<p> HL7 International Mentoring Committee HL7 Working Group Meeting, Atlanta, GA, USA 2015-10-04</p><p>Sunday Q4</p><p>Listserv: [email protected] </p><p>Attending:  John RITTER; IMC co-chair; scribe; [email protected]  Jos Baptist;  Sharon Chaplock  Gora Datta; (remotely)  John Gachago; (remotely)</p><p>Regrets:  Ticia Gerber  Diego KAMINKER; IMC co-chair; [email protected] ; [email protected]</p><p>Materials:  IMC Minutes from WGM Jan 2015 San Antonio 20150111.docx”</p><p>MOTIONS:  (None)</p><p>AGENDA: 1. Welcome and Introductions 2. Minutes Review/Acceptance 3. Educational Toolkit for use in Africa (John Ritter; Tricia Gerber; Sharon Chaplock) 4. Healthcare Development Organization formation efforts, Kenya (John Ritter; Gora Datta; John Gachago) 5. Affiliate Updates worldwide (All) 6. Current IMC Projects 7. Future IMC Activities 8. Three-Year Plan review and ratification 9. Next Steps</p><p>Minutes: 1. Welcome and Introductions</p><p>2. Minutes Review/Acceptance</p><p>3. Educational Toolkit for use in Africa (John Ritter; Tricia Gerber; Sharon Chaplock)  Sharon: Lots of activity on behalf of Strathmore University, Kenya on the development of the HL7 Toolkit and the identification of standards education that might be offered through the Hl7 educational portal.</p><p>Page 1 of 9  Sharon Chaplock and Ticia Gerber will offer an update in the next few weeks regarding the educational portal. If there are gaps, then fill them. Asking Strathmore to test the portal and identify gaps.  Donna (?) at CDC; Bobbi Jefferson; contacts at USAID, ITU, and WHO.  A new version of the United Nations’ “Millennial Development Goal” document was posted this week. It would be good to map the MDG items with the Educational package.  Pratap is applying for HL7 membership.  Let’s continue targeting the creation of a ribbon-cutting ceremony in Kenya’s Strathmore University in January 2016.  Nine people have already taken e-learning course in Kenya.  Hope to involve AHIMA, HIMSS, WHO, SNOMED, LOINC, CDISC, etc. in the Health Development Organization.  John Gachago talked with AHIMA’s Harry Rhodes, Anna Orlova, and Lisa Spellman.</p><p>4. Healthcare Development Organization formation efforts in Kenya</p><p>5. Affiliate Updates worldwide (All)  New Affiliate a. HL7 Serbia  Lapsed or Unpaid Affiliates a. HL7 Luxembourg b. HL7 Mexico c. HL7 Bosnia & Herzegovina d. HL7 Colombia e. HL7 Taiwan (in attendance at the Atlanta HL7 WGM, October 2015) f. HL7 Puerto Rico (in attendance at the Atlanta HL7 WGM, October 2015)</p><p>6. Current IMC Projects  (No discusson)</p><p>7. Future IMC Activities  (No discusson)</p><p>8. Three-Year Plan review and ratification  A new Three-Year plan was developed and accepted for submission to HL7 HQ.  Post the IMC WGM agenda (immediately).</p><p>9. Next Steps  Let Ann Wizauer (HL7) know that the IMC has adopted the default Decision-Making Practice (DMP) document.  Post the IMC minutes to the IMC website. Then let Ann know. Anne Wizauer (HL7) [email protected]  Post the next IMC WGM agenda to the HL7 website.</p><p>Africa:</p><p>Page 2 of 9  Question: Are existing African barriers are prohibitively high with respect to possible return-on-invest of HL7 volunteer member’s time.  Lisa Spellman knows of an organization that is interested in African Healthcare Informatics. She recommends approaching IEEE.  Wendy Huang recommended contacting Tom DeJong (who has HL7 contracts in Africa).  Question: Can Lloyd McKenzie help create a mechanism of governing the creation and implementation of FHIR resources – so that Africa can be made aware of those resources?  Virginia Lorenzi offered a hyperlink to “Hellas” conference which contains African-related items).  Ken McCaslin recommended thinking outside the box with respect to conceiving approaches to Africa.  John Roberts mentioned the possibility of identifying a Public Health Surveillance approach – whereby a system might support the need to identify infectious disease outbreaks. Also, he mentioned that solutions that work well in developed realms might not work well within LMIC realms.  Tony Julian mentioned that mobile health approaches might be a good way to promote the adoption of HIT standards in Africa.  