Health Care Vision 2020
WMHIE
Technical Work Group
Meeting Minutes of December 11, 2007
1. Welcome and Introductions
2. Meeting Minutes of November 13, 2007: Reviewed and Approved
3. “Old Business” will be added to future agendas at the direction of the chair.
4. Debrief from the December 5, 2007 Joint Work Group meeting: B. White gave a summary of the meeting. The focus of the group was consumer engagement strategies. There was discussion regarding the lack of clarity of the CE strategy, purpose and general outcome from this effort. It was clarified that the CE work group function is to design and implement a social marketing campaign regarding self management for chronic conditions and to become more engaged and responsible consumers of quality health care resources. It is not the function of the CE work group to address HIE use cases or related issues at this time. It was suggested that at the next meeting, a summary be provided as to the role of each work group. It was also suggested that a microphone be provided for future joint meetings.
5. Debrief from November presentation on HIE design options.
· M. Dobb and B. Morrill provided a summary of the information presented in November. There was discussion regarding the degree of complexity and inclusiveness of the HIE architecture and use cases. These cases follow a ‘trust’ curve and will serve as building blocks to a phased-in approach to HIE use cases, related architecture and costs.
· There was discussion regarding the need to have more specific information from the Clinical Work Group before the next steps can be taken. The Technical Work group needs to know what functions are to be targeted to be functional on day one and the phased in timing of added functions; how complete does the suite of services need to be and the rate of phasing in other functions.
· There was discussion regarding the legal risk of exchanging data or holding data; this makes a significant difference on policies, procedures and the legal structure. It should be defined as to how the HIE should look like at the end of the phased in process. It also needs to be defined how the group is going to build the legal and technical structure. The Clinical work group has prioritized use cases and the preference of which functions should be phased in and available first as detailed in the prioritizing exercise summarized by B. White.
· There was discussion regarding the burden of HIE on the physician and the office staff; if the model has too much burden in time or cost it will not be used. The Technical Work Group will need to look at the work flow implications for any HIE application that is recommended. This issue will be addressed in the next quarter.
· Discussion on HIE architecture design based on the use case of clinical messaging: push and pull functions for phase one. B. White provided a summary of the Clinical Work Group exercise prioritizing HIE use case. A summary excel file indicating the results of the Clinical Work Groups prioritizing exercise was shared. Use case priorities begin with clinical messaging, followed by a clinical data repository, public health surveillance capabilities, administrative functions and a personal health record.
· It was concluded that the group could not make early recommendation on HIE structure other than a messaging model without more clarity and details from the Clinical Work Group.
· A joint work group session with the Clinical Work Group will be necessary before any additional steps can be taken.
· A joint session has been scheduled for January 8, 2008. B. White will secure representation from the Clinical Work Group to attend this meeting.
6. Environmental Scan Survey and Process Updates
· K. Winright provided an update on the Health Information Transit environmental scan. She provided information summarizing the findings. However, only a few have responded at this time. There was discussion regarding the findings of this survey. Group members were encouraged to complete their survey and return them to K. Winright, A. Brandt or J. Ladd as soon as possible.
· B. White will send out an e mail announcement to anyone who has not responded to date and will follow up with telephone interviews with the balance of the contact list.
· There was discussion regarding the limitation of the Physicians Health Organization/Physicians Organization or other contacts on the list and the resulting information as this does not fully reflect the HIT capabilities at the physician practice level.
· It was recommended that a question be added regarding security models and then follow up with participants on this issue and ‘trust’ building methods to address the security issues raised.
· There was discussion on how to build trust in this process and how this is impacted by competitive market issues.
· The group will need regional market agreements not to compete on access to data.
· K. Winright provided a process summary beginning with completing the environmental scan, convening a joint meeting with Clinical work group representatives to interview them on how to phase in use cases, build the legal controls to satisfy security concerns and build trust followed by the business plan, an ‘authority’ structure and a financial model.
· M. Dobb and B. Morrill will make an effort to prepare a one slide summary.
· Group members are encouraged to invite their physician representatives to participate with the Clinical Work Group and attend the joint session on January 8, 2008.
7. Next Meeting, January 8, 2007
· Location was discussed and several options were offered including Arbor Circle, MMPC and Ottawa County Health Department. It was concluded that the January meeting will be held at the new Arbor Circle at 1115 Ball Street NE just south of Leonard Street in Grand Rapids. The February meeting will be held at the Ottawa County Health Department. A map will be sent with the February meeting reminder.
· B. White will make sure that there is telephone access at all future meetings.