Rama,

Let me make some observations....

The white paper describes testing in much more detail than certification.  It 
describes what kinds of tests should be done in a detail that was never 
before described in this industry.  The description of certification as a 
third party assessment is as far as the white paper goes.  So, the emphasis 
of the WHITE PAPER is on testing, not on certification.

Given the number of trading partners that have to be compliant with HIPAA, if 
each pair of trading partners is going to test with each trading partner, we 
will never be able to finish the testing task.  As an analogy, if every time 
I go to a different gas station to fill up my tank I need to have the gas 
pump tested for accuracy, pumping gasoline will become a lot more expensive.

The white paper points at the tremendous economies that the industry will 
achieve by reducing the amount of one-on-one testing.  Instead of testing 
one-on-one among each pair of trading partners for all aspects of HIPAA 
compliance, you can test for all the non-trading-partner-specific aspects 
thoroughly once, and then only test for trading partner specific aspects when 
you engage each trading partner.  This reduces the amount of testing that 
needs to be repeated and minimizes waste.

Of course the reduction of the amount of testing for the entire industry also 
means that the market size for those of us that are in the testing business 
gets reduced.  But the entire industry benefits from it.

Certification of compliance of the HIPAA transactions is not an easy process.  
You not only need to have both the EDI expertise and the healthcare 
expertise, but you need to be able to produce a "provable" result and stand 
behind it.  This involves a very high liability.

Any progress in the right direction is progress.  The fact is that the 
testimonials are starting to surface.  Entities that have gone through 
thorough testing and a third party evaluation find that they can implement 
their trading partners much more efficiently.  Payers are seeing a 
difference.  The providers that come already certified can be brought into 
production MUCH quicker than the non certified.  It only makes sense.  They 
have done their homework.

There is no incompatibility between testing and certification.  One does not 
replace the other.  Even if you are certified, you are going to have to do 
some testing with your trading partner.  However the expense, effort, and time 
of the trading partner testing is greatly reduced.

I don't understand why the reluctance to do a third party assessment of your 
transactions, especially if the price is right  and you have a choice of 
third party assessors.  Interestingly enough the objections that I hear are 
not coming from providers or payers, but from vendors, even vendors of 
testing products or services.  Who are they speaking for?  Somebody is trying 
to convince the industry that NOT obtaining third party certification is 
better than obtaining it.  Does this make sense?

Let the flames begin.

Kepa


On Thursday 05 September 2002 09:09 am, Ramakrishna Pidaparti wrote:
> Hi All:
> 
> I think the WEDI-SNIP white paper on testing and certification does a
> good job on defining the "Types" (used to be "Levels") of tests from
> a HIPAA domain point of view.
> 
> The push and shove for certification is not something many like at this
> stage and rightly so.  The focus should be on testing and not on 
certification
> but the emphasis is on certification in this whte paper.
> 
> The model recommended in that white paper is, do your internal testing,
> go for certification (which is now defined to be third party assessment)
> before you do any B2B trading partner testing... to paraphrase.
> 
> This is flawed in the sense an organisation using a translator with a
> HIPAA compliance checker may still use a third party tools/service during
> their internal testing phase to build an automated test suite for example.
>  Once they are confident, they can do some beta testig with some TPs
> and then with more TPs when the interoperability confidence is even higher.
>  There is no need or room for certification here.
> 
> The other important things missing from the white paper are, the traditional
> Software Testing aspects of unit, system, integration, beta, acceptance,
> stress, load, performance and  autoated testing that deserve a mention
> more than certification.
> 
> Hopefully these are covered in the next verrion, with mroe emphasis on
> testing and less on certification.
> 
> Regards,
> 
> Rama.
> --
> 
> ---- Sunny Singh <[EMAIL PROTECTED]> wrote:
> > Miriam,
> > 
> > The issue we need to think about is not "certification against something"
> > but rather than "testing against something".  Testing conceptually
> > can be
> > implemented in a "nice to have", "imposes a good discipline for partners
> > to
> > do some homework of their own" types of concept - not Certification.
> > I agree
> > something is better than nothing and the concept of testing is a
> > work-in-progress
> > 
> > I would very much like to hear some arguments for the cause of why
> > is a
> > white paper suggesting certification when it is not definitive and
> > at the
> > same time is unclear in its very concept and additionally gives no
> > clue to
> > the user how close do they get to the real thing. The perception is
> > also
> > that Certification gets them quite a ways - again a wrong perception.
> > 
> > Thanks
> > Sunny
> > www.HIPAADesk.com - "Test your HIPAA Data Files in Real-Time"
> > www.edifecs.com
> > 
> > -----Original Message-----
> > From: Miriam Paramore [mailto:[EMAIL PROTECTED]] 
> > Sent: Wednesday, September 04, 2002 7:41 PM
> > To: Sunny Singh; [EMAIL PROTECTED]; [EMAIL PROTECTED];
> > [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED];
> > [EMAIL PROTECTED]
> > Subject: RE: Certifications
> > 
> > 
> > My 2 cents on this topic. The undeniable reality is that every single
> > trading partner in healthcare today accepts the "good enough" testing
> > method. There are no exhaustive test plans on either side. Until now,
> > via
> > third parties, there has been no attempt at certification against a
> > standard. We are making progress and it should be encouraged.  Perfection
> > is
> > a goal. 
> > 
> > To be removed from this listserv, please email [EMAIL PROTECTED]
> > <P>The WEDI SNIP listserv to which you are subscribed is not moderated.
> >  The
> > discussions on this listserv therefore represent the views of the 
individual
> > participants, and do not necessarily represent the views of the WEDI
> > Board of
> > Directors nor WEDI SNIP.  If you wish to receive an official opinion,
> > post
> > your question to the WEDI SNIP Issues Database at
> > http://snip.wedi.org/tracking/.
> > Posting of advertisements or other commercial use of this listserv
> > is
> > specifically prohibited.
> > 
> >  
> 
> 

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