Much food for thought on this thread, for certain.

Re: Privacy, doen't that dialogue belong on the SNIP Privacy listserver, or
on hipaalive?  This testing subworkgroup is within the SNIP Transactions
workgroup, and doesn't necessarily have hipaa privacy expertise...and there
will continue to be plenty of e-mail related to the Transactions testing
issues, we may not want to distract folks with privacy issues, which are
aplenty!  But, while we're on this, and fyi: I think JCAHO is integrating
HIPAA Privacy standards into their accreditation process...

A concern that I have re: developing comprehensive and industry-wide
transaction certification standards is timing - JCAHO, (which, by the way, I
think uses the word "accredited" and not "certified"), is 50 years old, and
their standards have been evolving for that long.  New standards are
published in draft, commented on, revised, tested, and then (a subset)
rolled out.  For some of their standards, I've seen the process take years -
and I don't believe new accreditation criteria have ever been implemented in
anything less than a year.  HIPAA won't wait that long - and imho it
shouldn't,

There is plenty of precedence for entrepreneurially-defined certification
standards - Microsoft-certified system engineers, for example.   It's not
unreasonable for a private entity to clearly define certification criteria
and then give a stamp of approval to entities that meet that criteria.  It's
a quicker process - whether or not it is the best process is determined by
the market - it IS a quicker process.

In implementing transactions and code sets standardization, trading
communities will continually identify new ambiguities and bugs in their
internal and external tools - it's the nature of the HIPAA beast.  (All the
beast needs is love in order to become a prince!  Think Beauty and the
Beast, for those w/o kids I'd suggest renting a kid and the movie, it's
good!).

Sorry for the digression - In implementing transactions and code sets
standardization, trading communities will continually identify new
ambiguities and bugs in their internal and external tools.  And as
particular standards are stablized, attention will turn to less mature
standards, so the issue resolution process needs to be continuous.  If
trading communities cluster together to accept issue resolutions, create
infrastructure to distribute information about the resolutions, and
implement those resolutions, well, that's implementation!  Third party
certification - whatever certification tool or vendor the trading community
selects - should be the hub at the center of the process if the process is
to be efficiently executed.

My thoughts, thanks for your consideration!

- Cy

Cynthia Korman


----- Original Message -----
From: "Chris Brancato" <[EMAIL PROTECTED]>
To: "WEDI SNIP Testing Subworkgroup List" <[EMAIL PROTECTED]>
Sent: Thursday, December 19, 2002 9:51 AM
Subject: RE: RE: NCQA Certifies Compliance SNIP Comes Up Short


> Rama, Maracallee and John, I am enjoying the discourse on TNC. I'm very
> interested in what you think specifically to NCQA's new Privacy
> "certification"?.
>
> -----Original Message-----
>
>
>
> ---
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