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February 15, 2006

Laying the Foundation for the Nationwide Health Information Network (NHIN) IBM Consortium - Prototype Architecture Infrastructure. February 15, 2006. The NHIN Prototype – Key Facts. NHIN Architecture Prototype: Key Facts. Announcement of Awardees on November 11, 2005

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February 15, 2006

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  1. Laying the Foundation for theNationwide Health Information Network (NHIN)IBM Consortium - Prototype Architecture Infrastructure February 15, 2006

  2. The NHIN Prototype – Key Facts NHIN Architecture Prototype: Key Facts • Announcement of Awardees on November 11, 2005 • Work will help create the foundation of the Nationwide Health Information Network. • RFI November 15, 2004 followed by RFP June 6, 2005 • Design and implement a standards-based network prototype over the coming year • Develop and evaluate prototypes of a NHIN architecture that maximize use of existing resources to achieve interoperability among Healthcare Applications – particularly EHRs. • Demonstrate the solution in 3 marketplaces / communities • 12 month duration with option period to increase participation and for further demonstration.

  3. The NHIN Prototype – Key Facts NHIN Architecture Prototype : Key Facts • Four Major Consortia were Awarded Contracts – Led by : • IBM • Accenture • CSC • Northrop Grumman • Cooperative and Collaborative Approach • Between Four Awarded Consortia • With Other HHS Partners • Health Information Technology Standards Panel (established by ANSI) • Certification Commission for Health Information Technology (CCHIT) • Health Information Security and Privacy Collaboration (established by RTI and National Governor’s Association)

  4. Team IBM • Core Team • Project Executive: Ginny Wagner, PMP • Business Lead: Richard Steen • Project Manager: Russell Scott • Chief Architect: Casey Webster • Consulting Architect: Kevin Julier • Small Business Partners

  5. The NHIN Prototype – Context NHIN Context

  6. The NHIN Prototype – Communities Community Partners • Fishkill, NY • Taconic Health Information Network & Community (THINC) • Dr. John Blair • 2,300 physicians supporting 700,000 patients • Shared data using Healthvision • Research Triangle, NC • North Carolina Healthcare Information and Communications Alliance (NCHICA) • Holt Anderson • Competitive, high-tech urban environment • Rockingham County, NC • Also members of NCHICA • Rural environment with NC and VA patients • Small, competitive practices and hospitals

  7. Drive and conform to standards Instantiation of IHE interoperability framework (XDS, PIX, PDQ, ATNA & CT profiles) IHE-compliant cross-domain data search & retrieval PIX inter-community patient identification cross-referencing Hardware & software vendor agnostic (J2EE, JDBC, JMS, EJB) XML, CDA, SAML, … Community-Centric XDS Document Repositories aggregate and normalize clinical data across a community and can be distributed within that community Each community has an XDS Document Registry that indexes and tags community data and supports the inter-community NHIN interface Comply with security & privacy w/o sacrificing usability or research value Anonymous/pseudonymous data that can be re-identified as needed Other data aggregates (registries, biosurveillance, outcomes analysis, quality of care) Practical Scalable and cost-effective at every level of practice Point-of-care performance is critical to adoption The NHIN Prototype – Architectural Principles Architectural Principles

  8. The NHIN Prototype – Community Architecture High-Level Community Architecture KEY IBM IHE Components Other Components * 1 per community Security and Privacy Between Communities Request Response QoS Security Auditing Logging XDS Registry* Critical Data* PIX/PDQ Data* NHIN Interface Community XDS Documents HCN Adapters PIX/PDQ MPI* Data Transforms Document Search/Retrieve Terminology Auditing Patient Consent Biosurveillance Portal Clinicians Patients

  9. The NHIN Prototype – Conceptual Architecture Conceptual Architecture for the NHIN Prototype

  10. The NHIN Prototype – Use Cases Initial “Community” Use Case Areas • Domain: Biosurveillance • Use Case Area: emergency room and lab data reporting • Domain: Consumer empowerment • Use Case Area: registration summary and medication history • Domain: Electronic Health Record • Use Case Area: accessing lab results and interpretations

  11. The NHIN Prototype – Schedule DRAFT ONC NHIN High Level Deliverables Schedule 2006

  12. Next Steps … • I encourage you to visit the IHE Interoperability Showcase Peds … • See what has been done in terms of making this stuff real • Contact me (Kevin Julier) or Casey Webster with any questions • KJulier@us.ibm.com or • CaseyWeb@us.ibm.com

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