2014-10-28 Steering Committee Meeting Notes

  Attendees 

 

Name

Organization

 Ajay Asthana 
 Janet Campbell Epic
 John Couk LSU
 YOscar Diaz Harris
 Julio Cesar Farcelli University of Utah
 Rick Freeman iSalus Consulting
 Mike Garcia Louisiana State University
 YRobert Greenes Arizona State University
 YStan Huff Intermountain
 David Kreda 
 Skip Mc Gaugney Open Health Tools
 YTom Oniki Intermountain
 Marc Overhage Siemans
 YCraig Parker Intermountain
  Vassil Peytchev Epic
 Jeff Rogers IBM
 Surj Ramlogan Allscripts
 Scot Post van der Burg iSalus Consulting
 YPaul White Muir Equity
 Herb White Infocare Health
 Wayne Wilbright Louisiana State University
 YVirginia Riehl (support) Independent Consultant

 

 

    Agenda

Item

Time

Lead

Action

Review Agenda  Virginia RiehlIdentify agenda changes
Priority Item – Incorporation and Organization  Stan Huff

Follow-up with VA, Intermountain, and Harris on payments – Stan, Oscar

Following up with Mike re. Board participation – Oscar

Develop Draft Organization Structure – Oscar/Craig

Obtain Board Member Signatures on Board Document – Oscar

Priority Item –   Get technical content on website or other accessible location
  • FHIR profiles that can be viewed and browsed
  • Sample programs that show how the FHIR profiles can be used 
  Stan Huff Develop specification proposal with links to reference implementations – Rick Freeman
Priority Item –  HSPC Meeting Plans  Stan Huff Review meeting agenda
Priority Item –  VA Oscar Diaz 

Update on meeting with Paul Tibbits

Pilot funding proposal status

Priority Item –  HIMSS Meeting Rick Freeman

Status of VA representation 

Identification of participants

Themes
 Priority Item – AMIA  Bob Greenes

Robert Greenes – Will determine if a meeting on the sandbox can be convened at AMIA

Robert Greenes – Will coordinate the speakers for AMIA

 MedInfo  Bob Greenes Bob and Stan will begin planning for MedInfo
Outreach Stan HuffReach out to Allscripts to identify a new representative – Oscar

Regenstrief – Bob Greenes

Kaiser – Stan Huff

Operations Work Group Craig ParkerReview proposal on the Work Groups and how they will work
Business Arm Work Group Oscar Diaz

Craig will set up meeting with Oscar

Operating plan development

P&L development

Project Plan Rick Freeman

Update

Sandbox Rick Freeman

Recruitment of contributors – LSU, Intermountain, Cerner, LSU

Plan for sandbox deployment

Develop requirements

Support for orchestration

Reference architecture definition

Hosted Vendor Implementations Ajay Asthana Outcome of Ajay and Paul meeting

Documentation of process for posting to the repository

Communications and Marketing Rick Freeman 
  • Member survey re. communication methods -- Eileen
  • Prepare blog post on DC meeting – Stan
  • Prepare thoughts on DC meeting, attendees, and links to education – Chuck, Eileen, Rick
  • Update marketing materials
  • Prepare executive overview of HSPC
  • Develop newsletter
  • Define announcement distribution channels
  • Develop marketing campaign
  • Develop press releases    
  • Define consistent process for committees to document their discussions and actions 
Decision rights and processes Oscar Diaz

Update

Engagement of someone with knowledge of standards approval processes

Review Action Items  Virginia RiehlConfirm accuracy and update status

   Notes

Item

Discussion

Decision/Action

 
Review Agenda   
Priority Item –     Incorporation and Organization

Work continues on obtaining dues payments

Oscar has been appointed as CEO

Still do not have a response from Mike Garcia.  If there is no response by Friday, Jackson Health will be dropped as a founding member.

Membership agreement will be finalized this week.  This will establish the fee structure.

Stan Huff

Follow-up with VA, Intermountain, and Harris on payments – Stan, Oscar

Following up with Mike Garcia re. Board participation – Oscar

Develop Draft Organization Structure – Oscar/Craig

Obtain Board Member Signatures on Board Document – Oscar

 
Priority Item –   Get technical content on website or other accessible location
  • FHIR profiles that can be viewed and browsed
  • Sample programs that show how the FHIR profiles can be used 

Continue to work with Grahame Grieve on the model content.

