1. On the Path to Secure, Interoperable HIE Everywhere March 5, 2013 Mariann Yeager Executive Director www.healthewayinc.org 1

2. 22008 PHIN Conference25 August 2008 eHealth Exchange Health Bank or PHR Support Organization Community #1 Integrated Delivery System Community Health Centers Community #2 State and Local Gov Labs Pharmacies VA CMS DoD SSA The Internet Standards, Specifications and Data Use & Reciprocal Support Agreement (DURSA) for Secure Connections Shared trust framework and rules of the road

3. eHealth Exchange Anchor Participants 3

4. Alabama One Health Record Centers for Medicare and Medicaid Services (CMS) Childrens’ Hospital of Dallas Community Health Information Collaborative (CHIC) Conemaugh Health System Department of Defense (DOD) Department of Veterans Affairs Dignity Health Douglas County Individual Practice Association (DCIPA) Eastern Tennessee Health Information Network (etHIN) EHR Doctors Hawaii Pacific Health HealthBridge HealtheConnections RHIO Central New York HEALTHeLINK (Western New York) Idaho Health Data Exchange Inland Northwest Health Services (INHS) Kaiser Permanente eHealth Exchange Participants Lancaster General Health Marshfield Clinic Medical University of South Carolina (MUSC) MedVirginia MultiCare Health System National Renal Administrators Association (NRAA) New Mexico Health Information Collaborative (NMHIC) North Carolina Healthcare Information and Communications Alliance, Inc. (NCHICA) OCHIN Quality Health Network Regenstrief Institute Social Security Administration (SSA) South Carolina Health Information Exchange (SCHIEx) South East Michigan Health Information Exchange (SEMHIE) Strategic Health Intelligence University of California, San Diego Utah Health Information Network (UHIN) Wright State University 4

5. eHealth Exchange Growth Participation reaching critical mass 38 Participants More than 500 hospitals, 5000 physician practices 100 million patients More than 50 others in various stages of onboarding National-level coverage increasing Footprint in all 50 states Patient records securely shared across 23 states Collaboration extending breadth and depth of connectivity Care Connectivity Consortium EHR|HIE Interoperability Workgroup MU2 driving adoption among vendors and providers 5

6. Forming Strategic Collaboration 6 eHealth Exchange Powered by Healtheway Leverage CCC’s development and incubation of new services for the exchange Leverage Healtheway’s robust onboarding and associated services to help minimize costs and improve efficiencies

7. Alignment with State HIE Efforts Complements state HIE programs by enabling exchange Across geographic, organizational boundaries and technical platforms With federal health providers and in support of federal programs Provides a mechanisms for states to interconnect based upon a national-level trust and interoperability framework Significant level of state participation and buy-in Collaboration with EHR | HIE Interoperability Workgroup aligns national-level and state HIE programs 7

8. 18 States represent ~ 52% of US Population 41 Vendors are leading EHR and HIE vendors with significant market share 19 EHR Vendors 22 HIE Vendors MOU in place with states and vendors to use joint testing program StatesEHR VendorsHIE Vendors CaliforniaAlere Wellogic1MEDiX ColoradoAllscriptsAlere Wellogic FloridaCernerApeniMED GeorgiaData StrategiesdbMotion IllinoisDeFran SystemsGE KansasDr. FirstGSI Health KentuckyeClinicalWorksHarris MarylandeMDsHealthUnity MichiganEpicICA MissouriePocratesInterSystems NebraskaGEMed3000 New JerseyGreenwayMedAllies New YorkMcKessonMedFx OregonMdClickMedicity Rhode IslandMTBCMirth UtahNextGenMisys Open Source Solutions VermontNortec SoftwareNextGate VirginiaSageOmniMD SiemensOmniXchange Optum Orion RelayHealth EHR |HIE Interoperability Workgroup 8 8

9. EHR |HIE Interoperability Workgroup - Healtheway Partnership Assures overall success of the Compliance Testing Program: Achieves a larger market impact through support of a uniform set of testing requirements and testing process Helps unify industry and avoid market fragmentation Required minor work to establish a harmonized set of implementation specifications and testing requirements due to significant overlap in specifications Brings together shared stakeholders, as many states / vendors are engaged with both IWG and the eHealth Exchange Strengthens shared vision, evidenced through common testing program goals and objectives

10. Testing Program Goals Overall Goal: Reduce barriers to HIE, establish interoperability, while minimizing cost and complexity when possible Test once and capable of exchanging with many others Cover transport, transactions and content Product Certification Provide market assurance and technical clarity in compliant products Assure Provider to HIE interoperability eHealth Exchange Participation Testing Verify that implementations of successfully validated products are compliant as a condition of participation in the eHealth Exchange Assure interoperability among participants in the eHealth Exchange

11. HIE Certified Programs HIE Certified Community™, for electronic health records (EHRs) and other health IT systems, that will enable state-wide patient data inquiry allowing clinicians to query an HIE for information on specific patients HIE Certified Direct™ that provides a simple way for providers to send secure health information directly to trusted recipients, including patients, over the Internet HIE Certified Network™ for HIE-to-HIE connectivity and for connection to the eHealth Exchange

12. HIE Certified Seals

13. HISP EHR HIE Certified Direct ONC Specs: Direct Project Gateway HIE Certified Network NHIN Specs: PD/QD/RD/MA EHR Gateway CDR/MPI HIE Certified Community NHIN Specs: PD/QD/RD/MA IHE Specs: XDS/PIX/PDQ CDR/MPI Gateway HIE Certified Community NHIN Specs: PD/QD/RD/MA IHE Specs: XDS/PIX/PDQ Health Care Organization A S/SMTP XDS/PIX/PDQ PD/QD/RD/MA XDS/PIX/PDQ PD/QD/RD/MA PD/QD RD/MA Health Care Organization B EHR XDR EHR HIE Certified: Network

14. Pilot Launched Program available in Spring 2013 For more information: 14

15. For More Information EHR | HIE Interoperability Workgroup www.interopwg.org Healtheway and eHealth Exchange www.healthewayinc.org Testing Program Updates and Resources www.cchit.org Joint Task Group – Test Cases and Content Specifications http://exchange-iwg.wikispaces.com 15