2015-06-23 Steering Commitee Meeting Notes

Attendees 

 

Name

 Ajay Asthana
 Janet Campbell
 John Couk
 YOscar Diaz
 Julio Cesar Farcelli
 YRick Freeman
 Mike Garcia
 Robert Greenes
 Y Laura Heermann
 YStan Huff
 Skip Mc Gaugney
 Tom Oniki
 Marc Overhage
 YCraig Parker
  Vassil Peytchev
  Eileen Rivera
 Jeff Rogers
 Paul White
 Herb White
 Wayne Wilbright
Virginia Riehl (support)

 

 

    Agenda

Item

Time

Lead

Review Agenda and  Meeting Schedule

 Virginia Riehl
Priority Item – Debrief from Washington DC Meeting Oscar Diaz/Stan Huff
Priority Item –  Partner Development –  VA, Mayo Oscar Diaz 
Priority Item – Incorporation and Organization Stan Huff/Oscar Diaz
Priority Item – Website Craig Parker
Priority Item –   Get technical content on website or other accessible location Stan Huff/Rick Freeman
Priority Item – Committee Organization – Implementation of Process Craig Parker
Priority Item – Press Releases Oscar Diaz 
Priority Item –  Tier 2 Messaging Craig Parker
Priority Item –  Value Proposition  Ajay Asthana
2016 HIMSS Meeting Rick Freeman
HL7 Argonaut Project  Stan Huff
Operations Work Group Craig Parker
Project Plan Rick Freeman
Hosted Vendor Implementations Ajay Asthana
Communications and Marketing Rick Freeman
Decision rights and processes Craig Parker, Tom Oniki, & Rick Freeman
Review Action Items  Virginia Riehl

   Notes

Item

Discussion 

Decision/Action

Review Agenda and Meeting Schedule

 

 

Priority Item – Debrief from Washington DC Meeting

 Oscar – Getting requests for the presentations.  Matt Burton asked to be added to the interested parties list.

Oscar – Will be scheduling a meeting with David Hoite on the surgical use case.  They will be publishing a report on their meeting.  Would like to get an endorsement, membership, and use case.  Would like to have a meeting with David and Frank in Chicago in early July.

Stan – Available the week of 07/06 and 07/13.  The last two weeks of July are not good. 

Oscar – ACOG – Need to follow up on funding. 

Oscar – Care Coordination – Can submit a grant proposal for development and preliminary implementation. 

Oscar – Will be writing a grant proposal to C4MI.  This will be after a meeting on the relationship between HSPC and C4MI.  There will be a grant proposal to VA for care coordination.  Peter, Viet, and Bob will support this grant.  There are potential grants in Arizona.  There is a deadline of September for award in January.  These can be up to $2.5 million. 

Oscar – Venue for next meeting – OMG in Boston would cost $120/day per person.  Would like to keep expenses down. 

Stan – Todd proposed meeting in San Diego.  Not clear what the venue would be.  Intermountain's government relations firm has offered to provide meeting space. 

Oscar – LSU would be willing to host again in New Orleans.  Hope to have the VA contract by September. 

Rick – May be able to use Kaiser in SF.

Stan – We need to determine how to constitute the Technical Steering Committee.  The Board would need to appoint or approve the members.  Could start with Davide as ex officio and the chairs of the other committees.  Matt is willing to provide support for the governance policy for the committee structure. 

Craig – We should try to get representatives from specific organizations.  They should be members.

Stan – To be on the committees and to vote you must be a member.  Meeting fees should encourage membership. 

Stan – Need to develop a formal relationship with SMART with a work plan on what HSPC and SMART will do together

Craig – Goal with SMART is to reduce redundancy and provide the industry with one set of core resources from both organizations.  HSPC and SMART currently both have a FHIR RestFUL sandboxes.  This could become a single sandbox.

Rick – Can develop a presentation or PDF on what will be accomplished by the SMART/HSPC partnership.

