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S&I Framework PROPOSED INITIATIVE SUMMARIES

S&I Framework PROPOSED INITIATIVE SUMMARIES. Dr. Douglas Fridsma Office of Interoperability and Standards. December 10, 2010. Bottom Up Use Case Development Within a Top-down Coordination Framework. CORE PRINCIPLES Prioritization Transparency Engagement Rapid Results. Focused

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S&I Framework PROPOSED INITIATIVE SUMMARIES

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  1. S&I Framework PROPOSED INITIATIVE SUMMARIES Dr. Douglas Fridsma Office of Interoperability and Standards December 10, 2010

  2. Bottom Up Use Case Development Within a Top-down Coordination Framework CORE PRINCIPLES Prioritization Transparency Engagement Rapid Results Focused Collaboration Commandand Control Focus Classic Trade-Off Low High A Thousand Flowers Bloom Low High Participation Target Problems + Interoperability Framework =Focused Collaboration

  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. Initiatives Initiative 1 Initiative 2 Initiative 3 Pilot Demonstration Projects Standards Support Initiative…N Reference Implementation Harmonization ofCore Concepts Implementation Specifications Certificationand Testing Use Case Developmentand Functional Requirements Standards and Interoperability as a “Platform” for Interoperability Initiatives Tools and Services(Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc)

  5. Another view… Strategic Steering Committees Contract Team Initiative Steering Committee PROVIDER DIRECTORY CLINICAL CARE SUMMARY (C32) PRIORITY 4 LAB Implementation Specifications (Deloitte) Harmonization (Deloitte) Reference Implementation (Lockheed Martin) Use Case (Accenture) Certification/Testing (Stanley/Deloitte) Stakeholders Pilot Demonstrations (Lockheed Martin) VALUE/OUPUTS

  6. S&I Initiative Prioritization Framework (Short Term) 6

  7. S&I Initiative Prioritization Framework (Long Term - Criteria Category 1 of 4)

  8. S&I Initiative Prioritization Framework (Long Term - Criteria Categories 2, 3 and 4 of 4)

  9. ONC perspective on near-term priorities • Continuation of HITSP work • The S&I framework is intended to support the continued maintenance and support of HITSP standards, particularly those that have been adopted to support Stage 1 meaningful use • Clinical Care Summary (C32, CCR) • Responding to key HITPC recommendation and needs of the grantee communities • States and RECs are moving quickly to resolve provider identity assurance through certificates. There is a need to establish certificate interoperability to reduce future complexity. Need has also been identified as part of the Direct project. • Certificate Interoperability • Certificate Discovery (ie, provider directories) • Laboratory information • Support for low-cost provider to lab interfaces • Need to pilot the S&I framework as we work out remaining priorities and coordination processes • Need to pick a limited set of activities to test and develop our coordination processes through real world experience

  10. Comments on S&I Initiatives posted on FACA Blog • 7 comments so far, anticipate many more • Topics include • Suggestions for potential new initiatives • Feedback on currently proposed initiatives • Options to improve the Prioritization Framework • Other comments: timing and interdependencies of initiatives, opportunities for broad public input, etc • Commenting period is open until December 23, 2010

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