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Introduction to OLHIE

Introduction to OLHIE. The Open Library of HIE. Presented by: Alesha R. Adamson John Bozada. Agenda. What is OLHIE History of OLHIE Stakeholders Open Health Tools (OHT) and Pronoia Health OLHIE the Library Paradigm and Framework Governance and policy Project plan Getting involved.

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Introduction to OLHIE

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  1. Introduction to OLHIE The Open Library of HIE Presented by: Alesha R. AdamsonJohn Bozada

  2. Agenda • What is OLHIE • History of OLHIE • Stakeholders • Open Health Tools (OHT) and Pronoia Health • OLHIE the Library Paradigm and Framework • Governance and policy • Project plan • Getting involved

  3. What is OLHIE Let Us Inform One Another

  4. Open Library of HIE • The Open Library of HIE (OLHIE) is an online ecosystem that will allow “Authors” of HIE-related assets to share their work and provide “Readers” with real-world resources to inform their work. • Interfaces: requirements, work-flow, templates, datasets, technical and user documentation • Policies, tool-kits, and forms • Model RFP and Contract language to encourage/require federal/state funded assets be contributed to the library • Other source code for connecting EHRs, labs, pharmacies, and public health agencies

  5. OLHIE’s Goals • Promote reuse, cooperation, and learning in order to reduce the cost of building and operating HIE. • Create a web application that allows readers to search, categorize, “like”, review, and create their own bookshelves that can be shared with other readers and inform authors. • Streamlined workflow for authors to publish, version, make private, and remove assets.

  6. History of OLHIE Where was OLHIE born?

  7. Stephen says: “the HIE side of things will largely be bridged in the near and even mid term by developing interfaces…LOTS of interfaces…lots of CUSTOM interfaces…lots of EXPENSIVE custom interfaces.” Stephen Palmer Director, Office of eHealthCoordination, Texas

  8. Guiding Principles • Accelerate connections between Health Information Exchanges (HIE). • Facilitate the reuse of HIE interfaces, and other assets, especially those developed with federal or state funding. • Reduce cost of interoperability • Increase the potential for interoperability • Promote community learning

  9. Areas of Focus • Community Engagement • HIEs • Vendor Community • Library Development • Workflow and Vetting

  10. Stakeholders Who is interested in OLHIE?

  11. Executive Steering Committee • Delaware: Mark Jacobs • Georgia: Kelly Gonzalez • Texas: Stephen Palmer • Vermont: Terry Bequette

  12. State Support • Hawaii • Illinois • Maryland • Nebraska • North Dakota • Wyoming • Arizona • California • Colorado • Delaware • Georgia • Texas • Vermont

  13. Vendor Support • Cerner • General Dynamics, Information Technology (GDIT) • Mirth Corp • Orion Health Consortia Support • College of Health Information and Management Executives (CHIME) • National eHealth Collaborative (NeHC)

  14. What do the stakeholders want? • Name change (ILP OLHIE) • Asset repository, not just an interface repository • Tools and services for the future • Robust community • “Dollars for Deltas” • Availability of real-world assets to academia

  15. Early Adopters • California eHealth Quality • Requirements gathering session April 25 • Committed to contributing code and non-code assets • HIE Ready Toolkit • Public Health Interfaces, and others • Working with Redwood MedNet, Inland Empire HIE, Santa Cruz HIE and other State agencies

  16. Other Early Adopters • Holding a joint requirements gathering session with VT and DE • Planning requirements gathering session in TX • Local HIEs will be included • Scheduling a mid-phase “sanity check” with GA in June

  17. Open Health Tools What is OLHIE’s heritage?

  18. Open Health Tools • 501(c)(6) Non-profit • Organization • Provides facilitation, resources and • governance to Open • Source projects Improving the world's health and well-being by unleashing health IT innovation

  19. World Class Leadership Robert Kolodner, MDChief Health Informatics Officer Skip McGaugheyExecutive Director Chairman of the Board Dr. Brian BarryChief Technology Officer

  20. World Class Membership Government AgenciesCanada Health Infoway (CA)Indian Health Services (US) National Health Service (UK)National eHealth Transition Authority (AU)Veterans Health Administration (US) Academic InstitutionsAustralian Health Research Centre (AU)Cardiff University (UK)Linkoping University (SE)Mohawk College (CA)Georgia Tech (US)Oregon State University (US)Florida International University (US) Healthcare Systems (US) Mayo Clinic Hartford Healthcare System Southeast Texas Health System Standards Organizations and Open Source Foundations Eclipse Foundation, Inc. HL7 IHTSDO Object Management Group (OMG) Open Health Data Other Non-Profit OrganizationsAHIMA Foundation Global Patient Identifiers, Inc. Internet2 MITRE Corp.

