1. Strategy and Innovation Workgroup October 21, 2014 David Lansky, chair Jennifer Covich, co-chair

2. Agenda Welcome and Introductions HITPC Overview Workgroup Charge Workplan Discussion Public Comment 1

3. Confirmed Members 2 First NameLast nameMember TypeOrganization DavidLanskyChairPacific Business Group on Health JenniferCovichCo-chaireHealth Initiative KelvinBaggettMemberTenet Healthcare Corporation KynaFongMemberElationEMR SandraHernandezMemberCalifornia HealthCare Foundation RichardPlattMemberHarvard Pilgrim Healthcare Institute MichaelPainterMemberRobert Wood Johnson Foundation MarkSavageMemberNational Partnership for Women and Families GeorgeHripcsakMemberColumbia University JohnHoustonMemberUniversity of Pittsburgh Medical Center BrianDeVoreMemberIntel Corporation PaulTangMemberPalo Alto Medical Foundation JonathanNebekerEx OfficioVeterans Affairs

4. Advanced Health Models and Meaningful Use Chair: Paul Tang Co-chair: Joe Kimura HITPC Workgroups and Chairs 3 Interoperability & Health Information Exchange Chair: Micky Tripathi Co-chair: Chris Lehmann HIT Implementation, Usability & Safety Chair: David Bates Co-chair: Larry Wolf HIT Strategy and Innovation Chair: David Lansky Co-chair: Jennifer Covich Privacy and Security Chair: Deven McGraw Co-chair: Stanley Crosley Health Information Technology Policy Committee Chair: Karen DeSalvo Vice Chair: Paul Tang Consumer Chair: Christine Bechtel Co-chair: Neil Calman

5. 4 HIT Policy and HIT Standards Committees Information Flow

6. Member Responsibilities Thanks for volunteering to serve on the Strategy and Innovation Workgroup! Our best work happens when we have full participation. Accordingly, ONC has set up some guidelines for your participation. Workgroup members are expected to be actively engaged in their workgroup – Membership of the workgroups will be reviewed on a quarterly basis to ensure active participation – Members missing more than 5 meetings in a year will be removed from membership (unless extenuating circumstances) – Differing opinions are welcome and encouraged but should be done in a respectful manner – Participants should be prompt and do their best to minimize personal interruptions (e.g., mute phones) Meeting materials are due at least 24 hours in advance of meetings – Members are expected to review materials in advance and be actively engaged in the discussion with questions prepared in advance – When commenting be as concise as possible and use examples to explain your point of view 5

7. Charge The HIT Strategic Planning and Innovation Workgroup will provide input and make recommendations on policy issues and opportunities for future topical areas for the HITPC. It will consider trends and how existing policy may evolve to support innovation. The Workgroup will initially provide input into the revised Federal Health IT Strategic Plan and discuss a national agenda for leveraging health IT to support a learning health system. This Workgroup will look further into the future than other workgroups and make recommendations to ensure that policy development enables market innovation and considers market failures. The workgroup will also provide input on milestones and evaluation against these. Examples of issues that the workgroup may consider include, but are not limited to, the use of non-traditional information in health and health care decisions, such as wellness data and information on social determinants of health, and issues related to big data and data analytics. 6

8. 2014 Q32014 Q42015 Q12015 Q2 JunJulAugSepOctNovDecJanFebMarAprMayJun (estimates) FACA Milestones Interoperability Governance Subgroup JASON Task Force Kick-off Federal Milestone Joint HITPC/HITSC Meeting JASON/Governance Recs Federal HIT Strategic Plan Posted for Comment Interoperability and HIE Final Interoperability Roadmap Recs FACA Final HIT Strategic Plan Comments Interoperability Roadmap Posted for Comment HITPC comments on MU3 NPRM HITSC comments on Certification NPRM Interoperability and HIE Workgroup FACA Milestone 7

9. DRAFT High-level Workplan 8 20142015 TasksStart DateDue DateJunJulAugSepOctNovDecJanFebMarAprMayJun Workgroup Kick-off10/21/2014 HITPC workplan recommendations10/21/20143/10/2015 Comment on Federal HIT Strategic Plan - Lead WG TBD - Q4/Q1 Comment on published version of Interoperability Roadmap TBD TBD - Q1

10. DRAFT Workplan MeetingsTask October 21, 2014 10:00 ET Kick-off meeting Review charge, introduce members Introduction/high-level overview of HIT Strategic Plan November 6, 2014 9:00 ET Review and discuss potential HITPC workplan items November 21, 2014 10:30 ET Review and discuss potential HITPC workplan items December 2, 2014 - HITPC Meeting Charged by HITPC with responding to HIT Strategic Plan December 3, 2014 10:30 ET Federal HIT Strategic Plan overview and prepare to comment December 17, 2014 10:30 ET Comment on Federal HIT Strategic Plan January 8, 2015 10:30 ET Comment on Federal HIT Strategic Plan January 22, 2015, 12:00-12:00 ET Update 2015 workplan items, informed by HIT Strategic Plan February 10, 2015 – HITPC Meeting Final HIT Strategic Plan comments to HITPC / Draft HITPC workplan recommendations February 12, 2015, 12:00-2:00 ET Update 2015 workplan, finalize recommendations March 4, 2015, 12:00-2:00 ET Comment on published version of the Interoperability Roadmap March 9, 2015, 12:00-2:00 ET Comment on published version of the Interoperability Roadmap March 10, 2015 – HITPC Meeting Final HITPC workplan recommendations Late March TBD Comment on published version of the Interoperability Roadmap April 2, 2015, 12:00-2:00 ET Comment on published version of the Interoperability Roadmap April 7, 2015 – HIPTC Meeting Interoperability Roadmap Comments 9

11. Federal HIT Strategic Plan Alignment with Health IT Policy Committee’s Workplan 10

12. Federal Health IT Strategic Direction 11 Expand Adoption of Health IT Collect Advance Secure and Interoperable Health Information Share Strengthen Health Care Delivery Advance the Health and Well-Being of Individuals and Communities Advance Research, Scientific Knowledge, and Innovation Use

13. Discussion Questions to Inform Future Work What efforts are underway to achieve these goals? What additional work is needed to achieve these goals? Are there lessons learned from the current HIT environment that can be applied to the achievement of these goals? What can be leveraged as a starting point for achievement? – Does the current infrastructure exist or are additional technological advancements needed? – What can be learned from other industries? What can be achieved in the short vs. long term? 12

14. Next Meeting November 6, 2014 from 9:00-11:00 AM ET 13