1. 1 Charles Parisot, GE Healthcare IHE IT Infrastructure Planning Committee Co-chair IHE and US National Health IT Initiatives

2. 2 US Federal Initiative for Health IT and National Health Information Network The US health system is managed both at the federal level and the state-level. Over 200 implementation initiatives in the USA exist at the state level or communities within the states. At the federal level, HHS (Ministry of Health) has set-up a policy-level setting board (AHIC), a coordination office (ONC) and 4 supporting initiatives for standards selection, certification, privacy and prototyping (See next slide). IHE-USA has been engaged in the organization of these supporting initiatives. IHE and IHE sponsors (e.g. HIMSS, RSNA, ACC, etc.) and participants contribute to those initiatives.

3. 3 The Community is the hub that drives opportunities for increasing nation wide health information interoperability AHIC, chaired by HHS Secretary is strategic coordination. CCHIT focuses on developing a mechanism for certification of health care IT products HITSP brings together all relevant stakeholders to identify appropriate IT standards HISPC addresses variations in business policy and state law that affect privacy and security NHIN is focused on interoperability pilots Health Information Technology Standards Panel (HITSP) National Health Information Network (NHIN) Architecture Projects The Health Information Security and Privacy Collaboration (HISPC) The Certification Commission for Health Information Technology (CCHIT) American Health Information Community

4. 4 HITSP delivers interop specs to AHIC The Health Information Technology Standards Panel (HITSP) has addressed 3 business use cases for interoperability: Access to lab results, Consumers registration & medication history, biosurveillance. HITSP has over 200 members representing all US stakeholders in healthcare and Standards Development Organizations (incl. DICOM, HL7, etc.). HITSP in its standards-based specifications, has decided to leverage private sector initiatives such as Integrating the Healthcare Enterprise (IHE). The IHE Connectathon (Jan 2007) and HIMSS Interoperability Showcase (Feb 2007) will play a visible role demonstrating the HITSP/IHE synergy.

5. 5 The three HITSP Technical Committees have published Interoperability Specifications in October 2006 Biosurveillance 63 members Transmit essential ambulatory care and emergency department visit, utilization, and lab result data from electronically enabled health care delivery and public health systems in standardized and anonymized format to authorized Public Health Agencies with less than one day lag time.  Floyd P. Eisenberg, MD MPH, SIEMENS Medical Solutions Health Services - Presenter  Peter L. Elkin MD FACP, Mayo Clinic College of Medicine  Shaun Grannis, MD, The Regenstrief Institute, Indiana University School of Medicine Consumer Empowerment 61 members Allow consumers to establish and manage permissions access rights and informed consent for authorized and secure exchange, viewing, and querying of their linked patient registration summaries and medication histories between designated caregivers and other health professionals.  Charles Parisot, EHR Vendor Association  Elaine A. Blechman PhD, Professor, Univ. of Colorado-Boulder Electronic Health Record 77 members Allow ordering clinicians to electronically access laboratory results, and allow non- ordering authorized clinicians to electronically access historical and other laboratory results for clinical care.  Jamie Ferguson, Kaiser-Permanente - Presenter  John Madden, MD, PhD, SNOMED Intl  Steve Wagner, Department of Veterans Affairs

6. 6 IHE and HITSP Interop Specficiations HITSP has specified interoperability standards for three use cases - 8 IHE profiles used. EHR-Access to Lab results  Historical Results: XDS + NAV + XDS-Lab + PIX + PDQ  Lab to Ordering Provider: HL7 V2.5 msg with some differences with Lab- 3 transaction from LSWF. Consumer Empowerment  Doc Sharing: XDS + PIX + PDQ  Reg/Med History: Not finalized but will be CDA/CCD. XPHR-TI version to be aligned on CCD when final is on the HITSP path. BIO Surveillance  Doc Sharing track: XDS, XDS-Lab, XDS-I, XDS-MS  Anonimization: PIX + PDQ (with extensions)  Capture: RFD  Messaging track, no use of IHE profiles

7. 7 HITSP GOALS and IHE HITSP goals with respect to testing activities  Ensure 'fitness for use' of HITSP Interoperability Specifications  Has relationship with IHE that developed/maintain stds/profiles used in HITSP ISs to help overall collaborative testing activities HITSP collaboration with IHE  8 IHE Profiles are contained in HITSP ISs  IHE Connectathon/HIMSS Showcase provide opportunity for collaboration to meet mutual goals To access HITSP Interoperability Specifications: http://www.ansi.org/standards_activities/standards_boards_panels/hisb/h itsp.aspx?menuid=3