HITSC 2012 Workplan / Update from ONC’s Office of Standards & Interoperability

1. HITSC 2012 Workplan/Update from ONC’sOffice of Standards & Interoperability HIT Standards Committee January 25, 2012 Doug Fridsma, MD, PhD, FACMI Director, Office of Standards & Interoperability

2. Refresher from December 14

3. Updates from ONC

4. The S&I Framework THE S&I Framework • S&I Framework Approach: • Create a collaborative, coordinated incremental standards process, • … guided by ONC, with input from Federal Advisory Committees, • … enabled and led by the an open community of industry participants • … who are interested in solving real worldproblems • Value created through this approach: • Solve real-world issues to enable health information exchange • Create leverage for ONC and other initiative sponsors by harnessing the expertise and passion of the community to solve problems • Empower the community to create the best solutions for interoperability and standards adoption 4

5. How S&I Framework relates to the rest of the HIT Standards Ecosystem ONC Community S&I Framework FACAs • Providers/Provider Organizations/Labs • Technology Vendors • System Integrators • ONC Grantees • Government Agencies • Industry Associations • Other Experts • HIT Standards Committee • HIT Policy Committee • P&S Tiger Team SDOs Engage • HL7, IHE, CDISC, NCPDP, ASC X12, ASTM, WEDI, ISO/TC 215, IHTSDO, NLM, NQF, LOINC, others Recommend Steer

6. S&I Initiatives: Foundations for a Learning Health System Care Coordination: Providers & Patients Quality, Safety & Efficiency Privacy & Security Population Queries Health IT Focus Areas / MU Transitions of Care Longitudinal Coordination of Care esMD – Signatures esMD – Struc. Content Data Segmentation for Privacy Query Health S&I Initiatives CDA HQMF Standards CEDD Data Models 6 Note that, for simplicity, some layers of the Portfolio Strategy stack have been omitted

7. S&I Initiatives: Labs and Public Health Care Coordination: Labs Public Health Health IT Focus Areas / MU Lab Results Interfaces Lab Orders Interfaces Public Health Reporting (HITSC) Immunizations, Biosurveillance, TBD S&I Initiatives HL7 2.5.1 Standards TBD Data Models Note that, for simplicity, some layers of the Portfolio Strategy stack have been omitted 7

8. S&I Initiatives: Directories • Quality, Safety & Efficiency Care Coordination: Directories Health IT Focus Areas / MU Certificate Interoperability Cert. Discovery for Direct Query for Electronic Services esMD – Provider Profiles S&I Initiatives FPKI DNS+LDAP TBD(HPD, X12, SOAP REST, Microdata) Standards / Framework Data Models Not Applicable ESI Object Model 8

9. Current S&I Initiatives: Overview

10. Current S&I Initiatives:Lifecycle View Transitions of Care Current S&I Initiatives: Lifecycle View Lab Results Interface Provider Directories Query Health Data Seg. for Privacy esMD Public Health Longitudinal Coord. of Care

11. Current S&I Initiatives: Operating Metrics (12 Jan 2012) How long has it been? How much have we accomplished? How much effort have we put in? * Assumes 260 working days per year

12. NwHIN Exchange Update

13. Strategic Road Map: Transition to Sustainability Phase 2 Phase 3 Phase 1 • Define strategic road map • Refine and scale • Expand value cases • Grow participation / volumes • Align with governance rulemaking and national standards • Transition to non-profit org • Implement sustainability model • Capable of nationwide deployment • Revenue model sustains business • Interoperable exchange among private entities • Early adopters • Shared services • Federal business cases • Early lessons learned • Success / viability • Plan for transition

14. Business Description Non-profit organization (501c3) • Provides shared governance and infrastructure • Expands connectivity (test once, exchange with many) • Provides assurance of interoperability in production • Holds participants accountable, with ability to revoke privileges • Provides common platform for a variety of exchange modalities • Aligns with but not solely limited to nationwide health information network standards, services and policies Business Plan – Section 1 and 5.1

15. Value Proposition

16. Exchange Transition Milestones Plan Strategic Road Map Fed Private ONC 3 Staff Legal Criteria Select Operational Operational Select Start Criteria Procure Start UDDI Procure CA Start CA Build critical mass of connectivity Sustainable Business • On boarding, UDDI and CA support contract ends – 6/28/12 • Testing contract ends – 8/4/12 • ENTRUST contract ends – 11/1/12 ETB = Exchange testing body