OSEHRA Interoperability Work Group (OSEHRA IWG)

August 5, 2014

Mario G. HylandChair and Senior Vice PresidentAEGIS.net, Inc. @Interopguy

• Previous Meetings– (Launch) Monday, December 16, 2013 at 2:30 PM (EST)– Tuesday, February 18, 2014 at 2:00 PM (EST)– Monday, March 24, 2014 at 2:30 PM (EST)– Tuesday, April 29, 2014 at 2:30 PM (EST)

• Next Meeting: – September 2014 OSEHRA Summit (Face-to-Face)

• WebEx Participation:  https://osehra.webex.com/osehra/onstage/g.php?t=a&d=668350106

• Dial-In: 1-650-479-3207; – Access Code: 668 350 106 

Logistics

• Roll Call• Tracking Progress & Issues• Today’s Topic:

– Poster Presentation• Test Early, Test Often – “Not One and Done”: A New Model for Interoperability Testing

– What's Happening in the OSEHRA Interoperability Work Group!

– Integration with other Groups– DHA Interoperability (DHITS)– Open Source Convention (OSCON)– Current representation of the IWG at Industry Events

• 2014 OSEHRA Open Source Summit– Interoperability focus Lunch Table– Interoperability and Standards Track

• September 3-5 at the Bethesda North Marriott Hotel and Conference Center

• Next Meeting Topic

AGENDA

• Overview & Governance• Define Interoperability• What We Are Delivering• Who Can We Align With? (Work-in-progress)• Our 5th Meeting

– Poster Presentation• Test Early, Test Often – “Not One and Done”: A New Model for Interoperability

Testing– What's Happening in the OSEHRA Interoperability Work Group!

– Integration with other Groups– DHA Interoperability (DHITS)– Open Source Convention (OSCON)– Current representation of the IWG at Industry Events

• DoD DHA DHITS Conference (Orlando, FL)

Tracking Progress & Issues

• OSEHRA Summit– Interoperability Focus Lunch Table– Interoperability Track (Session)

• Why is Conformance & Interoperability Testing So Damn Hard? 

– Poster Presentation• Test Early, Test Often – “Not One and Done”: A

New Model for Interoperability Testing– What's Happening in the OSEHRA

Interoperability Work Group!

September 2014 OSEHRA Summit

• Department of Defense new agency Defense Health Agency (DHA)– Number of large procurements to replace EHR– Defense Medical Information Exchange (DMIX)– Defense Healthcare Management Systems

Modernization Program (DHMSM)– Purpose of DHITS to provide guidance to the

DoD Services on the direction of DHA Acquisition and Implementation

• Gen. Robb – Keynote• Chris Miller – Keynote

– DHMSM represents a $2.4B savings over MHS, “They have already taken it!”

DoD DHA DHITS Conference

• Introduced OSEHRA IWG to DHA Leadership– DHA generally unaware of OSEHRA IWG– Offer to support leveraging OSEHRA IWG

for future Interoperability challenges– Opportunity to provide briefing on

Interoperability approaches

DoD DHA on Interoperability

• AEGIS participated in the Open Source Convention (OSCON) • OSCON is where all of the pieces come together: developers,

innovators, businesspeople, and investors. • Observations

– Government not represented enough (attended by Government)– CLA and License concerns along with Insurance weigh heavy on the community

• Want to find out more about OSCON? Check out their daily keynote overviews:– Paypal making a big play into Open Source– Microsoft attempting to remove the stigma– Where is Government really at supporting OS initiatives!

• The entire list of already uploaded speaker notes and some video recordings are http://www.oscon.com

Open Source Convention (OSCON)

• As a convener of Interoperability issues– Invite Industry leaders in addressing Interoperability Challenges. – OSEHRA Interoperability Work Group members

• Potential Organizations we could align with– IEEE (Alpesh Shah, Director, Business Strategy & Analytics)– ANSI (Joe Bhatia, CEO)– ONC (Julia Skapik, MD, MPH Medical Officer)– HL7 (Charles Jaffe, CEO)– IHE (need a POC from IWG)– HIMSS (need a POC from IWG)– OASIS– NIST (Adam Sedgewick, Federal IT Policy)– NYeC (IWG) (John Donnelly)– ASTM, FHA, VA Interoperability

