(US) National Health Information Network, Request for Information - Project Home Page (91Z)
Work Product: (920)
The Ontolog Community's response to the ONCHIT NHIN RFI #4150-24 (updated) - see: http://ontolog.cim3.net/file/work/health-ont/NHIN-RFI/NHIN-ontolog-rfi-response_20050118.doc (921)
- Executive Summary of Ontolog's NHIN-RFI response. (E3J)
- text of original submission, in the record. (E3I)
Most Critical Task(s) At Hand: (922)
- ... (insert content here) ... (GFT)
What's New: (925)
- BrandNiemann suggested a SICoP-Ontolog joint pilot at FHA-ONCHIT meeting on Jan. 26, 2005. (926)
- Ref. Brand's post (with background material): http://ontolog.cim3.net/forum/ontolog-forum/2005-01/msg00037.html (927)
- and continuing discussuion on starting this work at: http://ontolog.cim3.net/forum/health-ont/2005-01/msg00035.html (928)
- Our response to the NHIN-RFI was delivered Jan. 18, 2005, on time (even with 4 minutes to spare before the deadline!) (929)
- Kudos to all who were involved and contributed. (92A)
- One page "thesis" that will guide our group response (92B)
- the RFI Announcement page is at: http://www.hhs.gov/healthit/rfi.html (92C)
- a concise summary by Prof. Kroch of Dr. Brailer and other's prior work is at: http://wfs.cgu.edu/lafkyd/cgu-kroch.pdf (92D)
- EMR Definitional elements and requirements (92E)
- EMR Current state: (92F)
- ONCHIT Framework for Strategic Action (92J)
- Data Exchange (Physician, "Physician Assistants", and Clinicians) (92K)
- CareScience Projects (92L)
- Community data sharing (92M)
- Santa Barbara County (example of most medical communities) (92N)
- Core Data Exchange (92O)
- a transcription of the Technical Assistance Call is at: http://www.hhs.gov/healthit/documents/Transcript_RFI_Technical_Assistance_Call.pdf (This is a 48 page document to be summarized;) (92P)
Key Date(s) to Note: (92S)
- important DATE: Responses should be submitted via email to ( NHINRFI@hhs.gov ) the Department of Health and Human Services (HHS), Office of the National Coordinator for Health Information Technology (ONCHIT), on or before 5 p.m. e.s.t. on January 18, 2005. (92T)
- Weds Dec. 22, 04 ( Agenda approved; "B" Team held ~ 5 discussion Sessions: draft answers to questions) (92V)
- Thurs Jan 6th 2005 (92X)
- (92Z)
- Saturday, Jan 8th 2005 Editing of Outline (Bob, Nad, others) BobSmith (938)
- Tue Jan 11th 2005 work session (93A)
- Clarify Health Ontolog objectives and scope of an Ontology based Approach to Health Care BobSmith (93B)
- Resolve workgroup process (time-limited discussion and vote/polling (informal) ) (93C)
- Breadth of Response (Number of sections and questions) (93D)
- Editorial process and final edit responsibility (93E)
- Thurs Jan 13th 2005 (93G)
- Review and Comment cycles (93H)
- Sunday, Jan 16th 3pm PST Deadline for Question Submittals (93I)
- Mon Jan 17th 2005 (93L)
- Continue discussions and refinement (93M)
- Tuesday, Jan 18th, 4pm EST eMail to Dr. Brailer (93N)
Project Mission (93O)
- To round up a joint Ontolog community effort, to author a response and submit that to the (US) National Health Information Network, Request for Information of 2004.11.15. Using that as the beginning of a collaborative effort where the Ontolog community can contribute professionally to the NHIN initiative. (93P)
Outline for Deliverables & Deadlines (93Q)
- Strawman version 1 BobSmith (93R)
- The RFI states 4 goals, key missing elements to bridge current practice to a ten year vision, and poses a Decision Scenario including: (93S)
- The NHIN could be developed and operated in many ways. (93T)
- It could include state-of-the-art web technologies or more traditional clearinghouse architectures. (93U)
- It could be highly decentralized or somewhat centrally brokered. (93V)
- It could be a nationwide service, a collection of regional services or a set of tools that share common components. (93W)
- It could be overseen by public organizations, by private organizations, or by public-private consortia. (93X)
- Regardless of how it is developed, overseen or operated, there is a compelling public interest for a NHIN to exist. (940)
- The NHIN could be developed and operated in many ways. (93T)
- The RFI has 24 questions structured into 5 parts (But no "Problem Statement" ) (942)
- The RFI states 4 goals, key missing elements to bridge current practice to a ten year vision, and poses a Decision Scenario including: (93S)
- Team Organization (943)
- Team 1: 3 Questions;(SMI_Mark_Adam_Samson_Natasha) Overview and working definition of a National Health Information Network for distributing Electronic Health Records: (944)
- A. General ( Working definitions of a National Health Information Network, models of access to this Network, and appropriate roles at each level) (946)
- Team 2: 10 Questions;( Kurt_Bo_Bob_Nad ); Enterprise Strategy, Process, Incentive Alignments: (947)
