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HITSC 2012 Workplan / Update from ONC’s Office of Standards & Interoperability. HIT Standards Committee January 25, 2012. Doug Fridsma, MD, PhD, FACMI Director, Office of Standards & Interoperability. Refresher from December 14. Updates from ONC. T he S&I Framework. THE S&I Framework.

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Hitsc 2012 workplan update from onc s office of standards interoperability

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




The s i framework

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


How s i framework relates to the rest of the hit standards ecosystem
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


S i initiatives foundations for a learning health system
S Ecosystem&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


S i initiatives labs and public health
S Ecosystem&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


S i initiatives directories
S Ecosystem&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


Current s i initiatives overview
Current S&I EcosystemInitiatives: Overview


Current s i initiatives lifecycle view

Current S&I Initiatives: EcosystemLifecycle 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


Current s i initiatives operating metrics 12 jan 2012
Current S&I EcosystemInitiatives: 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


Nwhin exchange update
NwHIN Ecosystem Exchange Update


Strategic road map transition to sustainability
Strategic Road Map: EcosystemTransition 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


Business description
Business Description Ecosystem

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



Exchange transition milestones
Exchange Transition Milestones Ecosystem

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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