This document provides an overview of an upcoming community meeting to discuss the Automate Blue Button Initiative project charter. The meeting will include a call to action for participants to join the initiative, a review and discussion of each section of the project charter, and an explanation of relevant standards and stakeholders. The project charter establishes the challenge of automating the transmission and access of personal health data via the Blue Button, sets goals and a scope statement, and outlines a value statement, success metrics, milestones, deliverables, and standards. Participants are invited to review and provide input on the charter sections.
Joy Pritts, chief privacy officer for the Office of the National Coordinator for Health IT (ONC), updates the National Committee on Vital and Health Statistics (NCVHS)
Presentation from California Homecare Association 2013 Annual event. Technology brings additional resources to the fingertips of nurses and homecare professionals at the frontline to support their clinical decision-making and contribute to improved client outcomes. With day to day changing patient needs, there is increasing evidence that technology and applications will transform the industry and facilitate faster and better communications, prevent fraud, and proactively manage compliance requirements.
Network physicians, hospitals, and other care continuum providers work collaboratively in active clinical process improvement programs across service lines and specialties to define, establish, implement, monitor, evaluate and periodically update the processes of:
- Evidence-based medicine
- Beneficiary engagement
- Care coordination
- Conservation of healthcare resources
- Clinical data reporting
Joy Pritts, chief privacy officer for the Office of the National Coordinator for Health IT (ONC), updates the National Committee on Vital and Health Statistics (NCVHS)
Presentation from California Homecare Association 2013 Annual event. Technology brings additional resources to the fingertips of nurses and homecare professionals at the frontline to support their clinical decision-making and contribute to improved client outcomes. With day to day changing patient needs, there is increasing evidence that technology and applications will transform the industry and facilitate faster and better communications, prevent fraud, and proactively manage compliance requirements.
Network physicians, hospitals, and other care continuum providers work collaboratively in active clinical process improvement programs across service lines and specialties to define, establish, implement, monitor, evaluate and periodically update the processes of:
- Evidence-based medicine
- Beneficiary engagement
- Care coordination
- Conservation of healthcare resources
- Clinical data reporting
The COVID-19 pandemic continues to present challenges to healthcare practices. This presentation covers the reinstatement of elective surgeries in a few states, the greater adoption of remote tracking, and new developments with the FCC’s Telehealth Program.
It also goes over the technology CareOptimize has developed to help streamline COVID-19 monitoring and reporting, its genesis, and how this utility can help your practice post-pandemic.
Established in 1993 by the Substance Abuse and Mental Health Services Administration (SAMHSA), the ATTC Network is comprised of 10 Regional Centers, 4 National Focus Area Centers, and a Network Coordinating Office. Together the Network serves the 50 U.S. states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and the Pacific Islands of Guam, American Samoa, Palau, the Marshal Islands, Micronesia, and the Mariana Islands.
The Barriers to Military Healthcare Technology Innovation and What We Can Do ...Shahid Shah
This briefing was presented at the Military Electronic Healthcare Records Symposium in Washington DC. It answers the following questions:
* Is disruptive innovation in military healthcare technology possible?
* What does innovation in military healthcare mean?
* Where are the major areas in military healthcare where innovation is required?
Principles for Digital Development | 2nd of 3 presentationsJSI
On October 27th, 2014 JSI hosted the third in a series of interactive sessions the Principles for Digital Development. This meeting focused on the Principle 3: Design to Scale. It began with a discussion of how to design for scale from the very start, transitioned to a discussion of the importance of considering the implications of design beyond the immediate project, and then concentrated on designing solutions that are replicable and customizable in other countries and contexts. Joy Kamunyori (JSI) facilitated the meeting. Kate Wilson (PATH), Marion McNabb (Pathfinder International) and Sarah Andersson (JSI) presented. More information about the principles can be found here: http://ict4dprinciples.org/
The COVID-19 pandemic continues to present challenges to healthcare practices. This presentation covers the reinstatement of elective surgeries in a few states, the greater adoption of remote tracking, and new developments with the FCC’s Telehealth Program.
