-
ecareplan.ahrq.gov/collaborate/download/temp/downloadGxjH7145153.zip?contentType=application/zip
January 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Accumulates a large team of care providers to manage their conditions
Has complex mixes of medical, social, behavioral … Plan wireframe and ongoing testing
3
32
eCare Plan SMART on FHIR App
Current Status:
Currently integrated … from documents
Evolving standard
Granular data exchange focused
System-based trust framework
Tightly integrated … Record
HCBS= Home and Community Base Setting
HIE= Health Information Exchange
HHA= Home Health Aide
-
ecareplan.ahrq.gov/collaborate/download/temp/download56P4z145424.zip?contentType=application/zip
January 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Accumulates a large team of care providers to manage their conditions
Has complex mixes of medical, social, behavioral … Plan wireframe and ongoing testing
3
32
eCare Plan SMART on FHIR App
Current Status:
Currently integrated … from documents
Evolving standard
Granular data exchange focused
System-based trust framework
Tightly integrated … Record
HCBS= Home and Community Base Setting
HIE= Health Information Exchange
HHA= Home Health Aide
-
ecareplan.ahrq.gov/collaborate/download/temp/downloadwvrVs145435.zip?contentType=application/zip
January 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Accumulates a large team of care providers to manage their conditions
Has complex mixes of medical, social, behavioral … Plan wireframe and ongoing testing
3
32
eCare Plan SMART on FHIR App
Current Status:
Currently integrated … from documents
Evolving standard
Granular data exchange focused
System-based trust framework
Tightly integrated … Record
HCBS= Home and Community Base Setting
HIE= Health Information Exchange
HHA= Home Health Aide
-
ecareplan.ahrq.gov/collaborate/download/temp/downloadDKw8S145432.zip?contentType=application/zip
January 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Accumulates a large team of care providers to manage their conditions
Has complex mixes of medical, social, behavioral … Plan wireframe and ongoing testing
3
32
eCare Plan SMART on FHIR App
Current Status:
Currently integrated … from documents
Evolving standard
Granular data exchange focused
System-based trust framework
Tightly integrated … Record
HCBS= Home and Community Base Setting
HIE= Health Information Exchange
HHA= Home Health Aide
-
ecareplan.ahrq.gov/collaborate/download/temp/download3qO75145536.zip?contentType=application/zip
January 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Accumulates a large team of care providers to manage their conditions
Has complex mixes of medical, social, behavioral … Plan wireframe and ongoing testing
3
32
eCare Plan SMART on FHIR App
Current Status:
Currently integrated … from documents
Evolving standard
Granular data exchange focused
System-based trust framework
Tightly integrated … Record
HCBS= Home and Community Base Setting
HIE= Health Information Exchange
HHA= Home Health Aide
-
ecareplan.ahrq.gov/collaborate/download/temp/downloadS0uZD145424.zip?contentType=application/zip
January 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Accumulates a large team of care providers to manage their conditions
Has complex mixes of medical, social, behavioral … Plan wireframe and ongoing testing
3
32
eCare Plan SMART on FHIR App
Current Status:
Currently integrated … from documents
Evolving standard
Granular data exchange focused
System-based trust framework
Tightly integrated … Record
HCBS= Home and Community Base Setting
HIE= Health Information Exchange
HHA= Home Health Aide
-
ecareplan.ahrq.gov/collaborate/download/temp/download990AF145340.zip?contentType=application/zip
January 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Accumulates a large team of care providers to manage their conditions
Has complex mixes of medical, social, behavioral … Plan wireframe and ongoing testing
3
32
eCare Plan SMART on FHIR App
Current Status:
Currently integrated … from documents
Evolving standard
Granular data exchange focused
System-based trust framework
Tightly integrated … Record
HCBS= Home and Community Base Setting
HIE= Health Information Exchange
HHA= Home Health Aide
-
ecareplan.ahrq.gov/collaborate/download/temp/downloadg6yD1151041.zip?contentType=application/zip
January 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Accumulates a large team of care providers to manage their conditions
Has complex mixes of medical, social, behavioral … Plan wireframe and ongoing testing
3
32
eCare Plan SMART on FHIR App
Current Status:
Currently integrated … from documents
Evolving standard
Granular data exchange focused
System-based trust framework
Tightly integrated … Record
HCBS= Home and Community Base Setting
HIE= Health Information Exchange
HHA= Home Health Aide
-
ecareplan.ahrq.gov/collaborate/download/temp/downloadU8xpz151056.zip?contentType=application/zip
January 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Accumulates a large team of care providers to manage their conditions
Has complex mixes of medical, social, behavioral … Plan wireframe and ongoing testing
3
32
eCare Plan SMART on FHIR App
Current Status:
Currently integrated … from documents
Evolving standard
Granular data exchange focused
System-based trust framework
Tightly integrated … Record
HCBS= Home and Community Base Setting
HIE= Health Information Exchange
HHA= Home Health Aide
-
ecareplan.ahrq.gov/collaborate/download/temp/downloadu9IYr151005.zip?contentType=application/zip
January 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Accumulates a large team of care providers to manage their conditions
Has complex mixes of medical, social, behavioral … Plan wireframe and ongoing testing
3
32
eCare Plan SMART on FHIR App
Current Status:
Currently integrated … from documents
Evolving standard
Granular data exchange focused
System-based trust framework
Tightly integrated … Record
HCBS= Home and Community Base Setting
HIE= Health Information Exchange
HHA= Home Health Aide
-
ecareplan.ahrq.gov/collaborate/download/temp/download85s50205554.zip?contentType=application/zip
February 18, 2021 - Dietary and Behavioral Goals
i. … tracked in the care plan, we should ensure appropriate interventions can also be tracked (e.g., cognitive behavioral … This section includes behavioral concerns, including physical activity level, eating patterns, and sleep … For these elements the group discussed mapping back to the health concerns tab to ensure all mental health … It also includes elements to capture sexual health/ satisfaction and global health score
n.
-
ecareplan.ahrq.gov/collaborate/download/temp/download23e75195031.zip?contentType=application/zip
February 18, 2021 - Dietary and Behavioral Goals
i. … tracked in the care plan, we should ensure appropriate interventions can also be tracked (e.g., cognitive behavioral … This section includes behavioral concerns, including physical activity level, eating patterns, and sleep … For these elements the group discussed mapping back to the health concerns tab to ensure all mental health … It also includes elements to capture sexual health/ satisfaction and global health score
n.
-
ecareplan.ahrq.gov/collaborate/download/temp/downloaduV0K8042258.zip?contentType=application/zip
February 18, 2021 - Dietary and Behavioral Goals
i. … tracked in the care plan, we should ensure appropriate interventions can also be tracked (e.g., cognitive behavioral … This section includes behavioral concerns, including physical activity level, eating patterns, and sleep … For these elements the group discussed mapping back to the health concerns tab to ensure all mental health … It also includes elements to capture sexual health/ satisfaction and global health score
n.
-
ecareplan.ahrq.gov/collaborate/download/temp/downloadPnSc8202904.zip?contentType=application/zip
February 18, 2021 - Dietary and Behavioral Goals
i. … tracked in the care plan, we should ensure appropriate interventions can also be tracked (e.g., cognitive behavioral … This section includes behavioral concerns, including physical activity level, eating patterns, and sleep … For these elements the group discussed mapping back to the health concerns tab to ensure all mental health … It also includes elements to capture sexual health/ satisfaction and global health score
n.