On the Path to Secure, Interoperable HIE Everywhere

1. On the Path to Secure, Interoperable HIE Everywhere March 5, 2013 Mariann Yeager Executive Director www.healthewayinc.org

2. State and Local Gov Health Bank orPHR Support Organization Community Health Centers SSA DoD CMS VA Community #1 Labs IntegratedDelivery System Pharmacies eHealth Exchange Shared trust framework and rules of the road Community #2 The Internet Standards, Specifications and Data Use & Reciprocal Support Agreement (DURSA) for Secure Connections 2 2008 PHIN Conference 25 August 2008

3. eHealth Exchange Anchor Participants

4. eHealth Exchange Participants • Alabama One Health Record • Centers for Medicare and Medicaid Services (CMS) • Childrens’ Hospital of Dallas • Community Health Information Collaborative (CHIC) • Conemaugh Health System • Department of Defense (DOD) • Department of Veterans Affairs • Dignity Health • Douglas County Individual Practice Association (DCIPA) • Eastern Tennessee Health Information Network (etHIN) • EHR Doctors • Hawaii Pacific Health • HealthBridge • HealtheConnections RHIO Central New York • HEALTHeLINK (Western New York) • Idaho Health Data Exchange • Inland Northwest Health Services (INHS) • Kaiser Permanente Lancaster General Health Marshfield Clinic Medical University of South Carolina (MUSC) MedVirginia MultiCare Health System National Renal Administrators Association (NRAA) New Mexico Health Information Collaborative (NMHIC) North Carolina Healthcare Information and Communications Alliance, Inc. (NCHICA) OCHIN Quality Health Network Regenstrief Institute Social Security Administration (SSA) South Carolina Health Information Exchange (SCHIEx) South East Michigan Health Information Exchange (SEMHIE) Strategic Health Intelligence University of California, San Diego Utah Health Information Network (UHIN) Wright State University

5. eHealth Exchange Growth • Participation reaching critical mass • 38 Participants • More than 500 hospitals, 5000 physician practices • 100 million patients • More than 50 others in various stages of onboarding • National-level coverage increasing • Footprint in all 50 states • Patient records securely shared across 23 states • Collaboration extending breadth and depth of connectivity • Care Connectivity Consortium • EHR|HIE Interoperability Workgroup • MU2 driving adoption among vendors and providers

6. Forming Strategic Collaboration eHealth Exchange Powered by Healtheway • Leverage CCC’s development and incubation of new services for the exchange • Leverage Healtheway’s robust onboarding and associated services to help minimize costs and improve efficiencies

7. Alignment with State HIE Efforts • Complements state HIE programs by enabling exchange • Across geographic, organizational boundaries and technical platforms • With federal health providers and in support of federal programs • Provides a mechanisms for states to interconnect based upon a national-level trust and interoperability framework • Significant level of state participation and buy-in • Collaboration with EHR | HIE Interoperability Workgroup aligns national-level and state HIE programs

8. EHR |HIE Interoperability Workgroup • 18 States represent ~ 52% of US Population • 41 Vendorsare leading EHR and HIE vendors with significant market share • 19 EHR Vendors • 22 HIE Vendors • MOU in place with states and vendors to use joint testing program

9. EHR |HIE Interoperability Workgroup - Healtheway Partnership • Assures overall success of the Compliance Testing Program: • Achieves a larger market impact through support of a uniform set of testing requirements and testing process • Helps unify industry and avoid market fragmentation • Required minor work to establish a harmonized set of implementation specifications and testing requirements due to significant overlap in specifications • Brings together shared stakeholders, as many states / vendors are engaged with both IWG and the eHealth Exchange • Strengthens shared vision, evidenced through common testing program goals and objectives

10. Testing Program Goals • Overall Goal: • Reduce barriers to HIE, establish interoperability, while minimizing cost and complexity when possible • Test once and capable of exchanging with many others • Cover transport, transactions and content • Product Certification • Provide market assurance and technical clarity in compliant products • Assure Provider to HIE interoperability • eHealth Exchange Participation Testing • Verify that implementations of successfully validated products are compliant as a condition of participation in the eHealth Exchange • Assure interoperability among participants in the eHealth Exchange

11. HIE Certified Programs • HIE Certified Community™, for electronic health records (EHRs) and other health IT systems, that will enable state-wide patient data inquiry allowing clinicians to query an HIE for information on specific patients • HIE Certified Direct™ that provides a simple way for providers to send secure health information directly to trusted recipients, including patients, over the Internet • HIE Certified Network™ for HIE-to-HIE connectivity and for connection to the eHealth Exchange

12. HIE Certified Seals

13. HIE Certified: Network HIE Certified Network NHIN Specs: PD/QD/RD/MA Gateway Gateway PD/QD/RD/MA PD/QD/RD/MA PD/QDRD/MA HISP CDR/MPI Gateway Gateway CDR/MPI XDR S/SMTP XDS/PIX/PDQ XDS/PIX/PDQ EHR EHR EHR EHR EHR EHR HIE Certified Direct ONC Specs: Direct Project HIE Certified Community HIE Certified Community NHIN Specs: PD/QD/RD/MA IHE Specs: XDS/PIX/PDQ NHIN Specs: PD/QD/RD/MA IHE Specs: XDS/PIX/PDQ Health Care Organization A Health Care Organization B

14. Pilot Launched • Pilot Launched • Program available in Spring 2013 • For more information:

15. For More Information • EHR | HIE Interoperability Workgroup • www.interopwg.org • Healtheway and eHealth Exchange • www.healthewayinc.org • Testing Program Updates and Resources • www.cchit.org • Joint Task Group – Test Cases and Content Specifications • http://exchange-iwg.wikispaces.com