“Medicare for All” House Hearing | C-SPAN

The House Rules Committee held a hearing on “Medicare for All” proposals.

Michael C. Burgess M.D.
U.S. Representative
[R] Texas
Tom Cole
U.S. Representative
[R] Oklahoma
Sara Collins
Vice President
Commonwealth Fund->Health Care Coverage and Access
Jim McGovern
U.S. Representative
[D] Massachusetts
Ed Perlmutter
U.S. Representative
[D] Colorado
Jamie Raskin
U.S. Representative
[D] Maryland
Mary Gay Scanlon
U.S. Representative
[D] Pennsylvania
Grace-Marie Turner
Founder and President
Galen Institute
Rob Woodall
U.S. Representative
[R] Georgia

Office of the National Coordinator for Health IT Longitudinal Coordination of Care Community-led initiative

January 10, 2013

From: Susan E. Campbell, Committed Member of the (open source) ONC Longitudinal Coordination of Care Community-led initiative

The Office of the National Coordinator for Health IT (ONC) is seeking your participation in the S&I Framework Initiative,  Longitudinal Coordination of Care (LCC) Workgroup (WG). The LCC WG is a community-led initiative charged with supporting and advancing interoperable electronic health record (EHR) systems and patient-centric interoperable health information exchange across the Long-term and Post-Acute Care (LTPAC) spectrum. Over the past year, the LCC WG has been engaged in developing a standardized patient assessment tool and refining standards and implementation guidance for consideration in Meaningful Use Stage 3. More specifically, the LCC WG and its three sub-workgroups are addressing the following challenges:

  1. Absence of an interoperable, longitudinal care plan which aligns, supports and informs care delivery regardless of setting or service provider
  2. Lack of clear and harmonized terminologies and definitions for care plans
  3. Lack of robust, interoperable EHR systems across the LTPAC spectrum with the ability to electronically exchange clinical information
  4. Underserved community with multiple care settings and needs that exceed exchange of clinical information

Key accomplishments (with hyperlinks) of the LCC WG include:

LCC Use Case. Outlines three scenarios for health information exchange between:

  1. an acute care hospital and home health agency (HHA)
  2. a skilled nursing facility (SNF) and the Emergency Department (ED)
  3. a Physician and a HHA. Two of the scenarios center on the Home Health Plan of Care (HH-POC), based on the CMS 485 form.

Transitions of Care and HH-POC Data Set. Builds from the LCC Use Case and identifies over 480 data elements needed by receiving clinicians to safely and appropriately care for patients at times of transitions of care.

Care Plan Glossary. Describes a key list of care plan terms, definitions and components to be considered
for MU stage 3.

The LCC WG is a community-led initiative that is mainly funded and driven by public and private sector partners, each of which is truly committed to overcoming the interoperability challenges in long-term and post-acute care transitions. These dedicated groups include my company, Care Management Professionals.  We hope it could also include the Case Management Society of America (CMSA) and your own firm, Case Management Innovators.

Given the current timeline to respond to the Health IT Policy Committee (HITPC) Stage 3 Meaningful Use Request for Comment (RFC), the LCC WG has hosted a series of webinars to give key stakeholder groups additional information on the current recommendations and questions related to care plans and other key LTPAC priority areas including transitions of care and advance directives. The LCC WG is focused on gathering and consolidating LTPAC community comments and feedback on the existing recommendations in order to develop a unified and targeted response to influence Stage 3 MU recommendations.

We encourage you to review one of the four presentations and recordings of these webinars which are now available on the LCC wiki page here. The LCC WG wants to ensure all LTPAC stakeholder groups have the opportunity to shape Stage 3 MU recommendations and ultimately influence the development of a collaborative model of care that encompasses a longitudinal and comprehensive care plan.

An initial draft of LCC WG comments is now available here for
your review and additional input.

We also invite you to participate in the LCC WG weekly calls. The
schedule and webex information for these calls are available here.



