NCVHS Standards and Security Subcommittee · 2018. 2. 16. · 1. Medication Management (IS07) 2....
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Robert M. Kolodner, MD National Coordinator Office of the National Coordinator for Health Information Technology (ONC) Department of Health and Human Services (HHS) NCVHS Subcommittee on Standards Setting the Context for the Evolution of Health IT Standards February 24, 2009
Transcript of NCVHS Standards and Security Subcommittee · 2018. 2. 16. · 1. Medication Management (IS07) 2....
Robert M. Kolodner, MDNational CoordinatorOffice of the National Coordinator
for Health Information Technology (ONC)Department of Health and Human Services (HHS)
NCVHS Subcommittee on StandardsSetting the Context for the Evolution of Health IT Standards February 24, 2009
February 24, 2009 NCVHS Subcommittee on Standards 2
Interoperability Standards into Products –Summary of the Cyclical Process
Describe Health-related Scenarios
Recognition by Secretary of HHS
Identify Health IT Standards
Acceptance by Secretary of HHS
Testing and Implementation(1 year gap)
Health-related Priorities Established
• Incorporated in Health IT Products
• Used in Health IT Product Certification
• Required in • Federal Systems
and Healthcare Contracts (Executive Order 13410)
• “Stark” exceptionsand Anti- Kickback safe harbor
American Health Information Community (AHIC)
Healthcare IT Standards Panel
(HITSP)
Certification Commission for Healthcare IT
(CCHIT)
February 24, 2009 NCVHS Subcommittee on Standards 3 3
AHIC Priorities and Use Case RoadmapPr
ovid
erC
onsu
mer
Popu
latio
n
Presenter
Presentation Notes
13 Use Cases published to date…
February 24, 2009 NCVHS Subcommittee on Standards 4
January 2009: Interoperability Standards Accepted by Secretary Leavitt
• Updates to Existing Interoperability Specifications:
1. Biosurveillance (IS02)2. Consumer Empowerment and Access to Clinical
Information via Networks (IS03)3. Emergency Responder Electronic Health Record
(IS04)4. Consumer Empowerment and Access to Clinical
Information via Media (IS05)– plus referenced Constructs and Selected Standards
February 24, 2009 NCVHS Subcommittee on Standards 5
January 2009:Interoperability Standards Accepted by Secretary Leavitt
• New Interoperability Specifications:1. Medication Management (IS07)2. Personalized Healthcare (IS08)3. Consultations and Transfers of Care (IS09)4. Immunizations and Response Management (IS10)5. Public Health Case Reporting (IS11)6. Patient-Provider Secure Messaging (IS12)7. Remote Monitoring (IS77)– plus referenced Constructs and Selected Standards
February 24, 2009 NCVHS Subcommittee on Standards 6
The Nationwide Health Information NetworkHealth Bank or
PHR Support Organization
Community #1
IntegratedDelivery System
Community Health Centers
Community #2
State and Local Gov
Labs
Pharmacies
CDC
VA
IHS
DoD
SSA
The Internet
Standards, Specifications and Agreementsfor Secure Connections
Mobilizing Health Information Nationwide
February 24, 2009 NCVHS Subcommittee on Standards 7
Different “Network” Models
Network Type Examples Benefit Challenge
Organizational
Integrated delivery systems,
hospital chains
Effort of exchanging data internally is
aligned with business outcomes
Extra-organizational
exchange
GeographicRHIOs,
geographic HIEs
Support non-proprietary exchange
Achieving sustainable
business models
Personally Controlled
Personally Controlled
Health Record Support
Organizations
Consumer access to, and control of, health
information
Consumer and provider
acceptance
February 24, 2009 NCVHS Subcommittee on Standards 8
NHIN Roadmap
Prototype Architectures
Trial Implementations
Path to Production
Phase 12006-7
Phase 22008
Phase 32009
• Evaluated technical approaches
• Demonstrated four prototypes in January 2007
• Formed NHIN Cooperative
• Implemented Core NHIN Services and selected Use Cases
• Completed 2 Public Demonstrations
• Hosted 3 Public Fora
• 2009 Focus • General Production
Readiness• Limited production
pilots
Presenter
Presentation Notes
ONC has been facilitating the development of a nationwide health information highway using a phased approach. In its first year, the NHIN established four consortia to design and evaluate standards-based prototype architectures for the NHIN. The Prototype Architectures were followed by Trial Implementations of the NHIN – the current phase we are just concluding. The Trial Implementations focused on building a core set of services and capabilities and testing and demonstrating these capabilities through a collaborative process with the NHIN Trial Implementations participants. We demonstrated an initial set of capabilities to the AHIC in September 2008, and we are very pleased to share with you our work over the past year at this Public Forum. The Trial Implementations provide hands-on experience developing, testing and demonstrating a set of core services and capabilities that form the building blocks of the production NHIN, and this effort exercised development of capabilities to support seven AHIC Priority Use Cases. This Forum is intended to showcase the results of the NHIN Cooperative in building these capabilities. By attending the demonstrations and presentations today and tomorrow, you will be able to learn about this foundational work and see it in action. We are energized by this progress, and we are eager to share this energy with you.
February 24, 2009 NCVHS Subcommittee on Standards 9
NHIN 2008 Results
• Demonstrated Technical Capability
• Created Initial Interoperable Specification Set
• 20+ disparate organizations participating in the NHIN Cooperative
• Laid foundation for usage agreements
• Completing Trial Implementations
• Preparations for limited production in 2009
February 24, 2009 NCVHS Subcommittee on Standards 10
NHIN Cooperative ParticipantsCareSparkCenters for Disease Control and PreventionCleveland ClinicCommunity Health Information CollaborativeDelaware Health Information Network Department of DefenseDepartment of Veterans AffairsHealthBridgeHealthLINC
(Bloomington Hospital)HealthLink RHIO
(Wright State University)Indian Health Service
Inland Northwest Health Services (through CDC HIE contract)Kaiser PermanenteLong Beach Network for HealthLovelace Clinic FoundationMedVirginiaNew York eHealth CollaborativeNational Cancer InstituteNorth Carolina Healthcare Information and Communications Alliance
(NCHICA)Regenstrief Institute
(Indiana University)Social Security AdministrationWest Virginia Health Information Network
February 24, 2009 NCVHS Subcommittee on Standards 11
Successful NHIN “Trial Implementation” Demonstration - September 2008
Exchanged “Summary Record” among 19 different organizations
• Part 1: Supporting the Patient– Emergency care – Transfer of care – Wounded Warrior
• Part 2: Supporting the Consumer– The Work of the Cooperative – Supporting Consumer Preferences
• Part 3: Innovative Business Use– Innovative Business Opportunity
February 24, 2009 NCVHS Subcommittee on Standards 12
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