esMD+Charter+Consensus

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Please review the following charters and leave your vote and/or comments in the table below.
 * esMD Charter
 * Provider Profiles Authentication Charter
 * Author of Record Charter
 * Structured Content Charter

**The deadline for comments is prior to the 2pm meeting on Wednesday, December 7th.**

To cast your consensus vote, click the **Edit** button in the upper right hand corner of the page. Enter your endorsement and/or comments and click the **Save** button. Please note: all No votes **must** include **actionable** comments. As per the S&I Framework Consensus Process guidelines, only the votes of Committed Members will be counted; however, other comments will be taken into consideration. Additionally, each organization only receives one vote.

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esMD Charter and Author or Record Charter: The charters refer to the physician signature which is too narrow. Other healthcare providers provide services that require signature (e.g. nurses, physical therapists) that will be relevant when reviewing medical documentation. Since all content in the patient’s chart is relevant then a the same signature standard must apply to all. Author of Record Charter: Recommend updating the charter to reflect the following - esMD must consider the signature requirements from other agencies/rules so not place a new (and different) signature requirement just for the purpose of payment. An environmental scan should be conducted (state board of pharmacies, DEA, etc.). Minimum standards and baseline requirements are needed for the purpose of the signature must be identified. For example: Does esMD consider that the signature provides any of the following: proof of origin/ID of signer, the signer’s intent to execute/adopt the content, and/or the integrity of the document (that it hasn’t been altered). ESMD must also identify requirements related to the author and who is the author when dealing roles/functions such as “scribes” as well as handling content populated from other sources. The charter should also include evaluating HL7 CDA and other relevant standards for their definition of author, authenticator and legal authenticator. Structured Content Charter – Permission issues need to be explored as part of this charter. Systems need capabilities and algorithms to manage permissions on multiple levels to appropriate allow disclosure/exchange of information for payment purposes. esMD Charter: Relevant Standards section -- add HL7 RM-ES Functional Profile for EHR requirements for medical records. ||
 * **Name** || **Organization** || **Endorsement**
 * (Yes/No)** || **If No, what can be done to make it Yes?** ||
 * Craig Gabron ||  ||   ||   ||
 * Don Gerdts ||  ||   ||   ||
 * John Anderson ||  ||   ||   ||
 * Kimberly Weigard ||  ||   ||   ||
 * Steven E. Waldren || AAFP and OpenHealthData ||  ||   ||
 * Michelle Dougherty || AHIMA || Yes || Please consider the following comments to improve the clarify and comprehensiveness of the charters. Thank you.
 * Harry Rhodes || AHIMA || Yes || Verbal Consensus ||
 * Heather Johnson-Skrivanek || AHRQ ||  ||   ||
 * Robin A. Barnes || AHRQ/USHIK ||  ||   ||
 * Kevin Do || Aplus || Yes || Verbal Consensus ||
 * Jim McLees || BCBSAL ||  ||   ||
 * R. Lenel James || Blue Cross/Blue Shield Association ||  ||   ||
 * Riki Ohira || Booz Allen Hamilton ||  ||   ||
 * Keith Salzman || CACI ||  ||   ||
 * Aaron Seib || Cal eConnect ||  ||   ||
 * Rachel Foerster || CAQH CORE ||  ||   ||
 * Raja Kailar || CAQH CORE/BNETAL Consulting ||  ||   ||
 * Eric Cahill || CDC-Early Hearing Detection and Intervention Team ||  ||   ||
 * Gary Dickinson || CentriHealth || Yes || Concur with Michelle Dougherty (AHIMA) comments. Also concur with Lynne Gilbertson (NCPDP) comments regarding alignment with DEA signature requirements. ||
 * Frank Zore || CGI Federal || Yes ||  ||
 * Michael Pafumi || CGI Federal ||  ||   ||
 * Greg Turner || cgi/onc connect program ||  ||   ||
 * Teresa Reynolds || CGS Administrators ||  ||   ||
 * Daniel Kalwa || CMS ||  ||   ||
 * Joy Sam || CMS ||  ||   ||
 * Joyce Davis || CMS ||  ||   ||
 * Donna Jones || CMS || Yes || verbal consensus ||
 * Zack Nall || CMS || Yes || verbal consensus ||
 * Manoj Chaganti || CMS/QSSI ||  ||   ||
 * Ranjith Madhusoodanan || CMS/QSSI ||  ||   ||
 * Sacchidanand Girde || CMS/QSSI || Yes || verbal consensus ||
 * Anil Kumar || CNSI ||  ||   ||
 * Shailesh Patel || CNSI ||  ||   ||
 * Tatjana Misic || CNSI ||  ||   ||
 * Katherine Taylor || Covisint ||  ||   ||
 * Jennifer Barrett || Data Consulting Group/USHIK ||  ||   ||
 * Gary Beatty || Deloitte/ASC X12 || Yes || verbal consensus ||
 * Galen Mulrooney || Department of Veterans Affairs ||  ||   ||