Susan E.
Campbell, PhD, RN-BC(IN), CPHQ, CCM, CIC

Care Management Professionals

Committed LCC Committee Member

Evelyn Gallego, ONC S&I LCC Initiative Coordinator

Dr. Larry Garber, LTPAC SWG Lead

Dr. Terry O’Malley, LTPAC SWG Lead

Dr. Bill Russell, LCP SWG Lead

Sue Mitchell, LCP SWG & PAS SWG Lead

“Interconnected Health 2012” April 2-4, 2012 in Chicago Second Call for Participation [repost]

Needham, MA, USA and Ann Arbor, MI, USA and Chicago USA – December 22, 2011 – OMG®, Health Level Seven® International (HL7), and Healthcare Information and Management Systems Society (HIMSS), today announced the Call for Participation for “Interconnected Health 2012: Enabling Health through High-Impact IT.” The event will be held at the Hyatt Regency O’Hare in Chicago, IL on April 2-4, 2012. Registration and abstract submission details may be found online at http://www.interconnected-health.org/cfp.


Interconnected Health 2012 will focus on approaches, challenges, and solutions affecting the ability to connect health organizations and systems, and the role of IT as an enabler in achieving this connectivity. Geared toward the CxO suite and senior leaders within healthcare organizations, Interconnected Health provides a venue to hear what peer organizations are doing (both within the US and abroad), to exchange ideas, and to interact with peers who are leaders in this space.


Call for Abstracts

The conference Review Committee is seeking proposals for presentations based on “real-world” organizational experiences, evaluations, case studies or research papers relevant to the conference themes of interconnected healthcare, information sharing, service-oriented architecture, enterprise architecture, business process management, and interoperability. Please indicate whether you are recommending your submission for the Executive Summit, the Functional Track, or the Technical Track. Topics may include (but aren’t limited to):


Business Enablement (Enterprise Architecture, Business Process Management)

Architecture (Business, System, SOA and Technical)

Information Semantics, Ontology, Vocabulary

Application Innovation (Integration, Open Source, Legacy Enablement, etc.)

Infrastructure Innovation (Virtualization, Cloud Computing, Device Integration)

Information Sharing Strategy, Governance and Implementation

Modeling (SoaML, SysML, BPMN, etc.)


The abstract submission deadline January 20, 2012. For abstract submission guidelines and the submission form, visit http://www.omg.org/abstracts.


Program Committee

Charles “Chuck” Friedman, Chief Scientific Officer, Office of the National Coordinator for Health IT (ONC), HHS

Mark Frisse, MD, MS, MBA, Accenture Professor of Biomedical Informatics, Vanderbilt University Medical Center

Dr. Hon S. Pak, CEO, Diversinet

Jim St.Clair, Senior Director, Interoperability and Standards, HIMSS

John Quinn, CTO, Health Level Seven International


Registration & Information

InterconnectedHealth is hosted by OMG, HL7 International, and HIMSS. The early-bird registration discount is available until February 24, 2012. Registration information is available at http://www.interconnected-health.org/cfp. Exhibit space is available; for more information contact Mike Narducci at marketing@omg.org +1-781-444 0404. Sponsorship opportunities are available; contact Ken Berk at ken.berk@omg.org or +1-781-444 0404.


About Health Level Seven (HL7) International

Founded in 1987, Health Level Seven International (www.HL7.org) is the global authority for healthcare Information interoperability and standards with affiliates established in more than 30 countries. HL7 is a non-profit, ANSI accredited standards development organization dedicated to providing a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic health information that supports clinical practice and the management, delivery and evaluation of health services. HL7’s more than 2,300 members represent approximately 500 corporate members, which include more than 90 percent of the information systems vendors serving healthcare. HL7 collaborates with otherstandards developers and provider, payer, philanthropic and governmentagencies at the highest levels to ensure the development of comprehensive and reliable standards and successful interoperability efforts.
HIMSS is a cause-based, not-for-profit organization exclusively focused on providing global leadership for the optimal use of information technology (IT) and management systems for the betterment of healthcare. Founded 50 years ago, HIMSS and its related organizations are headquartered in Chicago with additional offices in the United States, Europe and Asia. HIMSS represents more than 38,000 individual members, of which more than two thirds work in healthcare provider, governmental and not-for-profit organizations. HIMSS also includes over 540 corporate members and more than 120 not-for-profit organizations that share our mission of transforming healthcare through theeffective use of information technology and management systems. HIMSS frames and leads healthcare practices and public policy through its content expertise, professional development, research initiatives, and media vehicles designed to promote information and management systems’ contributions to improving the quality, safety, access, and cost-effectiveness of patient care. To learn more about HIMSS and to find out how to join us and our members in advancing ourcause, please visit our website at www.himss.org.

