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TC Restructuring Proposal From TC Leadership.ppt - HITSP by ert554898


									Technical Committee Restructuring
 •   In recent months, HITSP TC leadership recognized a
     need to align TC resources to meet the needs generated
     by the increasing number of use cases and the expanding
     scope of use cases

 •   TC leaders met face-to-face November 19th to address
     these concerns and to develop a restructuring proposal if

 •   Following are notes from that meeting, including a
     proposal for the structure of HITSP Technical Committees
     for 2008
Considerations For Restructuring
 •   The increasing number of use cases and sub-parts of use
     cases is splintering our HITSP TC resources
 •   Responsibility for constructs overlaps across the use case
 •   Unmet needs for maintenance and updating of prior
 •   Limited resources – number of co-chairs, number of
     skilled volunteers, number of staff FTE
 •   Need for clear responsibility for deliverables in each of the
     three dimensions
 •   No matter what overall structure is chosen, still must
     agree on exact initial subgroup structure, e.g. domain s
Objectives For This Meeting

 •       Agree on a fundamental TC structure for 2008

 •       Agree on responsibilities for each TC

 •       Agree on next steps
     –     Suggest initial subgroups to responsible co-chairs
     –     Timing for co-chair deliverables
     –     Communications Plan
     –     Transition Plan
     –     What do we say when we leave the room
TC Restructuring Proposal For 2008
 In 2008 there should be 6 HITSP Technical Committees comprising:

 • 3 Perspective TCs, aligned with AHIC and ONC use cases
     – Population Perspective TC
     – Provider Perspective TC
     – Consumer Perspective TC
 • 3 Domain TCs with subgroups for agreed health care domains
     – Care Management and Health Records Domain TC
     – Infrastructure, Security and Privacy Domain TC
     – Administrative and Financial Domain TC

 Responsibilities and Deliverables of TCs:

     – Perspective TCs are responsible for Interoperability Specifications, and for
       Requirements and Design (RDSS) artifacts
     – Domain TCs are responsible for all other Construct artifacts
     – Each TC determines its own internal structure
     – Each TC may deputize members to lead subgroups, and co-chairs remain
       responsible for TC activities
Restructuring Proposal

                                                                                                                                                                        Security & Privacy
                                                                                                                                                 Workflow and Process
                                                                                                                      Knowledge Representation
                       Use Case
                          Use Case
                    Use Case Use Case   Use Case Use Case
                                           Use Case
                                              Use Case         Use Case
                                                                  Use Case
                                                            Use Case Use Case

                                                                                                                          Terminology And
                                                                                           Messaging and Datatypes
                 Care Management and Health
                 Records Technical Committee

  Domain         Infrastructure, Security and
Committees       Privacy Technical Committee

                 Administrative and Financial
                 Technical Committee

- TC Leadership Oversight                                                                                            Foundations
- Communications function                                                                                             Committee
           Meeting Notes and Agreements 1
            Discussion Questions, Issues and Challenges (Answers)

1.   Need knowledge transfer (This is true regardless of structure)
2.   Need success criteria (Input, transfer of responsibility, delivery to internal and
     external customers, intermediate internal process measures)
3.   Need inbound and outbound process definition (Easier in new structure)
4.   Need to define customers (Both internal and external customers, including the
     “expanded” external customer base of implementers outside ONC)
5.   Need to define what project team resources are needed (Depends on workflow,
     may or may not need additional project team resources)
6.   Need to define workflow process for construct development (Most process work
     should focus on the IS integration problem and efficiency improvements,
     Perspective committee should propose a draft RDSS and ask Domains to fill in)
7.   Construct ownership must be defined (General rule: ISs in Perspective TCs,
     other Constructs in Domain TCs, there may be exceptions in some cases)
8.   Need some staff FTE for each domain workgroup and each foundational area
     (see #5 above)
9.   Need to ensure consumers are not left out of the equation (Consumer
     perspective TC is intended to be responsive to Consumer needs)
       Meeting Notes and Agreements 2

HITSP Artifact Responsibilities

  1. Use Case Perspective IS Technical Committees:
     - Interoperability Specifications and RDSS (exclusive)

  2. Domain Technical Committees & Workgroups
     - All Domain constructs other than Interoperability
     Specifications and RDSS

  3. Foundations Committee & Workgroups
     - Foundations strategy and guidance documents

      Note: any committee may publish technical notes
         Meeting Notes and Agreements 3
Next Steps

•   Formalize Critical Success Factors for business customers, strategic
    and operational (see next page)

•   Define transition plan
    - Elections should depend on transition plans
    - Cross-TC groups to elect co-chairs?

•   Formal process definition and documentation (esp. to promote reuse),
    including timing of each step within overall timelines and external
    expectations and dependencies
    - to include joint leadership review of draft requirements w/ IRB
    - to include maintenance process
    - to include communications processes

•   Formally define communications plan
             Meeting Notes and Agreements 4
•       Draft Initial Critical Success Factors:
    –      Maintain and slight growth in volunteer Types 1, Moderate growth
           for type 2, facilitate engagement of type 3s (pool of future Type
    –      Avoid TC leadership burn-out by recruiting among Type 1
    –      Minimize inconsistencies, or late discovery of inconsistencies,
           especially as number of IS and Construct grows
    –      Reduce workload on constructs development and maintenance
           (farm-out but oversee).
    –      Ensure non disruptive reorganization (cannot afford to loose
           participants or discontinue maintenance activities).
    –      Provide a reasonably easy to read organization for “new comers”.
    –      Scale organization for 4 new use cases every year and maintain
           50 constructs and 15 ISs by 2009.

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