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[mphise-talk] Fwd: Invitation to Attend a Conference to Consider a Medic

To: mphise-talk@xxxxxxxxxxxxxxxx
From: Peter Yim <peter.yim@xxxxxxxx>
Date: Tue, 24 Mar 2009 11:33:28 -0700
Message-id: <af8f58ac0903241133r5b5169cby65cf2073b557e996@xxxxxxxxxxxxxx>
Capturing this into the archives ...    (01)


---------- Forwarded message ----------
From: Caneva, Duane C. <Duane_C._Caneva@xxxxxxxxxxx>
Date: Tue, Mar 24, 2009 at 6:46 AM
Subject: RE: Invitation to Attend a Conference to Consider a Medical
and Public Health Information Sharing Environment April 1-2
To: Peter Yim <peter.yim@xxxxxxxx>
Cc: Mark Musen <musen@xxxxxxxxxxxx>, "Obrst, Leo J."
<lobrst@xxxxxxxxx>, Steve Ray <steve@xxxxxxxxxxx>, Bob Smith
<Bob@xxxxxxxxxxxxxx>, Ram Sriram <sriram@xxxxxxxx>, Susan Turnbull
<susan.turnbull@xxxxxxx>    (02)


Thanks, Peter.  I would love to participate and be shaped by your
discussion for preparing the conference.  Please view this conference
as my attempt to open the doors to the policy people here to try to
figure out what we can do to support the efforts of the informatics
community--help us help you help us, if that makes sense.    (03)

A bit more about where I am coming from:  I come at this from a
clinical and operational background.  As a former medical officer on a
ballistic missile submarine (USS Kentucky, SSBN 737), is saw the
tremendous cost of peace through deterrence and the amount of work
required to maintain readiness at all times.  As Senior Medical
Officer for the US Marines Chem Bio Incident Response Force (CBIRF), I
saw again the effort required to maintain an "all hazards" response
force on a 1 hour response time 24/7.  For national preparedness, we
need to know what all our "instruments of national power" are, most of
which resides at the local level and in the private sector.  In order
to understand what those resources are, we need a taxonomy and
ontology that allows us to bring up resource data into dashboard views
during preparedness and response phases.  Because we cannot currently
do this, we keep layering on a patchwork system of federal response
solutions, an expensive and inefficient approach.    (04)

I think we need a system that accounts for departments/ agencies,
offices, programs, activities that map to physical resources.  These
can be matched to capabilities desired and defined in the National
Preparedness Goal.  When an incident occurs, we generate resource
requirements, do a "best fit" to available resources, and from that
generate a risk profile for engaging the resources in a response.  We
could use mod/sim to test the "system" against various incident types
of various scope, scale, and location to understand the vulnerability
component of risk (risk= threat* vulnerability* criticality).  Threat
comes from various sources like intel streams where we try to
understand signal/noise and identify indicators and warnings.
Similarly, Preparedness mitigates vulnerability but has a complex
deconstruction that involves signal/ noise as well with various
databases (personnel, equipment, training, maintenance, budgets,
life-cycle management, etc.) and other dynamic qualities (reputation,
current health, weather, traffic, distance, etc.).    (05)

With more comprehensive knowledge management, can we have a risk
management framework that helps us to shape policy, planning, and
spending?    (06)

Would you be interested in opening up the discussion to some of the
other attendees?  There is a mix of government (e.g., Doug Rosendale
(VHA), Vish Sankaran (HHS ONC), Sandy Weininger (HHS/FDA), Carter
Mecher (HSC), Sally Phillips (AHRQ), Kim Elenberg (HHS OSG0), Ed Dolan
(HSC)),    (07)

academic (Eva Lee (GA Tech), Jamison Day (U Houston)),    (08)

and some private sector people (Robert Kirkpatrick (InSTEDD), George Hurlburt).    (09)

Best,
Duane    (010)

Duane C. Caneva, MD, FACEP
Director, Medical Preparedness Policy
White House Homeland Security Council
202-456-2171 (o)
202-503-5439 (c)
202-456-6024 (f)
DCaneva@xxxxxxxxxxx    (011)