  21. World Class Membership Vendors Inpriva ITG Health Jembi Health SystemsJP Systems Lamprey Networks, Inc.MedsphereNetGen SoftwareNexJ Nitor GroupOcean Informatics OpenMRSOraclePalamida Phast PHIIPronoia HealthRed HatSageShoulders Corporation SETHSTBSTolven 5AM AEGIS AndagoApelonBedarra ResearchBlack DuckCambio Healthcare Cognitive MedicineCollabNetCollaborative Software InitiativeDSS, Inc.Discovery MachineFEI Firestar Software GDIT Global Patient Identifiers, Inc. Harris Corporation Hewlett Packard IBM

  22. Charter Projects Open Library of HIE (formerly ILP) Platform Implementation Project Academic Outreach HL7 Tooling Common Terminology Services (CTS2) Conformance Services Privacy, Access and Security Services Model Driven Health Tools (MDHT) Medical Devices Interoperability Platform SNOMED CT Project Supply Chain Tooling Project IHE Profiles Project Canadian HER OpenCDS OpenExchange OHT Toolkit Application Integration Platform

  23. Why OHT? • Proven governance framework • Provide an environment conducive for collaborative development • Can achieve synergistic benefits

  24. OLHIE the Application The Library Paradigm

  25. Disclaimer Only 1 of 4 requirements gathering sessions have occurred at the time of this presentation.

  26. Library Paradigm:Books • Atomic unit for all assets is “Book” • A Book may have different Chapters • Table of Contents, keywords, category • Interface code, requirements specifications, diagrams • Links to outside resources • A Book may bedownloaded in part or in its entirety • Books can be rated and reviewed by members • Peer promotion • Search engine weights

  27. Library Paradigm:Books (cont.) • Revisions will be maintained • Level set of Categories provided by OLHIE: • Interfaces, Policy, Forms, Contract/RFP Language • Additional categorization is managed by the members • HL7, North Dakota, Minors, Interstate • Interfaces are a special kind of Book • Source and destination systems • Engine vendor • Message type

  28. Library Paradigm:Search and Retrieve • Enable search engine indexing • Google, Yahoo, Bing • Search by Category • I’m new to this, where do I get started • I want to see all the affinity domain documents • I want to see everything from Hawaii • Hover-over review of content and authorship • Open a Book • Put Book on your Bookshelf

  29. Library Paradigm:Authors • Must sign contributor agreement • Author attests that they own the IP or that they have authority to share the content • Agreement will be counter-signed • Control their content • Create, update, delete • Approve Co-authors • Promote contributors to Co-authors • Approve content from Contributors • Publish, keep private • View all Books contributed • Author’s Bookshelf • Be alerted when reviewed or rated • Choose to allow messages from Readers • With or without exposing their contact information

  30. Library Paradigm:Readers • Readers have created accounts, but may still be anonymous (IamElvis) • Search and retrieve Books • Promote and review Books • My Bookshelf, My Favorites • Can request to be a Contributor • Can request to be an Author or Co-author • Send messages to Authors

  31. Library Paradigm:Visitors • Anyone may access the Library from a tablet or PC • Do not have a personal bookshelf • Are not able to leave ratings or reviews • Are not able to publish or suggest content • May create a Reader account

  32. Think of your local library Suzallo Library at UW

  33. OLHIE’s Parking Lot • Collections of Books as a Book • “California – The Book” or “I’m In – The Book of Authorization Forms” or “JohnBob’s Book of Lab Interfaces” • Free and subscription content • “Publishers” that manage many authors • Protected content • Link walking to outside resources • Reading clubs • Informing search criteria/weights with Reader ratings • Establish content affinities • If you liked *that* you’ll love *this* • Subscribe to someone else’s bookshelf …What else you can think of?

  34. Development Technologies

  35. Governance Framework How is OLHIE governed?

  36. Governance Framework • Governed by a set of bylaws that provide for: • Membership in OLHIE • An Executive Steering Committee (ESC) • Project Director • Committees

  37. Membership • Includes US states and/or territories, HIEs, vendors, other parties that wish to contribute • ESC will determine if prioritization is necessary • Members must • Complete a membership application • Be approved by a majority vote of the ESC • Execute a membership agreement.

  38. Executive Steering Committee • Manages business and technical affairs • Members will include: • Project Director • At least three State Health IT Coordinators • Representatives of HIEs, vendors and other interested parties • Other appointments will be made by the ESC before adopting bylaws

  39. Project Director • Responsible for day-to-day management of OLHIE

  40. Committees • Architecture and Technology Committee (ATC) • Change Control Committee (CCC) • Legal and Policy Committee (LPC)

  41. Architecture and Technology Make recommendations to the ESC about the technology platform, development methodology, operations methodology and other technical issues.

  42. Change Control Committee Responsible for managing the content contained within the OLHIE repository. Responsible for establishing standards for data quality and completeness, and reviewing and approving data contributions.

  43. Legal and Policy Committee Responsible for reviewing and taking appropriate actions about the intellectual property (IP), contractual and other legal policies

  44. Governance Structure • OLHIE will be available to anyone, including: • Discovery of interface assets • Viewing and downloading assets distributed under open source or creative commons licensing • Ongoing discussion regarding commercially licensed assets

  45. Phase 2 Governance Work • Sustainability Plan • Committee Development • IP Policy • Other policies and procedures • RFP and contract language

  46. Project Plan When will OLHIE be ready?

  47. Getting Involved How can I contribute?

  48. Getting Involved • Committees • Contributions • Early adopter • Sustainability Let Us Inform One Another!

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