24-Jan-20051© 2005 Health Level Seven, Inc. Organization Review Committee Progress Report Three...

24-Jan-2005 1© 2005 Health Level Seven, Inc.

Organization Review Committee

Progress Report ThreeProgress Report Three

Mark Shafarman, Hans J. Buitendijk, Mark Shafarman, Hans J. Buitendijk, Jane Curry, Jane Curry, Freida Hall, Dick Harding, Mike Henderson, Kai U. Freida Hall, Dick Harding, Mike Henderson, Kai U.

Heitmann, Virginia Lorenzi, David Markwell, Charlie Heitmann, Virginia Lorenzi, David Markwell, Charlie Mead, Ken Rubin, Helen Stevens, and Gavin Tong.Mead, Ken Rubin, Helen Stevens, and Gavin Tong.


Topics• Committee ObjectivesCommittee Objectives

• Where did we leave off:Where did we leave off:– RecommendationsRecommendations– Business Function ModelBusiness Function Model

• Accomplishments since last update:Accomplishments since last update:– Membership SurveyMembership Survey– Organizational ConsiderationsOrganizational Considerations– Project ManagementProject Management– Ballot FatigueBallot Fatigue

• Next StepsNext Steps

http://web.ansi.org/


Committee Objectives• Analyze a myriad of issues that have been raised in Analyze a myriad of issues that have been raised in

recent past that impact the effectiveness and efficiency recent past that impact the effectiveness and efficiency of the organization as a whole to develop standards, V3 of the organization as a whole to develop standards, V3 in particular; and in particular; and

• Provide recommendations to the Board how to address Provide recommendations to the Board how to address these issues through specific process and/or these issues through specific process and/or organizational enhancements.organizational enhancements.

• Primary Principle:Primary Principle:– Consult often and openly with all levels of membership.Consult often and openly with all levels of membership.



Approach• Identify Issues and Root CausesIdentify Issues and Root Causes

• Validate the Prioritized Inventory and Root Cause Validate the Prioritized Inventory and Root Cause AnalysisAnalysis– TSCTSC– BoDBoD

• Introduce suggestions immediately into organizationIntroduce suggestions immediately into organization

• Establish HL7 Business Function ModelEstablish HL7 Business Function Model

• Draft Recommendations Draft Recommendations

• Perform Impact AnalysisPerform Impact Analysis– Identify and Rank Alternate SolutionsIdentify and Rank Alternate Solutions

• Finalize Recommendations Finalize Recommendations and Timingand Timing to BoD to BoD



Recommendations Summary1.1. Develop Business PlanDevelop Business Plan

2.2. Develop/Execute Communication PlanDevelop/Execute Communication Plan

3.3. Enhance Organization to support Function ModelEnhance Organization to support Function Model

4.4. Enhance Project ManagementEnhance Project Management

5.5. Develop Education CurriculumDevelop Education Curriculum

6.6. Establish an Enterprise ArchitectureEstablish an Enterprise Architecture



The survey says…• The survey was discussed with the International The survey was discussed with the International

Affiliates, TSC, Board, and in General Session at the Affiliates, TSC, Board, and in General Session at the Atlanta WGM.Atlanta WGM.

• Fourteen people responded to the survey.Fourteen people responded to the survey.

• There was no uniform application of the inheritance There was no uniform application of the inheritance scoring, which impacted the planned scoring methods. scoring, which impacted the planned scoring methods.

• Using variant scoring methods, a “top 15” list emerged.Using variant scoring methods, a “top 15” list emerged.



Survey Results - Priorities 1-61.1. Control scope creepControl scope creep

2.2. Re-fresh and/or clearly articulate the vision of HL7 and make it Re-fresh and/or clearly articulate the vision of HL7 and make it specific to V2 and V3, as well as other initiatives (EHR, specific to V2 and V3, as well as other initiatives (EHR, CCOW, etc.)CCOW, etc.)

