public hearing standards & interoperability task force stan huff, co-chair arien malec, co-chair...
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Public Hearing
Standards & Interoperability Task Force
Stan Huff, Co-ChairArien Malec, Co-ChairFebruary 27, 2015
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S&I TaskforceDraft Work Plan
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Meetings Task
Friday, January 23rd 1:30pm – 3:30pm ET • Kick off and overview of the S&I Framework• Review charge• Action steps
Tuesday, January 27th, 11:30 – 1:00 pm ET • Briefed HISTC on focus and preliminary findings
Friday, January 30th 1:30pm – 3:30 pm ET • Review and discuss action steps• Explore “How” – starting with how “identified
national priorities” should be made Tuesday, February 17th 1:30pm – 3:30 pm ET • Review and discuss action steps
• Prep for Virtual Hearing
Friday, February 27th 1:30pm - 3:30pm ET • Virtual Hearing
Thursday, March 5th 12:00pm – 2:00pm ET • Summarize Virtual Hearing• Develop recommendations
Friday, March 13th 2:00pm – 4:00pm ET • Finalize Phase I recommendations - update documents/plans
• Prep for March HITSC presentationWednesday, March 18th HITSC Meeting • Phase I Recommendations
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Progress to Date & Focus Ahead
Approach Discussion / Results
Is there a continued need for the S&I?
Yes, but there are opportunities for improvement
Evaluate the “what” Key Jobs to be Done• Support national priorities & production use• Facilitate Federal participation in SDOs• Recommend needs for infrastructure and non-traditional SDO artifacts
Evaluate the “how” Considerations to Improve Approach• Balanced representation• Measurable, meaningful real-world results• Reasonable implementation path• Interim and long term goals / outcomes• Rapid Cycle Implementation• ONC should facilitate not drive
How should S&I conduct business?
How are the jobs done?• What are the key business processes?• Which have worked well? • What are the successes and lessons learned?
Public Hearing Case Studies: Cross-SDO Perspective; Stakeholder Perspective from Users of S&I Implementer / Industry Perspective; Non-S&I Standards Groups
Recommendations Final recommendations to HITSC
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Goal for Public Hearing
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The goal of the virtual hearing is to better understand the role of the S&I Framework and its' jobs. We would like each panelist to address the following questions:
• The task force has proposed the following jobs to be done for S&I: – Support national priorities and production use– Facilitate Federal participation in SDOs
• Question for Panelists: Would you add or change any of those jobs? If so, which jobs and why?
• The task force has proposed criteria for defining “identified federal priorities”: – Balanced Representation– Measurable, meaningful real-world results– Reasonable implementation path– Interim and long term goals/outcomes– Rapid Cycle Implementation
• Question for Panelists: How would having these criteria in place have affected initiatives you participated in?
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Bob Dieterle, CMS Electronic Submission of Medical Documentation
(esMD) Initiative Coordinator
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Jitin AsnaaniathenaHealth
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Larry GarberReliant Medical Group
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Margaret DonahueVeterans Health Administration
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Brian BehlendorfMithril Capital Management
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Justin RicherMITRE Corporation
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Lessons from the IETF and OIDF
Justin RicherBespoke Engineering http://bspk.io/
February 27, 2015
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Two Organizations
Internet Engineering Task Force OpenID Foundation
http://ietf.org/ http://openid.net/
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Many Standards
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Similar Goals
• Produce open standards– Documents intended to drive technology
implementation and deployment– Can be used and implemented by anybody
without license• Broad participation– Big companies– Small groups– Individuals
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Two Very Different Models
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IETF Structure
• No formal membership or joining process– Join a mailing list, come to a meeting
• Lots of hierarchy– Working groups, editors, chairs– Areas, directors– Steering groups– Architecture review boards– RFC Editor– etc.
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OIDF Structure
• Formal membership– Companies, groups, and individuals can join the
foundation for a membership fee– Anybody can join a working group for free • Note: you don’t have to join the foundation
• Formal IPR assignment– Explicitly sign a form to contribute to a group
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IETF Process
• Working group mailing list is canonical– All decisions are made and documented there
• IPR handled by the “Note Well”– Nothing to sign, participation implies consent
• No voting– “Rough consensus and running code”
• Artifacts move through a well-established path along the hierarchy
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OIDF Process
• Working groups define their own processes– Mailing lists– Phone conferences– In-person meetings
• Mixed consensus model– Rough consensus in the working groups– Formal membership voting on working group
products to produce final standards
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IETF in Other Words
• Benevolent dictatorship by council– “The Elders of the Internet”– Very large membership base– Bad or ineffective leadership can ruin things
• Be prepared for heated arguments– Strong personalities tend to win– Good leadership can move things forward
• Susceptible to stalling– Can’t “vote around” a bad actor
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OIDF in Other Words
• Small, focused, engaged membership– Slightly more friction for contribution
• Be prepared for heated arguments– Strong personalities tend to win– Good leadership can move things forward
• Susceptible to cliques– Smaller size means funny things can sometimes
sneak through (to a point)– Cases of “It might be a good idea if…”
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Take Away
• Commitment to open standards• Different organizational structures have
strengths and weaknesses– No system is perfect
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Thomas SparkmanAmerican Clinical Laboratory Association
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Walter SuarezKaiser Permanente
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Clem McDonaldNational Institute of Health
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Committee Discussion and Next Steps
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