorities
• Federal Health Authorities

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Who Collaborates?

• General Practitioners
• Hospitals
• Primary Care Providers
• Allied Health Providers
• State Health Authorities
• Federal Health Authorities
• Others?

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CCM - Collaborative Care Message

• When sharing isnt transferring care
• Population Information?

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Weve got some patient data
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Weve got a complete clinical history
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Weve got some patient visits
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Weve got a complete drug chart
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Weve got problems
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And Goals
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And Pathways
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And of course, weve got REL
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Weve got the lot
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CCR Collaborative Care Referral

• CCM with extra bits
• Bits of REF_I12
• Reason for referral and providers
• A Clinical Order
• And multiple patients

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The bits from REF_I12
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The Clinical Order
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And multiple patients
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But if you care, you really care

• And you want to know whats happening
• You want to know if the referral has been
  accepted or rejected
• You want to know how the patients are going
• You want to know when treatment is complete

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CCU Collaborative Care Unsolicited Update

• Notification from the receiver, to the sender,
  that something has happened.
• Includes a Clinical History of treatment related
  to the referral
• CCR without Clinical Order

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CCQ Collaborative Care QueryCQU
Collaborative Query Update

• Demand an update on your referral
• And if things arent going well, then theres
  CCR Modify and CCR Cancel

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Uses for CCR

• Collaborative Care Referral differs from
  Collaborative Care Message because it implies
  workflow.
• CCR lets you order stuff in an informed way

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The CCM Suite

• Trigger Event I21 Collaborative Care Message
  Information from one Health Care Provider to
  another e.g. Discharge Summary, Registry
  Notification
• I16, I17 I18 Collaborative Care Referral
  Implies a Transfer of Care I16 is the Referral
  for a single or group of patients(?). Expect a
  Collaborative Care Update (CCU) back I17 Modify
  CCR (expect CCU back) I18 Cancel CCR

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The CCR Suite cont.

• I20 CCU Asynchronous Collaborative Care
  Update (ACK)
• I19 Collaborative Care Query/Update A trigger
  that sends sufficient information to find a
  previously sent Referral hence generate a CCU
• I22 - Collaborative Care Fetch Sends query to
  provider, repository, registry etc, on patient
  and returns Collaborative Care Information which
  is equivalent to a Collaborative Care Message