The United States has been instrumental with the inception of the IHST, the U.S. JHSAT, U.S. JHSIT, and U.S. JHIMDAT. The U.S. is in the process of formally organizing the independent U.S. global partner team, apart from the overarching IHST, to better focus on specific regional issues as well as those shared internationally. The U.S. is continuing its leadership role in IHST, interfacing with international teams and taking a leadership role with the overall metrics team.