2023-05-02 Meeting notes

Name 

Present 

@Noreen Whysel  

Y 

Bev Corwin 

Y 

@Salvatore D'Agostino

Y 

Thomas Sullivan 

Y 

Catherine Schulten 

N 

Jim StClair 

N 

James Kragh 

Y 

Name 

Present 

@Simone Alcorn (Unlicensed)

N 

@Michael Magrath (Unlicensed)

N 

Thomas Jones 

Y 

Kay presentation in Berlin

Thomas Sullivan

• Dr. Tom made slide about RIUP noting we are different from other Kantara WGs 

   

  Resilient Identifiers for Underserved Populations (RIUP-WG) 

  •  RIUP-WG was created in October 2022 combining the prior HIAWG and FIRE WGs 

  • FOCUS: facilitating online identities for underserved populations  

  • Unlike other populations, the underserved are often reluctant to be “known” and validated in the digital world. The absence of a stable postal address and steady employment compounds the complexity  

  • However, the ubiquity of smartphones in this population and the ability to leverage their features will help engage beneficiaries and the needs required for healthcare, financial and other services   

  • Also, some states are experimenting with Tax supported welfare payments, utilizing restricted balance bank cards and limited health insurance cards that might be linked to mobile phones.  

  • RIUP will collaborate with other Kantara workgroups and outside entities, e.g. The Carin Alliance, looking for solutions to the problems affecting the Underserved. 

  • Pragmatic solutions will prioritize the research on public sector existing programs that have addressed the need for trusted, digital identifier ecosystems, e.g., the San Diego 211 experience, the Washington State MDL and others we can explore to determine how to share the NIST 800-63-4 guidelines, once finalized. 

Demonstration Project: A Target Population

Jim Kragh

Demonstration Project: A Target Population: 

From a socio-economic perspective, underserved populations consist of individuals who are often marginalized, disadvantaged, and have limited access to essential resources such as healthcare, education, and economic opportunities. Among these populations, lack of identification is a pervasive issue that often impedes their ability to access basic services and exercise their fundamental rights. The reasons for this lack of identification can be attributed to several factors such as poverty, illiteracy, immigration status, and discrimination. 

These individuals face significant challenges in obtaining critical services such as healthcare, banking, and transportation which can have long-term social and economic consequences for both individuals and the community. In today’s marketplace, these bootstrapping populations need a baseline, verifiable, identity that will enable them to navigate between multiple organizations within a community. 

Seeking a Gateway Community Partner 

Charitable organizations play a vital role in identifying individuals who need a core ‘baseline’ identity and who could provide the necessary support to help them obtain one. These organizations that have access to underserved populations can quickly identify individuals who do or do not have access to a unique identifier. They can work with these individuals to gain the individual’s trust, educate the individual about the UUID system, and establish a ‘baseline’ identity through the help of a credentialed staff member or notary. A staff member or notary, working with community members, could then certify the establishment of a ‘baseline’ identity for the individual, providing a legally binding confirmation of the identity of the individual. 

The following assumptions: 

• An individual does not currently have an identity credential or other forms of identification. 

• The individual contacts a gateway entity (e.g., charitable organization, emergency room) seeking services. 

• The individual has a smartphone 

• ? 

• ? 

Candidate locations? 

• What is the impact of Chatgpt4 on the underserved community? 

• Who is the hospital the trusted entity, the United Way or? 

Discussion: 

Cerner VISTA contract is ending (”imploding”) 

Bev: 

• Cerner was applying software designed for financial institutions and tried to apply it to the VA, but it was incompatible with a human-centered program 

• Congressional hearings on VISTA have been interesting. Next session is May 15. She will send link to recordings. 

• Move to cloud, “lift and shift” which doesn’t work for HCD 

• Contention between Quantitative and Qualitative models and inability to converge them 

• Source: 

• https://www.military.com/daily-news/2023/04/06/va-delays-rollout-of-troubled-electronic-medical-records-system-more-hospitals.html  

• https://groups.google.com/g/Hardhats (Google group discussing VA's VistA.  Particularly issues of a technical nature, such as configuration, implementation, coding, etc.) 

Dr. Tom: CCR adopted by VISTA as their database instead of CCD 

Jim: Oracle was backbone for financial sector, so it was concerning that they bought Cerner which was more health oriented. 

Dr. Tom: Boston Children’s Hospital wrote EHR system based on Oracle. Only connection he knows with Oracle and healthcare. EPIC’s billing system was started by an engineer who had worked for a financial system. 

Bev: Efficient financially but it falls apart when it gets to the human part of it. Too complex for the users. UX is not done well. VISTA is well designed, grass-roots up. 

Value-based Care: 

Targeted population: Underserved (unbanked, undocumented, disabled 

Partners:  

• Entidad (UFW http://entidad.io ) are creating a digital wallet for the underserved (TomJ working with an outreach person). Jorge of Entidad and TomJ work on WG together. 

• Bev suggests introducing them to the Innovation Team at American Red Cross 

• National Association of State Driver’s Licenses, AMBA (member of PEMC WG), piloted IDESG implementation, involved in IAWG (could be more interested in income from implementation than human user, didn’t see themselves as problem solvers) 

Research/Output: 

• Deloitte Health Equity Institute report, CAC cards 

• Looking for a model to replicate 

• Focus on use cases (migrant farm workers, veterans, wards of state) 

• Individual reports and annual report on commonalities 

Use cases: 

• Value-based Care: Identify savings for bringing people who don’t have access to service because of lack of valid identity/identifiers 

 Action:

• Jim and. Tom: write up demo cases 

• Tom will write up something about the UFW. 

• Bev: propose 4 types of demo projects 

Formal pronunciation of working group: “Ree-Up"

Jim Kragh

RIUP pronounced Ree-Up