1. Query Health Business Working Group Kick-Off September 8, 2011

2. Agenda TopicTime Allotted Introductions and Welcome Overview of Query Health Initiative Charter and Scope (Rich Elmore) 12:00 – 12:10 Business Workgroup Mission, Plan and Timeline Rules of Road Committed Members Wiki 12:10 – 12:20 Discussion of Initial Draft Business Requirements 12:20 – 12:45 Plan Next Steps: Assignments for three parallel requirements work tracks: Best Practices and Principles Regulatory Issues (P&S focus) and Trust and Data Use Agreements Sustainability and Business Scalability 12:45 – 1:00

3. Overview of Query Health Charter & ScopeQuery Health Charter Query Health Objective Simple Scalable Secure Use Case Introductions and Welcome Initiative Coordinator Rich Elmore Establish Standards and Protocols for: 1.Patient Data 2.Query / Case Definition 3.Results Establish Standards and Protocols for: 1.Patient Data 2.Query / Case Definition 3.Results

4. Business Workgroup Mission, Plan and Timeline Rules of the role –Call courtesy Announce your name – and affiliation first time you speak Do not interrupt Do not dominate discussion / make point and listen to others –Do-ocracy Your active participation and contribution is your credibility Self organized work and calls between meetings Committed Members –Statement and agreement to actively contribute, not just attend calls –Committed members are expected to work between calls and report out on weekly calls –Other interested members are invited to participate and consider becoming committed member –Only committed members may participate in Consensus Process Wiki –http://wiki.siframework.org/Query+Health –http://wiki.siframework.org/Query+Health+-+Business+WG 4

5. Query Health Scope and Approach Practice drives standards 1.Rough consensus 2.Running code (open source) 3.Pilot 4.Specifications 5.Standards Query Health – Distributed Population Queries Standards & Service Public / Private Partnership Project Community Driven, Consensus- based EHRs & Other Clinical Records HIT Policy Committee: Policy Guideposts

6. Summer Concert Series: Challenges Distributed Population Queries Best Practices for Data Use / Sharing Sustainability Organization, Management and Coordination Auditability Privacy, Security and Consent Consistency of Clinical Concepts Data Extensibility Queries Across Organizations Multiple Networks

7. Plan Outline The Business Working Group is responsible for privacy, security, consent, sustainability, data use arrangements and Query Health best practices. The Business Working Group tasks will parallel S&I work flow: Coordinate with the Clinical and Technical WG activities allowing parallel efforts Business requirements will be documented in the Use Case and Requirements document Collectively the WG will provide a business perspective to the Query Health Initiative end to end. 7 Task 1Define business requirements including privacy and security considerations Task 2Identify potential solutions / best practices / data use agreements aligned with proposed technical solutions Task 3Propose business solutions /best practices for RI and pilot Task 4Evaluate, validate and refine business solutions based on lessons learned from RI and pilot

8. Task 1. Define Business Requirements While this initiative as well as all S&I Framework initiatives is focused on interoperability between systems, to succeed Query Health will also have to address requirements from a business perspective. – These include the organization, management and coordination of Query Health Networks, their scalability and extensions, financial sustainability and needs for policy alignment. 8

9. Initial Draft Business Requirements Based on preliminary research and the Summer Concert series, six types of business requirements have been identified: –Best Practices Considerations –Principles of Organization, Management and Coordination –Trust and Data Use Agreements –Regulatory Issues including Security and Privacy –Sustainability –Business Scalability Our initial work items will be a detailed analysis to validate, edit or otherwise change for inclusion in the Consensus Use Case and Requirements document. 9

10. Task 2. Identify Potential Solutions Plan TBD at F2F Begin identifying potential candidate from Summer Concert Series learning and requirements validation 10

11. Task 3. Propose Business Solutions / Best Practices for Pilot TBD 11

12. Task 4. Evaluate, Validate and Refine Business Solutions TBD 12

13. Query Health Org & Timeline

14. Timeline to October F2F 14 MeetingObjectiveAssignment #1 (9/8) Introduction, Initiative Overview and WG Plan and Initial Assignments for Task 1 Business Requirements Initial Draft of Business Requirements by three parallel work teams #2 (9/15)Report out on Business Requirements teamsInitial draft of Business Requirements for UC #3 (9/22)Review of Initial Business RequirementsFinal draft of Business Requirements #4 (9/29)Review final draft of Business Requirements Send Business Requirements to Clinical and Technical WGs for comment #5 (10/6) Review and Resolve Comments from other WGs Revise and summit Business Requirements to Clinical WG for inclusion in Consensus draft of Use Case and Requirements #6 (10/13) Plan for F2F and next steps (Identification of solutions) Preliminary list of potential best practices, solutions, agreements, regulatory summaries and/or sources F2F (10/18-19)Resolve Consensus Issues Identify Task 2 Plan to Identify Solutions (harmonization) Task 2 Work Plan and Assignments

15. Next Steps Provide comments on the charter Volunteer to work on one (or more) of three requirements’ work streams –Best Practices, Organization, Management and Coordination –Trust and Regulatory –Business Sustainability and Scalability Task for next week –Develop preliminary requirements and prepare to discuss on next week’s call Work as self-organizing team using wiki and calls as needed Who is ready to sign on? 15

16. Using the Discussion Tab on Wiki to Leave Comments 16 1.Click on the “Discussion” tab 2.Select a discussion thread you would like to view or respond to 3.How to start a new thread: A.Click “+ New Post” B.Enter the “Subject” C.Enter the post as the “Message” D.Check “Monitor this topic” to receive e-mail notifications E.Click “Post” 4.You can share a specific discussion by right-clicking on the title and copying the link Example User Story – Case Control, Statin Efficacy