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Arien Malec
Recent Activity
I'm moving on... It's been a fantastic ride -- I'll continue to be involved in the Direct Project and the S&I Framework, but on the community side now. Continue reading
Posted Aug 11, 2011 at The Direct Project
An overdue update on pilot production usage of Direct Project specifications: As of February 25, 2011 Heartland Regional Medical Center (St. Joseph, MO) is sending production clinical information to Living Community of St. Joseph (a long term care facility). Direct is being leveraged as a replacement for traditional ad hoc... Continue reading
Posted Mar 15, 2011 at The Direct Project
OK, it seems I'm a bit behind the times. Yesterday, [I mused about a capability based on Direct Project specifications for EHRs to send information to a personally controlled Direct Address](, and I immediately learned that [it's already happening]( That's, incidentally, one of the "emergent" properties of standards: people and... Continue reading
Posted Feb 13, 2011 at The Direct Project
Very nice -- will do a blog post on that next!
I'm pleased to echo a couple of blog posts about our newest Direct Project production environment, the HealthVault Message Center. [Here's Sean Nolan's blog post announcing the feature](, and [Dr. Halamka's description on his blog]( A number of our implementation geographies will be opening up the ability to send data... Continue reading
Posted Feb 12, 2011 at The Direct Project
I am incredibly pleased to announce today the first two production networks using Direct Project specifications. [VisionShare]( has enabled Hennepin County Medical Center to send immunization information to the Minnesota Department of Health. Testing of immunization (or syndromic surveillance) communication to a public health agency is a requirement for Meaningful... Continue reading
Posted Feb 2, 2011 at The Direct Project
Many of you have already received invitations to participate in one of the Standards and Interoperability Framework Initiatives that the ONC has launched. If you haven't received the call for participation, or if you are confused about what is being asked of you: The Standards and Interoperability (S&I) Framework was... Continue reading
Posted Jan 14, 2011 at The Direct Project
This post is hopefully going to sum up a good deal of what is taken for granted within the Direct Project implementation group membership, but causes confusion outside. It touches a bit on [John Halamka's latest post]( and on the feedback from the HITSC Privacy and Security Workgroup on XDR.... Continue reading
Posted Dec 29, 2010 at The Direct Project
[John Halamka today posted on a topic]( that has been a huge item of historical discussion in the Direct Project: whether we can enable simple, direct, scalable and secure transport in support of meaningful use based just on TLS. Our conclusion was that you couldn't, at least not simply, and... Continue reading
Posted Dec 22, 2010 at The Direct Project
On Friday, the HITSC Privacy and Security Workgroup reviewed the Direct Project specifications. Their findings are [on the HITSC website]( I would like to thank the Workgroup for the time and thought they put into the review, and would like to thank Dixie in particular for leading the Workgroup through... Continue reading
Posted Dec 20, 2010 at The Direct Project
Newly posted to the FACA blog (the blog of the HIT Policy Committee and HIT Standards Committee) is a request for comment on Standards and Interoperability Framework Initiatives and priorities. [Please review and provide comment!]( Continue reading
Posted Dec 10, 2010 at The Direct Project
Joining the [Direct Project Overview]( is the new [Direct Project Security Overview]( If you've ever wondered how the Direct Project specification protects the privacy and security of patient data, here's your answer, in (mostly) plain English. If the Direct Project Overview is the 101 intro course, the Security overview is... Continue reading
Posted Dec 9, 2010 at The Direct Project
[O'Reilly Radar]( and [The Health Care Blog]( See also [Dr. John Halamka's post on the Direct Project]( and the [HITSC meeting on transport standards]( Continue reading
Posted Nov 29, 2010 at The Direct Project
Join me tomorrow at 10 AM Pacific, 1 PM Eastern, at [NHIN 203, on the Direct Project]( Continue reading
Posted Nov 28, 2010 at The Direct Project
(Note: this is taken from an e-mail message I sent to the Direct Project membership yesterday.) A little under 9 months ago, we launched this project with the sketch of a dream: universal addressing and secure transport that would enable health information exchange reaching patients and providers where they are... Continue reading
Posted Nov 26, 2010 at The Direct Project
Just a quick reply to Karen's comments here. We are trying to get things written down, and Karen has raised, both in private and in public, valid comments on how consistent we've been on issues such as base time that a deliverable is posted for consensus, and how an organization that believes it should be part of the Implementation Group can challenge a judgement of the "contribute significantly" test. However, the basic rule for the Direct Project is, and has been from the beginning, that any organization in the Implementation Group had the right to object to a deliverable, on any grounds, so long as they propose the fix. That right has been used to object both to substance and to process, and provides a very strong redress mechanism for organizations who have concerns about process.
Glen, not exactly sure you are following the conversation.
Toggle Commented Nov 9, 2010 on Keith speaks truth at The Direct Project
That's a major breakthrough in epistemology....
Toggle Commented Nov 8, 2010 on Keith speaks truth at The Direct Project
He usually does, but I want to call [this instance out]( The Direct Project will be successful primarily because the market has changed. Meaningful use was a big part of it, state HIE programs are a big part of it, ACOs and PCMH are a big part of it, tipping... Continue reading
Posted Nov 8, 2010 at The Direct Project
1. Yes, I know this blog has been neglected. Trust me, it's because there's way too much stuff going on in the real world. We have 6 workgroups that are producing stuff at phenomenal rate. I need to slow down a bit and summarize for the everyone else... 2. On... Continue reading
Posted Oct 8, 2010 at The Direct Project
We had a great day yesterday at the [CONNECT Code-A-Thon](, walking a bunch of new interested participants through Direct, up to an including the architecture, fundamental classes, and how to get the Java implementation up and running. We were able to get my laptop running as a HISP, live, no... Continue reading
Posted Sep 22, 2010 at The Direct Project
We've seen considerable momentum after our face to face meeting, along all sorts of fronts. I want to concentrate today on what I consider to be the key domino we have to knock over to generate a chain of success. When we first started this endeavor, one of the initial... Continue reading
Posted Sep 3, 2010 at The Direct Project
Long time, no blog. Since my last post, we've been hard at work, [writing code](, [planning the future components we will write](, [writing documentation](, and [planning to take this out to the real world]( We've also been trying to do a much better job of [communication what this is all... Continue reading
Posted Aug 18, 2010 at The Direct Project
The [consensus proposal]( is now at version 1.1.2, and has reached consensus. Please see [my previous summary]( for more details. To move this consensus proposal forward, we have launched two new workgroups: 1. The [Documentation and Testing Workgroup]( will create the specification and reference documentation and 2. The [Reference Implementation... Continue reading
Posted Jul 7, 2010 at The Direct Project
There was a bit of wording in the Consensus Proposal that tripped at least a few people up. The wording in question stated: > Source HISPs MUST be capable of accepting incoming messages with unencrypted payloads from > Sources, and securing and transmitting them using the Security Agent model documented... Continue reading
Posted Jun 28, 2010 at The Direct Project