Notes from Geographies Meeting
Date: October 13, 2010
Time: 12:00pm-1:00pm
Attendees: Noam H. Arzt, Robert Barker, Brian Behlendorf, Greg Chittim, Karen Donovan, Hank Fanberg, Andy Heeren, Eric Heflin, Uvinie Hettiaratchy, Don Jorgenson, David Kibbe, Srinivas Koka, Kim Long, Arien Malec, John Moehrke, Parag More, Will Ross, Jas Singh, Paul Tuten, Chris Voigt, John Williams

Current Actions

#
Date
Action
Status
Owner
Due Date
39
2010/08/25
Update the Technology Providers x Pilots Crosswalk
Open
Pilot Leads: Susan Torzewski, Will Ross
2010/09/01
41
2010/08/25
Update wiki page for each individual pilot project, including the user stories being tested
Open
Pilot Leads: Doug Arnold, Didi Davis, Will Ross, Paul Tuten
2010/09/29
45
2010/09/01
Input requests into the Resource and Collaboration Needs for Pilot Projects
Open
Entire WG
2010/09/17
46
2010/09/01
Discuss off-line collaboration opportunities between the MPS and MedAllies pilot projects
Open
Doug Arnold, Parag More
2010/09/08
57
2010/10/13
Hold side-conversation about CONNECT between Redwood MedNet, CareSpark and the VA
Open
Will Ross, Susan Torzewski, Didi Davis, Tim Cromwell
2010/10/20
58
2010/10/13
Update Resource and Collaboration Needs for Pilot Projects with VisionShare's specific request regarding HISPs operating with providers in Minnesota and Oklahoma
Open
Paul Tuten
2010/10/20
59
2010/10/13
Update Resource and Collaboration Needs for Pilot Projects with MedAllies' specific project management request
Open
Parag More
2010/10/20
60
2010/10/13
List pilot questions and open issues for the Direct Project October Face-to-Face Meeting under the Discussion Tab
Open
Pilot Leads and Technical Teams
2010/10/25

Actions from Last Week

#
Date
Action
Status
Owner
Due Date
39
2010/08/25
Update the Technology Providers x Pilots Crosswalk
Open
Pilot Leads: Susan Torzewski, Will Ross
2010/09/01
41
2010/08/25
Update wiki page for each individual pilot project, including the user stories being tested
Open
Pilot Leads: Doug Arnold, Didi Davis, Will Ross, Paul Tuten
2010/09/29
45
2010/09/01
Input requests into the Resource and Collaboration Needs for Pilot Projects
Open
Entire WG
2010/09/17
46
2010/09/01
Discuss off-line collaboration opportunities between the MPS and MedAllies pilot projects
Open
Doug Arnold, Parag More
2010/09/08

Agenda

  1. Pilot Updates
  2. Code-a-thon/Install-a-thon - Technical Reps for October 27 & 28
  3. Open Discussion

Pilot Updates

Rhode Island Quality Institute
Greg Chittim
  • Informed the WG that Gary Christensen is at the Beacon conference in New Orleans this week
  • Focused on reviewing and finalizing the solutions architecture plan
  • Indicated that RIQI should have their detailed project plan completed in the next 24-48 hours
  • Stated that Pat Pyette and Don Jorgenson of Inpriva have circulated a number of proposals
    • Sent to the Best Practices WG
    • WSDL with respect to the Client API
Paul Tuten
  • Asked if RIQI will be sending anyone to the October F2F Code-a-thon
Greg Chittim
  • Responded that someone from Inpriva would be in attendance
    • May not work out to send someone from RIQI
      • RIQI will be in the middle of significant testing

Medical Professional Services (MPS)
Doug Arnold
  • Reported continuing to craft their IT development plan
  • Indicated that MPS held meetings with individual practices
  • Further indicated that MPS has been meeting weekly with Quest/MedPlus
    • Focusing on some of the technical updates
  • Asked Kim Long if she had anything else to add
Kim Long
  • Reported she had not much more to report
    • Held a technical meeting with the all the vendor partners with respect to certificates
  • Indicated that MedPlus/Quest will be sending Mark Stine and Chris Moyer to the October F2F Code-a-thon
Brian Behlendorf
  • Responded that he has seen their names on the list

MedAllies
Parag More
  • Reported on the technical side of the pilot
    • Held a great integration partners kick-off call
      • Discussed the transport and the payload
      • Great discussions on the workflows
        • Working on the design
        • Taking decisions to the clinical user group
    • Plan to have a call weekly
      • If not weekly, then every 10 days
  • Reported on the clinical user group
    • Most pilot groups on individual level
    • Held Albany-Med workflow conversation with Allscripts and Siemens
Paul Tuten
  • Asked if MedAllies will be sending anyone to the October F2F Code-a-thon
MedAllies
  • Responded that MedAllies will be sending their principal architect Vince Lewis

CareSpark
Chris Voigt
  • Identified that he was the only CareSpark representative on the call
  • Reported holding conversations with the VA with respect to exchange
    • Leveraging the CONNECT gateway
      • The CONNECT schedule may need to coincide with the pilot
      • Not sure if that is the case