Nicolas Canu (HL7 France) recommended that I contact Bernard Kouchner, who is active in medical outreaches to Africa. See http://en.wikipedia.org/wiki/Bernard_Kouchner </p><p>Actions Required:  John [DONE] Request a meeting for the IMC on Sunday Q4 at the next WGM.</p><p>< End of Meeting ></p><p>Page 3 of 9 Appendix 1 IMC’s Geo-Template and Selected Efforts</p><p>Europe 1) Northern Europe a) N/A 2) Western Europe 3) Eastern Europe 4) Southern Europe a) Greece (Affiliated) a.i) Catherine Chronaki’s efforts</p><p>Africa 1) Eastern Africa a) Kenya (non-Affiliated) a.i) Donna Mediero’s efforts 2) Southern Africa 3) Western Africa</p><p>Americas 1) North America a) Puerto Rico (Affiliated) a.i) Julio Cajiga’s efforts 2) Central America 3) South America</p><p>Asia 1) Southern Asia a) Indonesia(non-Affiliated) a.i) Gora Datta’s efforts 2) Western Asia 3) Eastern Asia</p><p>Australia</p><p>Page 4 of 9 Appendix 2 IMC Parking Lot</p><p>1. A new tutorial (“How to Maximize the Value of Your HL7 Involvement”) should be developed. We should collect input to the tutorial over the next six months and plan to offer the tutorial at an upcoming Working Group Meeting.</p><p>2. The IMC could showcase (say, at the HL7 Registration Desk area during each WGM) a selected Health Information Technology (HIT) topic that touches all realms.  The IMC could encourage the creation of a poster area whereby the IMC, Education Committee, and the Marketing Committee jointly target a topic. For example, o Personal Health Records –related activities that are occurring in every realm that is currently represented by the International Council o Patient Identification o Use of V3 in ambulance-to-EHR communications o ePrescribing o Patient Safety o Decision Support o A realm-specific topic (e.g., Africa: Challenges and Opportunities) o HL7.TV (YouTube-like video) segments  The IMC could invite the attendees of the WGM to create a poster according to their own interests (with HL7 offering an HL7-store prize to the winner). Depictions of the posters could be displayed on the HL7 wiki after the HL7 WGM.  Consider targeting the first poster session for the next WGM.</p><p>Page 5 of 9 Appendix 3</p><p>Excerpt from "IMC minutes 20110911.doc" Background: Technical information about the Millennial Development Goal requirements:  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 Proposition: Since each country may desire to meet the Millennial Development Goals, and since it would be repetitious for each country to develop Requests-For-Proposals (especially ones that would highlight the need for Standards), it would be good for HL7 to create a suite of RFPs (perhaps as a revenue-generating service): 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 to 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.)</p><p>Page 6 of 9 Appendix 4 Sample of Links to Synergistic Efforts</p><p>1. http://ssc.undp.org/content/ssc/about/what_is_ssc.html </p><p>United Nations: South-South cooperation is a broad framework for collaboration among countries of the South in the political, economic, social, cultural, environmental and technical domains. Involving two or more developing countries, it can take place on a bilateral, regional, sub-regional or interregional basis. Developing countries share knowledge, skills, expertise and resources to meet their development goals through concerted efforts. Recent developments in South-South cooperation have taken the form of increased volume of South- South trade, South-South flows of foreign direct investment, movements towards regional integration, technology transfers, sharing of solutions and experts, and other forms of exchanges. Collaboration in which traditional donor countries and multilateral organizations facilitate South-South initiatives through the provision of funding, training, and management and technological systems as well as other forms of support is referred to as triangular cooperation.