1. Query Health Operations Workgroup Standards & Interoperability (S&I) Framework March 15, 2012 11:00am – 12:00am ET

2. Agenda DUA Consensus HIE/Policy Sandbox

3. DUA Consensus Addressed “No” Votes – Regarding inclusion of Policy Sandbox “The agreement is between two parties. This clause introduces a third ill- defined party with the ability to change the meaning of this agreement, without any recourse by either of the contracting parties. There is no mechanism defined in this agreement by which either party is to be notified of the aforementioned policy changes This is not acceptable practice in a legal agreement. If policies change, the agreement between the parties must change to reflect the new policies, at a time acceptable to the agreeing parties, not under control of a third party. The agreement should mention a specific policy publication by name, not a web address if it is to be included by reference, as web addresses may change.”

4. Notes: 1.It is understood that de-identified data sets do not require a data use agreement, but in the abundance of caution, and unless otherwise guided by the Tiger Team or HIT Policy Committee, the pilot will have data use agreements for de-identified data 2.For a public health permitted use, individually identifiable health information may be provided by the disclosing entity to the public health agency consistent with applicable law and regulation. 3.The CDC-CSTE Intergovernmental Data Release Guidelines Working Group has recommended limiting cell size to three counts presuming a sufficiently large population. This is also reflected in Guidelines for Working with Small Numbers used by several states. Query requests and responses shall be implemented in the pilot to use the least identifiable form of health data necessary in the aggregate within the following guidelines: 1.Disclosing Entity: Queries and results will be under the control of the disclosing entity (e.g., manual or automated publish / subscribe model). 2.Data Exchange: Data will be either 1) mock or test data, 2) de-identified data sets or limited data sets each with data use agreements 1 or 3) a public health permitted use 2 under state or federal law and regulation. 3.Small cells: For other than regulated/permitted use purposes, cells with less than 5 observations in a cell shall be blurred by methods that reduce the accuracy of the information provided 3. Query requests and responses shall be implemented in the pilot to use the least identifiable form of health data necessary in the aggregate within the following guidelines: 1.Disclosing Entity: Queries and results will be under the control of the disclosing entity (e.g., manual or automated publish / subscribe model). 2.Data Exchange: Data will be either 1) mock or test data, 2) de-identified data sets or limited data sets each with data use agreements 1 or 3) a public health permitted use 2 under state or federal law and regulation. 3.Small cells: For other than regulated/permitted use purposes, cells with less than 5 observations in a cell shall be blurred by methods that reduce the accuracy of the information provided 3. Policy Sandbox

5. S&I Framework F2F April 11 th – April 13 th Alexandria, Virginia 5

6. Basic Information Dates: Wednesday 4/11 – Friday 4/13 Alexandria Westin: – Address: 400 Courthouse Square, Alexandria, VA, 22314 – Phone: 703-253-8600 – Website: www.westin.com/alexandriawww.westin.com/alexandria – Public Transportation: King Street Metro (Blue/Yellow Lines) – 3 Blocks Ronald Reagan Airport (DCA) – 6 miles Booking Accommodations: –See F2F Logistics page on wiki for detailsF2F Logistics – Phone: 1-866-837-4210 – Rate: $169/night (excluding tax) This rate is only available through 5pm ET on April 2 Group rate includes free wireless in all guest rooms 6

7. Tentative Schedule 7 Wednesday April 11th: 9:00 AM – 12:00 PM: Workgroup Leads Meeting (Workgroup Leads and Initiative Coordinators Only) 1:00PM – 2:30 PM: All Hands Session 3:00 PM – 6:00 PM: Initiative Working Sessions Thursday April 12th: 8:00AM – 6:00PM: Initiative Working Sessions 6:00PM – 8:00PM: Networking Happy Hour Friday, April 13th: 8:00 AM – 12:00 PM: Initiative Working Sessions 12:30 PM – 3:00 PM: All Hands Session

8. Next Steps for Community Members Reserve guest rooms at Westin and make travel plans –On Wednesday 4/11 Workgroup Leads Meeting starts at 9:00am, All-Hands Kickoff Session starts at 1:00pm –Event concludes at 3:00pm on Friday 4/13 –Information on booking the hotel is available on the Logistics pageLogistics page F2F Registration is now open –Use the Registration page to indicate whether you are attending or notRegistration page –Registration form allows you to select which specific workgroup sessions you will attend F2F is entirely in person – no phones or WebExs will be provided. Notes will be taken at breakout sessions and posted to the wiki. For more information, visit the F2F Wiki or email the F2F planning committee at F2F@siframework.org.F2F Wiki F2F@siframework.org 8