*Action Items*
New
[AI] {Jack} will check to see if there is a mailing list for HL7 that would be an appropriate venue in which to publicize CAMP Med..
[AI] {Dave and Bill} will discuss their potential cooperative Shibboleth effort in the context of the AAMC/GIR Pilot..
[AI] {Group} will send suggestions of groups and venues to advertise CAMP Med to Renee.

Carry Over
[AI] {Keith and SteveO} will compose a note to send the MACE-Dir list about the MedMid WG’s interest in integrity and audit of data in the medical environment.
[AI] {Jere, Mike, Jack and SteveO} will begin developing a case study pertaining to data integrity and audit.
[AI] {Group} will forward via the list related links to data integrity and audit in the medical environment.
[AI] {Jack} will report to the group the VA’s progress to date on data integrity and audit.
[AI] {SteveO} will send Grouper and Signet links to the group via the list.

*Participants*
Jack Buchanan, University of Tennessee – Memphis (Chair)
Dave Demassa, Tufts University
Bill Gordon, University of Cincinnati
Mike McGill, Internet2
Jere Retzer, Oregon Health Science University
Terrie Clark, Internet2
Renee Frost, Internet2
Lisa Hogeboom, Internet2
Steve Olshansky, Internet2

*Discussion*
The program for CAMP Med is now online. This CAMP is another in a
Continuing series of workshops presented by the NSF Middleware
Initiative (NMI) EDIT consortium http://www.nmi-edit.org/index.cfm. It will take place February 9-11, 2005 at the Tempe Mission Palms Hotel
and Conference Center, Tempe, Arizona. Full details and registration information can be found at http://www.educause.edu/camp051. This is the first CAMP to focus specifically on identity and access management for medical and health-related applications and the technology issues faced by academic medical centers. The CAMP will have interactive sessions for both technical and policy interests.

Pilot Updates
The University of Cincinnati AAMC/GIR pilot project plans to have Shibboleth installed and the associated login part of the development complete in time for CAMP Med. Tufts University and the University of Wisconsin have expressed interest in partnering with the University of Cincinnati on this project.

The Tufts University TUSK project will install the Shibboleth target soon. They are considering the InCommon federated approach.

The group will revisit developing and finding use cases applicable to data audit and integrity in January 2005.

Oregon Health & Science University has received a grant to study medication tracking for patients. Currently, there is little formal tracking of patient medications across their multiple health-care providers, thus many patients fill a shoebox with their medications, requiring the physician, hospitals, clinics, nursing homes and pharmacies to expend a great deal of error prone effort to accurately track the patient’s medications. The grant from the Agency for Healthcare Research and Quality (AHRQ) will fund a study about electronic tracking of patient’s medications. This study will examine several questions. Who will have access to the medication list? Can this be managed through a traditional database structure? How will a trust infrastructure be developed? Is the trust infrastructure bilateral between individual providers and the central database? Or is there a trust requirement among and between providers as well? Who maintains the database? Would a federated solution be applicable? The Veteran’s Health Administration has an electronic pharmacy that could serve as a potential model. Additional issues are the notion of an identity service for patient IDs on a national level, and managing the differing systems for classifying drugs.

Internet2 is collaborating with a group responding to an RFP from the Office of the National Coordinator for Health Information Technology (ONCHIT) http://www.hhs.gov/healthit/. This coordinated response addresses both local and regional solutions. Internet2 is also making a proposal for the next American Medical Informatics Association (AMIA) meeting. The proposal is about advanced networking including a panel discussion with technical, middleware, and applications-focused speakers.

The next call is Thursday, January 13, 2004 at 2:00PM ET.