Stan – There will be a meeting with the Argonauts this afternoon.  It appears that the Argonauts will be continuing.  Will be describing to them the need for the more specific profiles.  They have recruited implementers.  There is a risk that the implementers will do something different.  Would like to have a jointly branded Argonaut/HSPC demo at HIMSS. 

Oscar – Should there be a joint meeting of HSPC and Argonauts?

Stan – The Argonauts do not meet.  They have conference calls.  The implementers group is primarily a website.  Can bring up a joint meeting on the Argonaut call today.

Stan – Will bring up the need for profiles for true interoperability.  Argonauts can contribute to creating a market consensus around the profiles for interoperability.  Will also discuss HIMSS demos and joint meetings. 

Tom Oniki – The Argonauts discussed on the last call developing more detailed profiles for the most used labs. 

Stan – Has requested presentations from Mark and Galen and they have responded. 

Oscar – Would like to move to a Steering Committee that focuses on strategy and have a separate call on Operations. 

Stan – When the Technical Steering Committee is constituted, they should be overseeing and monitoring the work of the other committees. 

Oscar – Keith Campbell suggested that we develop an overarching governance.  Need to make sure that work across the committees is harmonized.  Have a good group to draw from for the technical steering committee. 

 

 Post presentations – Rick Freeman

Send presentations to Rick – Stan

 Schedule meeting with ACS – Oscar

Reach out to get ACOG use case – Laura

Determine ACOG funding – Oscar

Develop agreement and project plan with SMART – Craig

Send out message to HSPC list letting them know that the materials are available and recapping the meeting – Craig

 

 

Priority Item – Partner Development –  VA, Mayo

 

 

 

 

 

Oscar Diaz 

Membership drive – Oscar/Chris

VA

  • Follow-up with Jonathan Nebeker – Stan
  • Discussion with Aaron Drew re. bringing open source framework to HSPC
  • VA Pilot funding proposal status
  • VA security issue resolution
  • Obtain use case documentation from LSU – Oscar Diaz
  • VA stakeholder involvement in developing use cases
  • Coordination with other groups within VA
  • Register a HSPC price list on the GSA schedule – Oscar

Report of Center for Medical Interoperability – offer of support for service based interoperability as a third campaign, HSPC website, model registry, creation of tools, certification, etc.

Follow-up with Marc Overhage – Stan

Mayo

  • Follow-up with Chris Ross – Stan – note sent week of 06/01
  • Develop HSPC Value Description for Mayo  

OMG Engagement

 

Priority Item –     Incorporation and Organization and Funding

 

Oscar – Have a meeting with Geisinger next week.

Stan – Alistair is coming to Salt Lake next week.  Stan will be meeting with him. 

Oscar – Reaching out to UPMC, Hopkins, Kaiser.  Continuing discussions with Mayo.  May need to meet in person with Mayo

Craig – Will follow-up with Mayo contact. 

 

 

 

 

 

 

 

 

 

Stan Huff/Oscar Diaz

Resigning of Bylaws

Contract with ASU

Board Evolution

 Partner Candidates 

  • ACOG
  • ACS
  • UPMC
  • CHIME
  • Cognitive Medical
  • Oakwood
  • Vanderbilt
  • Cerner
  • Regenstrief
  • Athena Health
  • Mayo
  • TELUS
  • Ontario Ministry of Health
  • dbMotion 
  • Orion
  • Geisinger
  • Kaiser
  • Allscripts

Staff recruitment

Administrative support

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

Develop membership marketing materials to solicit new members – Membership Committee

Solicit Additional Benefactor Members – Oscar

Send preliminary budget to Stan – Oscar

Provide Stan with contact information for participants in call to finalize membership agreement – Oscar

Provide a copy of the membership agreement to Rick – Stan

Stan will follow-up to see if the membership agreement can incorporate the click-thru license.

