©2004 CSC Proprietary www.csc.com The Health IT Agenda This presentation discusses a NHIN Architecture Prototype project made possible by a contract from the Office of the National Coordinator for Health Information Technology (ONC), DHHS. The content is solely the responsibility of the authors and does not necessarily represent the official view of ONC.

©2005 CSC Proprietary Interoperable Electronic Health Record Solutions 3/10/2016 4:38:37 PM 2www.csc.com By computerizing health records, we can avoid dangerous medical mistakes, reduce costs, and improve care. President Bush, 2004 State of the Union April 2004 Executive Order calls for an interoperable health information technology infrastructure in 10 years. Established the position of National Coordinator for Health Information Technology –Filled by Dr. David Brailer in May 2004 Federal efforts build on public / private activity over the last 3-4 years Dr. Brailer’s Office of the National Coordinator for Health Information Technology (ONC) has stepped up the pace –July 2004 – Released “The Decade of Health Information Technology... Framework for Strategic Action” –November 2004 – Issued a request for information (RFI) for “Development and Adoption of a National Health Information Network” –September – November 2005 – Awarded eight contracts

©2005 CSC Proprietary Interoperable Electronic Health Record Solutions 3/10/2016 4:38:37 PM 3www.csc.com The Strategic Framework recognizes the critical role of health IT and is built on seven critical needs 1 1.Avoid medical errors –44, ,000 deaths each year from preventable medical errors in hospitals –Over 770,000 people injured or die each year in hospitals from adverse drug events 2.Improve use of resources –U.S. healthcare spending is disproportionately high compared to other industrialized nations and outstripping inflation 3.Accelerate diffusion of knowledge –Breakthroughs and the latest medical evidence take years to reach clinical practice 4.Reduce variability in access to care –Access to specialty care is lacking in rural areas 5.Advance consumer role –Consumers are not engaged in making decisions about their own care and suffer from having to fill out repetitive forms 6.Strengthen privacy and data protection –Critical protection of patient health records must go beyond the baseline set by HIPAA 7.Promote public health and preparedness –Real-time information is needed to detect and pinpoint outbreaks, etc. 1 Office of the National Coordinator for Health Information Technology

©2005 CSC Proprietary Interoperable Electronic Health Record Solutions 3/10/2016 4:38:37 PM 4www.csc.com Major ONC initiatives and contracts as of November 2005 – “developing a seamless solution to unifying regional health islands” 4 American Health Information Community (AHIC) Standards Harmonization Process Health Information Technology Standards Panel (HITSP) Compliance Certification Process Certification Commission for Health Information Technology (CCHIT) Privacy and Security Solutions Health Information Security and Privacy Collaboration (HISPC) Nationwide Health Information Network (NHIN) Architecture Prototypes Consortia headed by: Accenture, CSC, IBM and Northrop Grumman Collaboration Health Information Technology and Health Care Anti-Fraud Foundation of Research and Education (FORE), American Health Information Management Association (AHIMA) Health IT Adoption Initiative George Washington University / Massachusetts General Hospital Harvard Institute for Health Policy Digital Health Recovery for the Gulf Coast Southern Governors’ Association (SGA) / State of Louisiana Department of Health and Hospitals. Other Initiatives NHIN- related Advise Chaired by HHS Secretary Leavitt Seven federal agency representatives Six health industry members One IT industry member (Intel) One employer (Pepsi) One state health department member (IN) Use cases and direction 4 ONC Major Initiatives, Office of the National Coordinator for Health Information Technology, November 2005 Benchmarks for State-Level RHIOs Foundation of Research and Education (FORE), American Health Information Management Association (AHIMA)

©2004 CSC Proprietary www.csc.com Experience. Results. Questions?