-----Original Message-----
From: peter.yim@xxxxxxxxx [mailto:peter.yim@xxxxxxxxx] On Behalf Of Peter Yim
Sent: Monday, March 23, 2009 8:14 PM
To: Caneva, Duane C.
Cc: Mark Musen; Obrst, Leo J.; Steve Ray; Bob Smith; Ram Sriram; Susan
Turnbull; Peter Yim
Subject: Re: Invitation to Attend a Conference to Consider a Medical
and Public Health Information Sharing Environment April 1-2    (012)

Duane and All,    (013)


First of all, thank you again, Duane, for the invitation. We
appreciate the opportunity to participate at your conference and panel
and to contribute our joint input to help in your development of a
medical and public health information sharing environment ("MPH ISE").    (014)

We hear you, Duane, that you want "a small, select group to get a
sense for where we need to go."  We have now assembled a very small
team* of folks (MarkMusen, LeoObrst, SteveRay, BobSmith, RamSriram,
SusanTurnbull & PeterYim) from the community to bounce ideas off one
another in getting ready for your conference, and to prepare the panel
briefing, which Leo and Ram will be making on April-1.    (015)

To augment the mostly asynchronous work of this distributed team, I
will be setting up a mini-CWE (collaborative work environment) to
capture the dialog, and to archive the resources the team will be
coming up with. This will include a mailing list (conversation
workspace) with a password-protected archive, a (password-protected)
shared-file workspace, and a (community-only) wiki workspace (courtesy
of Susan). With that, the team can mull over the needs of the MPH ISE,
 gaps, issues and to come up with recommendations on how to move
forward. Of course, this will also include the preparation of the
panel briefing, which Leo and Ram will be making on April-1 at your
conference.    (016)

Duane, I will include you, along with our team, among the mailing list
subscribers, and will invite you to observe (or engage) as we progress
with the work. Your participation in the discussion will, of course,
be appreciated (especially if and when we feel we are off the mark).
However, if you don't want your inbox to be inundated by the mail
traffic, do feel free to ask me to change your mailing list delivery
to the "daily digest" or even the "no mail" mode. I hope this MPH ISE
conversation is not limited to the 10 minute briefing or the 2-day
conference, but would be a start of your dialog with our community
before, during and after your conference.    (017)


I will distribute access information to everyone as soon as the
workspaces are ready. Feel free to communicate suggestions, questions
or concerns (on this thread) in the mean time.    (018)


Best regards.  =ppy    (019)

P.S.  *By way of introduction, here's our team:    (020)

* Mark Musen, MD PhD - Professor of Medicine and Computer Science, and
Head of the Center for Biomedical Informatics Research (BMIR) at
Stanford University, and Principal Investigator of the National Center
for Biomedical Ontology (NCBO). Professor Musen was nominated by the
Ontolog Community as a candidate for the Advisory Committee of the
American Health Information Community (AHIC) that was being set up by
the US Federal Department Health and Human Services in 2005 - ref.
http://ontolog.cim3.net/cgi-bin/wiki.pl?MarkMusen    (021)

* Leo Obrst, PhD - Co-convener of the Ontolog community, the Ontology
Summits and the Open Ontology Repository (OOR) initiative. He is a
principal artificial intelligence scientist in the Information
Discovery and Understanding department at MITRE's Command and Control
Center, where he leads the Information Semantics Group (semantics,
ontological engineering, knowledge representation and management) -
ref. http://ontolog.cim3.net/cgi-bin/wiki.pl?LeoObrst    (022)

* Steve Ray, PhD - Co-convener of the Ontology Summits and a long time
advocate of ontology-based standards; Steve was previous the Chief of
Manufacturing Systems Integration Division (MSID) at the National
Institute of Standards and Technology (NIST) - ref.
http://ontolog.cim3.net/cgi-bin/wiki.pl?SteveRay    (023)

* Bob Smith, PhD - Professor Emeritus from the California State
University. He has led the Ontolog community's response to Dr. David
Brailer's NHIN-RFI back in the 2004/2005 time frame. He has
co-organized several virtual panel session on Ontolog Forum that
addressed Healthcare Informatics and Emergency Response Mnagement -
ref. http://ontolog.cim3.net/cgi-bin/wiki.pl?BobSmith    (024)

