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= (US) National Health Information Network, Request for Information - Project Home Page =

=== Work Product ===

'''The Ontolog Community's response to the ONCHIT NHIN RFI #4150-24 (updated) - see: http://ontolog.cim3.net/file/work/health-ont/NHIN-RFI/NHIN-ontolog-rfi-response_20050118.doc'''

* '''[http://ontolog.cim3.net/file/work/health-ont/NHIN-RFI/NHIN-ontolog-rfi-response_20050118_Executive-Summary.doc Executive Summary]''' of Ontolog's NHIN-RFI response.
* text of [http://ontolog.cim3.net/file/work/health-ont/NHIN-RFI/NHIN_final-ontolog-rfi-response_20050118.doc original submission], in the record.

=== Most Critical Task(s) At Hand ===

* ''... (insert content here) ...''

=== What's New ===

* [[BrandNiemann|Brand Niemann]] suggested a SICoP-Ontolog joint pilot at FHA-ONCHIT meeting on Jan. 26, 2005.
** Ref. Brand's post (with background material): http://ontolog.cim3.net/forum/ontolog-forum/2005-01/msg00037.html
** and continuing discussuion on starting this work at: http://ontolog.cim3.net/forum/health-ont/2005-01/msg00035.html

* '''Our [http://ontolog.cim3.net/file/work/health-ont/NHIN-RFI/NHIN_final-ontolog-rfi-response_20050118.doc response] to the NHIN-RFI was delivered Jan. 18, 2005''', on time (even with 4 minutes to spare before the deadline!)
** Kudos to all who were involved and contributed.

* One page [[NhinRfiThesis|"thesis"]] that will guide our group response
* the RFI Announcement page is at: http://www.hhs.gov/healthit/rfi.html
* a concise summary by Prof. Kroch of Dr. Brailer and other's prior work is at: http://wfs.cgu.edu/lafkyd/cgu-kroch.pdf
** EMR Definitional elements and requirements
** EMR Current state:
*** Implementation goals
*** Barriers
*** Opportunities
** ONCHIT Framework for Strategic Action
*** Data Exchange (Physician, "Physician Assistants", and Clinicians)
*** CareScience Projects
** Community data sharing
** Santa Barbara County (example of most medical communities)
*** Core Data Exchange
* a transcription of the Technical Assistance Call is at: http://www.hhs.gov/healthit/documents/Transcript_RFI_Technical_Assistance_Call.pdf (This is a 48 page document to be summarized;)
** key points is the needs of the Dr. Brailer Team to discover missing issues.
** Is Ontology a "Missing Issue"?

=== Key Date(s) to Note ===

* important DATE: Responses should be submitted via email to ( NHINRFI@hhs.gov ) the Department of Health and Human Services (HHS), Office of the National Coordinator for Health Information Technology (ONCHIT), on or before 5 p.m. e.s.t. on January 18, 2005.
** Weds Dec. 22, 04 ( Agenda approved; "B" Team held ~ 5 discussion Sessions: draft answers to questions)
** Thurs Jan 6th 2005
**
*** Prepare for Outline Discussion
*** Prepare to capture issues with NHIN_RFI "Ontology Life Cycle"
*** Issues described and "majority" of alignment conflicts resolved
** Saturday, Jan 8th 2005 Editing of Outline (Bob, Nad, others) [[BobSmith|Bob Smith]]
** Tue Jan 11th 2005 work session
*** Clarify Health Ontolog objectives and scope of an Ontology based Approach to Health Care [[BobSmith|Bob Smith]]
*** Resolve workgroup process (time-limited discussion and vote/polling (informal) )
*** Breadth of Response (Number of sections and questions)
*** Editorial process and final edit responsibility
** Thurs Jan 13th 2005
*** Review and Comment cycles
** Sunday, Jan 16th 3pm PST Deadline for Question Submittals
*** Merge, Synthesize, Identify alignment issues
*** Circulate for Review and Comment; Phone Calls
** Mon Jan 17th 2005
*** Continue discussions and refinement
** Tuesday, Jan 18th, 4pm EST eMail to Dr. Brailer

----

== Project Mission ==

* To round up a joint Ontolog community effort, to author a response and submit that to the (US) National Health Information Network, Request for Information of 2004.11.15. Using that as the beginning of a collaborative effort where the Ontolog community can contribute professionally to the NHIN initiative.

