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Bottom up use case development within a top-down coordination framework

Bottom up use case development within a top-down coordination framework. NHIN Direct + Interoperability Framework = Focused Collaboration. CORE PRINCIPLES Prioritization Transparency Engagement Rapid Results. Focused Collaboration. Command and Control. Focus. Classic Trade-Off.

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Bottom up use case development within a top-down coordination framework

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  1. Bottom up use case development within a top-down coordination framework NHIN Direct + Interoperability Framework = Focused Collaboration CORE PRINCIPLES Prioritization Transparency Engagement Rapid Results Focused Collaboration Commandand Control Focus Classic Trade-Off Thousand Blossom Blooms Low High Low High Participation

  2. NHIN Direct Lessons Learned Key Lessons From The Direct Project • Focused problem-solving around a particular business case drives engagement • Asking participants to commit to implementation and pilots drives positive behavior and focus • The policy tools at ONC's disposal work to engage industry broadly • Aligning federal partners, states with private companies generates more value than the sum of its parts • Open source reference implementations are a key tool to promote standards adoption by lowering the total industry cost to achieve the value chain • Communities are awesome things…

  3. Approach to S&I Framework National Goals: Quality, Cost, Access, Public Health(HITECH, ACA, etc.) Robust Interoperability Across Settings of Care, Increased "Systemness" of Care Delivery “ultra-large scale systems” Value and Outcome Focused Projects to Address Key Obstacles, Prioritized by Value, MU, Leverage Reference Implementation (Lockheed Martin) Harmonization ofCore Concepts (Deloitte) Implementation Specifications (Deloitte) Certificationand Testing (Stanley/Deloitte) Use Case Developmentand Functional Requirements (Accenture) PRIORITY 2 PRIORITY 3 PRIORITY 1 PRIORITY 4 2 Months 2 Months 2 Months Tools and Services(Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc) (Stanley)

  4. PRIORITY 1 PRIORITY 2 2 Months 2 Months 2 Months PRIORITY 3 Reference Implementation (Lockheed Martin) Harmonization ofCore Concepts (Deloitte) Implementation Specifications (Deloitte) Certificationand Testing (Stanley/Deloitte) Use Case Developmentand Functional Requirements (Accenture) PRIORITY 4 Tools and Services(Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc) (Stanley)

  5. Principles • Organizing principle – “solving problems” throughout the entire value chain, and use that as the “glue” for the other metrics from OIS • Each team in the S&I framework will assist in solving a problem • Operationalize the process and problems with metrics, risks and milestones • Solve value focused problems in small increments; build consistency across projects through a national vision and a model-based approach • Balance between bottom-up goal-directed coordination and top-down structured coordination

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