Redwood MedNet
Will Ross
  • Indicated that it is Inspiring to hear all the different updates
  • Reported that Redwood MedNet is still running at a resource constraint pace
    • A lot of bilateral conversations with partners
    • Cannot announce regional partners
      • Can inform WG that Redwood MedNet is speaking with a large IDN in their region
      • Meeting with said IDN's headquarters CTO on November 1st
      • Likely to have breakthrough opportunities for a bunch of use cases they are working on
  • Stated they have made tremendous progress in determining the specific MU use-cases they will demonstrate with Direct transport
  • Focused on the October F2f Code-a-thon
    • Stated that he will be in attendance (Will Ross)
    • Also stated that at least one person from Mirth will be in attendance
      • Trying to get two people from Mirth to attend
  • Concentrated on the CONNECT Gateway
    • Requested a side conversation between Redwood MedNet and Carespark
Paul Tuten
  • Suggested that Will Ross talk off-line about this
Arien Malec
  • Stated it would be good to get the VA on that call
    • It would be useful to discuss the VA's integration with CareSpark on such a call
  • Asked about the status of Cal-eConnect proposal
Will Ross
  • Responded that it is going through the iterations
    • Still needs to reach a level of final consideration

VisionShare
Paul Tuten
  • Announced that Oklahoma has been confirmed as the second state agency on the VisionShare pilot
    • Was able to avoid technical barriers using the same approach utilized with Minnesota
      • Bridging to the existing PHIN-MS architecture
    • Done some technical work this week with respect to aforementioned PHIN-MS bridging
      • Technical work meetings in Minnesota
      • Technical calls with Oklahoma
  • Indicated that VisionShare is now bringing on providers to participate
    • Working with existing Visionshare customers
      • Likely to have announcements in the near future
  • Directed message to anyone who is participating as a HISP with providers in Minnesota or Oklahoma
    • Please inform VisionShare!
      • They are welcome to participate in this pilot
    • Paul Tuten will be placing a formal resource request
      • Anyone can join for that HISP to HISP integration
  • Addressed the October F2F Code-a-thon/Install-a-thon
    • Reported that Brett Peterson and Paul Tuten will both be present

October Code-a-thon

Brian Behlendorf
  • Indicated that anyone can arrive by 9:00 am PDT
Arien Malec
Jas Singh
Uvinie Hettiaratchy
  • Informed WG the Direct Team is taking all questions and open issues from the pilot leads

Open Discussion

Arien Malec
  • Decided to clarify the pilot go-live time frame and share some observations
    • Originally set a timeframe for the Implementations Geographies for late October/early November
    • Acknowledged that they missed a number of the key milestones
      • The June Face to Face meeting was pushed into July
      • Took a while to get to consensus after that F2F meeting
    • Reflected on his experience with software development
      • Main goal is to get the code in shape
        • This usually takes a long time, and is consonant with their current situation
      • Then begin the process for implementing the reference implementations
    • Observed that a lot of the Implementation Geographies are falling into the late December/early January time frame
      • That is a good time frame for operational/go-live targets
      • From his perspective they are on track
      • ONC will continue to support this through the go-live time frame and even after
    • Believes everyone is making good progress
David Kibbe
  • Indicated that he has been out in the field talking to doctors/potential users of Direct
    • Asked if there is any feedback so far
      • What is the reception from potential users?
      • Easy or difficult to explain what the Direct Project?
Doug Arnold
  • Responded that most doctors maintain a "wait and see" perspective
    • A "let me know when the time comes" situation
Will Ross
  • Indicated that Redwood MedNet functions at the ground level
    • Redwood MedNet's core partners are at said ground level
      • They are facing no traction problems
    • The Communications WG content has been particularly useful for:
      • Provider side
      • Tech/Business side
Paul Tuten
  • Reported that his experience has been similar
  • VisionShare has been concentrating on getting the Departments of Health on-board
    • But the value proposition of Direct has been successful
  • Indicated that it is kind of obvious: the more folk on board, the easier to sell the value proposition
    • Shared an analogy:
      • "The first fax machine is tough to sell, but then the traction picks up"
Arien Malec
  • Shared how Micky Trapathi mentioned how the first phones were sold in pairs
  • Further shared observation that selling "phones in pairs" might be a good strategy for Direct
    • Will Ross does the work in his sphere
    • Selling connectivity in pairs
      • Working with sender/receiver
      • Selling the benefits
      • Good way to articulate the value proposition
Will Ross
  • Responded that is exactly how Redwood MedNet is approaching the value proposition
    • No problem in getting the necessary traction
Parag More
  • MedAllies is making sure the provider/practice groups engage the receivers of the product
    • Excitement for this project
    • Initial group will be smaller to understand how well Direct is received and works
Paul Tuten
  • Stated that VisionShare is performing the natural pairing
    • Identifying a bunch of critical nodes to get them where they want
      • End-user level there is a pairing
David Kibbe
  • Shared his random observations from his "talk" to 2000 doctors at a meeting in Denver, CO
    • Seems as though not many really know about the Direct Project
    • Works well with vendors = more interested in general in technology
    • A lot of anxiety in the physician community:
      • Many have already paid a lot of money for one health information exchange or the other to achieve MU criteria
        • Significant amount of money invested
      • Asked about the context for the value proposition, especially if the HISPs offer the service at a cheap/month level
        • Physicians/IDNs are frustrated that Direct may be a much cheaper option that jeopardizes their past investments
Paul Tuten
  • Indicated their should there be a "ah ha" moment for what they are demonstrating
    • Asked if there is a gap in what they are doing with the pilots
David Kibbe
  • Responded there can be a couple "ah ha" moments:
    • Physician community: When they realize Direct is a cheap way to get to that level
    • Not sure of the other ones
      • There may be some negative ones when they realize the HIEs are well-guarded
        • Could have paid less for the initiatives they took on
      • Cannot speak about the different pilots that are on-board
Parag More
  • Indicated he wanted to discuss about possible needs with respect to resources
  • Reported that MedAllies can use someone for project management/tracking purposes
Paul Tuten
Doug Arnold
Arien Malec