3.3. Create harmonization process/structure/ whatever to Create harmonization process/structure/ whatever to synchronize business focused projects. “TC” chairs manage synchronize business focused projects. “TC” chairs manage projects and harmonize across their projects. TSC is meeting projects and harmonize across their projects. TSC is meeting of TC chairs to synchronize project initiation and scope.of TC chairs to synchronize project initiation and scope.

4.4. Consider formally establishing an HL7 US or US Realm.Consider formally establishing an HL7 US or US Realm.

5.5. Develop detailed scope statements.Develop detailed scope statements.

6.6. Clearly define a project plan consistent with anticipated Clearly define a project plan consistent with anticipated availability of resources.availability of resources.



Survey Results – Priorities 7-127.7. Re-assess the Cost/Value of the current frenetic ballot cycle.Re-assess the Cost/Value of the current frenetic ballot cycle.

8.8. Develop a business plan subject to periodic evaluation.Develop a business plan subject to periodic evaluation.

9.9. Define carefully considered promises that we can fulfill.Define carefully considered promises that we can fulfill.

10.10. Ensure that project activities are well defined at reasonably Ensure that project activities are well defined at reasonably sized “chunks”, including skill sets required, level of effort sized “chunks”, including skill sets required, level of effort involved, critical paths and timeline, and then advertise the involved, critical paths and timeline, and then advertise the activities to solicit volunteers.activities to solicit volunteers.

11.11. Establish a ballot and committee process to address the Establish a ballot and committee process to address the ownership “confusion” between ARB, MnM, and Publishing.ownership “confusion” between ARB, MnM, and Publishing.

12.12. Merge MnM and ARB, or split the scope better.Merge MnM and ARB, or split the scope better.



Survey Results – Priorities 13-1513.13. Reduce scope/quantity but improve effectiveness of ballot Reduce scope/quantity but improve effectiveness of ballot

cycles.cycles.

14.14. Hide tools wherever possible - ballot material should be Hide tools wherever possible - ballot material should be editable in common editors and instantaneously available for editable in common editors and instantaneously available for preview (previewing of the material should not require preview (previewing of the material should not require publishing committee involvement).publishing committee involvement).

15.15. Encourage cooperation between HL7 groups – Clinical Encourage cooperation between HL7 groups – Clinical Statement is a positive example.Statement is a positive example.



Recommendations Summary - Updated1.1. Develop Business PlanDevelop Business Plan

2.2. Develop/Execute Communication PlanDevelop/Execute Communication Plan

3.3. Enhance Organization to support Function ModelEnhance Organization to support Function Model

4.4. Enhance Project ManagementEnhance Project Management

5.5. Develop Education CurriculumDevelop Education Curriculum

6.6. Establish an Enterprise ArchitectureEstablish an Enterprise Architecture

7.7. Address Ballot FatigueAddress Ballot Fatigue



Recommendations - Status• Develop Business PlanDevelop Business Plan

– Mission statement being updatedMission statement being updated– Plan to be developedPlan to be developed

• Create/Execute Communication PlanCreate/Execute Communication Plan– Marketing Plan in draft stage.Marketing Plan in draft stage.

• Enhance Organization to support Function ModelEnhance Organization to support Function Model– Defined Business Function ModelDefined Business Function Model– Created Organizational ApproachCreated Organizational Approach

• Enhance Project ManagementEnhance Project Management– Proposed full time project manager with defined Proposed full time project manager with defined

responsibilitiesresponsibilities– Hired full time project manager – Welcome Jenni PuyenbroekHired full time project manager – Welcome Jenni Puyenbroek



Recommendations - Status• Develop Education CurriculumDevelop Education Curriculum

– Education Committee taking recommendations into Education Committee taking recommendations into considerationconsideration

– Created Educators ForumCreated Educators Forum– Working on establishing V3 CurriculumWorking on establishing V3 Curriculum

• Establish an Enterprise ArchitectureEstablish an Enterprise Architecture– Pending completion of Business Function Model and Pending completion of Business Function Model and

Organizational Approach.Organizational Approach.

