LRI+Pilots+WG+2011-09-13

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 * Date:** 9/13/2011
 * Time:** 4:00-5:00 pm EDT

**Meeting Agenda**

 * Review updates from New/Prospective LRI Pilots Workgroup committed members
 * Introduce Community Members interested in sponsoring pilots Wiki Page
 * Review the status of the Pilots Outreach effort
 * Review status of Action Items (http://wiki.siframework.org/LRI+Pilots+WG+Actions+Items)
 * Review Timeline
 * Connectathon and HIMSS deadlines and requirements
 * Review LRI Pilots Guide
 * Review Test Strategy
 * Discuss Face-to-Face meeting scheduled for Oct 18, 19
 * Agenda items
 * Goals of F2F
 * Next Steps
 * Q and A

Attendance
Rob Allen, Bob Lutolf, Jitin Asnaani , Anjali Gupte, Neeli Bajaj, Tom Boal, Joan Duhaime, Ann Clarke, Robert Coli, Cynthia Levy, Kishore Metla, Chuck Tryon, Cindy Johns, Virginia Strumfels, David Susanto, Mike Long


 * Note:** If you attended this meeting and are not listed above, please contact Ann Clarke (ann.r.clarke@lmco.com or 443-348-2765) to be added to the list.

Action Items
Go to Action Items page

**Meeting Minutes**
Anjali Gupte reported there are new interests for Pilot participants who are very excited about becoming members. The ONC support group is talking in more detail with the following organizations: NextGen, and MyHealthAccess representatives (Chuck Tryon and Dean Hudson).
 * Outreach**

Bob Lutolf stated there are 3 committed Pilots with a strong possibility of 2 more coming on board. It was also pointed out by Bob that Will Ross is another candidate who is interested in doing a partnership Pilot.

Anjali indicated she will provide more updates next week.

Jitin Asnaani extended an open offer to participate in Outreach activities.

A question was asked when the deadline for Pilots is. Jitin responded there is no hard deadline other than the end of the calendar year so the expectation would be for the end of September. A second question was presented in terms of what impact the HIMMS12 and IHE Connectathon has on establishing Pilots. Jitin indicated there will be a meeting with representatives from these conferences to discuss the impact on Pilots for these initiatives.

Bob Dieterle pointed out at the previous WG meeting to put a formal process in place to manage action items. In response Joan Duhaime indicated all prior meeting notes were gathered for review of outstanding action items. As a result of the review Joan is confident a number of items will be closed following discussions of these action items today and continued to present the open action items for WG. Joan noted the following comments as she walked thru the action items:
 * Action Items**


 * Jitin has clarified a timeframe when outreach for Pilots should be completed.
 * By developing a problem tracking and issue resolution system for use during Pilot activities this will encourage sharing information across WGs and help to develop a lessons learn guide.
 * Pilots can update the LRI Project Plan according to their own needs.
 * Jitin’s vision is included in the Pilot Project plan and Guide.
 * The question of feasibility for Pilot candidates participating in this year's Connectathon and HIMSS Interoperability
 * Showcase was addressed earlier by Jitin.
 * Direct as a Transport protocol will be addressed further in the meeting.

Joan informed the group not to worry about the dates; each Pilot will revise according to the schedule and make use of dates. Some Pilots going to the showcase need to be aware of the Meaningful Use 16 day comment period.
 * Timeline**

There are concerns from Jitin in terms of what is driving a late start date for Pilots and urged we need to get started before the dates listed on the schedule. It may be possible to get feedback from the Vocabulary group to help the process go quicker. The idea is once a Pilot partnership is agreed upon how we can make the process be easy and fast. If there are potential Pilots that cannot complete the entire process its possible the organization could also help with testing.

Bob stated once a Pilot is confirmed we need to receive feedback in order to get an exact timeframe. Jitin added we have to work with hard dates to understand what is needed but realize the start date relative to Pilots needs to happen promptly. Joan made a comment that dates will differ by the various Pilot organizations and it was recently brought to our attention to be mindful of the LRI Strategy and Consensus statement involving the 12-24 month period. Pilots will not be required to use the Validation Suite for which the tentative completion date is Nov. 25. The group will learn soon what date Rob Snelick is actually proposing.

The unknown at this time is the test data and validation date. More dates will be added as we see a more detailed approach. The timeline is posted on the Wiki and the WG encourages members to add any suggested information to the discussion page to help refine the process.

Bob pointed out that certain artifacts are not available which could also impact the date.
 * IG
 * Test Data
 * Vocabulary

It was also recommended as Pilots are contacted to provide the link to the Pilot Guide as a reference in starting the process. The WG reviewed the Pilot Guide and made some further updates in reference to In Scope tests and what is implementable. The group decided to use the Discussion page as a means to communicate suggestions to the WG. The following are suggested revisions for the Pilot Guide.
 * Review of Pilot Guide**
 * Within the guide add “LOINCs”.
 * Cindy Johns informed the WG to review the Consensus document on the Wiki page as a good reference for Pilots to know what they should focus on and how the Pilot should be tested. In addition Cindy noted there are some revisions she would like to make to the document and will use the discussion page to communicate the changes.
 * A Single lab may not support all 140 tests.
 * Any comments in regards to the test strategy should be listed in the discussion page.
 * An action item to integrate the Vocabulary language into the Pilot Guide was noted.

The WG discussed DIRECT and Jitin concluded it may not be appropriate to use the DIRECT protocol due to DIRECT not satisfying the CLIA requirements which would require more work on the part of the Pilot to enable the system to exercise CLIA.

Examine the list of test available as well as alternate tests.
 * Next Steps**

Next Meeting
** WebEx link: [|siframework2.webex.com] ** ** Dial-in: 1-408-600-3600  | Passcode: (see LRI Pilots WG page). **
 * Date: Tuesday, 9/20/2011**
 * Time: 4:00 p.m. EDT**

Reference Materials
See the Reference Materials section on the LRI Pilots WG page.

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