1. Lynn Egan, JD HIT Summit – HHS/ONC Initiatives
Senior Advisor to the Director, OPR
September 26, 2006
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2. Office of the National Coordinator (ONC)
Established in response to Executive Order 13335, April 27, 2004
Responsible for realizing the President’s vision of consumer centered, information rich healthcare:
Widespread adoption of interoperable EHR within 10 years
Ensure appropriate information at time and place of care
Medical information follows the consumer
Clinicians have complete, computerized patient information
Ensure secure and protected health information
Quality initiatives measure performance and drive quality-based competition
Public health activities seemlessly integrated into care
EO1335
(a) Ensures approp. info avail at time/place of care;
(b) Improves quality, reduces errors, and advance appropriate, evidence-based medical care;
(c) Reduces costs resulting from inefficiency, medical errors, inappropriate care, and incomplete information;
(d) Promotes effective marketplace, competition, and choice through information on health care costs, quality, and outcomes;
(e) Improves the coordination of care through an effective infrastructure for the secure and authorized exchange of health care information; and
(f) Ensures that health information is secure and protected.

3. Publication of a Strategic Framework: July 2004
Goal 1: Inform Clinical Practice
Goal 3: Personalize Care
Strategic
Framework
Goal 4: Improve Population Health
Goal 2: Interconnect
Clinicians
Inform Clinical Practice
Incentivize EHR Adoption
Reduce Risk of EHR Investment
Promote EHR Diffusion in Rural and Underserved Areas
Interconnect Clinicians
Foster Regional Collaboration
Develop Nationwide Health Information Network (NHIN)
Coordinate Federal Health Information Systems
Personalize Care
Use of Personal Health Records
Enhance informed consumer choice
Promote use of Telehealth systems
Improve population health
Surveillance architectures
Streamline quality and health status monitoring
Accelerate research and dissemination of evidence into practice

4. Efforts to drive toward interoperable HIE
Office of the National Coordinator for Health IT
Federal Register Vol. 70, No. 160 – 08/19/05
IO - Serves as the Secretary's principal advisor (TNC) on the development, application, and use of health information technology.
OHITA - Identifies health information technology strategies, and works with other relevant HHS offices to implement these strategies and monitor outcomes in fulfillment of the President's goals.
OIS - Provides leadership in the development and implementation of a nationwide interoperable health information technology infrastructure.
OPC - Ensures complete integration of all efforts across ONC and supports the dissemination and adoption of the Administration's policy on health information technology.
OPR - Supports and coordinates efforts that inform policy decisions related to health IT.
DRAFT Strategic Plan published 06/13/06 - internal strategic planning tool developed to articulate goals, objectives, and strategies in support of the President’s health IT goals for the adoption of interoperable healthcare. Intended to be a working document to share with key partners inside the Federal government and to highlight potential issues, opportunities, and actions.
Efforts to drive toward interoperable HIE
Federal Register Vol. 70, No. 160 – 08/19/05

5. ONC Major Initiatives
The goal is widespread adoption of electronic health records (EHRs) within 10 years. ONC has undertaken the following efforts to drive adoption of interoperable EHRs:
HHS advisory committee (AHIC)
Standards Harmonization (HITSP)
Compliance Certification (CCHIT)
Nationwide Health Information Network Prototypes
Privacy and Security Solutions (co-manage AHRQ contract)
Physician Self-Referral (Stark) and Anti-Kickback Regulations (CMS and OIG regulations)
State-level HIE initiatives
AHIC: American Health Information Community.
Seven work groups: Biosurveillance; EHRs; Chronic Care; Consumer Empowerment; Confidentiality, privacy and security; and quality
All workgroups will be presenting 2007 workplans at October and December AHIC meetings.
HITSP: Health Information Technology Standards Panel
Run by the American national Standards Institute (ANSI)
Final standards for use cases to be named in October
CCHIT: Certification Commission for Health IT
criteria and evaluation process for certifying EHRs and
the infrastructure or network components through which they interoperate
Ambulatory EHR 1st round certified in July; inpatient certification criteria anticipated this fall
inpatient care EHRs 9/07; infrastructure or network components 9/08
NHIN: Four consortia: Accenture, CSC, IBM and Northrop Grumman
Nationwide utility for secure seamless HIE
Proposed security models 9/06; revenue and cost models 10/06, prototype live demo 12/06.
RTI: Research Triangle International.
K = Privacy and Security Solutions for Interoperable Health Information Exchange (AHRQ ).
HISPC (Health Information Security and Privacy Collaboration) refers to the subcontracting efforts of 33 states and 1 territory under this contract
Stark and AnK safeharbors:
Aug. 1, 2006 pub’d; Oct. 10, 2006 eff
Cost sharing (15%), interoperability, software/training and support services (not hardware), and sunset provisions
State-level HIE
FORE contract
determine successful governance, legal, financial and operational characteristics
Tech assist to local HIE efforts
Bridge to NHIN and other states
Etc.
- develop consensus on guiding principles for states organizing HIE initiatives
- Final report and workbook at end of Sept.

6. For More Information Visit…
AHIC and Workgroup Meetings
October 31, 2006 (AHIC); 200 Independence Ave, SW, Room 800, WDC
NHIN Forum: Health Information Network Security and Services
October 16-17th, 2006
JW Marriott Hotel Pennsylvania Avenue, 1331 Pennsylvania Avenue, NW, WDC
Certification Criteria and Inspection Process (CCHIT)
Health IT Standards Panel (HITSP)
RTI Privacy and Security Solutions for Interoperable Health Information Exchange
AHRQ-Funded Projects < Collaborations & Activities < Privacy & Security
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