Strongest Outcome: Purpose of Governance is to establish an acceptable level of TRUST based on risks associated with USE.Acceptable level of trust and Risk vary depending on Use Case
Content goes both ways- up/down
Operationally, data is vetted multiple times at multiple ways/places
All data doesn't exist at all levels
Ability to trace the source of data (provenance)
Data provenance Being able to trace where the data came from
Different data has different uses
As long as we can tell what it is and how it can be used- depending on Use Cases
Not all data can be
Different levels of trust
Legislative requirement or not
Major Takeaway: We may disagree on what content should be there but if it is there it ought to be correct.
Private funding may be available IF make "safe harbor"
when you say what will you pay for- need to know what to get done, who is responsible
what does it mean to have a national director of the KIND of info NPESS puts out vs what NPESS is supposed to do
Was consensus on NPESS being approved, no consensus of what NPESS should be
from CMS current position NPESS will not become a provider directory, it is out of scope for NPESS.
What is scope? what isn't? What are the constraints for NPESS? This needs to be clarified.
Given that...should the government have a national provider directory? No consensus.
Can NPESS be open source to contribute to making NPESS better?
Need willingness to help.
Notion of marketplace of provider data
If create a system where you can "complain" about the content of NPESS, needs to be accountability
Look to SMART of FHIR model, NPESS adopt practices
It was noted: That NPESS directory has been updated in order to receive dig end pts (direct address) and can make available to facilitate info sharing. Not same as a national provider directory.