Finestrad y los ilustrados neogranadinos: la utilidad como salvadora del Reino

The steering committee was charged with providing strategic direction and general

governance to state teams. Composition and size of the steering committee varied by state, as did the formation of the committee. One steering committee was composed of health care business executives, statewide health industry leaders, and a legal committee (public and private attorneys specializing in health care privacy and security law). Some governors appointed or designated the Privacy and Security Solutions project steering committee members. In other states, steering committee members were recruited from an established HIE stakeholder coalition because of the coalition’s broad distribution and resource network, and their willingness to guide the project.

Common denominators across the state team steering committee members were the level of subject matter expertise and the commitment to the Privacy and Security Solutions project . Generally, the steering committee was a collaborative group of private and public health care and HIT industry stakeholders. In one state, the steering committee members also attended and participated in the VWG meetings as stakeholders.

Privacy and Security Solutions for Interoperable Health Information Exchange

3-6 Nationwide Summary

Figure 3-3. Membership of Variations, Solutions, and Implementation Planning Work Groups 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Techno lo gy and Health Info rmatio n Experts

P ro viders Legal Co unsel / A tto rneys P ublic Health A gencies o r Departments Go vernment (except P ublic Health)

P ayers M edical and P ublic Health Scho o ls / Research

Co nsumers Emplo yers Law Enfo rcement and Co rrectio nal Facilities Other Fo undatio ns / Other P o licy Co nsultants

Variations Work Group Solutions Work Group Implementation Planning Work Group

Technology and Health Information Experts Providers Legal Counsel/ Attorneys Public Health Agencies or Departments Government (except Public Health)

Payers Medical and Public Health Schools/ Research

Consumers Employers Law Enforcement and Correctional Facilities Other Foundations/ Other Policy Consultants Percentage of States with Stakeholder Group Represented

Note: “Consumers” on this chart include both individual consumers and consumer organizations.

Several states added an advisory board to the organization structure. In those states, the steering committee concurred that the advisory board and its subsequent committees were necessary to create an actionable work plan, to resolve outstanding issues, and to

implement privacy and security solutions. The advisory group met more frequently than the steering committee, and the teams that used this model found it helpful, particularly in the beginning phase of the project when guidance and feedback were especially needed.

Many state teams also relied on the steering committee to assist in data collection efforts. A number of teams reported that potential members for each work group were identified through direct solicitation by the steering committee. Teams devised ways to maintain open communication with their steering committee. Some teams posted the reports on their private websites, while other teams utilized e-mail. One state reported that they posted highlights about the project on the websites, and also spotlighted the project in the state’s bimonthly health care newsletter.

The steering committee provided guidance to the project management team and oversight in the development of all work products. One state reported that the steering committee

Section 3 — Formation of the HISPC

Nationwide Summary 3-7

developed a methodology that allowed team members to draw on their natural strengths. According to the state’s final reports, the steering committee’s support, along with the expertise of the stakeholders, contributed to the development of beneficial work products to advance the goal of secure and private electronic health information exchange in the state. To that end, one governor’s office is currently reviewing an executive order that would continue the role of the Privacy and Security steering committee as an interim step toward creating a proposed quasigovernmental organization.

Another state reported that, as the result of steering committee recommendations, the feasibility of successful implementation of privacy and security protections has been

advanced by channeling the project’s efforts through an ongoing demonstration project that is already funded and is soon to be implemented. This project’s guidance has been shown to be precisely what was needed to galvanize community attention on the most important privacy and security issues for those who envision the proliferation of interoperable health information exchange in the state. Figure 3-4 displays the mix of subject matter expertise provided by members of the steering committee and LWGs, and the percent of states with stakeholder group representation.

Figure 3-4. Membership of Steering Committees and Legal Work Groups

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Techno lo gy and Health Info rmatio n Experts

P ro viders Legal Co unsel / A tto rneys P ublic Health A gencies o r Departments Go vernment (except P ublic Health)

P ayers M edical and P ublic Health Scho o ls / Research

Co nsumers Emplo yers Law Enfo rcement and Co rrectio nal Facilities Other Fo undatio ns / Other P o licy Co nsultants

Steering Committee Legal Work Group

Technology and Health Information Experts Providers Legal Counsel/ Attorneys Public Health Agencies or Departments Government (except Public Health)

Payers Medical and Public Health

Schools/ Research

Consumers Employers Law Enforcement and Correctional Facilities Other Foundations / Other Policy Consultants Percentage of States with Stakeholder Group Represented

Nationwide Summary 4-1