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Advancements in Health IT Standards: A Collaborative Approach for Interoperability

This work plan update from ONC's Office of Standards & Interoperability, presented by Doug Fridsma, MD, PhD, highlights the incremental standards process guided by the ONC and supported by a collaborative community. The focus is on solving real-world problems through effective health information exchange. It discusses the involvement of various stakeholders, including providers, technology vendors, and government agencies, emphasizing the creation of solutions that enhance interoperability, quality, safety, and care coordination in health IT.

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Advancements in Health IT Standards: A Collaborative Approach for Interoperability

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  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

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