• Ballot FatigueBallot Fatigue– Publishing, Tooling, Ballot Task ForcePublishing, Tooling, Ballot Task Force– ORC considering different proposalsORC considering different proposals



Planning

HL7 Business Functions

Develop Standards(V2, V3, EHR, CCOW, Arden)

Deliver Education Promote HL7Products & Services

Collaborate withOther StandardOrganizations

Support Organization

Develop CurriculaDevelop Education MaterialsTrain FacultyCertify FacultyDeliver EducationCertify Students

Sustain/Grow MembershipCreate Demonstrations- Collaborate with IHEPosition Standards- International- Government/Regulatory--- NHII V3 vs. V2- Professional Societies- Research CommunitiesCreate publicationsParticipate in trade shows & conferences

Should we do?- Testing/Validating Implementations- Other

Harmonize across SDOs and related organizations- e.g., CDISC, NCPDP, ASTM, CEN, DICOM, EHI, X12N, ISO, ANSI MedBiquitousLeverage support standards- e.g., W3C, OASIS, OMG

Maintain MembershipOrganize Meetings - WGMs - Education Tracks/Summits- TradeshowsMaintain WebsiteSupport PublicationsProvide general support- Project ManagementManage Agreements- MOUs- International Affiliate Agreements- Grants- ContractsManage Staff

Business PlanningStrategic Planning

Organizational Management Marketing Planning

Develop/Evolve/Deploy Tooling

Develop Methodology*Develop RIM*Develop VocabularyDevelop Content- Harmonize Content- Realm Specific ProfilesManage ScopeManage (Funded) ProjectsManage QualityBallot Content- Produce Ballot- Receive Ballot Feedback- Reconcile Ballot FeedbackPublish ContentSupport Implementations- Create Implementation Guides- Define Conformance - Maintain Registries- Support Early AdoptersManage Change Request

*V3 Only

V2 Submission Data BaseV2 Messaging Workbench

V3 Java APIsV3 modeling and message designV3 publishing

V3 OID registryV3 artifact registry

Online balloting (v2 & v3)HL7.org website



Organizational Approach• Identified key functions from Business Function ModelIdentified key functions from Business Function Model

• Mapped current TC/SIG/Projects/etc. into functionsMapped current TC/SIG/Projects/etc. into functions

• Created an outline of an organizational structure based Created an outline of an organizational structure based on related purposes.on related purposes.

• Identified general concepts to address key issues of Identified general concepts to address key issues of project management, harmonization, and reconciliation.project management, harmonization, and reconciliation.

• Recognized that simply shrinking the number of groups Recognized that simply shrinking the number of groups is not the answer. Rather focus, priority, and is not the answer. Rather focus, priority, and coordination are where the answers lie.coordination are where the answers lie.



Organizational “Structure” - Overview

Board

ExecutiveCommittee

FinanceCommittee

ORC

PIC

HQ

TechnicalStandards

Development

ProjectOffice

InfrastructureServices Operational

ArchitecturalArbitration &Governance

International

Foundation &Technology

Structural &Semantic

Design Patterns

DomainInterests



• Hired full-time Project ManagerHired full-time Project Manager

• Project Scope Statements needed nextProject Scope Statements needed next

• Select appropriate project support tools & rolesSelect appropriate project support tools & roles

• Support Working Group transitionSupport Working Group transition

• Opportunity to recognize Project Leaders and Project Opportunity to recognize Project Leaders and Project CoordinatorsCoordinators

Organizational “Structure” - Detail

Project Office

ProjectManagement

ConformanceDefinition

Process &Product Quality

Assurance



Foundation &Technology

TechnicalStandards

Development

Domain Interests(problem space)

requirements

ArchitecturalArbitration &Governance

Structural &Semantic Design

Patterns(reusability/semantic

interoperability)

Project Office

Harmonization & Reconciliation

• Domain issues are resolved within Domains, with PatternsDomain issues are resolved within Domains, with Patterns

• Cross-Domain issues within Patterns are resolved within PatternsCross-Domain issues within Patterns are resolved within Patterns

