Provider Directories and Digital Certificates

1. Provider Directories and Digital Certificates

2. Agenda • Next set of Initiatives – Review of Challenge, Scope, Initiative Executive Summary, Targeted Pre-Discovery Outreach • Provider Directories (10 min) • Digital Certificates (10 min) • Review of Pre-Launch Checklist • Review for completeness based on ToC and LRI lessons learned and best practices (10 min) • Identify resource assignments and due dates for pre-launch items for Provider Directories and Digital Certificates (35 min) • Tools Update – repository, community portal (20 min) • Other Topics or Admin (5 min)

3. Provider directories

4. Challenge • In order to enable point-to-point or mediated health information exchange, senders and mediators of health information messages need a mechanism to determine a recipient’s address – such as Direct Address, IP Address, mailing address, phone/fax number, and service addresses (e.g. to support HL7 ORU). Today, this functionality is enabled through other mechanisms, such as calling the provider via telephone and asking for his/her address, but a scalable and standardized solution will be needed in order to enable state-level and national health information exchange.

5. Scope • This project will focus on the transaction and data requirements to support maintenance of provider directories and EHR system queries to provider directories to provide routing information that will enable electronic health information exchange. • It will also support the development of certification criteria for EHRs to support provider directory messages. This initiative will not address directories that are used internally in organizations or systems or the exchanges between provider directories themselves.

6. Executive Summary

7. Targeted Pre-Discovery Outreach • Allscripts • ASC X12 • CAQH (Council for Affordable Quality Healthcare) • CDC • CMS • Delaware Health Information Network • Direct Project • eClinicalWorks • GE Healthcare IT • Health IT Now Coalition (HITN) • HealthBridge • HL7 • IBM • IHE • Indiana State HIE • Initiate • Kaiser Permanente • Maine State HIE • Coordinating and conducting interviews with organizations below • Note: Main contacts have been identified and contacted for entities in bold • McKesson • Medicity • MedAllies • MedPlus • Nationwide Health Information Network • NaviNet • NCPDP • New York eHealth Collaborative (NYeC) • NextGen • Oracle • Pharmacy e-Health Information Technology Collaborative • SSA • State Medicaid Department • Surescripts • VA • Vermont State HIE • Wellpoint • Wisconsin Medical Society

8. Next Steps • Conduct and coordinate more phone interviews • Identify additional stakeholders and contacts • Who else should we target? • Incorporate input from pre-discovery user community on scope, timeline, use case, use case scenarios, key policy issues/questions, etc. • Complete draft of Initiative Charter

9. Digital Certificates(Certificate interoperability)

10. Challenge – Digital Certificates • Nationwide exchange of health information requires a fabric of trust that enables secure, authenticated data transfer among providers, HIEs and other healthcare industry participants. A nationwide trust fabric is greatly facilitated by authentication methods that are secure, standardized, and broadly adopted. These methods help to set and query the identity policies and attributes of standards-based digital certificates, enabling a variety of contexts for secure exchange (signing, encryption, TLS, etc.).

11. Scope • This project will evaluate Federal Bridge Certification Authority and associated Certificate Policies as a standard for certificate issuance, against the criteria of cost, market availability, complexity, and broad interoperability.

12. Executive Summary

13. Targeted Pre-Discovery Outreach Identifying main contacts for organizations below to conduct outreach Note: Main contacts have been identified for entities in bold • Medicity • MedAllies • MedPlus • Nationwide Health Information Network • NextGen • NIST • OASISOracle • RIQI • SAFE BioPharma • SAIC • SSA • State Medicaid Departments • VA • VeriSign • Verizon Business • Vermont State HIE • Web Trust • Ability • Allscripts • CertiPath • Cerner • CMS • Cybertrust • Delaware Health Information Network • Direct Project • DoD • eClinicalWorks • GE • General Services Administration (GSA) • HealthBridge • HL7 • Indiana State HIE • ISO • Maine State HIE • McKesson

14. Next Steps • Identify main contacts of target stakeholders and additional entities to conduct outreach and gather input • Who else should we target? • Conduct interviews with targeted stakeholders • Incorporate input from pre-discovery user community on scope, timeline, use case, use case scenarios, key policy issues/questions, etc.

15. Agenda • Next set of Initiatives – Review of Challenge, Scope, Initiative Executive Summary, Targeted Pre-Discovery Outreach • Provider Directories (10 min) • Digital Certificates (10 min) • Review of Pre-Launch Checklist • Review for completeness based on ToC and LRI lessons learned and best practices (10 min) • Identify resource assignments and due dates for pre-launch items for Provider Directories and Digital Certificates (35 min) • Tools Update – repository, community portal (20 min) • Other Topics or Admin (5 min)

16. Agenda • Next set of Initiatives – Review of Challenge, Scope, Initiative Executive Summary, Targeted Pre-Discovery Outreach • Provider Directories (10 min) • Digital Certificates (10 min) • Review of Pre-Launch Checklist • Review for completeness based on ToC and LRI lessons learned and best practices (10 min) • Identify resource assignments and due dates for pre-launch items for Provider Directories and Digital Certificates (35 min) • Tools Update – repository, community portal (20 min) • Other Topics or Admin (5 min)

17. Agenda • Next set of Initiatives – Review of Challenge, Scope, Initiative Executive Summary, Targeted Pre-Discovery Outreach • Provider Directories (10 min) • Digital Certificates (10 min) • Review of Pre-Launch Checklist • Review for completeness based on ToC and LRI lessons learned and best practices (10 min) • Identify resource assignments and due dates for pre-launch items for Provider Directories and Digital Certificates (35 min) • Tools Update – repository, community portal (20 min) • Other Topics or Admin (5 min)