DirectTrust Workgroups

One of the primary benefits of membership is the opportunity to impact the development of the Nation’s trust framework by participating in the DirectTrust Workgroups. We have provided below an overview of each of the workgroups. Please let us know if you are interested in engaging in one of the groups; we can provide you with the logistical details.

List of WorkgroupsCall Schedule

Certificate Policy and Practices Workgroup

Workgroup Chair: Don Jorgenson (Inpriva) and Jerry Cox (IdenTrust)


Bi-Monthly Calls: Alternating Wednesdays at 2:00 ET


The main purpose of this workgroup has been to establish and maintain a Certificate Policy that will serve as a guide to Health Information Service Providers, HISPs, and their Certificate Authorities, CA, as they implement Direct exchange programs and services. The main objective of this workgroup is to address the anticipated needs for certificate policies and practices associated with the Ecosystem community.


Audience: All Members

Direct Directory Policy Workgroup

Workgroup Chairs: Bruce Schreiber (MaxMD) and Jim Fisher, PhD (MedAllies)

Bi-Monthly Calls: Alternating Tuesdays at 3:00 ET

The Direct Directory Policy Workgroup focus is to discuss and develop policy related to the proliferation of directories used by Direct implementers across the country. The goal of this group is to reflect the principles of openness and transparency that have guided DirectTrust member’s activities and grounded DirectTrust policy heretofore.

Audience: All Members

DirectTexting Workgroup

Workgroup Chairs: Bruce Schreiber (MaxMD) and Dale Moberg (Orion)


Bi-Monthly Calls: Wednesdays at 11:00 am ET


The purpose of this workgroup is to design a set of specifications for DirectTexting that is interoperable across the DirectTrust network, secure, auditable, and HIPAA compliant in all respects. This workgroup may develop one or more apps for mobile devices to support DirectTexting at a national scale.


Audience: InBundle HISPs

FHIR Security and Trust Workgroup

Workgroup Chairs: Brian Ahier (Medicity) and Calvin Beebe, MD (Mayo Clinic)

Bi-Monthly Calls: Mondays at 4:00 pm ET

This new Workgroup will concentrate on education and information as its first and primary charge.  The goal is to get ourselves on the same page, so to speak, and become fully informed about the technology, the status of FHIR as a standard, the work being done with the Argonaut Project, etc.  Eventually, the FHIR Security and Trust Workgroup may want to issue a set of recommendations and services that leverage the Security and Trust Framework of DirectTrust to the web services environment, so that it, too, could achieve scalable trust on a national basis.

Audience: All Members

Patient and Consumer Participation in Direct Workgroup

Workgroup Chairs: Lucy Johns, MPH (Independent patient/consumer advocate) and Renee Smith (Walgreens)

Bi-monthly Calls: Alternating Tuesdays at 3:00 ET

The Patient and Consumer Participation in Direct workgroup is charged with encouraging and enabling Direct exchange between consumers/patients and healthcare professionals. The primary goal of this Workgroup is to ensure that the consumer/patient is an active member in health information exchange, shares decision making about their health, and is a co-producer of their health information.

Audience: All Members

Security and Trust Compliance Workgroup

Workgroup Chair(s): Luis Maas, MD, PhD (EMR Direct) and Jeff McDonald (Relay Health)

Bi-Monthly Calls: Alternating Wednesdays at 2:00 ET

The DirectTrust Security and Trust Compliance workgroup’s primary mission is to create a program which can be used by HISPs to voluntarily apply, qualify, and thereby be able to attest, to having met or exceeded best practices for security and trust. The overall goal of is to help assure the stability and interoperability of Direct exchange implementations nationally, and to develop, promote, and as necessary enforce the best practices necessary to maintain security and trust within the Direct Community.

Audience: All Members

Workgroup Call Calendar