• Cross-Pattern issues are resolved within Foundation & Technology: RIM and Cross-Pattern issues are resolved within Foundation & Technology: RIM and FunctionFunction

• If all else fails, escalated to Architectural Arbitration & GovernanceIf all else fails, escalated to Architectural Arbitration & Governance

• Resolutions driven back through Methodology updates (as appropriate) and Resolutions driven back through Methodology updates (as appropriate) and respective Pattern and Domainrespective Pattern and Domain



What does this mean for the TSC?• We understand the purpose to be:We understand the purpose to be:

– Forum to coordinate and drive the tactical development of the Forum to coordinate and drive the tactical development of the standards with the available resources based on the priorities standards with the available resources based on the priorities set by the Board and in consultation with the membership and set by the Board and in consultation with the membership and the Board.the Board.

– Provide Feedback on ScopeProvide Feedback on Scope– Exchange InformationExchange Information– Create PlansCreate Plans– Muster ResourcesMuster Resources– Establish Organizational InfrastructureEstablish Organizational Infrastructure– Conduct ArbitrationConduct Arbitration– Escalate to the BoardEscalate to the Board

• Typical questions raised though:Typical questions raised though:– Who is on the TSC? Should it be this big? How can we go Who is on the TSC? Should it be this big? How can we go

back to managing the purpose more effectively rather then just back to managing the purpose more effectively rather then just affirming TCs and SIGs?affirming TCs and SIGs?



What does this mean for the TSC?• Some Thoughts:Some Thoughts:

– Function is more important then formFunction is more important then form– Maintain a mechanism to recognize leadershipMaintain a mechanism to recognize leadership– Keep the same configuration but focus on issue identification Keep the same configuration but focus on issue identification

and resolution delegation in support of the purpose.and resolution delegation in support of the purpose.– Introduce TSC Steering Committee to drive resolution based on monthly Introduce TSC Steering Committee to drive resolution based on monthly

conference calls?conference calls?

– Create taskforces to address and report on specific issues, e.g., specific Create taskforces to address and report on specific issues, e.g., specific cross harmonization topicscross harmonization topics

– Reduce representation to only 1 from each committeeReduce representation to only 1 from each committee– Reduces by 3-4 times.Reduces by 3-4 times.

– Reduce representation to only 2-3 from each “summary” Reduce representation to only 2-3 from each “summary” layer.layer.

– Reduces up to 10 times.Reduces up to 10 times.



What does this mean to the TSC?– Introduce another education/information sharing structure.Introduce another education/information sharing structure.

– Furthers information sharing – TSC Retreat agenda itemsFurthers information sharing – TSC Retreat agenda items

– Address questions of leadership recognition and contributionsAddress questions of leadership recognition and contributions

– Use proposed structure to find alternate, focused forums of Use proposed structure to find alternate, focused forums of discussion and review.discussion and review.

– Some combination of the aboveSome combination of the above

• Introduction of a Project Office enables focus on the Introduction of a Project Office enables focus on the scope management, project planning and tracking, scope management, project planning and tracking, mustering resourcesmustering resources

• Affirming an Architectural Arbitration & Governance Affirming an Architectural Arbitration & Governance body along with new cross-domain resolution processes body along with new cross-domain resolution processes creates a concrete path to support harmonization, creates a concrete path to support harmonization, convergence & reconciliationconvergence & reconciliation



What does this mean to TC/SIG/Projects?• CERTAINLY: Review of which groups should be CERTAINLY: Review of which groups should be

labeled whatlabeled what

• BUT NOT: disappearance of a groupBUT NOT: disappearance of a group

• RATHER MOSTLY: clarification of harmonization RATHER MOSTLY: clarification of harmonization and reconciliation pathand reconciliation path



Improve Ballot quality• Improving quality of the ballot will reduce ballot Improving quality of the ballot will reduce ballot

fatigue. Suggested solutions include:fatigue. Suggested solutions include:– Facilitate group ballot reads during a ballot cycle, using Facilitate group ballot reads during a ballot cycle, using

conference calls or WebEx sessions to educate balloters on conference calls or WebEx sessions to educate balloters on what the ballot content is. Publicize these sessions on the what the ballot content is. Publicize these sessions on the ballot site to get more involvement.ballot site to get more involvement.

