August 1, 2017 CBCC Conference Call

Community-Based Collaborative Care Working Group Meeting

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Meeting Information

Dial-in Number:  (515) 604-9861;  Access Code: 429554
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Attendees

	Member Name		x	Member Name		x	Member Name		x	Member Name
.	Johnathan ColemanCBCC Co-Chair		.	Suzanne Gonzales-Webb CBCC Co-Chair		X	Jim Kretz CBCC Co-Chair		X	David Pyke CBCC Co-Chair
X	Kathleen Connor Security Co-Chair		X	Mike Davis		.	John Moehrke Security Co-Chair		.	Diana Proud-Madruga SOA Co-Chair
.	Mohammed Jafari		.	Ali Khan		.	Ken Salyards		.	Ken Sinn
.	David Staggs		.	Steve Eichner		.	Ioana Singureanu		X	Beth Pumo
X	Chris Shawn		X	Neelima Chennamaraja		.	Joe Lamy		.	Joseph Quinn

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Agenda

1. (05 min) Roll Call, Approve Agenda, Approve Meeting Minutes
   • July 11, 2017 CBCC Conference Call

1. Revised Mission and Charter

1. (05 min) Security and Privacy Impact Assessment Cookbook (SPIA) - SUR definition // moved to next agenda - Suzanne
2. (05 min) CBCC FHIR FRIDAY call at 2:00 ET // FHIR Consent Directive Project Wiki, Main page
   • FHIR Consent discussion
   • FHIR Consent CPs are located: link to ALL Change requests

Please contact a CBCC Co-chair if you wish to add agenda items! Thank you!

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Minutes (DRAFT)

No recording due to out of space at FCC

• Accepted July 11,2017 Minutes Jim/Kathleen 7:0:0
• Accepted revised Mission/charter Kathleen/Jim 7:0:0
• Call for FHIR Consent attendees.
• Kathleen discussed the [ONC Trust Framework presentation] and their request for comments. Policy decisions for consent and security in the US on the way forward.
  • Comments are due August 25th
  • A link has been posted on the Security WG minutes
  • IoT should be considered as Big Data will impact and potentially dismiss privacy
  • Two efforts from congress at removing data restrictions that create privacy have been put forward (both failed)
  • General data protection regulations prevent some analysis
  • Link to Bernd Blobel's thoughts on trust frameworks will be provided
  • From Security WGM Madrid minutes:
    • Bernd Blobel presented on THEWS Trusted eHealth and eWelfare Space Report on current work: trust calculation and informed trust decisions.
    • He began his report on current work: trust calculation and informed trust decisions, by noting that because security and privacy crucial services for interoperability, and the lack of trust is a problem in Germany, there is an increase in spending on enabling trust technologies.
    • HL7 WGM Madrid 2017_THEWS Project presentation is of particular interest to the Security WG as it is a pilot project in Finland to establish a run time trust contract between data subjects, e.g., patients, and data collectors, e.g., provider EHRs, HIEs, Apps. The Finnish pilot epitomizes the type of implementation that the TF4FA specification seeks to enable using HL7 standards for computable security, privacy, consent, and provenance policies encoded as trust contracts between parties in an interoperable information exchange.
    • The impetus is to encourage Finnish citizens to opt-in to sharing their health information, which is the preferred EU GDPR consent scheme for national health information exchange, based on their trust in privacy protections. Finland provides healthcare to all citizens for free and seeks to achieve ubiquitous healthcare [ubi-health] for all healthcare consumers in order to manage health resources efficiently and effectively. The core principle is that privacy and trust are interrelated concepts: Data disclosure means loss of privacy, but an increased level of trustworthiness reduces the need for privacy. Without trust, healthcare consumers will not consent to share their data to achieve an ubi-health ecosystem.
• Ajourned 2:25pm