HIT Standards Committee

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HIT Standards Committee

• NHIN Workgroup
• Introductory Remarks
• Farzad Mostashari
• Office of the National Coordinator for Health IT
• Douglas Fridsma
• Office of the National Coordinator for Health IT
• December 18, 2009

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Workgroup Members

• Chair
• David Lansky, Pacific Business Group on Health
• Co-Chair
• Danny Weitzner, Department of Commerce, NTIA
• Members
• Christine Bechtel, National Partnership for Women
  Families
• A. John Blair, III, Taconic IPA
• Neil Calman, Institute for Family Health
• James Borland, Social Security Administration
• Carol Diamond, Markle Foundation
• Colin Evans, Dossia
• Tim Cromwell, Department of Veterans Affairs
• Jonah Frohlich, Deputy Secretary, Health IT,
  California
• Leslie Harris, Center for Democracy and
  Technology
• Arien Malec, Relay Health
• Marc Overhage, Regenstrief Institute
• Marc Probst, Intermountain Healthcare

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NHIN Workgroup Charge

• To create a set of recommendations for a policy
  and technical framework that allows the internet
  to be used for the secure and standards-based
  exchange of health information in a way that is
  both open to all and fosters innovation.
• The Workgroup will provide an initial set of
  recommendations to the HIT Policy Committee in
  January.

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Priority Focus Areas - Rationale

• Draft meaningful use criteria for 2011 implicates
  health information exchange among providers and
  with patients.
• A foundational element to achieve several of the
  criteria will be push of patient data from one
  provider to another, or from one organization to
  another (e.g., doctor to consultant, or lab to
  doctor, or doctor to pharmacy), where the sender
  may not have a prior relationship with the
  recipient.

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Foundational NHIN Components

• Vocabulary Standards
• Document / Message Standards
• Directories and certificates
• Delivery protocols
• Authentication
• Security and trust relationship

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HIT Policy Committee

• NHIN Workgroup
• The Context
• Remarks by Dr. Farzad Mostashari

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Outline

• Context
• NHIN today
• NHIN tomorrow
• Use cases
• Key Considerations

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Section 3001(b)

• ONC is to foster a nationwide health
  information technology infrastructure that allows
  for the electronic use and exchange of
  information and thatpromotes  a more effective
  marketplace, greater competitionand increased
  consumer choice among other goals.

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Exchanging Patient Data
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Exchanging Patient Data
Document/Message Standards
Security and Trust relationships
Directories and Certificates
Vocabulary Standards
Delivery Protocols
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NHIN supporting meaningful use in 2011 2012

• Provider Provider
• Provider Pharmacy
• Lab Provider

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Meet the needs of today and tomorrow
Goal This is part of an evolutionary path There
will be incremental growth All journeys start
with a few steps
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Key Considerations

• Reinforce a solid trust fabric
• How to achieve authentication (January 7, 2010
  hearings)
• Identify what can be done today to accelerate use
  of information exchange
• Clarify role of government
• Enable broad participation across broad spectrum
  of organizations, large and small