Evolving HL7Evolving HL7A Better Value Proposition A Better Value Proposition

in a Constrained in a Constrained EnvironmentEnvironment

HL7 UK Annual Meeting

Charles Jaffe, MD, PhDCharles Jaffe, MD, PhD

CEOCEO

Health Level 7Health Level 7

November 21, 2007November 21, 2007

Benjamin Disraeli (1804 - 1881)

Twice British Prime Minister and always quotable

“How much easier it is to be critical than to be correct.”

The Global Landscape

• Disparate and conflicting technical standards

• Inconsistent policies and regulations

• Poorly articulated business requirements

• International disharmony

• Competing Standards Development Organizations (SDO)

The Global Marketplace one reason it’s so hard

The Promise for 2008 & Beyond

• Increased cooperation among SDOs

• High level cooperation among governmental agencies & regulatory authorities

• Improved technical deliverables by SDOs

• Enhanced technical specifications – meeting market demand

• Defined international requirements for privacy, validation, adoption timelines

HL7 Asked the StakeholdersStakeholders need

• Clarity and Direction from the SDO leadership

• Concise explanation of standards: Standards for Dummies

• Clear articulation of the Mission and Vision of the SDOs

• A roadmap that defines the scope and timeline for standards

• An SDO to act as an aggregator of standards

• A clear message about our processes• Improved relationships between SDOs

Stakeholder PerspectiveRobert Wood Johnson & the Strategic Initiative

• RWJ Grant to improve operational efficiencies

• Strategic Initiative (2005-7) to effect proposals

• Reorganization at a business & technical level

• Refinement of role of International Affiliates

• Enhanced cooperation with other SDOs

– Development of US Realm objectives (HITSP & CCHIT)

– Creation of an HL7-CEN-ISO Joint Initiative Council

– Cooperative agreements with interacting organizations (ASTM, CDISC, IHE)

• Increased focus on domain capabilities (CIC, EVS, SOA)

Evolution of the HL7 Strategic Initiatives

Development of a new Business Model

– Revision of the funding model

– Positioning as International SDO

– Development of marketing activities

– Enhancement HL7 web presence

– Refinement of comprehensive tooling products and processes

The HL7 Value Proposition: Where the Strategic Initiatives FitDevelopment of a new Organizational Structure

– Employment of professional management

• CEO

• CTO and Technical Steering Committee

• Marketing Director and Marketing Council

– Engagement with other International SDOs

– Support for product and services strategy

– Alignment of Board composition and strategic development requirements

InternationalBoard of Directors

CEO

CTOExecutive Director

COO

Technical Steering Committee

Technical Committees

SpecialInterestGroups

Marketing Council

Operations

Board Committees

Marketing Director

Affiliates’Council

ExecutiveCommittee

HL7 Organization Chart

Employees

Volunteers

Technical Steering Divisions

– Foundation & Technologiesfundamental tools and building blocks

− Structure & Semantic Design creation of basic patterns and common

messages

− Domain Experts creation of messages, services,

documents

− Technical & Support Services support to the Technical Steering

Committee

InternationalBoard of Directors

CEO

CTOExecutive Director

COO

Technical Steering Committee

Technical Committees

SpecialInterestGroups

Marketing Council

Operations

Board Committees

Marketing Director

Affiliates’Council

ExecutiveCommittee

ProjectsOffice

Stakeholder

HL7 Organization Chart - Future

Evolving HL7: Better Technology

Redefining V3– Definitions that go beyond marketing &

branding

– Understanding the technology

• Messaging standard

• Reference model (RIM)

• Document architecture standard (CDA)

• Development framework (HDF)

• Service architecture standard (SOA)

Evolving HL7: Better MarketingMarketing Council– Vigor approach to market outreach

– Global Marketing Council

• Full-time professional Marketing Director

• Integration with Harris Interactive, international market-development and branding company

• Internal & external communications initiatives

• Fundamental linkage to education programs and training projects

Evolving HL7: Better Working

RelationshipsOutreach & Harmonization– Policy change predates technical innovation

– Initiatives for 2007 & Beyond

• Charter Agreements (CDISC, SAFE)

• Memoranda of Understanding (GS1, AHIMA)

• Organizational Harmonization (HL7-CEN-ISO Harmonization Charter – JWG)

• Cooperative agreements (IHE)

• Clinical initiatives (CIC, Professional Associations)

Evolving HL7: Better Communication

HL7 Website Redesign– More than just a pretty face

– Superior functionality

• Microsoft Sharepoint based

• Technical Committee forums

• Technical Steering Committee management sites

• Enhanced search capabilities

• Improved financial transactions

Evolving HL7: Better Resource Development

Leveraging Funding Opportunities

– Innovative approaches to funding

– Prioritizing stakeholder requirements

• Contract with Manatt Phelps (Washington)

• Exploration of opportunities for development of an HL7 Foundation

• Stakeholders’ Roundtable

• Grant & Foundation funding

• Stakeholder Project development

Change Management

"I haven't got the slightest idea how to

change people, but still I keep a long list

of prospective candidates just in case I

should ever figure it out."

~ David Sedaris American Humorist

Thanks

cjaffe@hl7.org

Technical Steering Divisions (1)Foundation & Technologies

fundamental tools and building blocks – Conformance

– Infrastructure & Messaging

– Implementable Technology Specifications

– Java

– Modeling & Methodology

– Security

– Service Oriented Architecture (SOA)

– Templates

– Vocabulary

Technical Steering Divisions (2)Structure & Semantic Design

creation of basic patterns and common messages– Arden Syntax

– Clinical Context Object Workgroup (CCOW)

– Clinical Decision Support

– Electronic Health Record (EHR)

– Financial Management

– Genomics

– Orders & Observations

– Patient Administration

– Personnel Management

– Scheduling & Logistics

– Structured Documents

Technical Steering Divisions (3)Domain Experts

creation of messages, services, documents– Anatomic Pathology

– Anesthesiology

– Attachments

– Cardiology

– Clinical Guidelines

– Community Based Health Services

– Emergency Care

– Government Projects

Technical Steering Divisions (3)Domain Experts

creation of messages, services, documents– Imaging Integration

– Laboratory

– Patient Care

– Patient Safety

– Pediatrics Data Standards

– Public Health Emergency Response (PHER)

– Pharmacy

– Regulated Clinical Research Information Management

Clinical Interoperability Council

Technical Steering Divisions (4)Technical & Support Services

support to the Technical Steering Committee

– Education

– Electronic Services

– Implementation

– Marketing Council

– Process Improvement Committee (PIC)

– Project Services (Project Life Cycle management)

– Publishing

– Tooling