Post membership agreement when it is final – Rick Freeman

Schedule a board meeting – Oscar

Priority Item – Website

 

 Craig Parker

Work with Marketing person on website

Post minutes from work group

Determine consistent tooling for minutes and other content

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/Rick Freeman

Review of technical content Stan, Craig, Tom, Alan, Paul White, Davide Sotterra, Herb White to develop a strategy for moving forward

Update for FHIR DSTU 2

Develop specification proposal with links to reference implementations – Rick Freeman

Resolve the issue of granularity

Approve the enhanced model content presentation tool

Recruitment of contributors – LSU, Intermountain, Cerner, LSU

Support for orchestration

Reference architecture definition

Work is being done on the business processes and service definitions for tier 2. 

 Need to determine with Stan what should be added that is not already there. 

Priority Item – Committee Organization – Implementation of Process


Craig/Oscar – Finalize committees

Craig Parker, MD to send out HSPC wide message soliciting members to join committee – by 02/27

Craig – Setting up Google groups.  Should be complete this week.

Craig – Will post committee processes to Confluence

Priority Item — Press Releases

Pend till there is fuller membership

 Oscar – HSPC has enough momentum for a press release.  Should send a press release on the most recent meeting.  Harris has sold its health care division.  May want to find another resource to support press releases. 

Stan – Could ask Intermountain for assistance or Karen Sealander.  Also C4MI could also assist. 

Oscar – Can message about HSPC and other initiatives.  Need to reduce confusion. 

 Oscar Diaz

Develop a press release on HSPC and the Argonauts and the HSPC organization and mission – Oscar Diaz

Develop press release on VA project

Get an article in Health Data Management to promote membership.  Rick will reach out to Eileen. 

Priority Item –  Tier 2 Messaging

 

 

 

Craig Parker, MD to setup a meeting to discuss the Tier 2 messaging. Will set up a meeting with Davide to build out roadmap.

Determine how to integrate the knowledge platform that Bob Greenes is developing into HSPC.

 

 Priority Item –  Value Proposition

 

 

 

 Ajay Asthana

Conduct interview with Oscar

Review draft value propostion with Evon Holiday

2016 HIMSS Meeting

 

 

 

Rick Freeman

Document HIMSS 2015 lessons learned

Talk with Grahame re. HSPC description

Reserve booth for HIMSS 2016

 

HL7 Argonaut Project 

 

 

 Stan Huff

Develop combined messaging with Argonaut

 

Operations Work Group

 

Oscar Diaz

 Determine how volunteer work will be transitioned to staff

Project Plan 

Rick Freeman

 

Communications and Marketing

 

Rick Freeman

Survey Responses

Meeting with ONC

Meeting with CMS

Update marketing materials

Develop white paper

Develop budget for website

Prepare executive overview of HSPC

Define announcement distribution channels

Develop marketing campaign

 

Review Action Items  Virginia Riehl

Area

Milestones

Technical SC

Technical Roadmap

Reference model – 1st pass

Integrate   existing pieces

Terminology and Modeling

Advance the number of HSPC approved FHIR profiles on HL7 FHIR Website

Meeting   in August with FHIR

Workplan for collaboration with VA and FHIM

Define   what HSPC approved profile means

Roadmap   for modeling and terminology – connected to use cases

Tooling   to detect differences between profiles

Prioritized   pre-coordination reshaping rules

Plan   for developing the capability to translate ADL models to AML models and   possibly examples

Revisit   the strategy of HSPC profiles with SMART applications (in conjunction with   HIMSS demo)

Translation   library/repository that is exchangeable and sharable – instances across   models and from ADL to AML

Platform/Architecture

Platform architecture – harmonize to needs and business use case

Strawman (concrete) view of the platform and architecture.  With use cases as a starting point. Draft   reference architecture.