It also goes over the technology CareOptimize has developed to help streamline COVID-19 monitoring and reporting, its genesis, and how this utility can help your practice post-pandemic.
Established in 1993 by the Substance Abuse and Mental Health Services Administration (SAMHSA), the ATTC Network is comprised of 10 Regional Centers, 4 National Focus Area Centers, and a Network Coordinating Office. Together the Network serves the 50 U.S. states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and the Pacific Islands of Guam, American Samoa, Palau, the Marshal Islands, Micronesia, and the Mariana Islands.
The Barriers to Military Healthcare Technology Innovation and What We Can Do ...Shahid Shah
This briefing was presented at the Military Electronic Healthcare Records Symposium in Washington DC. It answers the following questions:
* Is disruptive innovation in military healthcare technology possible?
* What does innovation in military healthcare mean?
* Where are the major areas in military healthcare where innovation is required?
Principles for Digital Development | 2nd of 3 presentationsJSI
On October 27th, 2014 JSI hosted the third in a series of interactive sessions the Principles for Digital Development. This meeting focused on the Principle 3: Design to Scale. It began with a discussion of how to design for scale from the very start, transitioned to a discussion of the importance of considering the implications of design beyond the immediate project, and then concentrated on designing solutions that are replicable and customizable in other countries and contexts. Joy Kamunyori (JSI) facilitated the meeting. Kate Wilson (PATH), Marion McNabb (Pathfinder International) and Sarah Andersson (JSI) presented. More information about the principles can be found here: http://ict4dprinciples.org/
LearnBop Blue Green AWS Deployments - October 2015Alec Lazarescu
The swap CNAMEs blue/green deployment technique appears so beguilingly simple. Yet provided you have detailed monitoring and error logging you'll eventually see periodic oddities during deployments while users are on the site:
- User requests from a new code server being processed by an old code server and generating an error
- Users seemingly stuck on old code servers for hours - far longer than even longer TTL overrides would suggest
- Users on new code servers running javascript from the old code despite a versioned CDN URL and getting an error
During this session you can expect:
- Walkthrough of our current deployment method using only Amazon APIs that addresses all of the issues
- Discussion of past systems architecture and their gaps
- Gaining a deeper understanding of surprising DNS behavior
- Techniques to monitor and identify any of the issues above and more
- Learning how WebSockets/long polling can affect your deployment time and how to mitigate
- Tips on implementing a CDN and caching strategy that doesn't risk stale data
Overview of Lodestone Logic services including business intelligence, strategic planning, and project execution. This presentation also includes a summary of Lodestone Logic's media channels and web presence.
End of Life Planning - Directives by DesignBen Quirk
Learn about Directives by Design, a culturally sensitive tool to guide patients through end of life choices and create a living will as required for hospitals in MU2.
The Very Best Intranets and Digital Workplaces from the 2017 Digital Workplace & Intranet Global Forum conference in New York. Presentation webinar deck by Toby Ward, Prescient Digital Media.
Continuous innovation is an imperative for any hospitality business as their customers and vendors rapidly adapt to an evolving technology landscape. Emerging technologies supporting seamless integration across channels, mobility, socially-aware applications, big-data, and real time predictive analytics are all contributing to profound transformations of today’s business models. During this presentation, you will learn best practices for remaining innovative and asking critical organizational questions as you consider similar efforts in your own business.
The proposed Trusted Exchange Framework supports ONC’s goals of achieving nationwide interoperability:
Patient Access - Patients must be able to access their health information electronically without any special effort;
Population-level Data Exchange - Providers and payer organizations accountable for managing benefits can receive population level health information allowing them to analyze population health trends, outcomes, and costs; identify at-risk populations; and track progress on quality improvement initiatives; and
Open and Accessible APIs – The health information technology (health IT) community should have open and accessible application programming interfaces (APIs) to encourage entrepreneurial, user-focused innovation to make health information more accessible and to improve electronic health record (EHR) usability.