Integration With Other Groups

OUTCOMES or when “Action turns into Results”

• Publish White Papers– User Experiences, Approaches, and Integration of Standards and

Technical Challenges

• Industry conference and panel participation

• Align to other (OSEHRA) Work Groups/Projects• Develop Tools, Standardized Data Sets and a National Test Lab

– The AEGIS Developers Integration Lab (DIL) Project– Support OHT efforts to Standardize National Test Patients – Support VistA Evolution and other SOA architectures Test

Interoperability

How can we Align With Others

• September 3 – 5, 2014: – OSEHRA Open Source Summit Global Collaboration in Healthcare IT

• September 14 – 19, 2014: – HL7 Plenary & Working Group Meeting; Chicago, IL

• September 27- October 1, 2014: – AHIMA 86th Convention and Exhibit; San Diego Convention Center, San Diego, CA

• October  5-9, 2014: – Gartner Symposium/ITxpo 2014; Orlando, FL

• October  20, 2014: – 2014 CA Technologies Government Summit; Omni Shoreham Hotel, 2500 Calvert Street,

NW, Washington, DC, 20008, USA, 202-234-0700• January 21-23, 2015:

– IJIS Institute National Symposium Information Sharing & Safeguarding for Justice, Public Safety, Homeland Security

• January 26 – 30, 2015: – IHE North American Connectathon; HIMSS Innovation Center in Cleveland, OH

• February 9-11, 2015: – 15th International HL7 Interoperability Conference (IHIC 2015);  Prague, Czech Republic

Representation of the IWG at Industry Events

• A Collection of our thought process to support and ensure Interoperability– Improve User Experiences, – Share our Collective Approaches and Successes, – Integration of Standards, – and Technical Challenges

• “Being ahead of a curveball”– How do we find Interoperability issues earlier in our

processes?

• “Lessons Learned”– What Interoperability challenges have we

experienced and wish to share with others?

Publish White Papers

• May 2014 – Food and Drug Administration (FDA) Report: Public Workshop - Proposed Risk-Based Regulatory and Framework and Strategy for Health Information Technology; Gaithersburg, MD

• May 2014 – American Council for Technology and Industry Advisory Council (ACT-IAC) Management of Change (MOC); Cambridge, MD

• June 2014 – Health Datapalooza V; Marriott Wardman Park Hotel; Washington, DC

• June 2014 – DirectTrust Annual Meeting and Mini-Conference; Washington, DC

• June 2014 – Open Health Tools (OHT) Board Meeting; Rockville, MD

• June 2014 – Government Health IT Conference 2014; Washington, DC

Opportunities to Promote the OSEHRA IWG Work Group

• Respond to ONC 10 Year Plan for Interoperability• ONC Published Jason Report

Industry Conference Participation

• AEGIS Developers Integration Lab (DIL)– Release 3.0 to Alpha

• Piloting Healtheway and HL7

– Test Platform to demonstrate Interoperability issues when identified

– Support efforts to Standardize National Test Patients

– Potential SOA Testing for VistA Evolution

National Test Lab

Interested Participants

• How do I join OSEHRA and the OSEHRA IWG?

• To join the IWG community– http://www.osehra.org/content/interoperability-work-group

• To join OSEHRA as an Associate Member– https://www.osehra.org/index.php?q=civicrm/contribute/transact&reset

=1&id=3

• Annual Dues: None• Benefits:

– Interact with the community via the OSEHRA website.– Participate in discussion groups and working groups.

Supporting Infrastructure

Contacts:

Mario G. Hyland Barry DickmanChair & Senior Vice President IWG SupportAEGIS.net, Inc. AEGIS.net, Inc. 703-893-6020 x 707 703-893-6020 x379301-529-5466 Mobile 703-980-6780 Mobilemario.hyland@aegis.net barry.dickman@aegis.net @Interopguy

Elizabeth BadtOSEHRAExecutive Assistant571-858-3381badte@osehra.org

Resource:

OSEHRA IWG Websitehttp://www.osehra.org/content/interoperability-work-group