Proposed standards

Proposals for use of existing architectures

Framework for deciding how far up the stack the platform goes

Testing and Certification

Define the TDD approach (include   negative tests)

Implement   in use cases

Define   certification approach

Cross Use   Case

Identify common requirements to inform   architecture

Perioperative Use Case

Develop roadmap

Create   a brief or business plan to ACS and   obtain their approval

Obtain   funding

Identify   pilot

Peri-Natal   Decision Support

Develop Roadmap

Obtain funding

Gain commitment of ACOG

Develop specification

 

Care Coordination

 

Refine existing use case

Get all the documents together and review

Look at FHIR and determine gaps

Secure funding

Create project governance structure

Develop a project plan

Document workflow

Develop glossary

Leverage FHIM and other VA data models

HL7 Relationship

Successful meetings in August

Argonaut

Clarify relationship

Healtheway

Clarify relationship

CareQuality

Clarify relationship

Membership

Streamlined process

C4MI

Establish joint charter and collaboration agreement

Commonwell

Clarify relationship

OMG

Plan to build relationship similar to HL7

Care Coordination

Refine existing use case

Get all the documents together and review

Look at FHIR and determine gaps

Secure funding

Create project governance structure

Develop a project plan

Document workflow

Develop glossary

Leverage FHIM and other VA data models

 

 

Care Coordination

Refine existing use case

Get all the documents together and review

Look at FHIR and determine gaps

Secure funding

Create project governance structure

Develop a project plan

Document workflow

Develop glossary

Leverage FHIM and other VA data models

 

 

Care Coordination

Refine existing use case

Get all the documents together and review

Look at FHIR and determine gaps

Secure funding

Create project governance structure

Develop a project plan

Document workflow

Develop glossary

Leverage FHIM and other VA data models

 

 

Care Coordination

Refine existing use case

Get all the documents together and review

Look at FHIR and determine gaps

Secure funding

Create project governance structure

Develop a project plan

Document workflow

Develop glossary

Leverage FHIM and other VA data models

 

 

 Action Items    

Item

 

Start Date

End Date

Lead

Status

 Update technical content for FHIR DSTU 2  05/05/15  Rick Freeman When server is available
 Reserve Booth Space for HIMSS 2016  04/28/15   
 Document HIMSS 2015 Lessons Learned 04/28/15  Rick Freeman  
 Develop HSPC value description for Mayo  04/28/15  Stan Huff 
 Develop agenda for June meeting 04/28/15   Craig Parker In process
 Register an HSPC price list on the GSA schedule 03/03/15  Oscar Diaz  
Discuss with Cerner the "write" pathway for the APIs  03/03/15 

 Stan Huff

Craig Parker

 
Send out HSPC wide message soliciting members to join committees  02/17/15  Craig Parker 
 Setup a meeting to discuss the Tier 2 messaging.  02/17/15  Craig Parker 
Reach out to Orion  01/27/15  Oscar Diaz 
Contact Chris Ross at Mayo   01/20/15  Stan Huff 
Contact Allscripts   01/20/15  Oscar Diaz 
Contact Alastair at Gesinger   01/20/15  Stan Huff 
Develop a press releases on HSPC and the Argonauts and the HSPC organization an mission  12/09/14  Oscar Diaz Pend till there is fuller membershipt
Determine points of coordination including the development of leaf level models  12/09/14  Stan Huff 
Obtain use case documentation from LSU 11/25/14  Oscar Diaz  
Schedule a call to finalize membership agreement  11/25/14  Stan Huff 
Provide Stan with contact information for participants in call to finalize membership agreement   11/25/14  Oscar Diaz 
Provide a copy of the membership agreement to Rick  11/25/14  Stan Huff 
Post membership agreement when it is final  11/25/14  Rick Freeman 
Get an article in Health Data Management to promote membership.    11/11/14  Rick Freeman 
 Set up membership committee calls  11/11/14  Craig Parker 
Develop membership marketing materials to solicit new members   11/11/14 Membership Committee 
Solicit Additional Benefactor Members  11/11/14  Oscar Diaz 
Reach out to dbMotion re. membership  11/11/14  Oscar Diaz 
Follow-up with VA, Intermountain, and Harris on payments 10/28/14 

