1. OSEHRA Interoperability Work Group (OSEHRA IWG) August 5, 2014 Mario G. Hyland Chair and Senior Vice President AEGIS.net, Inc. @Interopguy

2. 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=668350106https://osehra.webex.com/osehra/onstage/g. php?t=a&d=668350106 Dial-In: 1-650-479-3207; –Access Code: 668 350 106 Logistics

3. 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

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

5. 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

6. 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

7. 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

8. AEGIS participated in the Open Source Convention (OSCON)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.comhttp://www.oscon.com Open Source Convention (OSCON)

9. 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

10. 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

11. 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, CAAHIMA 86th Convention and Exhibit 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: –15 th International HL7 Interoperability Conference (IHIC 2015); Prague, Czech Republic Representation of the IWG at Industry Events

12. 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

13. 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

14. 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

15. Interested Participants

16. How do I join OSEHRA and the OSEHRA IWG? To join the IWG community –http://www.osehra.org/content/interoperability-work-grouphttp://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=3https://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

17. Contacts: Mario G. HylandBarry Dickman Chair & Senior Vice President IWG Support AEGIS.net, Inc. AEGIS.net, Inc. 703-893-6020 x 707703-893-6020 x379 301-529-5466 Mobile 703-980-6780 Mobile mario.hyland@aegis.net barry.dickman@aegis.net mario.hyland@aegis.net barry.dickman@aegis.net @Interopguy Elizabeth Badt OSEHRA Executive Assistant 571-858-3381 badte@osehra.org Resource: OSEHRA IWG Website http://www.osehra.org/content/interoperability-work-group