 * Nelson Hsing || Department of Veterans Affairs ||  ||   ||
 * Tim Cromwell || Department of Veterans Affairs ||  ||   ||
 * Vannak Kann || Department of Veterans Affairs ||  ||   ||
 * Nona G. Hall, BSN, MA || DoD/VA Interagency Program Office ||  ||   ||
 * Shig Kimoto || ECC Technologies ||  ||   ||
 * Rahul Dewan || Enable Healthcare Inc ||  ||   ||
 * Robert Dieterle || EnableCare || Yes ||  ||
 * Serafina Versaggi || Eversolve, LLC || Yes ||  ||
 * Tony Calice || FEI Systems on behalf of SAMHSA ||  ||   ||
 * Mike Atcherson || First Coast Service Options, Inc. || Yes ||  ||
 * Sherry Stewart || FCSO || Yes || Verbal Consensus ||
 * Keith W. Boone || GE Healthcare || Yes || I have concerns about ensuring that there is a separation of requirements regarding author of record vs. registration/authentication. ||
 * Bilal Alqudah || HACNet labs at SMU ||  ||   ||
 * Robert Hausam, MD || Hausam Consulting ||  ||   ||
 * Durwin Day || Healh Care Service Corporation ||  ||   ||
 * Amy Walker || HealthIT Plus, a business division of QSSI ||  ||   ||
 * BM Chittaranjan || HealthIT Plus, a business division of QSSI || Yes ||  ||
 * James St. Clair || HIMSS ||  ||   ||
 * Pearl Gagne || HP || Yes || Verbal Consensus ||
 * Margaret Weiker || HP ||  ||   ||
 * David Wierz || IMS Health ||  ||   ||
 * Helcia Vasconcellos || Independent ||  ||   ||
 * Kevin Lewis || IVANS || Yes || Verbal Consensus ||
 * Mahbubul Haque || IVANS || Yes || Submitted vote via email ||
 * Anthony J. Rizzi || Kaiser Permanente ||  ||   ||
 * Walter Suarez || Kaiser Permanente ||  ||   ||
 * Joe Keochinda || Livanta LLC || Yes ||  ||
 * Jyoti Pathak || Mayo Clinic ||  ||   ||
 * Jack Kemery || McCutcheon & Co ||  ||   ||
 * Corey Spears || McKesson ||  ||   ||
 * Graeme Dennis || Medical Electronic Attachment || Yes ||  ||
 * Luann Whittenburg || MediComp || Yes || verbal consensus ||
 * Jack Vines || MediConnect || Yes || verbal consensus ||
 * John Conroy || Mercy ||  ||   ||
 * John Odden || My Direct HISP || Yes || Concur with Lynne Gilbertson's comments. Am interested in Michelle Dougherty's comments, though concerned that we lack enough time and scope to "tease out" the differences between "one signature that shall work for all" versus "one interoperable framework for signatures that adapts to the Different Use Cases and Different Requirements." Strongly disagree with Michelle's apparent "No" vote due to "requiring HL7 RM-ES" in this context, although willing to learn of successful and relevant field experience that might warrant this is a hard requirement in all scenarios to be addressed. ||
 * Chris Tremblay || NaviNet, Inc. ||  ||   ||
 * Lynne Gilbertson || NCPDP || Yes || Consideration to whether the "registration" function can be aligned with the provider enrollment of ACA that NCVHS heard testimony on 11/18/2011. Also consideration that electronic signature requirements align with the DEA requirements for electronic prescribing of controlled susbstances. ||
 * Teresa Strickland || NCPDP ||  ||   ||
 * Rakesh Mathew || New Jersey Health Information Technology Extension Center ||  ||   ||
 * Delbert Anderson || NGS || Yes || Submitted vote via email ||
 * Buff Colchagoff || Nitor || Yes || verbal consensus ||
 * Vijay Shah || Nitor || Yes || verbal consensus ||
 * Russell B. Leftwich, MD || Office of eHealth Initiatives, State of Tennessee ||  ||   ||
 * Lloyd Brodsky || Optum || Yes || verbal consensus ||
 * Mary Walker || Optum || Yes || verbal consensus ||
 * BG Jones || Orion Health ||  ||   ||
 * Mark Pilley || Palmetto GBA || Yes || verbal consensus ||
 * Vessela Neytcheva || PointRight Inc. ||  ||   ||
 * Elaine A. Blechman || Prosocial Applications, Inc. ||  ||   ||
 * Kovilvenni Ramaswamy || QSSI ||  ||   ||
 * Jeff Samples || Quality Insights ||  ||   ||
 * John Evans || Relay Health ||  ||   ||
 * Trebba Putnam, CPC || Relay Health || YES || clarification of the statement "define the business process for CMS" ||
 * Virginia Saba || Sabacore ||  ||   ||
 * Michelle Darnell || Secure Exchange Solutions ||  ||   ||
 * Dan Huber || Siemens Healthcare || Yes || verbal consensus ||
 * Corey Cooke || Signature Consulting ||  ||   ||
 * Debra Rouse || Signature Consulting ||  ||   ||
 * Marty Prahl || Social Security Administration ||  ||   ||
 * Edgar G. Linton || Stargazer Technologies, LLC ||  ||   ||
 * Deepika Sharma || Stratis Health ||  ||   ||
 * Ollie B. Gray || TATRC ||  ||   ||
 * Sean Muir || VHA ||  ||   ||
 * Jennifer Cockle || VHA, CHIO, Standards and Interoperability ||  ||   ||
 * Joyce Hunter || Vulcan Enterprises LLC ||  ||   ||
 * Laurie Burkhardt || WPSIC || Yes || Verbal Consensus ||
 * Albert Llanes || ZyDoc || Yes ||  ||
 * Matthew Bouchard || ZyDoc ||  ||   ||

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