* Ram Sriram, PhD - Lead of the Design and Process group at NIST-MSID,
and Manager of Manufacturing Metrology and Standards for the
Healthcare Enterprise. He is also a Science Advisor for NCBO - ref.
http://ontolog.cim3.net/cgi-bin/wiki.pl?RamSriram    (025)

* Susan Turnbull - Senior Program Advisor for the Office of
Intergovernmental Solutions at the General Services Administration
(GSA). She is the co-chair for the Emerging Technology Subcommittee of
the CIO Council's Architecture and Infrastructure Committee, as well
as the co-chair for the NCO/NITRD Program's SEW (Social, Economic and
Workforce Implications of IT and IT Workforce Development)
Coordinating Group. She has masterminded and produced over 80 highly
successful Collaborative Expedition Workshops and have supported and
incubated many multiagency and government-citizen communities of
practice in the collaborative work environments that she manages. -
ref. http://colab.cim3.net/cgi-bin/wiki.pl?SusanTurnbull    (026)

* Peter Yim - Co-convener of the Ontolog community, the Ontology
Summits and the Open Ontology Repository (OOR) initiative. He is the
principal of CIM3, the internet service developer and provider for the
collaborative work environment (CWE) infrastructure. Like a lot of the
Ontolog members, he has devoted himself to advancing the field of
ontology, ontological engineering and semantic technology, and
advocating their adoption into mainstream applications and
international standards - ref. http://ontolog.cim3.net/wiki/ &
http://ontolog.cim3.net/cgi-bin/wiki.pl?PeterYim
--    (027)


On Fri, Mar 20, 2009 at 3:06 PM, Caneva, Duane C.
<Duane_C._Caneva@xxxxxxxxxxx> wrote:
> Steve,
> Thanks.  This sounds great!
> Attached is a working draft agenda. I want to keep most of the time for
> discussion rather than presentations, but we have a fair amount of time
> over the 2 days to work these issues.  I want to focus on what is
> keeping us from doing this--what do we need to do to promote the process
> (besides money)?
> Please let me know what you think would be the best approach for the
> conference.  It will of necessity be a small, select group to get a
> sense for where we need to go.
>
> Best,
> Duane
>
> Duane C. Caneva, MD, FACEP
> Director, Medical Preparedness Policy
> White House Homeland Security Council
> 202-456-2171 (o)
> 202-503-5439 (c)
> 202-456-6024 (f)
> DCaneva@xxxxxxxxxxx    (028)


> -----Original Message-----
> From: Steve Ray [mailto:steveraysteveray@xxxxxxxxx] On Behalf Of Steve
> Ray
> Sent: Friday, March 20, 2009 5:29 PM
> To: Caneva, Duane C.
> Cc: susan.turnbull@xxxxxxx; peter.yim@xxxxxxxx; 'Mark Musen'; 'Ram
> Sriram'
> Subject: RE: Invitation to Attend a Conference to Consider a Medical and
> Public Health Information Sharing Environment April 1-2
>
> Duane,
> Thanks so much for your invitation. A number of us have talked about
> this opportunity and propose the following team-based approach. While
> Peter Yim and I can't make it over on April 1st, several of our colleagues
> in the DC area are available to represent the ontology and health
> informaticsperspectives. Specifically, we suggest that Dr. Ram Sriram
> of NIST and Dr. Leo Obrst of MITRE Corporation serve on your panel,
> and present material that we will put together as a team (Yim, Ray, Sriram,
> Obrst, Turnbull).On behalf of those on this email, I think we can say that
> the ontologycommunity has a lot to offer in this area.
>
> You may also recall that Leo Obrst made a presentation on the
> contribution of ontology development at Susan's Expedition Workshop that
> you attended at NIST in 2008
> 
>(http://colab.cim3.net/cgi-bin/wiki.pl?ExpeditionWorkshop/ExploringIdentityManagementLandscapeInNationalPreparednessAndResponseScenarios_2008_04_30)
> .
>
>
> If all this sounds good to you, please let us know and we will work on a
> suitable presentation.
>
> Thanks again for this opportunity.
>
> Sincerely,
>
> Steve Ray    (029)

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