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Chair: Mohammad Jafari 

Scribe:  Elizabeth Oppenheim 

Disclaimers

HL7 WGs are required to present the HL7 Code of Conduct & the HL7 Antitrust Statement at the beginning of each meeting:

HL7 Antitrust Policy: Professional Associations, such as HL7, which bring together competing entities are subject to strict scrutiny under applicable antitrust laws. HL7 recognizes that the antitrust laws were enacted to promote fairness in competition and, as such, supports laws against monopoly and restraints of trade and their enforcement. Each individual participating in HL7 meetings and conferences, regardless of venue, is responsible for knowing the contents of and adhering to the HL7 Antitrust Policy as stated in §05.01 of the Governance and Operations Manual (GOM).

HSSWG calls are recorded per WG approval during December 16, 2021 conference call unless an objection is sustained.

Meeting Link: https://hl7-org.zoom.us/j/4705515023

Attendees

Present

Name

Affiliation

  •  

Chris Shawn (Co-Chair)

VA
  •  
Liz Oppenheim (Co-Chair)Mitre
  •  
Grey Faulkenberry (Co-Chair)MayJuun
  •  
Mohammad Jafari (Co-Chair)VA
  •  
Lizz Olson (Co-Chair)Atrium Health
  •  
Ken SalyardsHHS/ACF
  •  
Joanna ThurstonHHS/ACF
  •  
Jessica BanksGoldbelt
  •  
Jasmine StewartGoldbelt
  •  
Sal RanaGoldbelt
  •  
Sheetal ShahEMI Advisors
  •  
Karen BertodattiEMI Advisors
  •  
Emma JonesEMI Advisors
  •  
Gay DolinNamaste Informatics
  •  
Kerry BeckmanVA

Guests and Members:

  • Brian Handspicker, IX4HS/Gravity/Unify
  • Cody Johansen, Unite Us
  • Eric Jahn
  • Dave Hill
  • Denise Joseph, ONC
  • Gilbert Thompson, ACL
  • Gordon Campbell, FEI Systems
  • Greg Bloom, Open Referral
  • Duane DeCouteau
  • Joe Bormel, Cognitive
  • Joe
  • Kevin Duvall, ACF
  • Maria D Moen
  • Robert Dieterle, EnableCare
  • Serafina Versaggi FEI/BookZurman
  • Teresa Gerard, Guardian Group

Agenda Topics

#

Agenda Item

Discussion

Decisions / Actions

1Welcome and Quorum

Quorum = 2 co-chairs and 2 guests

  •  Attained

2Agenda Review



3

Minutes Approval

2022-04-07 HSSWG Agenda/Minutes

(Approve by general consent)

Decision: Approved by general consensus

Meeting Minutes from the previous meeting were shared with the listserv 

4Announcements

5

Projects and Relevant Topics

  • FHIR Consent Demo
  • PSS-2001 - Getting issue details... STATUS

Duane DeCouteau provided an overview of the Screening Tool (UI interface of collaboratively and interactively constructing a FHIR clinical consent record) includes:

  • Food Insecurity
  • Housing Insecurity
    • Conditions
    • Utility
  • Transportation
  • Personal Safety
  • Employment & Education
  • Social Support

Inside the tool is coding that brings up services and supports in the community. Veteran has selected and then consented for his/her information to release information to the organizations identified. Once signed, the consent is created for patient privacy and research. The consent is only effective for a particular period of time. Sensitive data must be unlocked with pass code on the health record for Veteran to see. Services running in the background look to key off a question of the questionnaire and then go look for services in the area. Providers receive information related to the service they provide.

Q&A/Discussion 

  • Robert Dieterle Are the agencies covered by the VA covered entity (By VAA) or are they just community organizations. Meeting is scheduled with ACORN folks to understand the relationship between the providers and the VA.
  • Teresa Gerard-Have you collaborated with HSRM Community Care Point, have not yet.
  • Greg Bloom  There are some services, but many, will not be able to receive a warm referral or close-the-loop referral. Model that seems universal in healthcare-individual can be seen and is a resource to be seen. This is not the case in social services.
  • What kind of risk assessments have been done for unintended consequences? No risk assessment has been done-just proof in the technology. GB-There are real risks that come with this and important to consider risks at every point in the cycle. GB can share resources of limitations of privacy rights and notice and consent paradigm that help understand the risks and harm reduction should be core principles of the work. Have to assume that someone is service by someone who is appropriate and well-trained, and all goes right there is any number of reasons why someone might not provide an enthusiastic or informed answer and have legal protections stripped from them. https://simplysecure.org/blog/the-limits-to-digital-consent-understanding-the-risks-of-ethical-consent-and-data-collection-for-underrepresented-communities/ Limitations of digital privacy: https://teachprivacy.com/the-limitations-of-privacy-rights/
  • Potential misuse has to be part of the design of the tool.


6Next Meeting


  • Dave Hill PSS 2001 question about alignment with National Directory work and Plan-net
  • Want to see how that work is going to fit in national directory given that CMS and interoperability rules recommend using Plan Net? Should we put this on the agenda for the next meeting. Would be a valuable conversation.

Next HSS WG public call: May 5, 2022


Meeting Adjourned: 3:50 pm ET

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