2015 Edition Proposed RuleModifications to the ONC Health IT Certification ...Brian Ahier
Presentation to April 7, 2015 Health IT Policy Committee:
2015 Edition Proposed RuleModifications to the ONC Health IT Certification Program and 2015 Edition Health IT Certification Criteria
Remarks to Public Forum on National Health IT PolicyBrian Ahier
On February 4, 2010 there was a public forum on the rollout of national HIT policy under HITECH, including "meaningful use," EHR certification, and HIE. Aneesh Chopra, at the time serving as Chief Technology Office (CTO) of the United States made some remarks.
FTC Spring Privacy Series: Consumer Generated and Controlled Health DataBrian Ahier
Increasingly, consumers are taking a more active role in managing and generating their own health data. For example, consumers are researching their health conditions and diagnosing themselves online. Consumers are also uploading their information into personal health records and apps that allow them to manage and analyze their data, and utilizing connected health and fitness devices that regularly collect information about them and transmit this information to other entities.
The movement of health data outside the traditional medical provider context has many potential benefits; however, it also raises potential privacy concerns. The seminar will address questions such as:
What types of websites, products, and services are consumers using to generate and control their health data, and how are consumers using them?
Who are the companies behind these websites, products, and services, what are their business models, and what does the current marketplace look like?
How can consumers benefit from these companies’ websites, products, and services?
What actions are these companies taking to protect consumers’ privacy and security?
What do consumers expect from these companies regarding privacy and security protections?
Do consumers differentiate between these companies and those that offer traditional medical products and services that are covered by HIPAA?
What restrictions, if any, do advertising networks and others impose on tracking of health data?
On February 19, 2014, the Federal Trade Commission staff hosted a seminar on Mobile Device Tracking.
The speakers discussed how retailers and other businesses have been tracking consumers’ movements throughout and around retail stores and other attractions using technologies that identify signals emitted by their mobile devices. While the technologies differ, many work by identifying and collecting the MAC address – which is unique to a particular device – broadcast when a mobile device searches for Wi-Fi networks. Companies can use these technologies to reveal information about consumers including the path taken throughout a location, length of time in one location, whether a visitor is new or returning, and the frequency of visits to a location. According to media reports, major retailers in the United States are using or have tested the technology in their stores in order to gain insights into the behavior of their customers.
In most cases, this tracking is invisible to consumers and occurs with no consumer interaction. As a result, the use of these technologies raises a number of potential privacy concerns and questions.
Big Data and VistA Evolution, Theresa A. Cullen, MD, MSBrian Ahier
Presentation to Open Source Electronic Health Record Alliance (OSEHRA) Architecture Work Group by Theresa A. Cullen, MD, MS
Chief Medical Information Officer
Director, Health Informatics
Office of Informatics and Analytics
Veterans Health Administration
Department of Veterans Affairs
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. Meeting Etiquette
• Remember: If you are not speaking, please keep your phone on
mute
• Do not put your phone on hold. If you need to take a call, hang
up and dial in again when finished with your other call
o Hold = Elevator Music = frustrated speakers and participants
• This meeting is being recorded
o Another reason to keep your phone on mute when not
speaking
• Use the “Chat” feature for questions, comments and items you
would like the moderator or other participants to know.
o Send comments to All Panelists so they can be addressed
publically in the chat, or discussed in the meeting (as
appropriate). From S&I Framework to Participants:
Hi everyone: remember to keep your phone
on mute
All Panelists
2
3. Agenda
Topic Time Allotted
Welcome and Announcements 10 minutes
Call to Action 5 minutes
Project Charter Review 40 minutes
Workgroup Formation 20 minutes
Consensus Process Overview (time permitting) 10 minutes
Next Steps / Reminders 5 minutes
3
4. Current Registrants
• Access My Records, Inc. • KirbyIMC.com
• ADHS • Laboratory Corporation of America
• Allscripts • Louisiana Dept of Health and Hospitals
• American Academy of Family Physicians • McKesson
• American College of Physicians • Microsoft
• AORN • Napersoft
• Cerner • Optum
• Data Exchange Specialist California Immunization • OrionHealth
Registry • Sager Systems
• Department of Defense (Booz Allen Hamilton • Patient First
Contractor) • Patients as Partners
• Dossia • Regulatory Informatics
• Ep-Con • RelayHealth
• eRECORDS, Inc • Ricoh Healthcare
• Florida Hospital • Sutter Medical Center of Santa Rosa
• CakeHealth • Thotwave Technologies, LLC.