- B. Organizational and Business Framework (Economic and Policy Criteria for developing Business and Organizational Models in a "Mixed Public-Private, Open interoperable Context ) (949)
- C. Management and Operational Considerations ( Useful and Useable Products, Policy and Managerial Incentives, Contingency-Risk Modeling, Community of Practice governance ) (94B)
- Team 3: 11 Questions; ( Nicolas EdwardCherlin MarkRoest) Standards and Incentives (94C)
- D. Standards and Policies to Achieve Interoperability ( What is the current status of the major Standards Development Organizations and their processes/assumptions and relationships to each other and the US Govt... Open Standards developed in an open process ) (94E)
- E. Financial and/or Regulatory Incentives and Legal Consideration __ Other ( Do conflicting policies and strategies now exist? Are new architectures and mechanisms available to resolve certain pivotal conflict areas? ) (94G)
Project Work-in-Progress (94H)
- BobSmith OUTLINE Draft # 1 (94I)
- Executive Abstract-Thesis (94J)
- Problem Statement (Embracing Ontology as a means to knowledge-enabled health care systems?) (94L)
- (General) Core Technical Issues: Knowledge Applied to useful and useable Health Records and its Network (94N)
- Organizational and Business Framework (NOTE: ONCHIT Leadership Panel Strategy about to be published) (94Q)
- Management and Operational Considerations (94V)
- Standards and Policies for Interoperability (950)
- Ontology questions for Standard Setting Bodies (951)
- Examples of effective use of Ontologies in SSB (952)
- Interoperability and MetaStandards (Steve Ray citations) (953)
- Incentives and Legal Issues (954)
- Other (955)
- Q 23: Design Principles (956)
- Terms, Concepts, and Tools (958)
- Bibliography (95D)
- need to add: conclusions and recommendations (95F)
- Brand suggested we cite the Hardvard Study on CoP in Government. (95G)
Action Plan and Chronology (95H)
- BobSmith Sunday 1-16-05: Note that many of the 24 RFI questions are now "answered" by ONCHIT Staff in their five presentations to key stakeholders Answers?" (95J)
- Resolve Option 1 -- Option 2 language (95U)
- Achieve sufficient Membership interest in completing this RFI phase and future opportunities (95W)
- To consider the alignment tasks between the three major sections in light of calendar realities (95X)
- 1. Focus on just the "ontology" used by the RFI writing team of Dr. Brailer (Agree) (95Y)
- 2. Develop a "Strawman" of working definitions of the two central terms (NHIN and _EHR) (95Z)
- 3. Expand, in parallel, the Enterprise Topics and the Regulatory Topics (960)
- 4. Assess the internal alignments within each of the three topics (961)
- 5. Integrate, as needed, alignment problems within and between the three topics (962)
- 6. Reality Checks (964)
- 7. Complete the resulting document and essential graphics ( 1-3 pages per question?) (966)
- pull a response to the RFI together and submit that by the 2005.01.18 deadline. (969)
The Team (96A)
- Active participants (96B)
- BobSmith - co-convener, project manager (96C)
- MarkMusen - co-convener (96D)
- BrandNiemann - co-convener (96E)
- PeterYim - co-convener (96F)
- AdamPease (96G)
- BoNewman (96H)
- KurtConrad (96I)
- SamsonTu (96J)
- NatashaNoy (96K)
- NicolasRouquette (96L)
- PaulKoch (96M)
- ChrisRichardson (96N)
- DavidWhitten (96O)
- MarkRoest (96P)
- EdwardCherlin (96Q)
- AnthonyCheung (96R)
- MichaelHogarth (96S)
- ChristopherChute (96T)
- NadBhatti (96U)
- PatCassidy (96V)
- Observers (96Y)
Discussion Archives & Shared-File Workspace (973)
- Discussion Archives: http://ontolog.cim3.net/forum/health-ont/ (974)
- posting to the discussion forum: mailto:health-ont@ontolog.cim3.net (975)
- Shared-File Workspace: http://ontolog.cim3.net/file/work/health-ont/NHIN-RFI/ (976)
- List of other NHIN-RFI Responses available on the Internet - see: NhinRfi/Responses (BYA)
Resources (977)
- link to NHIN-RFI (courtesy SusanTurnbull) (978)
- link to NHIN-RFI-FAQ (courtesy BobSmith) (979)
- the RFI Announcement page is at: http://www.hhs.gov/healthit/rfi.html (97A)
Conference Call, Meeting & Workshop (97B)
- ...(list and link to agenda & proceedings pages here)... (97C)
- Co-coveners' sync-up call - /ConferenceCall_2005_05_31 (CQZ)
- Post response submission review during regular weekly ontolog ConferenceCall_2005_01_20 (97D)
- Project work session with the regular weekly ontolog ConferenceCall_2005_01_13 (97E)
- Project team conference call - /ConferenceCall_2005_01_11 (97F)
- Project work session with the regular weekly ontolog ConferenceCall_2005_01_06 (97G)
- Project team conference call - /ConferenceCall_2004_12_22 (97H)
- Project Kick-off - http://ontolog.cim3.net/cgi-bin/wiki.pl?ConferenceCall_2004_12_16#nid044 (97I)
- Precursor to this effort - our joint SICoP-Ontolog ConferenceCall_2004_08_12 (97J)