HIA WG Concall 2010-06-10 Minutes

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HIA WG Concall 2010-06-10 Minutes

Date and Time

  • Date: Thursday, June 10, 2010
  • Time: 10am PST | 1pm EST | 5pm UTC | 7pm CEST (Time Chart)
  • Dial-In: Skype: +9900827044630912 - North American Dial-In: +1-201-793-9022
  • Code: 4630912

Attendees

  • Dervla O'Reilly, Kantara Initiative (non-voting)
  • John Fraser, MEDNET (voting)
  • Barry Hieb, Global Patient Identifiers, Inc. (voting)
  • Bob Pinheiro, Pinheiro Consulting (voting)
  • Mickey Tevelow, N8 Security (non-voting)
  • Kyle Meadors, Drummond Group Inc. (voting)
  • Myisha Frazier Mc-Elveen (voting)
  • Dan Combs, (voting)
  • Pete Palmer, Surescripts (voting)
  • Rick Moore, eHealth Ohio (voting)
  • Daniel Bennett, eCitenship Foundation (voting)
  • Tim Reiniger, IA Corp (non-voting)
  • Rich Furr (voting)
  • Jonathan Gershater (non-voting)

Apologies

None

We had 10 voting members on the call reaching quorum on this call.

Agenda

1. Roll call for quorum & approval of previous meeting minutes approval. Approval of minutes – Kyle moved approval, Barry Hieb seconded, and the minutes from the last meeting were approved.

2. Welcome any new attendees

3. Minute taker - John Fraser agreed to take minutes.

4. Update on the eCitizen project from eCitizen staff on our Patient Portal Project

5. Presentation on Dr. Barry Hieb’s Voluntary Universal Health ID (VUHID)

6. Other business

Minutes

1. Roll Call & Approval of Previous meeting minutes

Roll call as above.  Minutes from previous meeting were approved by Kyle Meadors & Barry Hieb.

2. Welcome

Welcome all.

3.Minute taker

John Fraser

4.Update on eCitizen project from eCitizen staff on our Patient Portal Project

Daniel – gave an update on the eCitizen project

  • Have submitted agreement to the steering committee for review and response.
  • Have identified a potential funder
  • Waiting on the agreement being signed and the funding arriving.
  • Dervla – Kantara legal team is reviewing, by Monday will have an update.
  • Daniel – Project Plan and Descritpion – is on the web site. And that eCiritzen is committed to an open architecture for this project. eCitrizen is monitoring the list serve and Wiki. People should start thinking about the issues.
  • Summary: Project Plan has been submitted to working group committee.  Kantara Initiative Officers will review and hopefully have feedback by Monday, June 14. 
5.Presentation on Dr. Barry Hiebs VUHID

John Fraser then introduced Barry Hieb, CEO of GPII. Barry went through his presentation about his service, the Voluntary Universal Healthcare identifiers, or VUHID.

  • Summary of talk (see web site for the full PowerPoint )
  • VUHID identifier is a 32 Character (not bit) identifier. The whole 32 charaacters is the identifier, not a part of the number. The number is divided into the number, a set of check digits, and optional privacy class identifiers.
  • 1998 – Feds decided that no formal discussion of patient identifiers at the federal level allowed going forward. Too much of a hot potato at that time.
  • Sill, health care automation has been moving forward without a standard patient identifier
  • Big issues are the lack of accurate patient identification
  • Causes expense and delay when patient records can't be found via a standard identifier
  • Multiple health information exchanges (HIEs) can communicate with the VUHID to track a patient identifier across different HIEs.
  • NOTE: VUHID NEVER knows a patients name, or anything about a patient. It just manages numbers that hopefully point to patients within HIEs, via their Master Patient Indexes.
  • Internally to an HIE - it reduces duplicate medical procedures and tests.
  • Externally, improves accuracy and allows a national view of a patient's informaiton across multiple HIEs that may hold informaiton on tha same patient.
  • Barry then demonstrated the server testing systems, issuing hundreds of million identifiers.
  • Features of systems:
    • Request an identifier
    • Request retirement of an identifier
    • Require locations of an identifier (pointing to locations of information between HIEs)
  • John Fraser asked Barry to emphasize the patient privacy benefits of VUHID identifiers.

Q & A started:
Q: Who can contract with GPII/VUHID?
A: GPII only deals with health care organizations, not individuals.

Q: How do you deal with the privacy concerns about systems like this?
A: Discussion with patients, has found a lot of support for the privacy aspects of this system. The sell is to an HIE. Some people are so worried, if they want to opt out, they should have that option.

Q: When person wants a VUHID, what standards are needed to apply for a VUHID identifier? Can this be faked between HIE to enable identity theft?
A: Each HIE must implement their own standards on this. This is an NHIN policy issues, matching patients between HIEs. GPII doesn't control this. Patients can always get multiple VUHIDs between HIEs if they so choose to work on that. GPII can't control all these issues, HIEs must have good policies on this.

Q: Is this system going to be used in the eCitizen Patient Portal Project, that this group if facilitating?
A: Yes, the proposal is to use this system at this time.

6.Other business

No other business.

Next Meeting

  • Date:  Thursday, June 24, 2010
  • Time: 10am PST | 1pm EST | 5pm UTC | 7pm CEST (Time Chart)
  • Dial-In: Skype: +9900827044630912 - North American Dial-In: +1-201-793-9022
  • Code: 4630912