1. Strategy and Innovation Workgroup: Recommendations on the Federal Health IT Strategic Plan 2015-2020 March 4, 2015 David Lansky, Chair Jennifer Covich, Co-Chair Christine Bechtel, Chair, Consumer Workgroup (Guest)

2. Agenda Discuss Final Recommendations to the HITPC on the Federal Health IT Strategic Plan 2015-2020 – Present at March 10, 2015 HITPC Meeting – HITPC to submit transmittal letter to National Coordinator Brief overview of public comments summary Next Meeting: Tuesday, March 9, 2015 12:00 – 2:00 pm – Prepare development of recommended HITPC Work Plan Office of the National Coordinator for Health Information Technology 1

3. Final Recommendations JOINT RECOMMENDATIONS Office of the National Coordinator for Health Information Technology 2

4. Joint Recommendations Strategic Plan should better integrate its focus on individuals/consumers as a Health Improvement Plan, rather than emphasizing data in a “Collect, Share, Use” framework The Plan’s focus should be how to build a culture of shared, person- centered health and care goals, and how federal policies, programs, and regulations will support individuals, providers, and community partners to meet these goals Federal actions should unambiguously show how they facilitate and reinforce the Triple Aim The end state is not a health IT infrastructure – it is the widespread, effective use of digitized information to support improved health and health care. The Plan should use language to emphasize the end, not the means. Office of the National Coordinator for Health Information Technology 3

5. Joint Recommendations Articulate a pathway to evolve toward a new paradigm: – More dynamic, interactive learning system – Health equity for consumers and providers – Improved patient/family caregiver experience, as well as improved empowerment and engagement through consumer participation – Accommodate a pluralistic data and care delivery environment – Work with private sector to identify government data sources that support improvement in public health goals – Explicitly show how federal agencies will lead and guide the adoption of a new information sharing framework Plan must hold federal partners accountable, with regular, transparent reporting on progress toward goals Office of the National Coordinator for Health Information Technology 4

6. Identified Gaps and Areas for Emphasis Include strategies to address health and health IT disparities to achieve better equity Integrate public health and social determinants of health into the health IT ecosystem and into health improvement efforts Provide clear guidance on privacy framework – Establish how information can be shared, not merely focusing on how it is restricted – How to harmonize federal and state laws Office of the National Coordinator for Health Information Technology 5

7. Plan Restructuring Recommendations Both Work Groups recommend significant Plan restructuring – Emphasize importance of person-centered health and wellness – Better align with other national health planning activities – Leverage health IT so individuals, providers, community-based organizations can partner together to identify, align to, and achieve patient goals Office of the National Coordinator for Health Information Technology 6

8. Restructure Recommendations Improve the Health and Well-Being of Individuals and Communities Objective 1: Align health IT goals with public health goals and targets Objective: Identify relevant federal information and data sources important to achieving national health goals Objective 3: Make relevant information usable to people and organizations that impact health Objective 4: Develop public policies that facilitate safe acquisition, and sharing and use, of health data Office of the National Coordinator for Health Information Technology 7 Build a Culture of Individual, Provider, and Community Partnership to Achieve Shared Health/Care Goals Objective 1: Care Planning Objective 2: Shared Decision-Making Objective 3: Patient-Generated Health Data Objective 4: Health Literacy and Communication Objective 5: Access to and Use of Clinical Trial Data Objective 6: Advance Directives and Social Determinants of Health Objective 7: Quality Measurement and Payment Incentives to Meet Shared Patient/Provider Goals

9. Discussion DISCUSSION: ONC Staff Overview of Public Comments on Federal Health IT Strategic Plan 2015-2020 Office of the National Coordinator for Health Information Technology 8

10. Public Comment Overview Public comments collected via HealthIT.gov – Comments are viewable here: http://www.healthit.gov/policy- researchers-implementers/strategic-plan-public-commentshttp://www.healthit.gov/policy- researchers-implementers/strategic-plan-public-comments Public comment period ended February 6, 2015 ~400 comments, including roughly 90 organizational comments – Official letters from organizations representing providers, associations, advocacy groups, and developers – Individual comments, either independently or as informally employed or aligned with an interested party (provider group, association, etc)

11. Methodology to Abstract and Synthesize Comments ONC’s Strategic Planning Team read through comments and extracted key themes Themes were discussed and refined among the team Team is categorizing comments by goal, objective, and stakeholder type Review will be shared with ONC staff and federal partners for reuse to inform policies, programs, and initiatives This summary focuses on topline recommendations 10

12. Overall Summary  General Consensus: Related to mission, vision, goals, and objectives  Best Path Forward: Discord among different stakeholder groups on how to achieve vision  Role of Government: Differing views among commenters; need for federal alignment and reduction of overlap  Scope of Comments: Many useful comments are at a level too detailed for inclusion in the Strategic Plan (e.g., Stage 3 MU; incentives to ineligible providers)  Federal Partner Outreach: Many recommendations require substantial follow-up 11

13. Comments by Stakeholder Group 12  Delivery Associations – Hospitals; Primary Care, Gen Med, Pediatric, Nursing, Surgery, Emergency, Radiology, Ophthalmology, Osteopathic, Pathology/Laboratory, Pharmacy, Health Systems  Ineligible Providers – Long-term and Post Acute Care, Behavioral/Mental Health, Emergency Medical Services  Public Health  Disease-Specific Advocacy – Heart, Stroke, Aging, Organ  State Governments and Organizations  Consumers  Health IT Organizations & Vendors  Consultants & Research Organizations

14. Discussion DISCUSSION Office of the National Coordinator for Health Information Technology 13