1. Standards and Interoperability Framework Primer of S&I Phases, Procedures, and Functions

2. S&I Framework Process We Are Here

3. S&I Framework Functions DISCOVERY IMPLEMENTATIONPILOTS EVALUATION

4. Standards Development Support Team “Building Blocks” Successfully implement developed standards Extend, modify, or develop a standard and develop implementation guidance Align initiative with SDO balloting or development priorities Engage SDOs through initiative awareness Scan the standards & implementation environment Develop a “Candidate Standards” list Support standards analysis against requirements Confirm Gaps Work with WG and SDOs to create plan and recommendations to address gaps Foundation Contribution Action Result Initiative Progress 4

5. *denotes potential artifact Use Case & Functional Requirements (UCR) Candidate Standards SDO Communication Plan Standards Analysis Mapping Gap Mitigation Plan Initiative CEDD* Implementation Guide* Standards modification* New standard* Artifacts S&I Framework Harmonization of Standards 5 Candidate Standards Selected Standards Draft Harmonized Standard Recommended Standard Evaluate Use Case and functional requirements determine candidate standards Applicable standards evaluated on HITSC-outlined criteria Further evaluation may be conducted relying on environmental scans of real- world implementations for factors such as Deployment/Operational Complexity, Market Adoption and Past Performance (Pilots) Analyze Assess support of detailed interoperability requirements for required CEDD data elements, including value sets Identify standards harmonization gaps and redundancies Determine most implementer-friendly approach to implementation Harmonize Work with SDOs to develop, extend or modify required standards artifacts and follow-up with appropriate balloting process alignment Develop implementation guidance that meets functional and technical requirements using current standard(s) Feedback on the implementation guidance is received from pilots, RI, and SDO balloting, and is then incorporated to result in a standard suitable for inclusion in regulation

6. The S&I Framework Harmonization Process Reference Implementation, Pilots, SDO Balloting Development of Draft Standard Development of Draft Standard Validation of Standard Harmonized Standard Recommended to HITSC Provides detailed analysis of candidate standards to determine “fitness for use” in support of workgroup/initiative interoperability requirements Activities lead to a selected draft standard to be supported and validated through Reference Implementation and Pilots Gap mitigation results and lessons learned are incorporated into an SDO-balloted artifact to be proposed as implementation guidance for Recommendation Depending on the workgroup/initiative, Activities may not lead to the development of a new standard Provides detailed analysis of candidate standards to determine “fitness for use” in support of workgroup/initiative interoperability requirements Activities lead to a selected draft standard to be supported and validated through Reference Implementation and Pilots Gap mitigation results and lessons learned are incorporated into an SDO-balloted artifact to be proposed as implementation guidance for Recommendation Depending on the workgroup/initiative, Activities may not lead to the development of a new standard 6

7. Harmonization Process Harmonization for Use Cases may include the following steps: 1.Expand dataset requirements into a full data model 2.Review and select standards identified by SDS Choose standards based on use case, data model requirements, and community expertise 3.Map data model to select standards Identify gaps and work with SDS to communicate needs with SDOs 4.Develop Implementation Guide(s) Guide should enable implementation of data model 7

8. S&I Framework Functions DISCOVERY IMPLEMENTATIONPILOTS EVALUATION We Are Here

9. LCC WG Timeline: Feb 2013 – Dec 2013 Feb 13Mar 13Apr 13May 13Jun 13Jul 13Aug 13Sep 13Oct 13Dec 13 Milestones Pilot Identification & Engagement Care Plan IGs Complete Lantana Contract Awarded LCC Roadmap, Project Charter, Environmental Scan Development HL7 Project Scope Statement Due HL7 Intent to Ballot Due C-CDA Gap Analysis (Document Resolution) HL7 Fall Ballot Open NY Pilots Monitoring LCC Use Case 2.0 Development & Consensus IMPACT ToC Pilot Monitoring IMPACT Care Plan Pilot Monitoring HL7 Ballot Publication ToC IGs Development (Transfer Summary, Referral Note, Consult Note) ToC IGs Complete HL7 Final Ballot Due LCC Stakeholder Outreach SDO Stakeholder Outreach Care Plan/ Home Health Plan of Care IG Development HL7 Ballot Package Development HL7 Ballot & Reconciliation HITPC LCC WG Briefing

10. S&I Building Blocks Vocabulary & Code Sets Content Structure Transport Security Transformation Eventually, we’ll be able to fill in this diagram with LCC-specific content, further building the S&I Tools and References Repository