1 / 14

Health IT standards, interoperability & exchange of health information

Health IT standards, interoperability & exchange of health information. Joseph W. Grubbs, Ph.D. VP & Chief Information Architect Binary Structures Corporation. Presentation agenda. Highlight business drivers of health IT standards, interoperability and health information exchange

Download Presentation

Health IT standards, interoperability & exchange of health information

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Health IT standards, interoperability & exchange of health information Joseph W. Grubbs, Ph.D. VP & Chief Information Architect Binary Structures Corporation

  2. Presentation agenda • Highlight business drivers of health IT standards, interoperability and health information exchange • Identify federal enabling legislation, agencies and programs framing the health IT agenda • Establish the purpose of health IT standards and how they support health information exchange • Provide an overview of the Commonwealth of Virginia’s adoption of health IT standards • Questions

  3. Business drivers of health IT standards, interoperability & health information exchange • Patient access – Allow patients to become informed “co-producers” of their health and well-being • Enhanced care – Enable real-time collaboration among providers to foster high-quality health care • Quality improvement – Support health research and advances in clinical care and technology • Greater efficiency – Prevent fraud and reduce waste in legacy health record systems

  4. Moving from this…

  5. To this…

  6. Federal enabling legislation • American Recovery and Reinvestment Act (Pub.L. 111–5) • Title XIII. Health Information Technology for Economic and Clinical Health (HITECH) Act • Patient Protection and Affordable Care Act (Pub.L. 111-148) • Medicaid IT Architecture (MITA) Framework 3.0

  7. Federal agencies and programs • Centers for Medicare and Medicaid Services (CMS) • MITA framework • EHR incentives • Meaningful use standards/attestation • Office of the National Coordinator (ONC) for Health IT, U.S. Dept. of Health & Human Services • Meaningful use guidance • EHR certification program • Federal health IT strategic plan

  8. Health information sharing Source: http://www.harrisonhealthlink.com/img/sharedata.jpg

  9. Health IT standards for exchange • Provide an architecture, vocabulary and shared terminology for the exchange of health information across disparate systems • Developed, “balloted” and implemented by health care professionals to ensure relevance and usability in practice • Promulgated, published and maintained by independent standards development organizations (SDOs) for global adoption

  10. Primary health IT standards • Health Level 7 (HL7) Clinical Document Architecture – XML-based code standard for structuring clinical documents • Logical Observation Identifiers Names and Codes (LOINC) – Standardized database of laboratory codes and observations • Systematized Nomenclature of Medicine-Clinical Terms (SNOMED-CT) – Systematically organized medical terminology and codes • ASC X12 (ANSI) – Standards for health care (payer) claims and payments

  11. SDO harmonization efforts Source: http://library.ahima.org/xpedio/groups/public/documents/graphic/bok1_043987.jpg

  12. Health IT standardization in Virginia • Virginia’s Health Information Technology Standards Advisory Committee (HITSAC) • § 2.2-2699.7, Code of Virginia • Advises the CIO of the Commonwealth and the Secretaries of Technology and Health & Human Resources on health IT standards and technology • To date, advocated adoption of 125 health IT standards, including • Health Level 7 (HL7) Clinical Document Architecture • Logical Observation Identifiers Names and Codes (LOINC) • Systematized Nomenclature of Medicine (SNOMED) • ASC X12 for health claims and payments

  13. HITSAC has “raised the standard” • Commonwealth of Virginia’s Enterprise Information Architecture (EIA) Strategy • Commonwealth Data Standardization Final Plan (Item 427, 2012 & 2013 Appropriation Acts) • Standardization of all “citizen-centric” data • Adoption of standards for other enterprise data • National Information Exchange Model (NIEM) across domains of state government • Cross Sector Digital Identity Initiative (CSDII)/ National Strategy for Trusted Identities in Cyberspace (NSTIC) – E-authentication and identity management for patient and provider access

  14. Questions? Joseph W. Grubbs, Ph.D., VP & Chief Information Architect Binary Structures Corporation +1.804.467.7729 joeg@binarystructures.com

More Related