 Oscar Diaz

Stan Huff

 
 Resolve issue of FHIR profile granularity 10/28/14 Stan Huff 
Develop specification proposal with links to reference implementations 10/28/14 Rick Freeman 
 Approve the enhanced model content presentation tool  10/28/14   
 Contact Allscripts re. identifying a new representative 10/07/14  Oscar Diaz  
 Develop value proposition 10/07/14  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 Kaiser 10/01/14 Stan Huff 
 Event Policies – Develop process and policies for attending events on behalf of HSPC  10/01/14   
 Define Plans for VA Project With LSU 09/23/14    
 Develop Orchestration Demonstration 09/23/14    
 Policy on Member Recruitment Bonus 09/23/14  Oscar Diaz  
 Evaluate JIRA for Managing the Project Plan 09/09/14  Rick Freeman  
Enroll Members  10/14/14   
Define Operating Processes 08/26/14 Craig ParkerNeed to appoint Work Group and proposals on how they will work
Define Decision Rights and Processes 08/26/14 

Oscar Diaz

Mike Hederson

Sue Jimenez

Rick Freeman

Tom Oniki

 
Business Arm Work Group 08/26/14 Oscar Diaz 
External Communications Work Group 08/26/14 Eileen Rivera 
Conduct survey on communications 08/26/14 Eileen RiveraSurvey fielded
Update Marketing Materials 08/26/14   
 Develop Budget for Website 09/23/14   Rick Freeman 
Prepare Executive Overview of HSPC 08/26/14  

 

Define Announcement Distribution Channels 08/26/14   
Develop Marketing Campaign 08/26/14   
Develop Press Releases 08/26/14  Draft developed by PR staff from Harris
Define Consistent Processes for Committees to Document Their Discussion and Actions 08/26/14  Need to recruit someone with experience with standards approval processes
Create a Project Plan and Road Map (release schedule) for the Technical Specification Development 08/26/14 Rick FreemanTesting JIRA to maintain the plan

COMPLETED ITEMS     

 Send out "save the date" for next HSPC meeting 03/17/15  05/08/15Craig Parker  
Coordinate HSPC demo in Harris booth  03/31/15 04/13/15 Oscar/Eileen 
HSPC cards with demo time and locations  03/31/15 04/13/15  
Develop write-ups on each of the apps   03/31/15 04/13/15 Rick/Oscar 
Post the HSPC schedule on an accessible location  03/17/15  04/13/15  
 Develop a one-pager on HSPC  03/17/15  04/13/15  
 Arrange HSPC dinner or reception  03/17/15 04/13/15   
Develop a master list of demo locations and the demos that will be done at HIMSS  03/03/15 04/13/15 Craig Parker 
 Determine the signage that will be allowed in each booth   03/03/15 04/13/15 Craig Parker 
 Set up a call between Stan and Janet  03/03/15 04/13/15 Rick Freeman 
 Create a calendar of events at HIMSS   03/03/15 04/13/15 Craig Parker 
Set up a meeting with Rick, Eileen, Oscar re. messaging.   03/03/15 04/13/15 Craig Parker 
Reach out to Regenstrief to see if they can participate  03/03/15 04/13/15 Stan Huff 
 Work with Eileen on what is required for marketing at HIMSS  01/20/15 04/13/15 Rick Freeman 
 Send information on HIMSS presentation schedule to Rick Freeman 11/25/14  04/13/15Stan Huff  
Send preliminary budget to Stan  11/11/14 04/13/15 Oscar Diaz 
Develop Draft Organization Structure 10/28/14 04/13/15

Oscar Diaz

Craig Parker

 
 Process for Signing Up Members at HIMSS 09/23/14 04/13/15  
 HIMSS Budget Development 09/23/14  04/13/15  