About OMG
OMG® is an international, open membership, not-for-profit computer industry standards consortium. OMG Task Forces develop enterprise integration standards for a wide range of technologies and an even wider range of industries. OMG’s modeling standards enable powerful visual design, execution and maintenance of software and other processes. For more information, visit www.omg.org.

About Open Health Tools
Open Health Tools is an open source community with a vision of enabling a ubiquitous ecosystem where members of the Health and IT professions can collaborate to build interoperable systems that enable patients and their care providers to have access to vital and reliable medical information at the time and place it is needed. Open Health Tools will generate a vibrant active ecosystem involving software product and service companies, medical equipment companies, health care providers, insurance companies, government health service agencies, and standards organizations. More information at http://www.openhealthtools.org


The Discovering Dengue Drugs – Together project webcast replay

On August 12, 2011, Dr. Robert Malmstrom provided an update for The Discovering Dengue Drugs – Together project via webcast. Here are the links to the webcast and the related question and answer session.

On August 12, 2011, Dr. Robert Malmstrom from The University of Texas Medical Branch conducted a live webcast, where he provided an update on the Discovering Dengue Drugs – Together project.

Dr. Malmstrom provided an excellent update on The Discovering Dengue Drugs – Together project, which has been running on World Community Grid since 2007.


<ed.note>I’ve been tweeting and stuffing content into my “delicious knowledge management repository” [Update: Diigo] at a ferocious rate. Yet there’s some outstanding stuff I want to note. A City Sponsored BOINC Distributed Computing Effort – what if every municipality took advantage of its citizens as voluntary compute cylce resources this way (instead of that “give us more tax money approach”). BOINC, Facebook, GridRepublic and Intel wed social networking to distribtued computing promotion. HIMSS crowdsources.</ed.note>

1) A City Sponsored BOINC Distributed Computing Effort

Zivis is the first “city-wide supercomputer”. The project is run by the Zaragoza City Council, and the Institute for Biocomputation and Physics of Complex System (BIFI) at the University of Zaragoza. The objective is to harness local (and non-local) computing resources for local research; and at the same time to involve the community in the science being done locally. The initial research being done on Zivis is on the subject of fusion plasma (“Integration of Stochastic Differential Equations in Plasmas”) — improved understanding of this could lead to better designs for fusion power stations. (Fusion power is a form of nuclear energy that produces a lower volume of less dangerous waste than traditional nuclear fission power.)

Start Date: October 2005
Users: 2,359
Project URL: http://zivis.bifi.unizar.es

2) Intel introduces distributed computing to Facebook

Intel has set up a Facebook page designed to induce casual users to sign up for a distributed computing project that runs on the BOINC client system. Now Facebook users can crunch away on any of three DC projects… – Ars Technica

3) HIMSS crowdsources with Clinical Decision Support Wiki

Hello! The HIMSS Clinical Decision Support (CDS) Task Force helps guide and execute HIMSS efforts to ensure that CDS delivers on its promise to improve care delivery and outcomes.

What’s a Wiki? A wiki is an easy-to-use Web site that makes it easy to collaborate. You can use it to run a project at work, plan a trip, teach a class, etc.

Why a Wiki? The wiki provides a forum where stakeholders can come together to help develop, use, and discuss Task Force deliverables. The links below provide access to pages where this conversation and work is unfolding. Please browse this home page and links, and join us on this important performance improvement journey.

Bioinformatics.org Upcoming courses

The following courses at Bioinformatics.Org are coming up and available for registration.  Please see the corresponding URLs for more information.

CS101A Perl for Biologists, Level 1; Jan. 24-28, 2011

    Taught in the context of biological research, this course helps biologists learn how to use the scripting language Perl to automate certain tasks. Armed with some knowledge and hands-on experience with a programming or scripting language, scientists taking a CS101 course at the Bioinformatics Organization will be able to perform basic software development tasks and phrase research questions in the context of the language.

