Michael,

This is a very generous offer. Why not then, as follow on to your message
below, post the HCCO work products here, which I would presume incorporate
the insights you reference, so that this WEDi SNIP group can evaluate and
determine whether to adopt, adapt or whatever into the next version of
official white papers providing guidance to the industry?

As you go on to say below, you feel that the issues you perceived regarding
open participation and non-biased outcomes are being remedied. Thus, I would
expect that there are no longer any continuing barriers to HCCO and its
members providing its work products now to this group for their evaluation.

This generous offer could then certainly jump-start and accelerate the
development of what I proposed as the WEDi SNIP HIPAA Transaction
Conformance White Paper. The duplicate and redundant work effort, which
appears to be taking place at HCCO, could then be moved into this WEDi SNIP
work group, thus addressing your concern about HCCO SME participants not
having the bandwidth to participate in both efforts.

I believe this then could be the best of all possible worlds: HCCO's SME
members can continue providing their insights, etc. into an
industry-developed conformance document; duplicated work effort is
minimized/eliminated; the end work product has broad industry input; the end
work product then becomes an "official" WEDi document, which gives it an
imprimatur not otherwise attainable.

Rachel Foerster



-----Original Message-----
From: Michael DeRoche [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, November 27, 2002 4:52 PM
To: WEDI SNIP Testing Subworkgroup List
Subject: RE: HIPAA Certification & Conformance Rules


Rachel:

The assistance would be in the form of all of the work-products and insights
gained by the efforts of many experts over the past months. Not only would
it be more time efficient, it would draw from a very diverse group of talent
and expertise, potentially resulting in a much better end-product.

It is commonly accepted, that in the past, regardless of the best intentions
of the leadership, open participation did not translate into open non-biased
outcomes. The current WEDI positions on certification, testing
recommendations do not follow established norms that are widely embraced in
other industries, but are more proprietary and a significant segment of
thought was excluded. It appears to me that this situation is currently
being remedied.

I hope more HCCO members do actively participate in WEDI, but we cannot
require or expect the SME's that are working within HCCO to have the
bandwidth to do so, but again, we would be remiss not to utilize their
talents and contributions via HCCO.

Michael


Michael DeRoche
602.738.3351  direct
480.946.7200 office
877.825.8309  fax

HIPAA Testing, Inc      www.hipaatesting.com        "Advanced Testing and
Certification Solutions"




-----Original Message-----
From: Rachel Foerster [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, November 27, 2002 11:43 AM
To: WEDI SNIP Testing Subworkgroup List
Subject: RE: HIPAA Certification & Conformance Rules


I'm a bit puzzled by what "assistance" could be provided. Rather, wouldn't
it be more in the spirit of the WEDi SNIP open participation that any HCCO
members actively participate and contribute here directly?

Rachel Foerster

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, November 27, 2002 7:55 AM
To: WEDI SNIP Testing Subworkgroup List
Subject: RE: HIPAA Certification & Conformance Rules



Mark,

Thanks so much for the offer.  We will discuss this as a group and let you
know.  I really appreciate it.  There is a lot to do with just a little
time to do it in.  :)

_______________________________________________

John Lilleston
Technical Supervisor
Verizon Information Technologies, Inc.
Healthcare Solutions
813-979-3225
[EMAIL PROTECTED]
http://www.VerizonIT.com/
_______________________________________________



                      "Mark A Lott"
                      <mark.lott@hipaat        To:       "WEDI SNIP Testing
Subworkgroup List"
                      esting.com>
<[EMAIL PROTECTED]>
                                               cc:
                      11/26/2002 03:47         Subject:  RE: HIPAA
Certification & Conformance Rules
                      PM
                      Please respond to
                      "WEDI SNIP
                      Testing
                      Subworkgroup
                      List"






John,

I will take this opportunity to offer HCCO assistance with your
initiatives,
if you think it will be of any help. We have built a very good cross
section
of disciplines that may be of use to your workgroup. Our members have
subject matter expertise in the following; X12, HL7, ISO, UCC, SEI
(Software
Engineering Institute), ASQ (American Society for Quality), SQE, (Software
Quality Engineering), CMM, Six Sigma, PMI, EDI validation companies,
testing
tool manufacturers, test automation experts, interoperability testing
firms,
and certification vendors involved with testing products for companies such
as Microsoft, IBM, Lotus, CISCO, Novell, Dell, etc.

