HISP Rules of the Road Meeting - 7-8

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Agenda

  • Kibbe: Brief update and overview
  • McCallie: Liaison news from HITSC or ONC.
  • Chittim: Update on Rhode Island Trust Community.
  • Nolan: Overview and key components of Direct Citizen Community Rules of the Road.
  • All: Round and discussion.


Attendees

  • David Kibbe
  • John Williams
  • Don Jorgenson
  • Greg Meyer
  • Sri Koka
  • John Odden
  • Adrian Gropper
  • Greg Chittim
  • Will Ross
  • Pete Palmer
  • Brian Carver
  • Scott Apherson
  • Bruce Schreiber
  • Sean Nolan
  • Umesh Madan
  • Ali Emami


Notes

  • Kibbe: Brief update and overview
    • Started this WG in April, with a few founders. Now approximately 25 people.
    • Main page is on the Direct wiki
      • Objectives, charter
      • List of relevant documents
      • Conference call info
      • Agendas/minutes
      • Direct RoR Consensus statement
        • Primary authoring by Brett Peterson, with input from rest of the group
        • Replaced by separate Communities pages-
  • McCallie: Liaison news from HITSC or ONC
    • At HITSC right now, no updates as of yet
  • Chittim: Update on Rhode Island Trust Community
  • Nolan: Overview and key components of Direct Citizen Community Rules of the Road
    • Primary product on Direct is around integration with HealthVault. Doing some smaller stuff with Amalgam
    • Google will be using Direct to send full profiles from Google Health to HealthVault
    • There are some challenges on the horizon
    • There is no “club” of patients like there might be for providers or organizations
      • Key question is relationship with provider – existing or emerging
      • Patients don’t want spam, providers don’t want to be overwhelmed with communications from those they don’t have care relationships with
      • Anchor bundle – ability to correspond with those they want/need to without the risk of “spam”
        • Citizen bundle – certs for all personal health systems that claim to represent citizens (HealthVault, CernerHealth, etc…)
        • Provider send – for just outbound
        • Provider send/receive – for bidirectional exchange
      • Identity proofing isn’t a particularly interesting. Anyone can set up an account. Only matters when you set up a particular interaction. Prove alignment of address to individual by individual giving address in person to the provider.
      • HISPs have to be in a position to ensure that providers have the proofing capability in their systems that use Direct.
      • HIDPs must issue individual certs, not just org certs
      • Next steps with this community:
        • Get directed feedback(on this call, or after the fact)
        • Establish the governance of the Citizen Community Board
  • All: Round and discussion
    • John Williams - no comments at this time
    • Don Jorgenson - no comments at this time
    • Greg Meyer
      • A little confused from a HISP implementers perspective
      • Does it matter if anchors are in a specific bundle? How do you set your in/outgoing settings
      • Sean - Only need one provider bundle, and then set the bit. Was trying to simplify the administration
        • Working on what the monthly reload script would look like. Will need to come up with a format, but the tooling shouldn’t be too bad
      • Sri Koka
        • When giving certs for every patient, how do you do id proofing?
        • Sean – no. Anyone can get a cert. The id proofing is implicit when they provide their Direct address to their provider
      • John Odden - need to make sure we can explain this simply to the rest of the community.
      • Adrian Gropper – question about the bundles and the white/black list expectation. If I am an individual citizen, and set up my own HISP. What bundle do I join, what is the meaning of the white/blacklist?
        • Sean – the cert would need to be in the citizen bundle. Burden to get in this bundle would be low. Governance around this is an open question.
        • White/blacklist is a provider action -- provider would need to include your address in their whitelist. Nothing to do with institutional certs.
      • Will Ross – no comments
      • Pete Palmer - no comments
        • Kibbe - how does this compare with Kantara patient id service
        • Pete – still need to digest this a bit more.
          • Likely worth a separate conversation around Kantara and the implications there.
          • Fundamental difference is the use of UID that needs to be communicated, either by a service or by the person in enrollment
      • Brian Carver
      • Scott Apherson
      • Bruce Schreiber
      • David Kibbe
        • Kantara, while well thought out, requires a lot of work by the individual to receive information from their provider
        • Citizen community is more in line with philosophy of Direct, trying to keep it as simple as possible
      • Sean Nolan
      • Umesh Madan
      • Ali Emami