September 2009 WGM Agenda CBCC Tuesday Q4

Community-Based Collaborative Care Working Group

• September 2009 WGM

Attendees

1. Stephen Chu
2. Steven Connolly
3. Suzanne Gonzales-Webb
4. Bruce Laidlaw
5. Nancy LeRoy
6. Galen Mulrooney
7. Patrick Pyette
8. Harry Rhodes
9. Rob Savage
10. Ioana Singureanu
11. Chris Smith
12. Sue Thompson
13. Richard Thoreson Co-Chair
14. Serafina Versaggi Scribe
15. Max Walker Co-Chair

Updates

• Healthcare, Community Services and Provider Directory – Ballot Reconciliation
  • Ballot 1 Normative
  • Only three comments on the entire ballot.
    • Line 6 – negative comment related to taking out references to HL7
  • Motion 1: Max – Motion to ask SOA for decision on what action to take on line 6 with a deadline for action two weeks following this working group meeting
    • Galen seconded
    • Vote:
      • 2 Abstained
      • 0 Opposed
      • 12 Approved
  • Motion 2: Max – Motion to approve the ballot reconciliation
    • Pat seconded
    • Vote:
      • 2 Abstained
      • 0 Opposed
      • 12 Approved

• Composite Privacy Consent Directive DAM - Ballot Reconciliation
  • Second time this has been balloted
  • Around 60-70 comments; lots of affirmatives
  • Considerable discussion around the use of the word Evaluation in the conceptual system "Consent Directive Evaluation Engine". Steve's recommendation is to change it to "Consent Directive Decision Engine"
    • Evaluation speaks to a more open ended process rather than a computed process - options are well defined and therefore Decision
    • Consent Directive Decision function is closer to the ISO definition of an Access Control Decision function; XACML and NIST use the term Policy Decision Points
    • Group agreed that Decision is a widely used term and that this change would not be substantive, therefore it was accepted as persuasive and changed to "Decision Engine"
  • Also need to clarify the definition for Personal Health Records (PHR). Lot's of confusion about the use of the generic term for a person's health records as Personal Health Records.
    • This was not meant to refer to the product Personal Health Records but to a person's electronic health record. We need to re-define the term PHR, since it was not meant to refer to records that are entered by the person/patient themselves
    • Also need to clarify the use of two terms PHI (Protected Health Information) and IIHI (Individually Identifiable Health Information). Decision to remove references to PHI because PHI is tied to particular US legislation and therefore is not universal. Instead the term IIHI will be used exclusively in the document. IIHI also being used by HITSP TP30 and in ARRA
    • How IIHI is entered into the "system" is not material to this ballot

• • Reviewed up to line 48 in this quarter
  • Motion to approve the comments through line 48
    • Seconded
    • Vote:
      • 2 Abstained
      • 0 Opposed
      • 12 Approved