Genevieve Morris Principal Deputy National Coordinator for Health IT News from Washington Genevieve Morris Principal Deputy National Coordinator for Health IT June 7, 2017

Current Landscape – Send, Find, Receive, Integrate About 4 in 10 hospitals continued to integrate summary of care records received without manual entry in 2015; this did not significantly change between 2014 and 2015. A little over one-quarter of hospitals engaged in all four domains related to interoperability, which is a significant increase though by three percentage points between 2014 and 2015. SOURCE: 2014-2015 AHA Annual Survey Information Technology Supplement. NOTES: *Significantly different from previous year (p < 0.05).

Patient information available from outside sources in 2015 About half of hospitals had necessary patient information available from providers or sources outside their systems in 2015. From 2014 to 2015 there was a 5% jump across all non-federal acute care hospitals. SOURCE: 2014-2015 AHA Annual Survey Information Technology Supplement. NOTES: *Significantly different from previous year (p < 0.05).

Physicians and Interoperability Nearly 1 in 10 physicians electronically sent, received, queried, and were able to integrate patient health information in 2015. SOURCE: National Electronic Health Record Survey, 2015 NOTES: Integration for patient health information based upon composite rate of integrating various types of information. Find refers to electronically searching for information from outside sources “always”, “often” or “sometimes” across all physicians. No data available for finding summary of care records.

Mission and Priorities FEDERAL HEALTH IT MISSION 2017-2018 ONC PRIORITIES Improve the health and well-being of individuals and communities through the use of technology and health information that is accessible when and where it matters most. ONC will work to make health information more accessible, decrease the documentation burden, and support EHR usability under 21st Century Cures and MACRA.

ONC 2017-2018 Projected Outcomes COMPETITIVE MARKETPLACE PATIENT PROVIDER Interoperability Movable health records to shop for and coordinate care Improved data flow standards Accessible API’s Ability to efficiently to send, receive, and analyze data More eye contact with providers Lower cost of care Lower system costs Usability A burden reduction: Less wasted time Less hassle Ability to support new business models and software applications

Interoperability Goal Reliable clinical information flows to enable communication among services that make use of health information. Achieving this goal will support a competitive market that will give consumers and providers more choices.  Consumers will have greater choices on where they seek care by allowing them to take their records with them. Consumers and providers will be able to choose the products and tools that best meet their needs.

Interoperability Targets Technical Trust Financial Workforce

Patient/Provider Data Matching Technical Patient/Provider Data Matching Technical Data Quality Standards Data Semantics Data Syntax Consent Authentication/ Authorization Transport

Intellectual Property Non-Disclosure Agreements Trust Privacy/HIPAA Data Stewardship Intellectual Property Permitted Purposes Non-Disclosure Agreements Trust

Financial Financial Business Model for Sharing Incentives for Sharing Secondary Data Business Models Business Model to Codify Data

Interface and MDM Engineers Workforce Workforce Provider IT Staff Interface and MDM Engineers Clinical Informatics

Harnessing Market Forces for Interoperability Competition Health system, payer, and network competition Culture Changing the consumer mindset Integration into providers’ workflows

Next Steps Next Steps ONC cannot address all of the targets on its own… Further describe the interoperability targets to ensure broad understanding and agreement with the industry on what must be addressed. Work collaboratively with the industry to prioritize the targets that must be addressed. Work collaboratively with the industry to build a strategy to overcome the prioritized targets.