In order to have detailed models available the granularity issue will need to be resolved.  A meeting with Stan has been requested to discuss the granularity issue. 

Grahame's assumption is that we are going to show the profiles in a carved out section of the FHIR site.  Grahame has been working on improving what he showed a few weeks ago.  There will be a meeting tomorrow with Grahame.  The recent focus has been on the presentation of the models. There will be a link to a spreadsheet where people will comment.  The models for comment will be announced for a specific comment period.  The key is to have a presentation of the models in a form that Stan approves.  Models will be reviewed in sequential groups. 

Stan would like to get real content available as soon as possible. 

It will be important to have vendor interest in reviewing the models.  The VA work and the HIMSS demonstration should be helpful in getting vendor engagement.  It will be important to market the HSPC FHIR profiles. 

Geisinger, Vanderbilt and others are interested in the models that HSPC is developing.  Quality measures will be useful because they are built into meaningful use.

If the profiles are done correctly outside of HSPC this will be work that HSPC can use.  The key is to have one set of models.  The Intermountain models represent a significant investment and it would be best not to duplicate this work. 

The VA project may fund some of this effort. 

Stan Huff 

 Develop specification proposal with links to reference implementations – Rick Freeman

Resolve the issue of granularity

Approve the enhanced model content presentation tool

 
Priority Item –  General HSPC Meeting Plans

 Stan will set up a call this week

 

 

Stan Huff 

Set up a two hour call to plan meeting – Craig and Oscar

Objectives of next meeting:

  • Hold technical sessions
    • Modeling and terminology
    • Service framework, how to make sample code available, how to document technical decisions
    • Development environments/sandbox – functions, stakeholders
  • Have two days so that people can participate in both organizational and technical
  • Approaches to gaining vendor and other stakeholder engagement and support for the FHIR profiles
  • Would be ideal to be ready to finalize voting and governance and operational processes
  • Further discussion of data virtualization and orchestration approaches.  Orchestration is in the scope of HSPC.  Would not be a requirement of every member to participate in the orchestrated framework.
  • On board new attendees with a pre-session
  • HIMSS track for planning.  Should have a plan of what will be done at HIMSS
 
 Priority Item – VA Oscar will send out an update.

Oscar Diaz 

Update on meeting with Paul Tibbits

Pilot funding proposal status

 
  Priority Item –AMIA

 Bob will follow up this week

 Robert Greenes – Will determine if a meeting on the sandbox can be convened at AMIA

Robert Greenes – Will coordinate the speakers for AMIA

 
  Priority Item –HIMSS Meeting Stan will set up a call this.

Rick Freeman

Status of VA representation 

Identification of participants

Themes

Rick and Oscar will develop a budget for HIMSS

Process for signing up members at HIMSS

Schedule a call with HIMSS Working Group – Rick Freeman

 
 MedInfo

 

 Bob and Stan will begin planning for MedInfo 
 Outreach

 

 Reach out to Allscripts to identify a new representative – Oscar

Regenstrief – Bob Greenes

Kaiser – Stan Huff

 
Operations Work Group Craig Parker 
Business Arm Work Group 

Oscar Diaz

Craig will set up meeting with Oscar

Operating plan development

P&L development

 
Project Plan 

Rick Freeman

 

 
Sandbox

 

Rick Freeman

Recruitment of contributors – LSU, Intermountain, Cerner, LSU

Plan for sandbox deployment

Develop requirements

Support for orchestration

Reference architecture definition

There are three elements

  • EHR
  • Set of middleware services – level 1 capability – pt id, authorization, data access
  • Test data
 
 Hosted Vendor Implementations

 

Ajay Asthana

Outcome of Ajay and Paul meeting

Documentation of process for posting to the repository

 
Communications and Marketing 

Rick Freeman

Survey Responses

HIMSS promotion discussions with Alex Lippitt

Meeting with ONC

Meeting with CMS

Create mailing list

Update marketing materials

Develop white paper

Develop budget for website

Prepare executive overview of HSPC

Define announcement distribution channels

Develop marketing campaign

Develop press releases

 
Decision rights and processes Oscar Diaz 
Review Action Items  Virginia Riehl 

 