== Outline for Deliverables & Deadlines ==

* Strawman version 1 [[BobSmith|Bob Smith]]
** The RFI states 4 goals, key missing elements to bridge current practice to a ten year vision, and poses a Decision Scenario including:
*** The NHIN could be developed and operated in many ways.
**** It could include state-of-the-art web technologies or more traditional clearinghouse architectures.
**** It could be highly decentralized or somewhat centrally brokered.
**** It could be a nationwide service, a collection of regional services or a set of tools that share common components.
**** It could be overseen by public organizations, by private organizations, or by public-private consortia.
*** Regardless of how it is developed, overseen or operated, there is a compelling public interest for a NHIN to exist.
** The RFI has 24 questions structured into 5 parts (But no "Problem Statement" )

* Team Organization

* Team 1: 3 Questions;(SMI_Mark_Adam_Samson_Natasha) Overview and working definition of a National Health Information Network for distributing Electronic Health Records:
** A. General ( Working definitions of a National Health Information Network, models of access to this Network, and appropriate roles at each level)

* Team 2: 10 Questions;( Kurt_Bo_Bob_Nad ); Enterprise Strategy, Process, Incentive Alignments:
** B. Organizational and Business Framework (Economic and Policy Criteria for developing Business and Organizational Models in a "Mixed Public-Private, Open interoperable Context )
** C. Management and Operational Considerations ( Useful and Useable Products, Policy and Managerial Incentives, Contingency-Risk Modeling, Community of Practice governance )

* Team 3: 11 Questions; ( Nicolas EdwardCherlin MarkRoest) Standards and Incentives
** D. Standards and Policies to Achieve Interoperability ( What is the current status of the major Standards Development Organizations and their processes/assumptions and relationships to each other and the US Govt... Open Standards developed in an open process )
** E. Financial and/or Regulatory Incentives and Legal Consideration __ Other ( Do conflicting policies and strategies now exist? Are new architectures and mechanisms available to resolve certain pivotal conflict areas? )

=== Project Work-in-Progress ===

* [[BobSmith|Bob Smith]] OUTLINE Draft # 1
** Executive Abstract-Thesis
** Problem Statement (Embracing Ontology as a means to knowledge-enabled health care systems?)
** (General) Core Technical Issues: Knowledge Applied to useful and useable Health Records and its Network
*** Identify key ontology questions about Health Records (Was EHR)
*** Identify key ontology questions about Health Knowledge Delivery (Was NHIN)
** Organizational and Business Framework (NOTE: ONCHIT Leadership Panel Strategy about to be published)
*** Scope (Context, Feasible Strategies, and Time Frames)
*** Semantics of Public-Private Ontologies
*** Is Health Care Competition a major ontological problem? ( Economics of Competitive Strategy Options?)
*** Alternative Views and Policy Creation Mechanisms that work
** Management and Operational Considerations
*** Design and Maintence
*** Is Health Care "Value Chains"
*** Need for Ontologies in FHA Projects
*** Institutional structures (GAO, for example, may add unexpected value to Ontology projects)
** Standards and Policies for Interoperability
*** Ontology questions for Standard Setting Bodies
*** Examples of effective use of Ontologies in SSB
*** Interoperability and MetaStandards (Steve Ray citations)
** Incentives and Legal Issues
** Other
*** Q 23: Design Principles
** Terms, Concepts, and Tools
*** Ontology
*** Policy
*** Ontology Policy
*** Etc.
** Bibliography
** need to add: conclusions and recommendations
** Brand suggested we cite the [http://ontolog.cim3.net/cgi-bin/wiki.pl?NhinRfi/ConferenceCall_2005_01_11#nid073 Hardvard Study on [[CoP]] in Government].

=== Action Plan and Chronology ===

* [[BobSmith|Bob Smith]] Monday 1-17-05: Post Action Report Format designed for next Opportunity

* [[BobSmith|Bob Smith]] Sunday 1-16-05: Note that many of the 24 RFI questions are now "answered" by ONCHIT Staff in their five presentations to key stakeholders [http://www.hhs.gov/healthit/staff_presentations.html"Suggestive Answers?" ]
** Extensions of the earlier "Framework" of 4 goals and strategies to achieving these defined goals
** Specific project thrusts with start and finish points
** Increased specification of concepts: Regional solutions; Public-Private Partnerships; CHI-eGov Architectures;

