NOVA RHIO
March 2, 2007
Plenary
Session
Welcome- Jane Woods
Appreciation for intense commitment of committees
Jim Burns will address the next meeting about the Master Patient
Index. The Immunization Registry will include information from private as
well as public clinics and will meet the 12 standards
Announcement of Charter Board Members
J.P. Auffret
Geoff Brown David Hollins
Dr. Archie McPherson Dr. Leslie Elwood
Ian Kremer Jo Ann Knox
Alan Goldberg Dr. Hazel—Chairman
Dossia Presentation
Jim Harris, Intel
Five large corporations are funding the Omnimedix Institute,
an independent non-profit institute, to develop Dossia, a web-based
framework for persons to be able to maintain personal health records
and manage their own interactions with providers.
Architecture:
Based on the Connecting for Health Care Framework (CFH) devised
under the auspices of the Markle Foundation and the Robert Wood
Johnson Foundation. It will have a Database Enablement Capability
that will allow users to activate it and add layers over time.
http://www.connectingforhealth.org/commonframework/
Principles:
Person centered; owner of the record determines its use
Private and secure, but accessible to properly authorized users
Portable
Adaptable over a lifetime and for persons in all conditions of
health
Find more information on Dossia under the March 2 presentations
link on this website..
RHIO Preliminary Focus
Geoff Brown
Identifying sources of data
Identifying standards for sharing
Collaborating to work out the details
Subsets of a RHIO
Dr. Ken Geoly
The RHIO has to provide a database that will accommodate all
of the individual pieces of information that a medical system collects
on a person and store them in a secure PHR. The RHIO will start
with lab results, radiology results, medications, immunizations,
and health care preferences.
See Dr. Geoly’s graphic under the March 2 presentations
link
SharePoint for the RHIO
Lauren White
The RHIO will have a common portal for committee members to see
and share information. Committee members should send in their e-mail addresses,
so that access and passwords can be arranged. The portal will be transparent
and updatable. Proprietary data is not suitable for publication on the portal.
Community Standards for using SharePoint
Alan Goldberg
Considerations for sharing information:
Be mindful of language used
Be sensitive to proprietary information
Follow rules of etiquette
Committee Reports
Patient Committee Dr. L. Elwood
Developing a community grid and identifying key stakeholders
Collaborating with Outreach Committee
Contacting county medical societies
Planning physician focus groups
Infrastructure Committee Michael
Corrigan
The slides will be posted on SharePoint
Several scenarios for prioritizing types of data and phasing in
the implementation have been developed.
Hybrid architecture chosen
Focus on Scenario I—Patient Safety
Find solutions for such problems as harmonizing
data, e.g. demographic data, from sources that disagree. Agree
on terminology. Set up alternative channels of communication,
ownership of data.
See more information on the Infrastructure Committee’s work at the March
2 presentations link on this website.
Developing a Project Plan Helayne
Sweet
1. Devise a more complete set of requirements
2. Identify performance metrics, e.g. show that the systems will
reduces adverse drug effects or save costs
3. Evaluate design
4. Estimate costs according to needs
Outreach Committee Ian Kremer
Need a compelling message
Message must be targeted to interests of hearers
What is the “value proposition”
1. Quality care
2. Improved information access
3. Better health through better information
4. Cost savings
First test group will be the Reston Citizens’ Association
Legal and Documents Alan Goldberg
1. Processes and documents must be responsive to real needs and
make good sense
2. Must be accurate
3. Sensitive to compliance obligations, e.g. providing insurance for RHIO employees. The RHIO will be a charitable organization intended for public service. It will be a corporation, to provide it with protection and a perpetual life. It will provide protection for individuals.
Closing - Jane Woods and Dr. Hazel
Next step would be reaching out to business partners. Welcomed William Lecos
of the Fairfax Chamber of Commerce.
Next Meeting
May 11, 2007.