HIT Standards Committee

1. HIT Standards Committee Summary of HIT Policy Committee Recommendations from August 14, 2009 Meeting August 20, 2009 John Glaser Office of the National Coordinator

2. HIT Policy Committee Meaningful Use Workgroup Update Paul Tang Palo Alto Medical Foundation George Hripcsak Columbia University August 14, 2009

3. Timeline for Next 12 Months – MU WG 3Q09: Develop process for updating meaningful use objectives and measures Tag 2011 measures relevant to specialties 4Q09: Conduct informational hearings to inform 2013 and 2015 criteria development 1Q10: Update 2013 and 2015 criteria 2Q10: Work with HIT Standards committee to ascertain availability of relevant standards 3Q10: Refine 2013 meaningful use criteria 4Q10: Assess industry preparedness for meeting 2011 and initial 2013 meaningful use criteria

4. Meaningful Use Update Process Continue to use National Priorities Partnership (NPP) framework for meaningful use criteria Work with NPP and HealthyPeople programs to identify HIT-sensitive objectives and measures appropriate for meaningful use criteria (exemplars) in 2013 and 2015 Gather public input on identified gaps in measures needed for MU criteria Examples: specialists, smaller practices and hospitals, safety-net providers, patient-supplied information Assess industry initial response to 2011 MU program Refine 2013 and 2015 MU criteria Address barriers to EHR adoption and mitigation strategies

5. HIT Policy Committee Review of Initial Recommendations by the Certification and Adoption Workgroup Paul Egerman Marc Probst, Intermountain Healthcare August 14, 2009

6. Recommendation 1 – Focus on Meaningful Use Implement a New Certification Process: Focus on Meaningful Use Objectives at a high level, less specificity Increase Specificity on Interoperability Comprehends that Optional Certifications may exist - Marketplace Advisory Services

7. Recommendation 2 – Progress on Security, Privacy, and Interoperability Address all privacy and security policies described in ARRA and HIPAA, including audit trails and consent. Aggressively establish new, very specific requirements for Interoperability and data exchange. Create “test harnesses” that will enable purchasers easily self-test their software.

8. Recommendation 3 – Objective and Transparent Process Separate Criteria definition from certification testing Allow Multiple Certification organizations With the National Institute of Standards and Technology (NIST), establish accreditation organization and process

9. Recommendation 4 – Flexible Software Sources Ensure that all EHR systems are certified against identical criteria, regardless of source Provide flexible processes for non-vendor software Provide for certification of components so EHRs can be purchased from multiple sources

10. Recommendation 5 – Short Term Transition Leverage existing Certification work, whenever possible Establish Preliminary Certification Process so work can commence prior to completion of regulatory process For products that completed 2008 certification, permit an incremental certification process against “Gap Criteria,” which includes privacy review

11. HIT Policy Committee Health Information Exchange Workgroup Deven McGraw Center for Democracy & Technology Micky Tripathi Massachusetts eHealth Collaborative August 14, 2009

12. Recommendations – HIE Workgroup