HL7 International Mentoring Committee HL7 Working Group Meeting, San Diego, California, USA 2011-09-11

Sunday Q4 [email protected]

Attending:  John Ritter; IMC co-chair; note-taker; [email protected] ; [email protected]  Diego Kaminker; IMC co-chair; [email protected]  Chan Hock Yan (MOHH); [email protected]  Gora Datta; [email protected]  Rene Spronk; [email protected]

Regrets:  (none)

Previous Note: Ed Hammond suggests that the IMC co-chairs offer regular written reports to the HL7 Board regarding the IMC’s activities / issues / suggestions / questions. Bob Dolin echoed the effectiveness of this method of communication.

The minutes of the previous WGM were accepted without objection.

Note: A good number of people attended the “Activities in various SDOs” meeting that ran simultaneously with the IMC meeting on Sunday Q4. They expressed a desire to attend the IMC meeting. Propose to meet Q5 on Sunday accompanied by pizza.

REPORTS:

Discussion:  Can Educational activities play a more prominent role in increasing the effectiveness and outreach of the local HL7 Affiliate? (It would be good to discuss this topic with the Education Committee during the joint session on Tuesday.) Can Social Networking methods be leveraged to provide HL7 education? Can brief (two-to-five minute) YouTube videos be created that teach people about the use of standards-based healthcare information sharing techniques? For example: o Choose a stakeholder group (such as a vendor or a governmental department) o Create a video that describes how that stakeholder group might solve a healthcare information –related problem by contacting the local HL7 Affiliate

AR(IMC): The IMC should create a best-practices guideline for creating a “Healthcare Information Standards Event”. The guideline should include a best-practices set of methods for stakeholder’s conveying their requirements to vendors. (Diego Kaminker can offer an example of a document that he created for Chile.)

Pakistan:  Educational outreach continues to play a large role in HL7 activities within Pakistan  60 out of 100 scholarship requests for the eLearning Course came from Pakistan. Diego recommended that HL7 Pakistan offer the course themselves.

Bangladesh (Supten Sarbadhikari)

Page 1 of 5  Actively mentoring the creation of HL7 Bangladesh Affiliate, including support of the government

Sri Lanka (Supten Sarbadhikari)  Sri Lanka has interest in forming an HL7 Affiliate, but formation of a not-for-profit organization is very difficult.

Puerto Rico (Diego Kaminker)  (No report)

Singapore:  Recommend that an International Advisory Board be formed that will glean information from HL7 Affiliate experts  Research Social Networking techniques to provide “local” educational training and mentoring regarding healthcare standards. Perhaps a “regional” group could be formed that served a larger region, (for example, “Southeast Asia Region”.)  Host a healthcare information standards-related event.  AR(Chan): Chan will develop a formal, written Action Plan and share it with the IMC before the January 2012 WGM. The IMC will provide an endorsement of the Action Plan. The Action Plan will include input from HL7 Taiwan and Japan.

Mexico:  In March 2011, Diego offered Affiliate-formation paperwork to AMIM (Medical Informatics Mexican Association).  The proposed HL7 Mexico Affiliate already has 42 members.  LAIC (Latin American Informatics Conference) (held every two years). Mentored by HL7 Urugary; chile; argentina regarding ways to move forward. Ed Hammond attended.  HL7 Affiliate paperwork has been received.  The national law codifies the use of standards in HIT projects (including HL7 standards).  Ask our Mexican contacts whether they might consider hosting an HL7 Conference in their country in the future. To see the national law of Mexico regarding the use of the HL7 EHR-S FM and HL7 V3, read section 3 of: http://Goo.gl/s7AIS  About 30 or 40 people from Mexico have signed up for the HL7 eLearning course.

Philippines:  (No report)

Chile:  Chile has a new training program  They revamped their website.  They received an OID authority.  They ran a workshop for healthcare executives.  Diego is in continual contact with the Chair.

Slovenia and Croatia:  (No report)

Costa Rica:  (No report)

China:  Diego, John, and others have sent emails to China but have received no response.

Page 2 of 5 IMC ACTIVITIES / PROJECTS:

A New Affiliate Status?  IMC might suggest to the HL7 International Council and/or Due Diligence Committee. Perhaps offer an “Observer” (in advance of becoming an “Associated Member” or a “Full Affiliate”) where a formal petition has been submitted.  Possible benefits of such a status: o Perhaps a single “Observer” can attend the HL7 WGM with fees-waived (one time only). o (Others)