• Humetrix • Transformations at the Edge (TATE)
• Gartner • UnitedHealth Group
• Gorge Health Connect, Inc. • US Army
• Health Information Xperts • Veterans Affairs
• HealthURL • Videntity
• Healthwise and HITSC FACA • WellSpan Health
• HHS • Wittie, Letsche & Waldo, LLP
• Hunter College
• IMS Health
• IPS Technology Services
JOIN THE INITIATIVE:
http://wiki.siframework.org/Automat
e+Blue+Button+Join+the+Initiative 4
5. Announcements
• The Automate Blue Button Initiative will hold weekly
community meetings on Wednesdays at 3:00 pm Eastern.
– To participate, please see the “Attend the Weekly Community
Meeting” section of the Automate Blue Button Wiki Page:
• http://wiki.siframework.org/Automate+Blue+Button+Initiative
Weekly
Meetings
Please check the meeting schedule weekly as the meeting link and call in numbers will change
5
6. ABBI Wiki
Orientation Quick Links
Weekly
Meetings
Calendar
Community
Schedule
Contacts
7. Call to Action
• You’re Invited! We need experts to develop standards, organizations
ready to drive towards implementation, innovators to push the
envelope, and patients and providers willing to provide their
perspective.
• Your commitment and participation are critical to our success and the
ability to provide patients and their families with electronic access to
their health data when and where it is needed.
• To join the Automate Blue Button Initiative, go here:
http://wiki.siframework.org/Automate+Blue+Button+Join+the+Initiative
read about the commitment process and fill out the “Join the Initiative”
form at the bottom of the page.
7
8. Project Charter Review
• This is your opportunity to provide input!
• We will discuss each section of the Project Charter in the
community meeting.
• Updates will made to the wiki after the meeting.
– http://wiki.siframework.org/Automate+Blue+Button+Project+Charter
• Please also review and comment on the wiki after the meeting.
Review and
Comment
8
9. Automate Blue Button Project Charter
Challenge and Goals
• Challenge
– How can we advance the implementation standards, tools,
and services associated with the Blue Button to provide
consumers with automated updates to their health
information in a human readable and machine readable
format?
• Goals
– PUSH: Automating transmission of personal health data to
a specific location, using the Blue Button
– PULL: Allowing a third party application to periodically
access personal health data, using the Blue Button
9
10. Automate Blue Button Project Charter
Scope Statement
• Identify, define, and harmonize implementation standards, tools
and services that facilitate the automated PUSH and automated
PULL of patient information via the Blue Button
• Identify, define and harmonize content structures and
specifications for the Blue Button so that information
downloaded is machine readable and human readable
• Identify, define, and harmonize protocols around identification
and credentialing, and protocols around access and
authorization, that facilitate the automated PUSH and automated
PULL of patient information via the Blue Button
10
11. Automate Blue Button Project Charter
Value / Vision Statement
Consumers want more access to and portability from their
health care information. They want to be able to:
• Better understand their health and make more informed
decisions
• Help to make sure that they and all of their care team
members are on the same page
• Improve the accuracy and completeness of the information
• Plug it into apps and tools that promise to make
information truly available when and where it’s neededc
11
12. Automate Blue Button Project Charter
Success Metrics
For dataholders:
• Number of existing BB dataholders that implement Auto Blue
Button
• Number of new dataholders that take the pledge and implement
Auto Blue Button
For patients:
• Number of patients that access their data using Blue Button
• Number of patients that use new features of Blue Button (both
push and pull)
For third-parties:
• Number of application developers parsing Blue Button data
• Number of patients using applications that are powered by Blue
Button
12
13. Automate Blue Button Project Charter
Target Milestones & Timelines
Driving Milestones
• Pilot Push implementation by November 22, 2012
• Pilot Pull implementation by March 3, 2013
13
14. Automate Blue Button Project Charter
Expected Deliverables
• Workgroup Charters
• Use Case(s) and Functional Requirements
• Standards for Blue Button
• Implementation Guidance for Blue Button
• Tool development to support Blue Button
• Pilots and results
14
15. Automate Blue Button Project Charter
Relevant Standards & Stakeholders
• DIRECT: A set of transport standards, services, and use cases that any data holder or receiver can
implement, to package and send/receive electronic health information in a private and secure fashion.
