1. Improving the world's health and well-being by unleashing health IT innovation State Initiatives Alesha Adamson VP Strategic Relations & Initiatives Open Health Tools Board of Stewards February 24, 2012

2. Vision A new healthcare IT economy driven by regional research and job creation activities; supported by OHT Members and assets. Improving the world's health and well-being by unleashing health IT innovation

3. Drivers Policy & Business Drivers – Unemployment is high – There are not enough qualified HIT employees – Providing highly-available assets to teaching organizations – Economic development policy drives creation of labs – Educational needs drive curriculum Technology Drivers – PIP Component Map (informed by Architecture Council) – Assets map to components Improving the world's health and well-being by unleashing health IT innovation

4. Policy & Business Drivers Unemployment is high There are not enough qualified HIT employees Providing highly-available assets to teaching organizations Economic development policy drives creation of labs Educational needs drive curriculum Improving the world's health and well-being by unleashing health IT innovation

5. Technology Drivers Component Map Assets map to components Project Integration Project (PIP) – Informed by Architecture Council HEART (of the ecosystem) Interface Library Project (ILP) Coordinate with Exemplary Apps Improving the world's health and well-being by unleashing health IT innovation

6. Platform Implementation Project Project of Projects (meta-project) Bringing together OHT assets to deliver on the OHT Architecture Founding members: – Pronoia Health – NexJ – GDIT/Vangent – VuHID – Tolven Improving the world's health and well-being by unleashing health IT innovation

7. Identifier Services Internet HIE Core Services Privacy & Security Services Privacy & Security Services HISP / Direct Services Patient Management Services Cross Community Services Record Locator & Repository Services XDS.b Registry / Repository XDS.b Registry / Repository PIX/PDQ ATNA Audit Repository XUA XCA Gateway (Document Query/Retrieve) XCA Gateway (Document Query/Retrieve) XCPD Gateway (Patient Discovery) XCPD Gateway (Patient Discovery) Adaptor Layer Policy Engine XDR (Document Push) XDR (Document Push) Secure Email / XDM HL7 V2 Listener HL7 CDA Creator IHE Adaptor Content Creators & Consumers EHR/EMR/PHR Exemplary Apps Cross Community Participants IHE Participant HISP / Direct Participant NwHIN Exchange Participant OHT STATE INITIATIVES Platform Integration Project Component Map Version 1.0 February 10, 2012 HPD (Provider Directory) HPD (Provider Directory) DB Adaptor Provider Information Source Devices

8. Mapping OHT Assets to a component map Improving the world's health and well-being by unleashing health IT innovation ComponentCurrent OHT AssetsPossible Future Assets EHR/EMR/PHRTolven (PIP)OpenMRS Adapter LayerAIP (PIP)Open Boarding Pass HIE Core ServicesHIEOS (PIP)OpenHIE Identification ServicesVuHID (PIP)Patient Identity Services Cross Community Participants SETHS (PIP), Georgia TechMayo-Rochester, OHSU

9. Asset Registry & Interface Library Improving the world's health and well-being by unleashing health IT innovation HEART – Register Open Source assets – Link to federated repositories – Uniquely identify assets – ILP – Registry and repository for interfaces – Search tools that enable retrieval – Coordinate with HEART

10. Community OHT Membership University/College Partners – Training programs – Interoperability Labs State and Regional economic development councils State Designated Entities Improving the world's health and well-being by unleashing health IT innovation

11. Activating the State Initiatives Project -Academia Academic Outreach – Georgia Tech: Flagship Interoperability Lab – Conversations with Universities in: Arizona, Oregon, Minnesota, Texas, Utah, Massachusetts – Encourage schools to develop labs that speak to their expertise: “Code walks and talks.” Work with local economic development teams to roll-out appropriate curriculum – Software development – EHR deployment – Business analysis Improving the world's health and well-being by unleashing health IT innovation

12. Activating the State Initiatives Project – Economic Development Identify current economic development programs focusing on IT and Health IT Foster relationships to facilitate building of Interoperability Labs Encourage innovation spin-offs Encourage challenge grants Build the workforce Foster research Improving the world's health and well-being by unleashing health IT innovation

13. Long-term Goals Engage core-platform vendors to support lab environments – Java,.Net, Android, Apple, Google – Create virtualization environments Encourage interoperability at the core- platform level Inform future academic programs Drive innovation Foster a new Health IT economy Improving the world's health and well-being by unleashing health IT innovation