– Ensure the Ballots enshrine the V3 principles and style Ensure the Ballots enshrine the V3 principles and style guide .guide .

– Facilitate cross-domain review and harmonization of ballot Facilitate cross-domain review and harmonization of ballot content. content.

– Establish an independent quality committee to ensure that Establish an independent quality committee to ensure that ballots have addressed known issues; this will minimize the ballots have addressed known issues; this will minimize the burden on the general membership. burden on the general membership.



Improve Ballot quality – cont.• Include a questionnaire in each ballot to solicit Include a questionnaire in each ballot to solicit

feedback on what can be done to improve on the ballot feedback on what can be done to improve on the ballot process. process. – Promote the practice of pre-ballot reviews of content to Promote the practice of pre-ballot reviews of content to

promote early consensus and reduce burden in the formal promote early consensus and reduce burden in the formal ballot comments period. Practices such as peer reviews and ballot comments period. Practices such as peer reviews and “for-comment ballot” documents are examples of approaches “for-comment ballot” documents are examples of approaches that will result in cleaner committee ballot materials. that will result in cleaner committee ballot materials.

– Re-assess the Cost/Value of the current frenetic ballot cycle. Re-assess the Cost/Value of the current frenetic ballot cycle. – Reduce scope/quantity but improve effectiveness of ballot Reduce scope/quantity but improve effectiveness of ballot

cycles. cycles. – Institute a one-cycle moratorium (at least) on balloting, and Institute a one-cycle moratorium (at least) on balloting, and

the effort saved should be devoted entirely to documenting the effort saved should be devoted entirely to documenting and achieving BROAD consensus (i.e., more than the and achieving BROAD consensus (i.e., more than the cognoscenti) on the V3 development and localization process. cognoscenti) on the V3 development and localization process.



Reduce Ballot Fatigue• Limit ballots to one every two Working Group Meetings. This Limit ballots to one every two Working Group Meetings. This

Implies one WGM for ballot resolution and the next WGM for Implies one WGM for ballot resolution and the next WGM for domain content upgrade.domain content upgrade.

• Sequence ballot content across ballots to enable focus and avoid Sequence ballot content across ballots to enable focus and avoid volunteers having to make tough participation choices. The volunteers having to make tough participation choices. The sequencing is based on dependencies and domain expert sequencing is based on dependencies and domain expert overlaps. overlaps.



Next Steps• Continue Organizational analysisContinue Organizational analysis

– Ensure all areas are addressedEnsure all areas are addressed– Define governanceDefine governance– Create migration proposalCreate migration proposal

• Foster the growth of the Project OfficeFoster the growth of the Project Office– This will also identify issues needing resolutionThis will also identify issues needing resolution

• Prepare recommendation for Ballot FatiguePrepare recommendation for Ballot Fatigue

• Continue to improve (and implement) harmonization and Continue to improve (and implement) harmonization and reconciliation steps between domains and patterns, and patterns reconciliation steps between domains and patterns, and patterns and foundations, and foundations and ‘governance’and foundations, and foundations and ‘governance’– The discussions/suggestions about the TSC’s roles and responsibilities The discussions/suggestions about the TSC’s roles and responsibilities

will be part of this processwill be part of this process

• Continue work on major recommendations as prioritized in Continue work on major recommendations as prioritized in survey resultssurvey results



Feedback Channels• After meeting over a drinkAfter meeting over a drink

• Review documents on ORC web pageReview documents on ORC web page

• Use Use [email protected]@lists.hl7.org for general discussion and for general discussion and feedback on documentfeedback on document

mailto:[email protected]

mailto:[email protected]


24-Jan-20051© 2005 Health Level Seven, Inc. Organization Review Committee Progress Report Three...

Documents

Transcript of 24-Jan-20051© 2005 Health Level Seven, Inc. Organization Review Committee Progress Report Three...