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Bob Smith, Ph.D .

Bob Smith, Ph.D. 45 years “experience” in segments of US health care data management Perspective #1: Business Strategy and IT Change Now Professor Emeritus, Cal State University, LB Health Policy analyst for UCI Health Policy simulation for ABAG, SCAG 1980-2020

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Bob Smith, Ph.D .

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  1. Bob Smith, Ph.D. • 45 years “experience” in segments of US health care data management • Perspective #1: Business Strategy and IT Change • Now Professor Emeritus, Cal State University,LB • Health Policy analyst for UCI • Health Policy simulation for ABAG, SCAG 1980-2020 • Chair, CSU ‘AI-Expert Systems Council’ • A dozen health related small business start-ups • Perspective #2: Participant Consumer of Health IT • Ontolog Health Projects coordinator (RFI, RFI Evals, AHIC) • Medicare services for all 3 big threats • HB CERT Volunteer for emergency medical/disaster response • HIMSS Volunteer on National Preparedness Response-HSIN; China; Emerging Technology Reviewer • National Mapping System volunteer (Tustin Area GIS) Bob Smith: HIEI Perspectives from Top and a Bottom

  2. Potential Large scale Ontology Projects- The Bus. Process Perspective Strategy for Traction Policy Opportunities Methods Maturity Justification and Commitments Business Case Development Current Trends and Tensions: The Consumer Perspective Landscape of HCSO Market too fuzzy Roadmaps needed between key milestones to community goals Need Blueprints showing how to craft health care standards “intelligently” PHIEI:Personal Health InformationExchange and Interoperability : Two PerspectivesBob Smith, Ph.D. Bob Smith: HIEI Perspectives from Top and a Bottom

  3. Questions on HIEI Standards • Perspectives and Complexity • CS Pierce 1878 (thanks to Jack Ring) • True Grid Perspectives (Barry Smith) • Fit Happens IFF tuned ontologies • Standard Setting in Context • Boring trough between two exciting peaks • Gordon Bell’s insights on Level Strategy, Timing, Evolution, Guidelines • Ontolog’s prior experiences with Standards • UBL, CCCT, RFI Thesis, FHA Levels (Brand’s) Bob Smith: HIEI Perspectives from Top and a Bottom

  4. Consider the Strategic Landscape for HIEI • The Market place: 2005-2008 • Role of Standards in Competitive Advantage • Role of Government in balancing conflict for public benefit • Market Fail-points and roles of Ontology Management and Ontology Engineering • Visible HIEI Thought Leaders and Entrepreneurs • Consumer oriented • Banking oriented • Current practice oriented • Technology oriented Bob Smith: HIEI Perspectives from Top and a Bottom

  5. Initial Framework and Inflection Points around Govt, Industry, Consumer expectations • GAO and OMB: Metrics for GIG-FHA Maturity Taxonomy • FEA planning, auditing, and policy coordination can drive HIEI • DoD and VA Joint Agreement policies can support HIEI if… • HIMSS and CCHIT efforts around vendor certification initiatives • http://www.himss.org and http://www.cchit.org/ • CITL, HIMSS, & CHIME: Hospital Diffusion rates of key HIEI concepts http://www.citl.org/http://www.cio-chime.org • openEHR and Ethidium HS, LLC present low-cost web based open platform compliant with key HIEI standards • http://www.openEHR.org (EU, Australia, New Zealand focus) • http://www.ethidium.com/ ( US focus) • Esther Dyson’s PHI Workshop trajectory of Information Liquidity • www.release1-0.com/events/ • Medical Banking, PHR, MedicAlert, Medsphere active in this new space and this implies…. • Governance Institute and _EHR Vendor strategies, Barriers and Ease of Entry http://www.governanceinstitute.com (Highlight the dynamics and competitive market place; implies new players using web services at vastly lower prices will force significant HIEI changes) Bob Smith: HIEI Perspectives from Top and a Bottom

  6. Resources and Task Sequence • How much new momentum for HC Standards? • AHIC and the 4 Contracts • Technology Maturity and Organizational Readiness of Ontology Management • Carole Goble’s Description of academic Community and the role of a “Prince of Policy” • Mark Musen’s Description of grass root solution problems • Rainu Kaushal, et al, The Costs of a National Health Information Network (Aug. 2nd 05, Annals of Internal Medicine) • Business Process Management Suites (IBM, SAP, MS, etc.) • Examples of potential Pilots and expected results: • HIMSS NPR-HSIN? • Policy Simulation modeling with Ontology (Robin Milner, et al)? • NIST Testbed and External Funding? • HIMSS Analytics and CITL Scenarios? Bob Smith: HIEI Perspectives from Top and a Bottom

  7. Bob Smith: HIEI Perspectives from Top and a Bottom

  8. HSIN-HPH Local Region State Fed WHO HR Coding Administrator Employer Public Health Dept Claims Coding HMO/ PPO Public Ins. RHIO coding Radiology HL 7 coding Patient Primary Care Physician RN Team Laboratory Pt “Coding” Pharmacy PBM CCR coding Credit Card & Co-Pay Banking System Emergency/All Threats/Routine Messaging, Choreography Guidance Standards Organizations Bob Smith: HIEI Perspectives from Top and a Bottom

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