• ToC Content Recommendations: Recommendations on document structures to fulfill Meaningful Use
Stage 2 Transitions of Care requirements (consolidated CDA).
(http://wiki.siframework.org/ToC+Document+Recommendations)
• OAuth & OpenID: Community-developed, industry-standardized protocols for authentication and
authorization. (Note: The FHA is currently developing a RESTful approach to information exchange that
leverages OAuth and OpenID.)
• LRI Content Recommendations: Recommendations on document structures for Lab Interfaces to
electronic health records
• RHEx: Working on security standards (OpenID and OAuth) and content standards (working now) for
applying a RESTful design approach to exchanging health information.
• OSEHRA is an open, collaborative community of users, developers, and companies engaged in
advancing electronic health record software and health information technology
• Markle Foundation's recommendations for Blue Button (including privacy and security specifications)
• Work to create and encourage adoption of a new CCD to Blue Button “Transform tool” (to support
OPM request)
• Work underway to specify use cases for using EHRs and DIRECT to transmit updated summaries of care
to a patient as they become available.
15
16. Proposed Workgroups
Automating transmission of personal health data to a specific location
• Discovery: review existing standards and formulate project charter and scope
Push • Work on use cases
Project • Define deliverables and timeline
• Scope input needed on content and privacy and security
Allowing a third party application to periodically access my personal
health data
Pull • Discovery: review existing standards and formulate project charter and scope
Project • Work on use cases
• Define deliverables and timeline
• Scope input needed on content and privacy and security
A Blue Button file must be machine-readable and human-readable
Content
Sub-Group • Review existing efforts and standards to leverage
• Develop plan to support PUSH and PULL projects
16
17. Workgroup 1: Push
PUSH
Automating transmission of personal health data to a specific location
EXAMPLE USE CASES
By patient request, a provider can specify in an
A patient can specify in a dataholder’s system to
EHR that a patient be sent an updated copy of
be sent an updated copy of his/her personal
his/her personal health information as it becomes
health information as it becomes available.
available
REQUIREMENTS & IN SCOPE OUT OF SCOPE
ASSUMPTIONS (TO BE CONSIDERED) (NOT TO BE CONSIDERED)
• Patient/Provider is already • Transport standards, • Policy concerns and
authenticated in services, and specifications constraints. This initiative
dataholder’s system. • Content standards: will define the mechanism,
• Transport must be secure whether or not to include – how and where they
• Data sent must be both in implementation guide(s) apply it will be up to state
human-readable and • Implementation guide(s) to and local laws
machine-readable support use case(s),
building off existing
standards
17
18. Workgroup 2: Pull
PULL
Allowing a third party application to periodically access my personal health data
EXAMPLE USE CASE
A patient can direct a third party application to periodically have access to his/her
personal health information via the internet. The dataholder will ensure this data is
made available and follow certain privacy and security standards.
REQUIREMENTS & IN SCOPE OUT OF SCOPE
ASSUMPTIONS (TO BE CONSIDERED) (NOT TO BE CONSIDERED)
• Data must be transmitted • Authentication, transport, • Policy concerns and
securely and content standards. constraints. This initiative
• Patient must give • Leverage REHx project will define the mechanism,
application consent to pull (Oauth and OpenID) – how and where they
health information from • Leverage ToC project apply it will be up to state
data holder • Leverage lab interface and local laws
• Data sent must be both project
human-readable and
machine-readable
18
19. Sub-Group: Content
CONTENT
A Blue Button file must be both machine-readable and human-readable.
