ToC+Architecture+Impl+RQ+WG+Meeting+Minutes+2011-08-4

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ToC Architecture Implementation RQ WG Meeting Minutes

 * Date:** 08-4-2011
 * Time:** 2:00-3:00pm
 * Dial-in:**1-408-600-3600 | **Passcode**: 667 669 756
 * Meeting Agenda: Click here for the agenda!**

Attendance
Tom Boal, Steven Cason, Bob DeAnna, Amram Ewoo, Lester Keepper, Russell Leftwich, Cindy Levy, Holly Miller, Mark Palen, Mayuri Patel, Erik Pupo, Andriy Selivonenko, Bob Yencha

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 08-4-2011 || Link use cases within Policy and Service Analysis and Check Reference Documents list below for additional policies and regulations || Cindy Levy || Open ||  ||
 * 2 || 07-28-2011 || Provide comments in the discussion tab on the Policy and Services Analysis wiki page (Volunteers are invited to make revisions using google documents) || Team || On-going ||  ||
 * 3 || 08-4-2011 || Add reference materials that will inform work being accomplished through required services || Team || Open ||  ||

Agenda Items

 * 1) Welcome and Announcements (Meredith Lewis)
 * 2) Review feedback provided on Workflow Diagrams Consensus Page (Mayuri Patel and Cindy Levy)
 * 3) Review feedback provided on Policy and Service Analysis (Mayuri Patel and Cindy Levy)
 * 4) Discuss Next Steps (Meredith Lewis)

Meeting Notes
Announcements
 * Social Media Tools - Twitter, Linkedin, Facebook, Blog
 * Hot Topics on Twitter include the launch of Query Health Summer Concert Series:
 * Discussions with experts across healthcare related to distributed population queries, which can be used for research, quality measures, syndromic surveillance and many other applications.
 * The results of distributed population queries are aggregate health measures from close to the source, keeping protected health information secure.

Architecture Workflow Diagrams


 * Cindy added validation discussion and updated Validation workflow diagram
 * Status is complete but can include minor revisions moving forward

TOC Policy and Service Analysis


 * Can inform insurers and allow them to understand the policies they need to follow as well as the services they can expect should they implement a transition of care
 * Scope
 * Content of TOC & should take the perspective of the transmission of data from one institution to another and one provider to another (look at where problems occur)
 * Timeline
 * At the discretion of the WG and can be flexible to include a summer hiatus
 * Needed to have a working draft in the fall for the pilots to serve as a reference when determining requirements
 * Policies and Regulations relevant to TOC have been pulled from use case
 * Return to use case scenarios and user stories for further reference
 * Security and privacy policies- not too much material in use case.
 * HIPAA, HITEACH and EHRs certification criteria need included. Outside scope of use case but relevant for implementation.
 * Reference Documents List
 * Data Use Reciprocal Service Agreement (DURSA) should be in a community when sending clinical data
 * New Mexico state proposal/approved plan
 * The state received assistance from government agencies in advising state HIE laws and has great examples of policy and regulations
 * Federal Trade Commission (FTC) Policies
 * Created the Red Flags Rule Primary policy driver within ONC
 * Can contact Joy Pritts (ONC Chief Privacy Officer) on disclosures
 * Ms. Pritts provides critical advice to the Secretary and the National Coordinator in developing and implementing ONC’s HITECH privacy and security programs.
 * Will be coming out in late summer/early fall
 * Demographics
 * Part of medical record but can work with HIM personnel to determine minimum guidelines for demographic information
 * No written policy for sending specific demographics; demographics are sent according to data being sent (aka laboratory results vs. radiology)
 * Confirm basic demographic data sent with a discharge summary from Linda Bailey Woods

Next Meeting

 * Date:** 08-4-2011
 * Time:** 2:00-3:00pm

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