eLTSS Alignment to Nationwide Interoperability Roadmap DRAFT: For Stakeholder Consideration in response to public comment

Summary Section Alignment 2 Roadmap SectionRoadmap Category C. Individuals are empowered to be active managers of their health C1. Cultural change for individuals including demanding and using their electronic information C2. Providers and technology developers supporting individual empowerment C3. Privacy and Security for Individuals C4. Education and digital health literacy for Individuals D. Care providers partner with individuals to deliver high value care D2. Providers embrace a culture of interoperability and work with vendors and other supporting entities to improve interoperability D7. Transparency of value and engagement of patients, families, and caregivers G. Consistent representation of permission to collect, share, and use identifiable health information G4. Technical standards for basic choice I. Stakeholder assurance that Health IT is interoperable I2. Certification Programs J. Consistent Data Formats and Semantics J3. Develop and pilot new standards for priorities

eLTSS Alignment to Nationwide Interoperability Roadmap 3 Roadmap Section: C. Individuals are empowered to be active managers of their health Roadmap CategoryRelevant Roadmap Activity C1. Cultural change for individuals including demanding and using their electronic information 3. Call to Action: Individuals should contribute clinically relevant PGHD and request corrections to their electronic information to effectively manage their interactions with the care and services delivery system and to manage their health and wellness where they live, work and play 4. Call to Action: Individuals and their extended care and service teams (including family and caregivers) should utilize care and service planning to capture individual goals and preferences as part of longitudinal health information used across care settings. 5. Call to Action: Individuals should regularly access and contribute to their health and wellness information in health IT, send and receive electronic information through a variety of emerging technologies and use the information to manage and participate in shared decision making with their care and service teams. * Italicized text are suggested eLTSS Initiative additions/revisions to Roadmap based on eLTSS Initiative Artifacts

eLTSS Alignment to Nationwide Interoperability Roadmap 4 Roadmap Section: C. Individuals are empowered to be active managers of their health Roadmap CategoryRelevant Roadmap Activity C2. Providers and technology developers supporting individual empowerment 5. ONC and government ensure that patients individuals understand their ability to access, send and receive health and wellness information. 6. Call to Action: Providers and technology developers should support the incorporation of PGHD in health care and services delivery 7. Call to Action: Technology developers should deploy innovative aggregation platforms and tools that allow individuals and caregivers to receive and compile health and wellness information from multiple sources in one place, send their data to a destination of their choose and find and use the information they need 8. Call to Action: Providers should welcome and use information from other providers to avoid duplication of tests and ensure coordinated care. * Italicized text are suggested eLTSS Initiative additions/revisions to Roadmap based on eLTSS Initiative Artifacts

eLTSS Alignment to Nationwide Interoperability Roadmap 5 Roadmap Section: C. Individuals are empowered to be active managers of their health Roadmap CategoryRelevant Roadmap Activity C3. Privacy and Security for Individuals 2. Call to Action: Providers should provide individuals with secure access to their own behavioral health information in a manner that is easy to use and enables them to make choices 3. Call to Action: Individuals should be able to trust that their health and wellness information is protected and secure C4. Education and digital health literacy for Individuals 1. Call to Action: Consumer advocacy groups in collaboration with government agencies, associations and payers should develop and disseminate resources based on consumer needs to assist individuals 2. ONC, government and industry should work with individuals to help the majority understand the value of health IT for managing their health and wellness 4. ONC and the industry should continue to provide individuals with relevant and updated resources based on current technology to assist with increasing their digital health literacy. * Italicized text are suggested eLTSS Initiative additions/revisions to Roadmap based on eLTSS Initiative Artifacts

eLTSS Alignment to Nationwide Interoperability Roadmap 6 Roadmap Section: D. Care Providers partner with individuals to deliver high value care Roadmap CategoryRelevant Roadmap Activity D2. Providers Embrace a culture of interoperability and work with vendors and other supporting entities to improve interoperability 1. Call to Action: Providers should routinely expect electronic access to outside information in the provision of care and engage with other providers to send, receive, find and use health and related information for their patients. 2. Call to Action: Providers should recognize that valuable clinical information about their patients may reside with patients or caregivers themselves 3. Call to Action: Providers and their organizations should embrace the use of enabling technologies such as publish/subscribe and query-based exchange with single sign-on to minimize workflow barriers 4. Call to Action: Providers should routinely access and use health and wellness information from other sources, including individuals, when making clinical decisions 7. Call to Action: Providers and their organizations should work with necessary parties to configure systems to alert providers to the presences of relevant information from other sources * Italicized text are suggested eLTSS Initiative additions/revisions to Roadmap based on eLTSS Initiative Artifacts

eLTSS Alignment to Nationwide Interoperability Roadmap 7 Roadmap Section: D. Care Providers partner with individuals to deliver high value care Roadmap CategoryRelevant Roadmap Activity D7. Transparency of Value and engagement of patients, families, and caregivers 6. Call to Action: Providers should support consumer-facing services such as: Patient/Individual provided device data, screenings and assessments; integration of patient generated health data (PGHD) in the medical record; shared care and service planning 8. Call to Action: Providers and individuals should work together to substantially reduce the burden of care coordination through person-centered tools and sharing and use of electronic information. * Italicized text are suggested eLTSS Initiative additions/revisions to Roadmap based on eLTSS Initiative Artifacts

eLTSS Alignment to Nationwide Interoperability Roadmap 8 Roadmap Section: G. Consistent representation of permission to collect, share and use identifiable health information Roadmap CategoryRelevant Roadmap Activity G4. Technical standards for basic choice 1. ONC, standards development organizations (SDOs), health IT developers and appropriate stakeholders harmonize technical standards and implementation guidance for consistently capturing, communicating and processing basic choice across the ecosystem 2. Technology developers implement technical standards and implementation guidance for consistently capturing, communicating and processing individual choice.

eLTSS Alignment to Nationwide Interoperability Roadmap 9 Roadmap Section: I. Stakeholder assurance that Health IT is interoperable Roadmap CategoryRelevant Roadmap Activity I2. Certification Programs 1. Health IT Developers, Accredited Certification Bodies (ACBs), Accredited Testing Labs (ATLs) and other stakeholders will analyze, identify gaps and provide feedback to ONC regarding certification criteria…specifically criteria to support health IT used in a broader set of health care settings such as home and community-based settings in non-institutional settings and behavioral settings.

eLTSS Alignment to Nationwide Interoperability Roadmap 10 Roadmap Section: J. Consistent Data Formats and Semantics Roadmap CategoryRelevant Roadmap Activity J3. Develop and pilot new standards for priorities 3. Standard Development Organizations (SDOs) will advance consumer-friendly terminologies 4. Health IT developers and SDOs advance systems in support of human- centered design for systems 5. Technology developers, providers and individuals will pilot data format and vocabulary standards in order to provide feedback to the SDOs for further refinement 6. States and other stakeholders across the ecosystem to further explore and determine role of National Information Exchange Model (NIEM) in supporting health care and human services interoperability