1. ONC Update for HITSP Board
Document Number: HITSP 05 N 34
Date: December 13, 2005
Office of the National Coordinator for
Health Information Technology
ONC Update for HITSP Board
John W. Loonsk, MD
December 12, 2005
U.S. Department of Health and Human Services

2. ONC – Major Initiatives
American Health Information Community (“the Community”)
Nationwide Health Information Network (NHIN) Prototypes
Standards Harmonization (HITSP)
Compliance Certification (CCHIT)
Privacy and Security (HISPC)
Health Information Technology and Health Care Anti-Fraud
Health IT Adoption Initiative
Proposed changes to self-referral and anti-kickback rules
Digital Health Recovery for the Gulf Coast

3. The Community Significant progress after two meetings
Five “breakthrough” areas discussed
Working groups being considered
3 – 4 specific charges identified
HITSP and other major ONC initiatives are to present at the January 17th Community meeting

4. How can the Community Use Cases Help the HIT agenda?
Clarity: provide clear, common descriptions of activities and participants in the health activities associated with a Breakthrough area
Coordination: one tool in a broader framework to help focus on the realization of Breakthroughs
Communication: provide a method for written communication across multiple HIT processes
Leverage: support advancement of work from one process to meet the needs of other parts of the HIT agenda
Business-oriented
Makes assumptions more explicit
Provides context and interactions and relationships
Fit into the overall standards-based development process
Well-defined
Understood across the industry

5. Initial Community Use Case Areas
Biosurveillance
Broad Area: Implement real-time nationwide public health event monitoring and support rapid response management across public health and care delivery communities and other authorized government agencies.
Specific Use Case Area: Transmit essential ambulatory care and emergency department visit, utilization, and lab result data from electronically enabled health care delivery and public health systems in standardized and anonymized format to authorized public health agencies with less than one day lag time.

6. Initial Community Use Case Areas
Consumer Empowerment
Broad Area: Gain wide adoption of a personal health record that is easy-to-use, portable, longitudinal, affordable, and consumer-centered.
Specific Use Case Area: Deploy to targeted populations a pre-populated, consumer-directed and secure electronic registration summary. Deploy a widely available pre-populated medication history linked to the registration summary.

7. Initial Community Use Case Areas
Electronic Health Record
Broad Area: Support the implementation of interoperable, certified EHRs, minimizing integration issues for providers.
Specific Use Case Area: Deploy standardized, widely available, secure solutions for accessing laboratory results and interpretations in a patient-centric manner for clinical care by authorized parties.

8. Use Case Schedule Initial Use Case Template Development finished
Community Use Case Areas and Template Distributed
Monday, December 12
Draft Use Cases Material Submitted
COB January 18
Use Case Harmonization
January 18th – February 1st
Initial Use Cases Reviewed (by Community) and Released
Beginning of February

9. Nationwide Health Information Network (NHIN)
Four consortia led by Accenture, CSC, IBM and Northrop Grumman
Support the development of a Nationwide Health Information Network architecture
Architecture for health care information that can follow consumers throughout their lives
Will include the detailing of:
Interoperable data exchange
Patient identification and information locator and exchange services
User authentication, access control and other security protections
Specialized network functions
Develop of Internet-based NHIN architecture prototypes
Demonstrate interoperable health information exchange viability in three real-world health care environments

10. What can the other ONC initiatives mean for HITSP?
Use cases and high level standards
Also FHA/CHI, previous CCHIT work
High level standards from NHIN
NHIN consensus product
~Integration / implementation profiles
NHIN consensus “requests”
~Indirect use case needs
NHIN, Privacy and Security, etc.
~Security model
Possible NHIN consensus products, possible output from Privacy and Security

11. For More Information Website: www.hhs.gov/healthit