* [[BobSmith|Bob Smith]] Tuesday, 1-11-05: What is our primary objective?
** Convincing Dr. Brailer to use an Ontology Approach to evaluate technical and non-technical NHIN-EHR design choices
*** HL7 and ICD 9 "improvements"
*** A Protege based solution set
** Convincing Dr. Brailer of the links between Interoperability, Enterprise Architecture, and Ontology

* Resolve Option 1 -- Option 2 language
** Mark and Adam create a 1 page [[NhinRfiThesis|"thesis"]] and use it to guide the group response

* Achieve sufficient Membership interest in completing this RFI phase and future opportunities

* To consider the alignment tasks between the three major sections in light of calendar realities
** 1. Focus on just the "ontology" used by the RFI writing team of Dr. Brailer (Agree)
** 2. Develop a "Strawman" of working definitions of the two central terms (NHIN and _EHR)
** 3. Expand, in parallel, the Enterprise Topics and the Regulatory Topics
** 4. Assess the internal alignments within each of the three topics
** 5. Integrate, as needed, alignment problems within and between the three topics
** 6. Reality Checks
** 7. Complete the resulting document and essential graphics ( 1-3 pages per question?)
*** pull a response to the RFI together and submit that by the 2005.01.18 deadline.

== The Team ==

* Active participants
** [[BobSmith|Bob Smith]] - co-convener, project manager
** Mark Musen - co-convener
** [[BrandNiemann|Brand Niemann]] - co-convener
** [[PeterYim|Peter P. Yim]] - co-convener
** [[AdamPease|Adam Pease]]
** [[BoNewman|Bo Newman]]
** [[KurtConrad|Kurt Conrad]]
** SamsonTu
** Natasha Noy
** [[NicolasRouquette|Nicolas Rouquette]]
** [[PaulKoch|Paul Koch]]
** ChrisRichardson
** [[User:DavidWhitten|David Whitten]]
** [[MarkRoest|Mark Roest]]
** EdwardCherlin
** [[AnthonyCheung|Anthony Cheung]]
** [[MichaelHogarth|Michael Hogarth]]
** [[ChristopherChute|Christopher Chute]]
** [[NadBhatti|Nad Bhatti]]
** [[PatCassidy|Pat Cassidy]]

*
** ...''(add names of any missing team member here)''...

* Observers
** [[SusanTurnbull|Susan Turnbull]]
** [[SteveRay|Steve Ray]]
** [[ConradBock|Conrad Bock]]
** [[MarcWine|Marc Wine]]

== Discussion Archives & Shared-File Workspace ==

* Discussion Archives: http://ontolog.cim3.net/forum/health-ont/
** posting to the discussion forum: mailto:health-ont@ontolog.cim3.net
* Shared-File Workspace: http://ontolog.cim3.net/file/work/health-ont/NHIN-RFI/
* List of other NHIN-RFI Responses available on the Internet - see: [[NhinRfi/Responses]]

== Resources ==

* link to [http://a257.g.akamaitech.net/7/257/2422/06jun20041800/edocket.access.gpo.gov/2004/04-25382.htm NHIN-RFI] (courtesy SusanTurnbull)
* link to [http://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=ksUR-zqh&p_lva=&p_li=&p_page=1&p_cat_lvl1=40&p_cat_lvl2=%7Eany%7E&p_search_text=&p_new_search=1 NHIN-RFI-FAQ] (courtesy BobSmith)
* the RFI Announcement page is at: http://www.hhs.gov/healthit/rfi.html

== Conference Call, Meeting & Workshop ==

* ...''(list and link to agenda & proceedings pages here)''...

* Co-coveners' sync-up call - [[NhinRfi/ConferenceCall_2005_05_31]]
* Post response submission review during regular weekly ontolog [[ConferenceCall_2005_01_20|ConferenceCall_2005_01_20]]
* Project work session with the regular weekly ontolog [[ConferenceCall_2005_01_13|ConferenceCall_2005_01_13]]
* Project team conference call - [[NhinRfi/ConferenceCall_2005_01_11]]
* Project work session with the regular weekly ontolog [[ConferenceCall_2005_01_06|ConferenceCall_2005_01_06]]
* Project team conference call - [[NhinRfi/ConferenceCall_2004_12_22]]
* Project Kick-off - http://ontolog.cim3.net/cgi-bin/wiki.pl?ConferenceCall_2004_12_16#nid044
* Precursor to this effort - our joint SICoP-Ontolog ConferenceCall_2004_08_12

[[Category:Project]]

NhinRfi - Revision history

imported>KennethBaclawski: Fix PurpleMediaWiki references