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ONC’s Proposed Strategy on Governance for the Nationwide Health Information Network Following Public Comments on RFI . HIT Standards Committee Meeting September 19, 2012. What are ONC’s Goals?. Strengthen interoperability at the implementation level;

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ONC’s Proposed Strategy on Governance for the Nationwide Health Information Network Following Public Comments on RFI

HIT Standards Committee Meeting September 19, 2012

what are onc s goals
What are ONC’s Goals?
  • Strengthen interoperability at the implementation level;
  • Facilitate the emergence of a market for health information exchange services that syncs with payment reforms;
  • Foster trust among providers about the exchange services they use;
  • Foster trust among consumers about the exchange of their personal health information;
  • Reduce risk, cost and complexity of exchange; and
  • Promote effective relationships between intermediaries.

Office of the National Coordinator for Health Information Technology

what problem are we trying to solve
What problem are we trying to solve?
  • Data have never moved well across organizational, vendor, and geographic boundaries; resolving this will be foundational to improve patient care as well as payment and delivery reform
    • Trust relationships between entities are difficult and costly, and take time to build and nurture;
    • Some business practices and revenue models have always tended to reinforce silos;
    • Existing models that support exchange are not sufficiently recognized and replicated; and
    • Implementation guides are not sufficiently specified.

Office of the National Coordinator for Health Information Technology

what did we propose in the rfi
What did we propose in the RFI?
  • A voluntary governance framework, established through a new regulation, focused on entities that facilitate electronic health information exchange;
  • The establishment of a set of conditions for trusted exchange (CTEs) – “rules of the road”– in the areas of safeguards (privacy and security), interoperability, and business practices;
  • A validation process for entities to demonstrate conformance to the CTEs;
  • Processes to update and retire CTEs;
  • Establishment of a process to classify the readiness of technical standards and implementation specifications to support interoperability related CTEs; and .
  • Approaches for monitoring and transparent oversight.

Office of the National Coordinator for Health Information Technology

what did we hear
What did we hear?
  • Health information exchange is in its infancy and regulations could stifle an emerging market. 
  • ONC’s goal should be to guide the market, while ensuring basic protections through existing regulatory frameworks – some already being implemented, others are pending implementation.

Office of the National Coordinator for Health Information Technology

what did we hear 2
What did we hear? (2)
  • A number of organizations and entities are already testing best practices for the exchange of information, and the concern is that additional regulations could slow expansion of these efforts.
  • In an effort to achieve our goals – and to strengthen trust among various entities – we need a better understanding of how they are exchanging information, learn from their successes and failures, and encourage others to build on the good examples.
  • This is new territory, and there is a lot going on that is working very well.

Office of the National Coordinator for Health Information Technology

what did we hear 3
What did we hear? (3)
  • We heard there are specific interoperability challenges that should be tackled through non-regulatory approaches or built upon existing approaches.

Office of the National Coordinator for Health Information Technology

onc s proposed approach
ONC ‘s Proposed Approach
  • Lead Through Action: Use available levers to directly accomplish specific goals
  • Lead through Guidance : Disseminate a framework of principles and, where available, good practices, models, and tools for specific exchange challenges
  • Engage, Listen, and Learn: Proactively encourage and engage with communities and stakeholders offering solutions for exchange.
    • Monitor: Monitor marketplace for abuses, exchange successes, gaps and failures; and consumer and provider attitudes

Office of the National Coordinator for Health Information Technology

discussion
Discussion

Discussion

Office of the National Coordinator for Health Information Technology