 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 04/13/15Rick Freeman 

Need to develop a theme

Need to recruit participants 

 Notify HSPC group of incorporation 09/02/14  CompleteStan Huff  
 Follow-up with Reggie re. getting access to the VA booth.   03/03/15 03/31/15 Rick Freeman 
 Follow-up with ONC re. Interoperabilty showcase   03/03/15 03/31/15  
 Contact the VA re. meeting facilities for HSPC May Meeting 03/24/15  03/31/15 Stan Huff 
 

Finalize the list of initial committees

  02/17/15 02/24/15

Oscar Diaz

Craig Parker

 
Create google groups for each committee  02/17/15 02/24/15 Craig Parker 
 Determine Google Drive permissions 01/20/15 02/24/15  
 Set up sand box meeting 10/07/14  02/24/15Rick Freeman  
 Set up HIMSS coordination meeting 10/07/14 02/24/15 Rick Freeman  

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 02/24/15

Rick Freeman

Robert Greenes 

Herb White

Aziz Boxwala

Scott Whyte

Oscar Diaz

Julio Facelli

Ajay Asthana

 

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

      
 Outreach to Regenstrief 10/01/14 01/27/15Stan Huff 
Schedule a time to review the agenda and membership agreement and benefits.    01/20/15 01/27/15 Rick Freeman 
Identify a set of committees that will be formed at the meeting.    01/20/15 01/27/15

 Craig Parker

Rick Freeman

 
Follow up with Oscar to get information on the organization structure.   01/20/15 01/27/15 Rick Freeman 
 

Contact Oscar re. getting the committee structure approved.

  01/20/15 01/27/15 Rick Freeman 
 Schedule call to finalize agenda and length of meeting  12/09/14 01/27/15 Craig Parker 
Develop plan for MedInfo  12/09/14 01/20/15

 Bob Greenes

Stan Huff

 
Contact Cerner and Marc Overhage.   01/20/15 01/27/15 Stan Huff 
 Reach out to Bo Dagnall at HP   01/20/15 01/27/15 Craig Parker 
Contact Oracle.     01/20/15 01/27/15 Stan Huff 
 Contact IBM   01/20/15 01/27/15 Oscar Diaz 
 Contact Kevin and Jamie at Kaiser   01/20/15 01/27/15 Stan Huff 
 Identify who will be attending MedInfo and could be part of a panel – Bob Greenes  12/09/14 01/20/15 Bob Greenes 
Obtain Board Member signatures on Board Document 10/28/14 01/20/15Oscar Diaz 

 HSPC Meeting

  • When
  • Where
  • Host 
  08/26/14 01/06/15  

Identify meeting location options in New Orleans

  11/11/14 01/06/15

 Wayne Wilbright

Oscar Diaz

 
Finalize By Laws and Membership Agreement 09/12/14 12/31/14Temporary Board 
Draft an email re. the meeting and send to Stan and Oscar Rick and Craig for review.  Rick or Craig will send  12/16/14 12/19/14 Virginia Riehl 
 Send out meeting announcement  12/09/14 12/19/14  
 Coordinate AMIA speakers 10/14/14 11/11/14Bob Greenes 
 Determine if a meeting on the sandbox can be held at AMIA 10/14/14 11/11/14Bob Greenes 
 Set up call to plan for next HSPC general meeting 10/07/14  11/11/14Oscar Diaz  
 Finalize Membership Agreement 10/28/14 11/11/14 Oscar Diaz 
 Follow-up with Mike Garcia re. Board participation 10/28/14 11/11/14Oscar Diaz 
Prepare blog post on DC meeting 09/02/14 09/30/14Stan Huff 
Create Mailing List 09/02/14 09/30/14Eileen Rivera

Email group created

Will distribute email to request people to register for the list

 Appoint Temporary Board 08/28/14 09/12/14 Stan Huff  
 Prepare Thoughts on DC Meeting 08/26/14 09/22/14 Eileen Rivera  
 Develop Newsletter 08/26/14 09/22/14  Eileen Rivera