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Data Segmentation for Privacy SATVA Pilot Brief - draft

Data Segmentation for Privacy SATVA Pilot Brief - draft. August 13, 2012. Preliminary Notes. The SATVA BH Interoperability Workgroup Anasazi Exchange Demonstration Anasazi Software, Inc. – Certified MU EHR vendor Valley Hope Association – SU provider and EHR vendor

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Data Segmentation for Privacy SATVA Pilot Brief - draft

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  1. Data Segmentation for PrivacySATVA Pilot Brief - draft August 13, 2012

  2. Preliminary Notes • The SATVA BH Interoperability Workgroup • Anasazi Exchange Demonstration • Anasazi Software, Inc. – Certified MU EHR vendor • Valley Hope Association – SU provider and EHR vendor • Defran Systems – Certified MU EHR vendor • Independent Anasazi Exchange Pilot endorsed by SATVA for the proposed DS4P Pilot • Anasazi Exchange • HEALTHeLINK – Buffalo regional HIE w/ HEAL 17 grant • Six Anasazi providers

  3. Preliminary Notes • Anasazi Exchange Design • Presumes MU Stage 1 Certified EHR can create C32/CCDA • Presumes each EHR/HIE locally administers their ACS including the recording and logic surrounding consents for disclosures • Communicates to EHR via web services • One component will be an Authorized HISP • Another will be a “translator” to the envelop format of intended recipient; XDS.b for our pilot • Currently uses pro forma standard for asynchronous point-to-point request/response including the ability to carry remotely executed consent for disclosure – prefer a standard

  4. Overview • Develop, test, pilot and place into production • Standards based • Limited to data in transit • Adherence to 42 CFR Part 2 as a class approach to ultra-sensitive interoperability • “Any” payload • Direct and NwHIN Exchange • Some success metrics • Anasazi/HEALTHeLINK production with six providers • Valley Hope/Anasazi HISP production with provider base

  5. Sponsors/Contacts • SATVA – Michael Morris, Leader BH Interoperability Workgroup • Anasazi – Michael Morris, CEO • Valley Hope – John Leipold, Executive VP/COO • Defran Systems – Arthur Khanlian, CIO • HEALTHeLINK – Margaret Cosentino, HEAL 10, 17 & PEMR Program Director

  6. Stakeholders • Valley Hope provider base • Horizon Health Services • Lakeshore Behavioral Health • Spectrum Human Services • Children and Adolescent Treatment Services • Mid-Erie Counseling and Treatment Services • The Resource Center

  7. Objectives • Primary Goal: Viable Part 2 MU Stage 2 Interoperability by January 2014 between BH and primary care • Pilot, test and put into production all the DS4P use cases that apply to data in transit for Part 2 Programs • Limit disclosures to the purposes of “Treatment” • Limit the originating Consent Directive to preclude redisclosure • Promulgate Direct asynchronous request/response • Communicate remotely executed consent for disclosure to holder of the record

  8. Technical approach • Prove out both Direct and HIE Exchange interoperability for Part 2 disclosures • Use currently deployed standards wherever possible • Design approach able to be retro-fitting into the installed base of all EHRs and HIEs in minimal time

  9. Use Cases • Phase 1 Pilot (September 2012) • UC Scenario 1: User Story 142 CFR Part 2 Push / Share All / Direct and XDS.b • UC Scenario 2: User Story 1B42 CFR Part 2 Asynchronous Request/Response Share All Direct • Phase 2 Production (December 2012) • UC Scenario 1: User Story 142 CFR Part 2 Push / Share All / Direct and XDS.b • UC Scenario 2: User Story 1B42 CFR Part 2 Asynchronous Request/Response Share All / Direct

  10. Use Cases • Phase 3 Production (December 2012) • UC Scenario 3: User Story 1C – internal Consent Repository42 CFR Part 2 Pull • Phase 4 Pilot (February 2012) • UC Scenario 6: User Story 342 CFR Part 2 using web portal for recording the Part 2 break the glass event

  11. Use Cases • Phase 3 Production (December 2012) • UC Scenario 3: User Story 1C – internal Consent Repository42 CFR Part 2 Pull • Phase 4 Pilot (February 2012) • UC Scenario 6: User Story 342 CFR Part 2 using web portal for recording the Part 2 break the glass event

  12. Standards • Payload – CCDA, C32, EDI, CCR, DICOM, PDF • Transport – DIRECT, NwHIN Exchange • Privacy and Access Consent - 42 CFR Part 2 • Security – PKI, SSL, HTTPS • Standards – • HL7, C32/CCDA XDS.b, XDR, XDM • PKI, SSL, HTTPS

  13. Resources • SATVA • Michael Morris: Project coordination • Anasazi Software • Valley Hope Association • Defran Systems • HEALTHeLINK • Infrastructure • Anasazi HISP • Anasazi EHR MU1 Complete Certified installed at 6 providers • Defran Systems EHR MU1 Complete Certified • Valley Hope Association, EHR • HEALTHeLINK HIE using Axolotl • S&I Contractor technical assistance/support • Facilitate collaboration with other DS4P pilots and with other participating DS4P experts

  14. Data Segmentation for Privacy SATVA Pilot Ecosystem Valley Hope HEALTHeLINK Horizon EHR EHR Web Services ACS Provider/ Vendor XDR Anasazi Anasazi Lakeshore EHR XDR HIE ACS Policy Enforcement XDR Spectrum EHR Anasazi Exchange HISP Translator XDS.b XDR XDR EHR Web Services ACS Vendor XDR Defran Systems CATS EHR XDR XDR EHR Web Services ACS Vendor XDR Mid-Erie EHR Resource Ctr EHR

  15. Data Segmentation for Privacy SATVA Pilot September 2012 November 2012 January 2013 Anasazi HISP XDM/XDR Translation Test Development Anasazi NHIN Direct Pilot Anasazi/Other Stakeholder XDS Translation Development Test Anasazi/HeL Anasazi Design Release EHR/HIE Integration Test Development/Integrate/Test Production Anasazi/HeL Design Break the Glass Web Portal Development Anasazi ONC Demonstration ONC Demonstration Anasazi/Valley Hope/Defran Team September 5th October 2012 August 2012 December 2012 January February 2013

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