Action Items
[AI] {SteveO} will send CAMP Med information to the list once it is available.

Participants
Jack Buchanan, University of Tennessee - Memphis (chair)
Mike McGill, Internet2
Keith Hazelton, University of Wisconsin - Madison
Mary Kratz, University of Michigan
Bill Gordon, University of Cincinnati
Paul Jolly, AAMC
Terrie Clark, Internet2
Renee Frost, Internet2
Steve Olshansky, Internet2
Ann West, EDUCAUSE/Internet2

Discussion
Pilot Updates:
At the University of Cincinnati the infrastructure login component has been integrated into the CME online courseware project. The initial phase of the project encompasses utilizing Shibboleth for remote login. After the Shibboleth target has been installed and is functioning, the Apache/Windows platform will be enhanced to support AAMC identifier lookups. The University anticipates that Internet2’s assistance will be required to install the Shibboleth target. The University of Wisconsin - Madison will install a Shibboleth origin concurrently for participation in this pilot.

The AAMC system could support server-to-server lookups for identifiers, with some additional development effort. The AAMC has published a technical description outlining connectivity to the server lookup system. Additional users (e.g. clinicians and instructors) could be added to the existing list once successful use of the current database has been established, if needs warrant and the numbers are not burdensome on AAMC. The list AAMC currently maintains includes physicians who have attended medical college in the US and physicians who have registered with the Educational Commission for Foreign Medical Graduates (ECFMG). http://www.ecfmg.org/.

I2MM Debrief
The MedMid BoF included discussions about the policy, technical and legal aspects of HIPAA. It was discussed that a better understanding of these issues would greatly benefit research institutions. Another topic discussed was the particular needs of smaller medical schools with small IT budgets and staffs.

NIH has indicated heightened interest in, and support for, informatics and other IT issues surrounding the health sciences. The recently announced National Centers for Biomedical Computing are a reflection of this.
http://www.bisti.nih.gov/ncbc/index.cfm

From an IT/organizational perspective these centers could resemble Virtual Organizations (VOs). This may provide an opportunity for authentication and authorization efforts underway within the Internet2 Middleware Initiative to offer some valuable input.

Interest and discussion at the BoF also focused on how middleware can facilitate the intersection of national and local healthcare infrastructures. Frustration in the clinical arena exists over integrating local health care providers into a national network without a universally defined architecture.

The National Health Information Infrastructure (NHII) is focusing on reengineering aspects of the pharmaceutical industry concerning pharmacies and drug interaction information, among other issues. This is another example of a clinical initiative.
http://aspe.hhs.gov/sp/nhii/

The Health Sciences Task Force Meeting at the I2MM featured a presentation by Michael Ackerman of the National Library of Medicine (NLM), discussing the NIH Roadmap.
http://events.internet2.edu/2004/fall-mm/sessionDetails.cfm?session=1700&event=219

The University of Tennessee in Memphis has submitted a proposal to the CDC to provide an automated solution for collecting, storing and transmitting bone density scans. The CDC has expressed concerns over the safety and reliability of Internet technology for this and other applications. The University of Tennessee is also a pilot site along with the VA for the sharing of medical records between the VA and educational affiliates. Once funding has been approved, this project will likely involve Internet2’s efforts in federated identity management, authentication and authorization.

It was discussed that a document discussing federations would have applicability in the medical environment. Such a document may be developed under the auspices of the newly formed InCommon Federation.
http://www.incommonfederation.org/

More information about the NMI-EDIT Campus Architectural Middleware Planning (CAMP) Workshop, will be available in early November and will be forwarded to the MedMid list. The focus of this CAMP will be Identity and Access Management for Medical Applications. It will be held February 8-11, 2005 in Tempe AZ.

The next MedMid call will be Thursday, November 11, 2004 at 2:00PM ET.