HIA WG Concall 2010-02-04 Minutes

Date and Time

• Date: Thursday, February 4, 2010
• Time: 9am PST | 12pm EST | 5pm UTC | 6pm CEST

Attendees

• Pete Palmer, Surescrips (voting)
• John Fraser, MEDNETworld.com (voting)
• Rick Moore, DME Consulting Services (voting)
• Bob Pinheiro, Pinheiro Consulting (voting)
• Sal Khan, eTrust (voting)
• Jonathan Gershater (non-voting)
• Adrian Gropper, MedCommons (voting)
• Daza Greenwood, eCitizen Foundation (non-voting)
• Daniel Bennett, eCitizen Foundation (non-voting)
• Barry Hieb, GPII (voting)
• Dervla O'Reilly, Kantara Initiative (non-voting)

Apologies

• Not applicable

We had 7 voting members on the call, it was decided we did not reach quorum on this call.

Agenda

1. Welcome & Introductions
2. Election of Work Group Leadership Discussion
3. Discussion with eCitizen Foundation about leading our effort to build our Citizen Portal as per our Charter
   1. Will need volunteers to help on IAF, OpenID, Feds, fundraising, etc.
4. AOB

Minutes

1. Welcome & Introductions

We welcome Daza Greenwood and Daniel Bennett from e Citizen Foundation to follow up with their patient identity and personal health record open exchange architecture proposal. <!-- /* Font Definitions */ @font-face

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2. Election of Work Group Leadership Discussion

The nomination ballot was sent by secret ballot to the HIA WG list serve. Nominations for co-leading Chair are Pete Palmer, John Fraser, Rick Moore & Barry Hieb.  Barry Hieb declined the position. We did not reach quorum on this call, therefore unable to hold a non secret ballot on this call.  An email election will be distributed to this list today, Feb. 4 for three co-leading Chairs - Pete Palmer, John Fraser & Rick Moore.  The election ballot will close Feb. 11 14:00 PST, please respond to the email and vote!

3. Discussion with e Citizen Foundation about leading our effort to build our Citizen Portal as per our Charter (2.1)

Daza Greenwood from e Citizen Foundation presented an overview of their service.  They work with Educational institutions, Government organizations, volunteers, etc. to develop technologies to make online dialog possible.  Identity Embassy is one project that allows an individual to control their online identity.  Frank Villavicencio (read Frank's recent blog), Chair of the Identity Assurance WG efforts on the Identity Assurance Framework (IAF) are a good model and in alignment with our efforts.  Citizens have access to information, a self-asserted identity from low to high assurance levels.

A HIE to HIE connection level is used. Providing a service over NHIN who have their own PKI & SAML is incorportated.  We will not try to reinvent and look at IAF as a model. They use the BLT (Business, Legal and Technology) methodology to make sure this works which includes encryption.

Focus is on the patient, consumer and eCitizen level.  We assume the B2B model is unchangeable and exists already in a software package.   Use open public integrated architecture, elements that require higher level of assurance, try one time mobile password integrating on the backend, we have enough tools to go back to GSA, etc. to consider incorporating as a new model. Can we support various models of authentication?  If we do it correctly we can build a framework that can be added.  We are liable to the architecture working seamlessly and that it actually works.  You have to design with privacy and security in mind (goes beyond authentication, including storage and data incription).

Need to make sure the architecture can support multiple services.  We need to start with level 3, user name and password won't work.  If we don't architectur as a privacy patient system, we will run into trouble.  We would like HIE stakeholders, e.g. CVS and Walgreens to advise.

Patient logos in to eCitizen portal, that creates a patient identity and patient request, calls into NHIN then routes to rpovider to efill the prescription.  NHIN already provides HIE to HIE connectivity.  message back to patient.

In order to engage eCitizens, we need to raise funds for the project, and ask for volunteers. If the group is interested, we would like to raise the

firm up use cases and send to list serve

Budget for this new project is $15-20,000.  Consider this and brainstorm for next call what we come up with in terms of recruitment for the component and fundraising ideas.  Barry is willing to work with Daz.

4. Do we want to respond with comments on "meaningful use" proposed tags?

Review the document describing the Health IT standards Interim Final Rule for Meaningful Use.  The U.S. Government put aside 19 billion to stimulate adoption of health IT, healthcare providers can get $44K rebate per doctor if they implement IT.  Govt. want them to buy the system and actually use it.  They need an identity provider component.  Comments are due March 15, 2010. 

ACTION20100121-02: All review "meaningful use" document this and brainstorm for next call.

5. AOB

1. Agenda for Feb. 4 call.  Review "meaningful use" document and brainstorm.

2. Review what we come up with in terms of recruitment for the component and fundraising ideas for the e Citzen Foundation proposal.

Next Meeting

• Date: Thursday, February 4, 2010
• Time: 9am PST | 12pm EST | 5pm UTC | 6pm CEST (Time Chart)
• Dial-In: Skype: +9900827044630912 - North American Dial-In: +1-201-793-9022
• Code: 4630912

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