May 16, 2017 CBCC Conference Call

Community-Based Collaborative Care Working Group Meeting

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Meeting Information

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Attendees

	Member Name		x	Member Name		x	Member Name		x	Member Name
x	Johnathan Coleman CBCC Co-Chair		x	Suzanne Gonzales-Webb CBCC Co-Chair		.	Jim Kretz CBCC Co-Chair		x	David Pyke CBCC Co-Chair
x	Kathleen Connor Security Co-Chair		.	Mike Davis		.	John Moehrke Security Co-Chair		x	Diana Proud-Madruga SOA Co-Chair
.	Mohammed Jafari		.	Glen Marshall		.	Ken Salyards		.	Ken Sinn
x	David Staggs		x	Steve Eichner		.	Ioana Singureanu		x	Beth Pumo
x	Chris Shawn		.	Neelima Chennamaraja		.	Joe Lamy		.	Joseph Quinn
.	David Tao, Mobile Health		.	Nathan Botts, Mobile Health		.	Milo Janowski, Abbvie Pharmaceutical company]		.
.	[		.	[		.	[		.

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Agenda

1. (05 min) Roll Call, Approve Agenda
2. Approve Meeting Minutes
3. (05 min) PASS Audit
4. (05 min) Security and Privacy Impact Assessment Cookbook (SPIA) - Mike Davis
5. (05 min) Post HIMSS Meeting, after Action Report and To-DO list - MDavis, KSalyards
6. (05 min) FHIR Consent Issue Resolution FRIDAY call update discussion reminder
   • FHIR Consent discussion
   • Friday FHIR CP Consent Meetings are 2:00ET - calls to resume this Friday
   • FHIR Consent CPs are located: link to ALL Change requests
7. May WGM DRAFT Agenda, Minutes
8. New Project NIBs? September 2017 Ballot Cycle

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

MEETING MINUTES

PASS Audit (Update given by Dave Pyke)

• Closed off comments, completed (from 6 years ago)

Updated document contains some edits, additional edits received will be prepped for another document update round

• Diana’s new position doesn’t allow for her to run this PASS audit/edit
• Mike Davis has someone who he has putting forward---name ‘’’TBD. ‘’’

Security SPIA Brought up at face-to-face: Possible new editor to pick it up and take document on?

• John Moehrke volunteered to take it on the tasking / he would take it on for CBCC
• David P will ask Mike if there is anyone who he would like to take it over (there was a name given previously)

POST HIMSS Meeting

• Ken Salyards? /Mike not in attendance - no report
• Suzanne to send email over to Ken and Mike for update

FHIR Consent – FHIR CBCC

• Did a fair amount of work on consent resource?
  • Primary issue – pointed out by regular Friday, that we are overloading the resource has; typically, a security/privacy resource but has now added on Patient Care aspects to it
  • Kicked over the FHIR management group – after consulting w PC WG
    • Because of that we were able to resolve/look at issues; in Netherlands, they are looking at consent resources for consent; placed 5 different issues into gForge just based on that conversation; discussion accelerated (directed to Lloyd) on agenda for tomorrow;
    • Will have their view on having two different roles to one a single resource possible by recreating profiles for it; one for each scope; there are some issues that conflicting; some areas that are mandated by policy/policy doe…because of under consent to disclose; but under treatment for consent there may not have a specific policy; we would undo the policy and create a profile for each of the other 4
    • Additionally; putting together a resource for consent request
    • Specifically, around treatment and advance directives; through cross organization requirement which would push through other organizations
  • The concept for consent for treatment is fuzzy from a policy perspective
  • Before hl7 rushes out and places in 4 different kinds of consent; we should look at the current use cases that have already been developed.
    • Patient choice use cases; having done EU/Netherlands, while something works for US want to make sure that they also work for EU/etc.
    • If there is anything US realzing have been identified in the US/ONC larger community; it’s not automatically US realm
    • Understood
    • Looking at use case
    • If FHIR decides if CBCC should be handling consent for treatment (instead of PC)
    • We have some momentum/movement even with consent /privacy consent resource; consent directive for CDA; and we have a long history patient choice/patient preference/as in DS4P; there has been a learning curve along the way; we’ve learned a lot on the way; we have a
    • To note: consent to treat; consent to release is separate in the original RBAC
  • Johnathan, David Staggs is not in favor of having the consent work done in CBCC to be piece mailed out to different working groups
• FHIR Friday meetings will resume this Friday 5/18, further discussion will take place on the FMG Consent (advance directive, privacy, etc.) at that time
• CPs new around the consent on adv directives and treatment consent; awaiting FHIR WG direction
• Use cases are coming in from UK, Netherlands

Motion to adjourn: (DavidP) 11:39 AZT --Suzannegw (talk) 20:37, 24 May 2017 (EDT)