1. HIT Policy Committee Information Exchange Workgroup Kelly Cronin October 20, 2009

2. Overview Why the exchange of laboratory data is essential Current practices which exist today Barriers and challenges in exchanging laboratory data HHS actions to address these challenges 1

3. The exchange of laboratory data is essential Supports meaningful use Promotes patient centered care Supports quality reporting Promotes more effective public health awareness Reduce duplicative testing and associated costs 2

4. Current Practices Results typically electronic but transmitted by fax, paper and phone Utilization of customized and/or varying standards Variation in nomenclature and customized compendiums Point to point customized interfaces often necessary to exchange lab data 3

5. Barriers and Challenges in Exchanging Laboratory Data Lack of definition of and adoption of common standards and compendiums CLIA actual and perceived requirements Diversity across the lab market Lack of network services Lack of incentives 4

6. HHS Approach ASPE, AHRQ, and ONC Studies AHIC Workgroup Recommendations AHIC – ONC Use Cases, HITSP, and CCHIT Work NHIN Trial Implementations 5

7. Leveraging Today’s Session Seek a balanced and comprehensive view of business, regulatory, and policy issues and potential resolutions which will support the exchange of laboratory data and promote meaningful use. Identify role of government and industry Define priorities, executable steps, and/or phases 6