</p><p>2. http://web.worldbank.org/WBSITE/EXTERNAL/NEWS/0,,contentMDK:21936982~pagePK:34 370~piPK:34424~theSitePK:4607,00.html</p><p>South-South Initiative Launched to share Development Knowledge</p><p>WASHINGTON, October 11, 2008─ The World Bank Group today launched a financing facility to provide a simple, low cost way for developing countries to share their knowledge and expertise in overcoming poverty. </p><p>The new South-South Experience Exchange Facility is a new multi donor trust fund that promotes the idea that the development successes in one country can pull people out of poverty in another. “In their quest to accelerate growth and improve living standards, policy makers in the developing world are constantly in search of innovative ideas. They see the experiences of their counterparts in emerging economies as increasingly relevant.” said World Bank Group President Robert B. Zoellick.</p><p>Through the first grant from the new South-South Experience Exchange Facility efforts are underway to repeat India’s dairy revolution in Africa.</p><p>India’s unique program, popularly known as “Operation Flood”, revolutionized the country’s dairy industry. Once chronically short of milk, India is now the world’s largest producer of milk and dairy products. At the request of the Tanzanian Government, the Indian model has now been introduced to Africa; with the South-South trust funding visits to India by Tanzanian dairy farmers and others from Ethiopia and Uganda.</p><p>“Countries learn best by seeing how others have tackled similar issues. This initiative will help policy makers and others in low-income countries – who face serious problems and can’t afford the luxury of long waits to receive support – to benefit first hand from other developing countries,” said Ngozi Okonjo-Iweala, World Bank Group Managing Director.</p><p>Page 7 of 9 Okonjo-Iweala said the dairy industry was a good place to start because of its considerable nutritional benefits for the poor and with India’s success in the past two decades, which has included and benefited the poorest of the poor as producers.</p><p>“This initiative, funded by commitments from both traditional and new donors, will bring solid and proven solutions faster where they are most needed in low income developing nations,” Okonjo-Iweala said. “Its credibility relies on the fact that it is developing country people sharing their own success.”</p><p>Seven donors – China, India, Mexico, Denmark, the Netherlands, Spain and the United Kingdom – have already pledged support to the trust fund. Total contributions are expected to be around $10 million over three years.</p><p>The scope of the South-South Experience Exchange Facility is broad and is intended to respond to direct requests from developing countries, seeking knowledge. Its aim is to deepen South-South experiences by funding direct contact between developing countries, and through the creation of a web-based library of exchanges that will document, monitor and disseminate results, and distribute a roster of developing country experts.</p><p>It’s envisaged the trust fund could also help developing countries share expertise in areas such as: o managing commodity windfalls o developing efficient tax systems o adapting to new technologies o selecting public investment projects with high economic and social rates of return o reforming pensions o creating social safety nets that benefit the poor.</p><p>3. http://world.time.com/2013/11/15/gates-to-norway-pay-up/?iid=obnetwork </p><p>Bill Gates to Norway: Pay Up</p><p>The Microsoft co-founder called on the country to invest some of its $800 billion wealth fund in Africa and Asia</p><p>By Denver Nicks @DenverNicks Nov. 15, 2013</p><p>Speaking to a crowd in Oslo, Bill Gates said Norway should invest some of the $800 billion it has saved up in oil revenues in the world’s poorest countries in sub-Saharan Africa and Asia.</p><p>“Norway is by many measures one of the richest countries in the world and you can afford to take some of that money and help out people in other places, said the Microsoft co-founder who oversees the $37 billion Bill and Melinda Gates Foundation, Reuters reports.</p><p>By saving up its surplus oil revenues, the country of five million people has amassed an enormous wealth fund expected to top $1 trillion this decade. Speaking at the same event, a Norwegian finance minister said the country </p><p>Page 8 of 9 would be expanding its investment strategy into developing markets but stressed that an adequate return on investment would remain the goal of the fund. < End of document ></p><p>Page 9 of 9</p>