2. HIT Accessibility HHS HIT Policy Committee Meeting September 14, 2010 David Baquis, U.S. Access Board

3. U.S. Access Board Independent Federal agency Promulgates guidelines and standards for accessible design Provides technical assistance and training The term “Access Board” is used to refer to the staff of the Board, as well as the Board

4. What is Accessibility?

5. Accessible Design Accessibility does not mean “availability” Design criteria which remove barriers that make it difficult or impossible for some people with disabilities to use HIT Rooted in civil rights with intention to provide an assurance of non-discrimination in technology

6. Section 508 Accessibility Standards Section 508 is part of the Rehabilitation Act It applies only to Federal departments and agencies It ensures accessibility of electronic and information technology Section 508 authorized the Access Board to write technical design standards (published in 2000). Undergoing update now. Intent: Ensure that the needs of people with disabilities are not overlooked as we move forward in the information age Other countries and states are referencing 508 standards

7. Stakeholders

8. Who Benefits? Disabilities: Hearing Vision Speech Mobility Dexterity Cognitive User groups: Patient/clients Clinicians Caregivers/families Students/instructors Admin personnel

9. Accessibility Examples: Barriers and Solutions

10. Web Based Resources Are text equivalents provided for non-text elements? Are multimedia videos captioned? Are row and column headers identified in data tables?

11. Incentives for Change

12. Benefits of Accessible Design Meaningful use certification Improve “bottom line” via expanded customer base Congruency with existing non-discrimination policies Risk management Strategic planning for potential DOJ ADA regulations

13. Recommendations

14. Recommendations in Brief Elevate accessibility criteria to high level status Reference the Section 508 Standards in the next iteration of HHS HIT Standards Include accessibility in certification testing Fund HIT accessibility research Develop a technical assistance and training plan Understand the impact of other rulemakings on HIT Reduce burden by utilizing available resources

15. Questions