EXAMPLE USE CASES
A patient can download a copy of his/her records A patient can point a software or web application
and is able to read and print it out. to their Blue Button file and it can parse it.
REQUIREMENTS & IN SCOPE CHALLENGES
ASSUMPTIONS (TO BE CONSIDERED)
• File must be both human- • Leverage work done by HL7 • A cross-platform file that is
readable on multiple and Consolidated CDA self contained.
platforms: PC, Mac, iOS, • Leverage work done by the • Enabling easy-parsing of
and Android ToC S&I Initative the file. Should take a
• File must be printable developer less than 3
• File needs to be machine minutes to use.
readable
19
20. Consensus on the Project Charter
For those of you who are committed members, we ask you to vote on the Automate Blue Button Project
Charter:
• Yes
– A Yes vote does not necessarily mean that the deliverable is the ideal one from the perspective of
the Initiative Member, but that it is better to move forward than to block the deliverable
• Yes with comments
– If a Consensus Process attracts significant comments (through Yes with comment votes), it is
expected that the comments be addressed in a future revision of the deliverable.
• Formal Objection- with comments indicating a path to address the objection in a way that meets the
known concerns of other members of the Community of Interest. "Formal Objection" vote without
such comments will be considered Abstain votes.
– A Formal Objection means that the objector cannot proceed with the project unless the
objections are met. It is acceptable and expected to use a Formal Objection in a first consensus
round to communicate a point of view or process issue that has not been addressed in the
drafting of the initial deliverable.
– Should a Consensus Process attract even one "Formal Objection" vote with comments from an
Initiative Member, the deliverable must be revised to address the "Formal Objection" vote
(unless an exceptional process is declared).
• Abstain (decline to vote)
Note: Each Organization, no matter the number of Committed Members only receives 1 Vote. If there are multiple
committed members from your organization please verify your collective vote with them
21. Submitting your Vote
1. Review the Project Charter: 1
– http://wiki.siframework.org/Automa
te+Blue+Button+Project+Charter
2. Complete the Voting Form:
– NOTE: You must be a Committed
Member to Vote
• Yes
• Yes with comments. 2
• Formal Objection
• Abstain (decline to vote)
3. Submit your Vote
3
4. A Message is displayed verifying your
vote was recorded
4
21 21
22. Viewing your vote
5. View and track your Vote. (Voting record is directly below the Voting Form.
• Note: you may need to refresh your browser to see your vote
5 Automate Blue Button Project Charter Consensus Vote
Jane Smith
Committed Member
Note: All Consensus Votes are due Sept 17th by 8:00 pm EST
22
23. Next Steps
• Next Steps
– Comment on the Project Charter:
– http://wiki.siframework.org/Automate+Blue+Button+Project+Charter
• Next Work Group Meeting
– 3:00pm - 4:30pm Eastern, Wednesday, August 29, 2012
– http://wiki.siframework.org/Automate+Blue+Button+Initiative
• All ABBI (ABBI) Announcements, Meeting Schedules, Agendas,
Minutes, Reference Materials, Use Case, Project Charter and
general information will be posted on the HeD Wiki page
– http://wiki.siframework.org/Automate+Blue+Button+Initiative
23
24. Contact Information
For questions, please contact your support leads
• Initiative Coordinator: Pierce Graham-Jones (pierce.graham-jones@hhs.gov)
• Subject Matter Experts: to be announced
• Project Management: Jennifer Brush (jennifer.brush@esacinc.com)
• S&I Admin: Apurva Dharia (apurva.dharia@esacinc.com)
24
25. Useful Links
• Automate Blue Button Wiki
– http://wiki.siframework.org/Automate+Blue+Button+Initiative
• Join the Initiative
– http://wiki.siframework.org/Automate+Blue+Button+Join+the+Initiative
• Automate Blue Button Project Charter
– http://wiki.siframework.org/Automate+Blue+Button+Project+Charter
25