1. Mariann Yeager, NHIN Policy and Governance Lead (Contractor) Office of the National Coordinator for Health IT David Riley, CONNECT Lead (Contractor) Federal Health Architecture, Office of the National Coordinator for Health IT NHIN and CONNECT at a Glance 1 MONDAY, 1:00PM – 1:20PM TUESDAY, 11:30AM – 11:50AM WEDNESDAY, 12:30PM – 12:50PM

2. What is the NHIN? A set of policies, standards and services that enable the Internet to be used for secure and meaningful exchange of health information to improve health and health care. Broad range of exchange needs – including simple, local applications and more robust exchange To date, development has focused on supporting more robust exchange For nationwide exchange, common elements needed across the spectrum No matter the level of exchange, a trust fabric is essential HIMSS 20102

3. Exchanging Patient Data: Providers and Patients Vocabulary/ Document/ Message Standards Directories Authentication / Certificates Delivery Protocols Security Trust HIMSS 20103

4. Benefits of The NHIN »Federal Agencies and Health Care Organizations »Providers »Patients »State Health Information Exchanges HIMSS 20104

5. Where We Are Now »This vision for the NHIN has been officially endorsed by the HIT policy committee (HITPC) »ONC is developing a strategy to help catalyze this vision Create a light-weight “on-ramp” for providers and consumers to enable information exchange and meaningful use Gathering input on how to achieve this vision Focusing on real needs and real value Ongoing support for limited production exchange Initiating pilot to explore simple exchange Governance rulemaking HIMSS 20105

6. Production NHIN Exchange Partners NHIN Limited Production Exchange »A group of trusted entities with a shared governance structure and mission, based upon validated implementation of NHIN specifications and using a common trust framework, including technical, contractual and operational measures. »Entities currently exchanging data in production: SSA MedVirginia VA Kaiser Permanente DoD »Others engaging in the future through federally-sponsored programs 15 SSA contracts State HIE Grants CDC and states Beacon Communities Other federal programs HIMSS 20106

7. NHIN Direct Project »Set of standards, services, and policies that enable simple, secure exchange of health information between authorized care providers »Expands set of participants and providers for nationwide exchange, while complementing and interoperating with NHIN Limited Production Exchange to support core Meaningful Use use cases: Doctor to Specialist Lab to Doctor Doctor to Patient HIMSS 20107

8. What is CONNECT? »CONNECT is an open source implementation of the NHIN Service Interface Specifications for securely exchanging interoperable health information Platform for Participation Platform for Innovation »CONNECT is composed of: Gateway Enterprise Service Platform Enterprise Service components Adapters for connecting edge systems Universal Client Framework HIMSS 20108

9. Benefits of CONNECT Lower the activation threshold for adoption of NHIN standards and technologies CONNECT to a vibrant community of organizations intent on increasing effectiveness, improving quality, and reducing the cost of health care Communicate with those charged with setting the National Agenda for health information technology Collaborate with others who are transforming the delivery of health services using information technology HIMSS 20109

10. Nationwide Health Information Network Improving healthcare quality and efficiency by supporting secure information exchange Email : nhin@hhs.gov Web: www.hhs.gov/healthitnhin@hhs.govwww.hhs.gov/healthit HIMSS 201010 Let’s CONNECT, Communicate, and Collaborate! Email: CONNECT@hhs.gov Web: www.connectopensourge.orgCONNECT@hhs.govwww.connectopensourge.org CONNECT

11. Thank You 11 The participation of any company or organization in the NHIN and CONNECT area within the HIMSS Interoperability showcase does not represent an endorsement by the Office of the National Coordinator for Health Information Technology, the Federal Health Architecture or the Department of Health and Human Services.