Ian Cheong wrote:
> At 9:57 am +1100 19/3/06, Tim Churches wrote:
>> [...]
>> 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?
>>
> 
> All those people are able to comment freely on standards at "public
> comment" stage with minimal time investment.

Sure, but what I would like to see is the ability to participate from
the earliest stages, when the basic shape and guiding principles of new
or updated standards were being nutted out, not only at the rather late
when documents are out for public comment.

> A recent round of public comment on a document I recall produced a small
> number (?3-4) substantive comments. One of the people listed was a (the)
> major contributor, and those comments resulted in substantial changes.
> And we did try to push the process to see the comment resolution
> documents fed back or made public, but there are apparently privacy
> issues in that.

If it is made clear at the outset that all contributions to and comments
on the standards development process will automatically be put on the
public record, then there should be privacy issue. Contributions,
comments and other input could still be made anonymously, but it
shouldn't be able to be secret. Obviously anonymous comments and
contributions which are defamatory or obscene etc should not be
published, but everything else should be, as a matter of course.

> As I said, there is always room for improvement. But few changes ever
> result from random action at the sidelines.

Yes, I must forward this entire discussion thread to NEHTA by way of
feedback on their standards development framework document.

Tim C
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