More: http://www.bioinformatics.org/wiki/CS101A_Perl_for_Biologists,_Level_1
Join: http://www.bioinformatics.org/edu/AAGG
CS101B R for Biologists, Level 1; Jan. 31-Feb. 4, 2011

    Taught in the context of biological research, this course helps biologists learn how to use the statistical scripting language R for data analysis. Armed with some knowledge and hands-on experience with a programming or scripting language, scientists taking a CS101 course at Bioinformatics.Org will be able to perform basic software development tasks and phrase research questions in the context of the language.

More: http://www.bioinformatics.org/wiki/CS101B_R_for_Biologists,_Level_1
Join: http://www.bioinformatics.org/edu/AAGT
CS101E Python for Biologists, Level 1; Feb. 7-11, 2011

    This course teaches Biologists how to use Python as a programming language to automate routine data management tasks in biological research and solve difficult data-related computational problems. Data could be DNA or amino acid sequence, microarray data, images, mass spectrometry data, LIMS data, or any other kind of biological information.

More: http://www.bioinformatics.org/wiki/CS101E_Python_for_Biologists,_Level_1
Join: http://www.bioinformatics.org/edu/AATA

List of all upcoming online courses:


Online courses at Bioinformatics.Org offer several advantages to scientists over books and self-paced learning:

* In-depth courses with innovative, easy-to-understand materials (slides, scripts and datasets)

* Live sessions with the instructor, online via streaming multimedia

* Shorter, distributed sessions and plenty of time for assignments

* Opportunities to ask questions and seek clarification

* Recorded videos of lectures and materials, which are available indefinitely for attendees

* Discussion forums for students and instructors to share expertise and information

Discounts are available for those in non-profit organizations and those paying for themselves. Please check the description pages for details.

Thank you, and please forward this information to others who may find this useful.

Ignacio Valdes and Carl Leitner: Musings on Decentralized Source Control, Metcalfe’s law, the network effect

<ed.note>I get jazzed when I see described online the Eureka moment when people begin to grasp the power of the digitally, distributed enterprise-enabled collaborative results-only work environment (thanks Cali Ressler, Jody Thompson and Peter Yim for all the appropriate descriptors). Question: How long before institutional investors during quarterly investment calls will begin asking about and demanding this globally cooperative approach to problem solving from C-Suites? 50 to 80% of US youth are gamers (many multi-user games, virtual worlds, mobile devices) and we have political, taxation, chambers of commerce, HR departments, and educational paradigms that teach independent problem solving and the ability to “dependably” drive into cubevilles as the chief measures of employability. It’s time that biz schools begin listening to the like of Jane Mcgonical and her vision of the future and now work (see Superstruct). This exchange is from the American Medical Informatics Association Open Source Working Group listserv. Update: note the trajectory of Open Source for America as described in the following email.</ed.note>

From: Ignacio Valdes

Significant work that is yielding results has occurred in the last year such as in the VistA community. But I think I am just beginning to ‘get’ the power of Free/Open Source. The state of the art for open source development with collaboration, source control, packaging and integrated websites like Launchpad.net is becoming just mind-blowing.

Think of development that resembles a multi-player video game with few stop signs or speed limits. That seems to be what is available on Launchpad.net. It isn’t just source control, it has a higher level of abstraction through the ability to route branches that seems to allow meritocracy in a way that old school developers like me marvel at. It is a little difficult at first to get your head around. It seems to be software as a bunch of state-space vectors. Crazy.

Which plays into Metcalfe’s law or the network effect to Electronic Health Record software. The ability to interplay software vectors at will is just amazing and may allow unusual things to occur in the near future.

I hope to be harnessing this paradigm soon.

— IV

From: Carl Leitner

We have been using Launchpad to host our iHRIS software suite: https://www.launchpad.net/ihris-suite

We also use it to host the customizations we have done for different Ministries of Health, Faith Based Organizations etc. For example:

We have found it very convenient for managing the various in-country implementations, and we have provided training on the use of bazaar and launchpad:

Although Ubuntu and Launchpad have gone a long way in easing the learning curve for people not coming from open-source, we have occasionally stumbled. If anyone is interested, I would be happy to have a conversation to develop a shared “best-practices” document for those of you working in low-resourced settings.


# # # #

OSFA Members,

For some time now, the OSFA Steering Committee has been considering an OSFA deliverable for 2010: a grading/report card on the various U.S. government agencies and their policies and practices as they relate to open source software and openness more generally. (By openness, we intend the same meaning as the Obama Administration: participation, collaboration, and transparency.)

