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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&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&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&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 lifecycle view

Current S&I Initiatives:Lifecycle 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 Initiatives: 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

strategic road map transition to sustainability
Strategic Road Map: Transition 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

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

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