1. HIT Policy Committee Federal Health IT Strategic Plan April 13, 2011 Jodi Daniel, ONC Seth Pazinski, ONC

2. Updated to Reflect the Changing Landscape Section 3001(c)(3) of the Public Health Service Act, as added by the HITECH Act, requires the National Coordinator to update and publish the Strategic Plan (originally published in June 2008). Accounts for the rapidly changing landscape of health IT and health IT policy and the impact of two major pieces of legislation: the HITECH Act and the Affordable Care Act 2 Updated to Reflect the Changing Landscape

3. Strategic Plan Scope The Office of the National Coordinator’s strategy for realizing Congress and the Administration’s health IT agenda 3

4. Health IT in the HHS Strategic Plan Goal 2: Advance Scientific Knowledge and Innovation Goal 3: Advance the Health, Safety, and Well-Being of the American People Goal 4: Increase Efficiency, Transparency, and Accountability of HHS Programs Goal 5: Strengthen the Nation’s Health and Human Services Infrastructure and Workforce HHS’ Strategic Plan Goal 1: Transform Health Care Health IT objective in HHS Plan 4

5. How Can Health IT Transform Health Care? 5 Enhance ability to study care delivery and payment systems Empower individuals and increase transparency Improve care, efficiency, and population health outcomes Enhance ability to study care delivery and payment systems Empower individuals and increase transparency Improve care, efficiency, and population health outcomes Better Information Transform Health Care Better Technology 2015: End state of the Federal Health IT Strategic Plan

6. 6 HIT Policy Committee Recommends a Framework for the Strategic Plan May 2010 June - July 2010 Aug. – Nov. 2010 Dec. 2010 - Mar. 2011 Strategic Plan WG Develops the Framework Dec. 2009 - April 2010 Interviews held with HHS and other Federal partners ONC Drafts the Strategic Plan Federal Clearance Public Comment Period Strategic Planning Process April 2011 Indicates Public Comment Period for Input on the Development of the Plan High Level Activities Publish Final Strategic Plan May-June 2011

7. Federal Health IT Strategic Plan: 2011-2015 7 Federal Health IT Strategic Plan Pre-decisional Draft – Do Not Disclose Federal Health IT Strategic Plan: 2011-2015

8. Evolution of the Strategic Framework to the Strategic Plan Context The Framework was well underway prior to the release of the Affordable Care Act Similarities: Largely the same priorities and vision Focus on Outcomes Differences: Structurally different Reflects impact of the Affordable Care Act Makes empowering individuals a goal 8 Evolution of the Strategic Framework to the Strategic Plan Strategic Framework Goal I: Achieve Adoption and Information Exchange through Meaningful Use of Health IT Goal II: Improve Care, Improve Population Health, and Reduce Health Care Costs through the Use of Health IT Goal III: Inspire Confidence and Trust in Health IT Goal IV: Empower Individuals with Health IT to Improve their Health and the Health Care System Goal V: Achieve Rapid Learning and Technological Advancement Strategic Plan

9. Public Comment Period The Federal Health IT Strategic Plan Public Comment Period is open through April 22, 2011, 11:59 p.m. (Eastern). http://www.healthit.gov/buzz-blog/from-the-onc-desk/hit-strat-plan/ 9

10. APPENDIX GOALS AND OBJECTIVES 10

11. Goal I: Achieve Adoption and Information Exchange through Meaningful Use of Health IT Nationwide adoption and meaningful use of electronic health records by providers will set up the underlying infrastructure for capturing and exchanging health information. Objectives I.A. Accelerate adoption of electronic health records I.B. Facilitate information exchange to support meaningful use of electronic health records I.C. Support health IT adoption and information exchange for public health and populations with unique needs 11

12. Goal II: Improve Care, Improve Population Health, and Reduce Health Care Costs through the Use of Health IT Meaningful use is not just about capturing and exchanging information – It is about ensuring that information is used in ways that benefit health and care. Objectives II.A. Support more sophisticated uses of EHRs and other health IT to improve health system performance II.B. Better manage care, efficiency, and population health through EHR- generated reporting measures II.C. Demonstrate health IT-enabled reform of payment structures, clinical practices, and population health management II.D. Support new approaches to the use of health IT in research, public and population health, and national security 12

13. Goal III: Inspire Confidence and Trust in Health IT The digitization of health records will create new challenges for protecting privacy and security of health information and new opportunities to improve safeguards. We must assure that patients and providers understand and trust the use and exchange of electronic health information. Objectives III.A. Protect confidentiality, integrity, and availability of health information III.B. Inform individuals of their rights and increase transparency regarding the uses of protected health information III.C. Improve safety and effectiveness of health IT 13

14. Goal IV: Empower Individuals The greatest opportunity for health improvements will come from people taking more ownership over their wellness, and care becoming more patient-centered. The first step in empowering individuals is to engage them with their own health information. Objectives IV.A. Engage individuals with health IT IV.B. Accelerate individual and caregiver access to their electronic health information in a format they can use and reuse IV.C. Integrate patient-generated health information and consumer health IT with clinical applications to support patient-centered care 14 Goal IV: Empower Individuals with Health IT to Improve their Health and the Health Care System

15. Goal V: Achieve Rapid Learning and Technological Advancement EHRs are an innovation that is changing the way we capture and exchange health information. Using this information can help advance research and drive innovation. Objectives V.A. Lead the creation of a learning health system to support quality, research, and public and population health V.B. Broaden the capacity of health IT through innovation and research 15