2017-10-20 Learning Health Systems Call

Facilitator	Stephen Chu (covering for Russell Leftwich)	Note taker(s)	Emma Jones
Attendee	Name	Affiliation
	Russell Leftwich	InterSystems
	John Roberts	Tennessee Department of Health
X	Stephen Chu	Individual
X	Evelyn Gallego	ONC
	Kathy Walsh	LabCorp
	Asim Muhammad	Philips Research Europe
X	Laura Heermann-Langford	Intermountain Healthcare
X	Emma Jones	Allscripts
	Jeff Brown	Cancerlinq
X	Lisa Nelson	Individual
	Dave Carlson	VA
	Chris Melo	Phillips Healthcare
	Michelle Miller	Cerner
	Benjamin Kummer	Columbia University
	Matt Rhan
X	Michael Padula
	Joseph Quinn
	Thomson Kuhn
	Rob Hausum
X	Kathleen Connor
	Serafina Versaggi	VA

Minutes

• Chair: Stephen Chu
• Scribe: Emma Jones
• Kathleen Connor presenting - see the following referenced information located hereSee reference and resource documents
  • Care Teams Consent Attributes and Security Labels
  • Care Team ABAC Provisioning Table Example
  • Healthcare Team Model Glossary
  • Cambridge_Health_Alliance_Team-Based_Care_Toolkit

• • last presentation on consent attributes - called privacy tags and security labels - how they work and what standards are behind them.
• On the care team model, how to provision and ensure members of the care team have access
  • differentiating kinds of care team, roles on the care team. Members having secure access while at the same time maintaining patient privacy.
• Security Labels
  • Security labels can be used in various places - demographics, specific data peices
• Privacy protective service that transforms information - un-encrypted when the provider have the authorization so will be able to view the information.
  • Supports break glass
• Common agreement for trusted exchange - lets the receiver take on the burden
• HIPAA allows each covered entity to have different rules
• A suggestion - minimum necessary suggests that ONC come up with minimum necessary data - for treatment, payment, operation etc.
  • Need the ability to think about how minimum necessary
• Australia - lets the security label travel with the data as metadata. Label on the data and the policy that goes with it.
• Definition of types of care team
  • Suggest taking a look at book from Columbia
• HL7 Compartment Codes have a care team compartment
• Need to provision the care team members in a way to reflect the care team
• David Staggs (Healthcare privacy/Security Attorney) - interested in working with this group. Kathleen will forward LHS info to him.
• Are we updating the care team category? - Valuable for care team structure.
  • Suggest the need to figure out what the communication needs are for the conditional type of care team.
  • We may need to add the public health focus to the care team category list
• Evelyn would like to have ONC leads connect with leads about this project. Will get in touch with Kathleen