With the Administration’s issuance last month of its Open Government Directive (http://www.whitehouse.gov/open/documents/open-government-directive), we quickly came to an agreement that this is a project that should go forward — but with a new beginning.

We would first like to issue a set of “Guidelines for Open Government Plans,” to help inform the different agencies as they each seek to publish their mandated Open Government Plan by the April 7th due date. We are opening this discussion today; our expectation would be to issue this set of guidelines the second week of February, thus providing the agencies with sufficient time to take them into account.

We have supplied a first draft, which we expect the OSFA community to significantly improve. Our current draft is at opensourceforamerica.org/guidelines. Your comments and advice are welcome, AND please add them to the mail thread located at the bottom of the page so that we can capture them. And if you have a blog or issue a newsletter, please assist us in promoting this effort. We really would like to see our membership and influence grow.

Following publication of our guidelines, we will then begin work on a set of metrics/questions that we would intend to use to grade the agencies late this spring, following the April 7th launch of their Open Government Plans.

Thank you in advance for your assistance,

OSFA Steering Committee

openSUSE-Medical looking for developers

The openSUSE-Medical project (http://en.opensuse.org/OpenSUSE-Medical) is seeking developers and additional packagers. The distribution is an openSUSE sub-project aimed at doctors and medical staff and will include various open source software applications for medical use. The developers plan to start reviewing a list of open source healthcare software (http://en.wikipedia.org/wiki/List_of_open_source_healthcare_software) for inclusion in the distribution and adding packages to openSUSE (), once enough packagers are on board.

More details about the sub-project can be found on the openSUSE-Medical wiki and their repository (http://download.opensuse.org/repositories/medical/) has already been posted. Those interested in joining the sub-project are encouraged to email Sascha Manns (saigkill@opensuse.org) to join the mailing list (opensuse-medical@kbx7.de).

[healthcare-wg] Open Source For America Healthcare Working Group


We’ll begin our bi-weekly calls on Thursday, November 5th. The time will be 1 pm eastern, with the bridge information below. I realize not everyone will be able to make each call, sowe’ll do the best we can. I’ll try to send out an agenda for each call at least 24 hours in advance. Look forward to speaking with each of you on a regular basis. Thank you.

-Anthony Gold agold@healthyhumans.net
Conference Dial-in number: 616-597-8000
Participant Access Code: 817841#

Occurs every 2 weeks on Thursday effective 11/5/2009 until 7/29/2010 from 1:00 PM to 1:30 PM (GMT-05:00) America/New_York.

Open Source for America Call for Working Group Participation

Today we are happy to report that we are ready for the next phase in our mission to establish a more effective voice supporting the use of free and open source software in the U.S. Federal government. Since our launch more than 1,250 individuals and organizations have joined OSFA and that is what we would like to discuss with you today.

We've set up working groups for specific policy areas where free and open source software can help. Maybe you're an educator? Maybe you have ideas on how open source can help solve our healthcare crisis? Maybe you're a transparency wonk? Please look over the list of working groups, register and sign up those in which you would like to participate. We have set up the website with a "members only" section, and expect to quickly leverage the site for open collaboration among the members of these working groups:


For the more technically inclined, you'll notice near the bottom of the page there is a reference to platform tools. We've currently integrated Mailman as our mailing list software directly with OFBiz's party classifications, but we would like to see this go much further. We are looking for volunteers to help us create a mash-up or mash-ups.

Another key goal for Open Source for America is to Raise awareness and create understanding among federal government leaders in the executive and legislative branches about the values and implications of open source software. The Marketing Team needs your help in raising awareness around open source. We need any case stories (the most popular page currently on the site) or white papers that you may have and can share with the Open Source for America team. We are also looking for volunteers to join the Marketing team, to help with tradeshows, collateral creation, and means to raise awareness for Open Source. Please sign up today on the http://opensourceforamerica.org/ site to get involved.

There's never been a U.S. Administration so sympathetic to free and open source software. There have never been so many citizens with the same enthusiasm for the open source process. This is an unprecedented opportunity to profoundly change the way our government uses and understands software. We can fundamentally change how this country works.

Let's get started.

Kind Regards,

Open Source for America