We have been analyzing these issues for a several months now and while we
are busy creating our own programs, we will certainly share our insights
and
industry best practices with anyone requesting them. Testing, conformance
and certification methodologies and processes certainly need greater
definition, milestones and benchmarking for it to be successful across the
healthcare industry especially in regards to common standards that allow
for
interoperability of certification solutions across trading partner
communities, which is severely lacking in today's marketplace.

Regards,

Mark A Lott
President/CEO
HIPAA Testing, Inc.
www.hipaatesting.com

Executive Co-Chair HCCO - Transactions Group
HIPAA Conformance Certification Organization
www.hcco.us

Office: 480-946-7200
Cell:   480-580-4415
Fax:  877-825-8309

CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is
for the sole use of the intended recipient(s) and may contain confidential
and/or privileged information. Any unauthorized review, use, disclosure or
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contact the sender by reply e-mail and destroy all copies of the original
message

 -----Original Message-----
From:              [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]
Sent:        Tuesday, November 26, 2002 11:21 AM
To:          WEDI SNIP Testing Subworkgroup List
Cc:          WEDI SNIP Testing Subworkgroup List
Subject:           RE: HIPAA Certification & Conformance Rules


Rachel,

I totally agree with you.  The work does begin here in these threads.
However, it is a very long and tedious process to try to gain some type of
consensus once the documenting and discussion begin in the work group
calls.  I was really just taking the opportunity to get more participation
in our group overall...and to try to coax some of the lurkers out of
hiding.  It was a lame try...but worth a shot.   :)


_______________________________________________

John Lilleston
Technical Supervisor
Verizon Information Technologies, Inc.
Healthcare Solutions
813-979-3225
[EMAIL PROTECTED]
http://www.VerizonIT.com/
_______________________________________________



                      "Rachel Foerster"
                      <[EMAIL PROTECTED]        To:       "WEDI SNIP Testing
Subworkgroup List"
                      m.com>
<[EMAIL PROTECTED]>
                                               cc:
                      11/26/2002 01:10         Subject:  RE: HIPAA
Certification & Conformance Rules
                      PM
                      Please respond to
                      "WEDI SNIP
                      Testing
                      Subworkgroup
                      List"






John,

I think that the "official" work of this subworkgroup can also be
accomplished and progressed via this list serve. Why not begin the work
items you identify below here, now? If you and Sue have identified about 50
work items, why not start a discussion thread on each of them? Your message
below seems to indicate that it will take place only during the regular
biweekly conference calls.

Unfortunately, I will not be able to participate on 12/5. I suspect this is
true for many contributors here on this list who can and could contribute
via discussion threads but may not be able to participate on conference
calls.

Rachel Foerster

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]
Sent: Tuesday, November 26, 2002 11:18 AM
To: WEDI SNIP Testing Subworkgroup List
Subject: Re: HIPAA Certification & Conformance Rules



Everyone here has raised some very valid points.  Right now I think Sue and
I could list about 50 possible agenda items for our bi-weekly meetings
based on these listserve discussions.  It is during those meetings that a
lot of what is said here turns into reality and into deliverables.  To be
blunt...we need HELP from each of you in making these ideas into reality.
I would guesstimate that currently there are 6-10 people who are constantly
part of our calls, who constantly volunteer to assist us, and who
constantly take on 90% of the work.  I certainly would like to applaud
those people and sincerely thank them for their help.  Sue and I tried to
recognize a few of those people during our breakout session in Phoenix.

I sincerely want to invite each of you and your great ideas into our
workgroup as a ACTIVE participant.  Although our agenda for our next
meeting (December 5th at 11 a.m. eastern time) is pretty much already full,
we would like to take these ideas further in future meetings.  We need your
help and opinions in prioritizing some of the items we have ahead of us and
in getting them discussed,  documented, and reaching a consensus on an
approach and methodology.