 

 Action Items    

Item

Start Date

End Date

Lead

Status

 Set up call to plan for next HSPC general meeting10/07/14  Oscar Diaz  
 Contact Allscripts re. identifying a new representative10/07/14  Oscar Diaz  
 Set up sand box meeting10/07/14  Rick Freeman  
 Set up HIMSS coordination meeting10/07/14  Rick Freeman  
 Develop value proposition10/07/14 10/31/04 Paul White  Ajay is working on a value proposition statement for review by Steering Committee

Craig Parker is developing a presentation for Intermountain that could be used with other groups

 Outreach to Regenstrief10/01/14 Bob Greenes 
 Outreach to Kaiser10/01/14 Stan Huff 
 Event Policies – Develop process and policies for attending events on behalf of HSPC 10/01/14   
 Define Plans for VA Project With LSU09/23/14    
 Process for Signing Up Members at HIMSS09/23/14   
 HIMSS Budget Development09/23/14    
 Develop Orchestration Demonstration09/23/14    
 Policy on Member Recruitment Bonus09/23/14  Oscar Diaz  
 Evaluate JIRA for Managing the Project Plan09/09/14  Rick Freeman  
 Notify HSPC group of incorporation09/02/14  Stan Huff  
Finalize By Laws and Membership Agreement09/12/14 Temporary Board 
Enroll Members 10/14/14   
Define Operating Processes08/26/14 Craig ParkerNeed to appoint Work Group and proposals on how they will work
Define Decision Rights and Processes08/26/14 

Oscar Diaz

Mike Hederson

Sue Jimenez

Rick Freeman

Tom Oniki

 
Business Arm Work Group08/26/14 Oscar Diaz 
External Communications Work Group08/26/14 Eileen Rivera 
Prepare blog post on DC meeting09/02/14 Stan Huff 
Conduct survey on communications08/26/14 Eileen RiveraSurvey fielded
Create Mailing List09/02/14 Eileen Rivera

Email group created

Will distribute email to request people to register for the list

Update Marketing Materials08/26/14   
 Develop Budget for Website09/23/14   Rick Freeman 
Prepare Executive Overview of HSPC08/26/14  

 

Define Announcement Distribution Channels08/26/14   
Develop Marketing Campaign08/26/14   
Develop Press Releases08/26/14  Draft developed by PR staff from Harris
Define Consistent Processes for Committees to Document Their Discussion and Actions08/26/14  Need to recruit someone with experience with standards approval processes
Create a Project Plan and Road Map (release schedule) for the Technical Specification Development08/26/14 Rick FreemanTesting JIRA to maintain the plan

Establish Sandbox

  • Where & How?
  • Set standards
  • ASU Mayo, LSU
  • What is in the sandbox?
  • Identify the essential minimum set of capabilities
  • Core services - patient identification, security, data access services
  • Expansive dataset
  • Access to profiles
  • Sample apps
  • Reference implementation
  • Target EHRs?
  • Certification level sandbox
  • One or more app dev SDKs.

Encourage hosted vendor implementations

 08/26/14 

Rick Freeman

Robert Greenes 

Herb White

Aziz Boxwala

Scott Whyte

Oscar Diaz

Julio Facelli

Ajay Asthana

 Rick will schedule a meeting on this during the week of 09/02

Bob Greenes suggested that someone from the VA should participate in this group

Rick Freeman will reach out to Darren Drew to identify a VA representatives

 HIMSS

  • Have some applications in production use
  • EASE from Mayo
  • Meducation by Polyglot
  • VisualDX
  • Intermountain Bilirubin
  • Multiple vendors

Apps from multiple developers

 08/26/14 Rick Freeman 

Need to develop a theme

Need to recruit participants 

 HSPC Meeting

  • When
  • Where
  • Host 
 08/26/14   Need to set a date

COMPLETED ITEMS     

 Appoint Temporary Board08/28/14 09/12/14 Stan Huff  
 Prepare Thoughts on DC Meeting08/26/14 09/22/14 Eileen Rivera  
 Develop Newsletter08/26/14 09/22/14  Eileen Rivera