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HIT Policy Committee

HIT Policy Committee . Governance Workgroup Update John Lumpkin, Robert Wood Johnson Foundation, Chair September 14, 2010. HITECH Calls for Governance Mechanism. HITECH directed the National Coordinator to “establish a governance mechanism for the nationwide health information network*.”

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HIT Policy Committee

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  1. HIT Policy Committee Governance Workgroup Update John Lumpkin, Robert Wood Johnson Foundation, Chair September 14, 2010

  2. HITECH Calls for Governance Mechanism • HITECH directed the National Coordinator to “establish a governance mechanism for the nationwide health information network*.” • Proposed rulemaking would identify governance mechanism(s) that: • Engender trust; • Assure effectiveness; • Meet or exceed consumer expectations; and • Promote and facilitate use of the nationwide health information network. * The name Nationwide Health Information Network will be changed in Fall 2010.

  3. Governance Workgroup Purpose • CHARGE: To draft a set of recommendations on the scope and process of governance for the nationwide health information network, including measures to ensure accountability and oversight. • Related purposes: • To provide recommendations to engender trust in the nationwide health information network (“Network”) and to promote and enable broader participation; • To inform development of a notice of proposed rulemaking (NPRM); and • To provide comment on the NPRM when it is issued.

  4. Governance Workgroup Members • John Lumpkin, Robert Wood Johnson Foundation (Chair) • Laura Adams, Rhode Island Quality Institute • Christine Bechtel, National Partnership for Women & Families • Neil Calman, Institute for Family Health • Carol Diamond, Markle Foundation • Linda Fischetti, Department of Veterans Affairs • John Glaser, Siemens • Leslie Harris, Center for Democracy and Technology • John Houston, University of Pittsburgh; NCVHS • Michael Matthews, MedVirginia • John Mattison, Kaiser Permanente • Girish Kumar Navani, eClinicalWorks • Tim O’Reilly, O’Reilly Media • Wes Rishel, Gartner

  5. Governance Workgroup Deliverables • Deliverables: • Governance hearing (September 28) • Initial recommendations presented to HITPC (October 20) • Final recommendations presented to HITPC (November 19) • Hearing and comments on NPRM (Q2 / Q3 2011)

  6. Governance Workgroup Timeline • Gov WG Recommendations (11/19/10) ONC Artifacts: • NPRM Comment Period (Q2/Q3 2011)) WG scope and framing materials Hearing / panel outline Workgroup Artifacts: Hearing agenda / questions Governance recommendations Webinars on Governance Q2 / Q3 2012 Aug Sept Oct Nov Dec 2011 10/21– WG presents draft recs to HITPC 8/12 - Gov WG Kickoff 9/3 – WG Call WG Comments on NPRM 11/19 HITPC approves recs 9/28 – Governance Hearing 6

  7. Governance Hearing Outline • Panel 1: Governance models in other domains (e.g., ecommerce, banking, etc.) • Panels 2 and 3: Implementers of health information exchange regarding governance experiences, issues and needs related to three domains: • Trust • Interoperability • Accountability, enforcement and oversight  • Panels 4 and 5: Entities today that are performing governance functions (e.g., OCR, FTC, state entities, Exchange Coordinating Committee, etc.) • Public Comment 7

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