Cross-Initiative+Coordination...+We+Need+Your+Input!

=**S&I Cross-Initiative Coordination**=

**//Introduction//**
The Standards and Interoperability (S&I) Framework is an open and transparent forum sponsored by the Office of Standards & Interoperability (OSI). The core objective of the S&I Framework is to promote a sustainable ecosystem that drives increasing interoperability and standards adoption in support of national healthcare priorities. These efforts are carried out in the form of targeted Initiatives to solve real-world problems.

The goal of S&I Cross-Initiative Coordination (CIC) is to ensure that as initiatives move through the S&I Framework processes in parallel, they are proactively managed in a consistent and cohesive manner as part of the S&I portfolio. This main goal is broken down into a set of specific target objectives:
 * Identify and manage dependencies and overlap between S&I Initiatives
 * Identify efficiencies and opportunities for re-use (of processes, artifacts, etc.) across Initiatives
 * Provide broader community awareness of S&I Initiatives potentially encouraging more pilot participants, future initiatives, and ongoing support and sustainability
 * Improve and streamline S&I infrastructure and support as part of the transition towards a sustainability model

In order to achieve these objectives, a working group representing ONC, Initiative Coordinators, Community volunteers, and support team members will be charged with driving the cross-initiative activities within the S&I Framework. This coordination is expected to expand to external but related initiatives as well.

**//Cross-Initiative Coordination (CIC) Activities//**
Following is an initial list of potential priority CIC activities:
 * Convene an internal S&I working group to build and facilitate a cross-initiative platform for re-use, providing an integrated view of accessible framework-wide and initiative-level artifacts and components
 * Implement and enforce a consistent, public-facing on-line presence for awareness of the Framework and Initiatives (wiki/repository home page, twitter, etc.)
 * Expand new Initiative Charter content to include related initiatives, associated dependencies and links back to relevant FACA activities and recommendations
 * Convene an open, S&I Framework-Wide “Organization”or Working Group responsible for addressing framework wide issues, dependencies, future direction, and the relationship to the FACAs. This organization would have ownership over:
 * S&I Monthly All-Hands meetings with defined agenda, owners/roles and meeting execution processes
 * Bi-monthly in-person working sessions for Workgroup leads
 * S&I cross-initiative working sessions and updates during each future F2F

The CIC Workgroups mentioned are intended to have a smaller membership that represents the balanced interests of the S&I community. This will enable a focus on the important CIC tasks while not distracting from the charters of the individual S&I initiatives. CIC progress will be available in the same open and transparent manner as the progress of all S&I activities is today.

The S&I Community and support team is already in the midst of tackling core cross-initiative coordination activities focused on identifying linkages between existing initiatives and ensuring ongoing sustainability of the S&I Framework. Below are some examples of the cross-initiative activities currently underway:
 * Drafted S&I Community Enabling Toolkit (CET) documenting the best practices, artifacts, and tools supporting all S&I initiatives.
 * Developed a process and starting point for reusing use case artifacts through the Simplification Core Matrix and Data Element Sets worksheet. These tools have been used to identify linkages and opportunities for reuse within the esMD, DS4P and LCC initiatives.
 * Developed a Clinical Element Data Dictionary (CEDD) artifact and process to provide a list of data elements and their clinical context for reuse and understanding by the clinical community
 * Deployed an initial version S&I Repository with a release and enhancement plan to create a “one stop shop” for reusable and accessible S&I artifacts

**//Cross-Initiative Coordination Priorities//**
As a member of the S&I Community, we need your input to determine the right set of focus areas to formally kick-off and structure the Cross-Initiative Coordination efforts. Please use the below survey to provide us your perspectives and recommendations and where and how S&I should focus our CIC activities. Please respond no later than **__Wednesday, February 29__**.

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