Affiliate “First Steps”?  Perhaps the IMC could create a pool of small, targeted, standards-based candidate projects that could be offered to new / struggling Affiliates that would enable them to make the case for standards to their governments / vendors / stakeholders / etc. Such projects might include: Immunization, Surveillance, or Birth and Death records. Question: What if a given vendor takes HL7’s project description and HL7’s training and creates a proprietary (non-open source) product?  Create a pool of small, targeted standards-based candidate projects (such as Vital Records Functional Profile) by identifying HL7 experts (or teams) that would be willing to offer artifacts (or presentations) as “free-consulting” to a new / struggling Affiliate.  Any standards-based project will require the following ingredients: o Goals: o Technical components (which can be embodied in an Implementation Guide): . Transport . Vocabulary . Consent and Authorization . Data Content . Security . Role-based Access . Application-to-Artifact (e.g., a Message or Document) . Artifact-to-Application . Identifier/OID . Data Storage . Patient Identification o Project Management:  Barriers: o Limited funding o Limited knowledge of standards o Limited ability to manage the project  Ways to mitigate the barriers: o Target university professors/students (perhaps with vendor-sponsorship??) o Seek funding/backing from organizations such as WHO o Leverage HL7 Implementation Guides, IHE Profiles, experiences from previous projects in other countries, and HL7 volunteers o Formalize a relationship between WHO and HL7. (Is Chris Bailey (WHO) still active in WHO? (See minutes of 2009 May)) o The IMC could get the list of WHO Millennium Development Goals (http://www.who.int/topics/millennium_development_goals/en/ ) and build project-packets that address the various stated goals. (The UN Foundation) o The IMC could partner with Beatriz regarding “HIT Development in the Global South”. (This is a JIC-project).

Technical information

Page 3 of 5  MDG 1: eradicate extreme poverty and hunger  MDG 3: promote gender equality and empower women  MDG 4: reduce child mortality  MDG 5: improve maternal health  MDG 6: combat HIV/AIDS, malaria and other diseases  MDG 7: ensure environmental sustainability  MDG 8: develop a global partnership for development . o The IMC could offer pre-established RFP-like language that would promote the tendering and use of certain standards. (See Ron Parker) o The IMC could offer guidance for helping the candidate Affiliate evaluate responses to the RFP’s tendered by candidate vendors. o The IMC could offer a well-vetted set of requirements (e.g., as listed in the EHR- S FM) o The IMC could offer advice/experiences regarding Project Management and Change Management (e.g., a Client-Identification project-management template) o The IMC could promote the intellectual foundations proffered by SAIF methodology. o The IMC could assess the readability, quality, and coherence of the HL7 standards from the novice Affiliates’ perspective. o The IMC could offer a set of EHR-Interoperability value propositions:  The ability for a MOH to provide or consume Health Information from various healthcare services.  Data exchange (and care continuity) between various care-settings.  Reduction in costs (e.g., avoidance in duplicating lab tests or medications)  Patient Safety  Avoidance of the elevation of a patient’s illness o After passing a Means-Test for a given set of requirements, the IMC could act as a proxy-sponsor for new/fledgling Affiliates for commissioning requirements- related work by various HL7 WGs. (Ron Parker is available to help scope and define this process.)

Later discussion: We would like to try to meet on Sunday Q4 (rather than Thursday Q1 and Q2) in order to determine whether we might be able to increase the attendance of the International Council members.

End of meeting

20110915 1100 Joint meeting between IMC and Process Improvement Committee

Attending:  John Ritter  Helen Stevens  Diego Kaminker  Supten Sarbadhikari  Frieda Hall

HL7 has various types of “mentors” or mentoring activities:  IMC outreach to fledgling affiliates  Educational Tutorial that helps a person maximize their involvement  Mentors that escort/advise first-time attendees during WGMs  First-time attendee (30-minute) tutorial

Page 4 of 5  Clinical Interoperability Council (which helps clinicians engage with standards- developers)

The IMC ought to help leverage the strengths that one Affiliate has on behalf of a new or fledgling Affiliate.

 The Affiliates could plan to attend (and better justify their attendance) at the following WGM.  The IMC could create a template that enables each Affiliate to fill out their top five projects. The IMC could determine the top three or four who could go into detail about a given topic. The other projects could be posted to a “dashboard” (offering a high-level, bullet-point list of each county’s topics).  The report should be designed as a Word template. The secretary will amalgamate the files into a single report. Eventually, the Word template can be rendered on the International Council’s webpage.  The Affiliates will post their Affiliate’s status and projects two weeks before the opening of a WGM. The secretary will combine those reports and distribute them. The secretary will identify any hot topics for Sunday Q3. The secretary will identify four projects that will be presented at the following WGM.  HL7 has no intention of managing an Affiliate’s project, but would manage the discussions regarding the various projects being featured during the International Council’s meeting on Sunday at each WGM. For example, during January 2012 the Affiliates would discuss: o Personal Health Records o Patient Identification o Russia’s use of V3 in ambulance-to-EHR communication o ePrescribing o Patient Safety o Decision Support

Helen presented the Problem Statement (gleaned from the previous paragraph) to the International Council later that day.

Frieda Hall: The IMC reviewed the “Mentoring Job Description” document; it looks good.

The IMC should promote a webinar for new attendees:  Create an Ambassador Briefing (perhaps recorded and posted to the hl7 website) regarding “Mentoring – Best Practices”. Those who attend the Briefing will receive a token of appreciation from HL7 (e.g., an HL7 Coffee mug). And attendees can post their “mentor-volunteer” status to the HL7 website, along with special skills (such as “Speaks Chinese”). Thus, a new attendee can be matched to someone needs targeted mentoring assistance during the HL7 WGM.

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