California Trust Framework Pilot Request for Funding

1. California Trust Framework PilotRequest for Funding Informational Webinar 24 June 2013

2. CAHIE, NATE, and D&TS • National Association for Trusted Exchange (NATE) led a ONC-sponsored pilot of policies, practices, and technologies to enable exchange using Direct between providers across state lines. • Used CHeQ’s work on Directory and Trust Services (D&TS) to create the nation’s first trust community managed through trust bundles and a federated provider directory. • California Association of Health Information Exchanges (CAHIE), a statewide group of community and enterprise HIO leaders, was convened by CalOHII to create a trust framework in California. • Will use D&TS, extending NATE’s model to include query-based exchange using Exchange specifications. • CHeQis seeking community and enterprise HIOs and HIE service providers to participate in a pilot to inform the CAHIE trust framework effort.

3. Pilot Program Overview • Vision • Support/ease exchange among HIOs and service providers via a multi-party agreement and a lightweight technical infrastructure. • Pilot Goal • Provide input into the policies, practices, and technologies (i.e., a “trust framework”) that would enable inter-organizational exchange in California. • Policies and practices will inform CAHIE governance process. • Practices and technologies will inform CHeQtechnical development. • Activities include certificate management and provider directories. • Focus is on trust framework, not on exchange of PHI. • Participation is geared toward operational HIOs and service providers that: • have implemented Direct or Exchange, and • have sufficient policies and practices in place to establish trust.

4. Eligibility • Organizations: • Community or enterprise HIOs, or • HIE service providers • Required exchange capabilities: • Using Direct in accordance with Applicability Statement for Secure Health Transport version 1.1; …and/or… • Using Exchange specifications (Patient Discovery, Query for Documents, and Retrieve Documents) in compliance with specifications published by Healthēway. • Funding is not available to implement Direct or Exchange.

5. Timeline • Accepting applications immediately. • First Round: • Evaluating funding requests received by July 1. • Planning on awards by July 15. • First round of on-boarding by August 1. • Additional rounds as applications are received and funding is available. • Pilot ends November 30. • Transition eligible organizations to “production” trust framework at end of pilot.

6. Pilot Activities • Phase One • Help define details of eligibility for the California trust framework. • Help assess your organization against eligibility criteria. • Phase Two – On-boarding • Manage trust anchors for Direct exchange using the new Implementation Guide for Direct Project Trust Bundle Distribution; • Operate a provider directory of Direct addresses using Healthcare Provider Directory (HPD) specifications (with HPD+ additions); • Manage of certificates for Exchange gateways (method TBD); • Use a California-specific Web Services Directory (UDDI) to discover Exchange service endpoints; and/or, • Use an HPD directory to discover Exchange service endpoints. • Must participate in Phase One and at least one Phase Two activity.

7. Available Funding • Funding is available to support: • Phase One • Providing evidence of current policies and practices, and/or implementing required practices defined during phase one of the Pilot. • Phase Two • Developing the ability to support trust bundles in Direct; and/or, • Implementing provider directories for Direct address or Exchange service endpoint discovery. • Organizations must be determined to be eligible in Phase One to participate in and be eligible for funding for Phase Two. • Organizations not requesting funding should still complete an application requesting $0.

8. How to Apply • Complete two forms: • CHeQ Request for Funding • CAHIE Pilot Application for on-boarding • Send completed forms by email to cheq@ucdmc.ucdavis.edu or by fax to “CHeQCalifornia Trust Framework Pilot” at (916) 734-4754. • Send questions to Patty Clark at patricia.clark@ucdmc.ucdavis.edu. • Applications will be accepted on a rolling basis. • Those submitted by July 1 will be included in the first round of review. • Awards will be made based on available funds. • Additional rounds will be considered if additional funding is available.

9. Application

10. CAHIE Application • Must also complete the CAHIE application. • Draft data collection instrument that will be used by CAHIE to collect information for on-boarding to CA trust framework. • Used in pilot program as input into eligibility. • CHeQ may use information collected from this form for progress reporting to the ONC.

11. Questions • For more information, see the web site at:http://www.ucdmc.ucdavis.edu/iphi/Programs/cheq/cheqfunding.html • For questions after the webinar, send email to Patty Clark at: patricia.clark@ucdmc.ucdavis.edu. • Answers to further questions will be posted on the web site.