Ian Cheong wrote:
> At 7:27 am +1100 19/3/06, Tim Churches wrote:
>>  > Participation is not restricted to standards australia committees,
>>>  except in properly constituted committees which are that way to ensure
>>>  balance of interests are represented. Like many interest groups, people
>>>  who are actually interested are able to participate. And the open
>>> public
>>>  comment period is open to all comers with any views.
>>
>> My view is that reform is needed to ensure that the membership of the
>> committees is representative and diverse (not the same people on every
>> committee), and to enable input from interested parties to be harnessed
>> at a much earlier stage of standards development, and to provide a
>> mechanism by comments are acknowledged, discussed and accounted for
>> (even if they are ultimately not reflected in the nascent standard).
> 
> 
> The Standards Australia has had joint/open committee meetings in the
> last two years - open to all comers and widely advertised.
> 
> Actual committees do have diverse membership and Stadards Australia
> project managers have a duty to ensure balance and appropriate
> representation.

Ian, if I go to the Standards Australia standards development web site
(http://www.standards.org.au ), there are no lists that I can find of
what standards are currently under development, who is on the committees
for those standards, how one gets on the committees and so on. Fixing
those things is the sort of reform which the NEHTA document is hinting
at, I think. There is an "in the pipeline" section of the Standards
Australia Web site, but I defy anyone to work out what health IT
standards are in the pipeline using those Web pages.

> The mechanism by which comments are acknowledged, discussed and
> accounted is well developed and in fact many/most comments are
> ultimately reflected real standards, as people who have made comments
> could attest.

Where can I read the comments submitted by others on draft standards?
That's a key feature of the IETF RFC process: transparency, which helps
to avoid duplication as well as making conflicts of interest apparent.

A search on "conflicts of interest" on the Standards Australia web site
reveals no hits (except to some irrelevant US investor legislation). So
how do I find out what the Standards Australia policy on declaration of
conflicts of interest is, and where can I read some of those
declarations? That's the sort of reform I was thinking of.

> The biggest problem is that participants must be "voluntary" - ie not be
> paid for by Standards Australia - so they spend their own or their
> company's or their organisation's time. There is always room for more
> volunteers.

Sure. But potential volunteers need to be able to a) know what is going
on and what is planned b) examine work-in-progress, not just late-stage
drafts; c) see what comments others have submitted; d) be able to do all
of this asynchronously, without having to attend meetings in-person
during business hours.

Can't do any of that at the moment, as far as I can see - correct me if
I am wrong.

Also, there is the issue that Australian standards, developed through
volunteer work, but which are only available on a commercial basis
through the business arm of Standards Australia, SAI Global (see
http://www.saiglobal.com/ ), which is a publicly-listed company traded
on the Australian stock exchange and hence has a fiduciary interest to
its shareholders to make a profit. There is something amiss in those
arrangements...

I appreciate that standards development costs money, but my view is that
reform of the development process and better use of the Internet can
reduce those costs to the level that NEHTA and/or other govt agencies
can just directly fund the development of standards which are then
freely available to everyone under a suitable license.

Yes I know that AGDoHA has paid SAI Global to make all the health IT
standards freely available, but will that arrangement last forever? I
doubt it, and I think that the question needs to be asked (and NEHTA has
perhaps asked it, obliquely): is the current model the one we want to
continue with?

> Please feel free to write to Standards Australia with any concerns.
> There is always room for improvement in any organisation.

Ah hah! I just looked at the Contacts page on the Standards Australia
web site, and behold, there is a promising-sounding link to
http://www.committees.standards.org.au/

Nope, spoke too soon:
"Firefox can't find the server at www.committees.standards.org.au"

Hmmm, that links now seems to be working again, and one can see the work
programme for IT-014, and the list of nominating organisation for the
IT-014 committee, but there is no list of who is actually represented
and who the representatives are on the committee, and the meeting
minutes don't list who was present or who said what. And the whole
process seems to revolve around committee membership - it is not exactly
accommodating to contributions from those who can't be the IT-014 on
committee due to lack of time or lack of the right organisational
connections ("connections" not used in the perjorative sense).

How can we harness contributions from people like Peter Machell, or
Horst herb, or David Guest, or Tony Lembke, or Tony Eviston, or John
Dooley, or Duncan Guy, or Liz Dodds, or Ian Haywood, or many, many
others who have lots of useful, really practical things to contribute to
health IT standards development but no time to sit in committee meetings?

A spot of reform wouldn't go astray, methinks. What do others think?

Tim C

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