Please feel free to continue your discussions here but also please try to
take a few hours out of your week and help this group out in more than just
theory.  Most of us are either knee deep in or rapidly approaching the
testing phase of our HIPAA TCS implementation.  I think that this group is
going to have a lot of attention centered on it in the next 4-6 months.
Please join us on our conference calls every other Thursday at 11 a.m.
eastern time.  The next call is December 5...and so on.  The call in number
is 703-736-7290 pc 1315339.


_______________________________________________

John Lilleston
Technical Supervisor
Verizon Information Technologies, Inc.
Healthcare Solutions
813-979-3225
[EMAIL PROTECTED]
http://www.VerizonIT.com/
_______________________________________________



                      "Rachel Foerster"
                      <[EMAIL PROTECTED]        To:       "WEDI SNIP Testing
Subworkgroup List"
                      m.com>
<[EMAIL PROTECTED]>
                                               cc:
                      11/26/2002 11:04         Subject:  HIPAA
Certification
& Conformance Rules
                      AM
                      Please respond to
                      "WEDI SNIP
                      Testing
                      Subworkgroup
                      List"






These are precisely the issues that need to be debated, argued, and
agreement reached here on what constitutes "certification." Thus, I believe
that this group can provide immense value to the industry by not only
defining "certification" but then providing the criteria on which
"certification" will be based. This certification criteria then becomes the
"conformance" rules that are openly developed by the industry for the
industry and then which any vendor can provide services.

Right now it's the wild wild west with each vendor offering "certification"
but with no set of rules that the industry can use to evaluate the claims.
I
applaud Kepa for disclosing in such detail what Claredi's rules are. How
about other vendors also disclosing the rules they use - beyond just saying
"compliance against the IG" so that we can then normalize these rules,
document them and make them available to the industry.

So, for starters, let's change the subject line. How's this for a starting
vision: (which, quite frankly, I adapted from the ASC X12 Compliance with
X12 report)

"Compliance with the HIPAA electronic transaction technical specifications
as set forth in the implementation guides will constitute the basis for
deciding conformance with the HIPAA standards for three functional levels
of
semantics, syntax & interchange in terms of a business perspective and a
standards perspective."

I know some might say that we already know this, and while this may be true
to a point, we must now develop conformance metrics against which any
consumer can measure the product, solution, or services under
consideration.

>From a Standards Perspective Compliance with X12 means conformance with the
rules, i.e., . . . to be in agreement with the rules
X12 provides the rules. The Current term: conformance/conformity: To meet
the requirements of a standard or specification
Conformance testing is intended to verify compliance

Why Conformance is important:
80% of problems in an open system occur due to non-compliant products and
resulting interoperability issues
Interoperability includes conformance . . . and more:
Conformity to the standard
Software vendors collaborating by agreeing to work together

HIPAA critical success factors:
Conformity to:
Base X12 standards
HIPAA Implementation Guide specifications
Trading partner-specific specifications to achieve successful internal
application requirements

Our Challenges:
Standards are not enough to ensure interoperability. Standards are only
meaningful if implemented in a consistent way. There is a need to ensure
that implementations adhere to the standard: What is expected of
implementations in order to claim conformance ? i.e., what are the
requirements? How will we know if an implementation conforms? test suites,
test tools - Different ideas of what conformance is . . . Past experience
may have affected view of conformance

Now, if you've stayed with me this far, I propose that rather than arguing
about testing versus certification, that this group initiate an effort with
the goal of developing a Conformance with HIPAA Electronic Transactions
Implementation Guides document. The ASC X12 Compliance document (which by
the way, was developed in the early 1990's) could be a very useful
template.

Rachel Foerster


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individual
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of Directors nor WEDI SNIP. If you wish to receive an official opinion,
post
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opinion, post your question to the WEDI SNIP Issues Database at
http://snip.wedi.org/tracking/.   These listservs should not be used for
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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/.   These listservs should not be used for
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