1. The Star and Swoosh, Putting the I in Health IT, the Putting the I in Health IT composite logo, HealthIT.gov, the HealthIT.gov composition logo, HealthITBuzz, and the HealthITBuzz composite logo are service marks or registered service marks of the U.S. Department of Health and Human Services. Office of the National Coordinator for Health Information Technology Andrew Gettinger, M.D. Chief Medical Information Officer, and Director (Acting) - Office of Clinical Quality & Safety, Health IT Safety Update HITPC Briefing January, 2016

2. Background 2 2011 20132014 2015

3. 2015 Accomplishments Safety Enhanced Design 2015 EHR Certification Criteria Roadmap for the prospective Health IT Safety Collaborative –Non-regulatory –Public-Private Partnership –Seed Funding from the Government 3

4. Current Program Activities NQF Prioritization and Identification of Health IT Patient Safety Measures –Level 1 – Safe Health IT: Addressing Safety Concerns –Level 2 – Using Health IT Safely: Ensuring the Safe Use of Technology and Avoiding Unintended –Level 3 – Using Health IT to Make Care Safer Roadmap Methods Test – Develop & Deploy Solution –Contract support from RTI, Inc. –Focus: Identify specific opportunities and solutions to improve usability related to medication management 4

5. NQF Health IT Safety Measurement Project Environmental Scan: Identifying the most effective ways to measure and prioritize health IT-related safety events. Conceptual Framework: Organizational construct to categorize, health IT safety measures and gaps Report: Foundational reference for current health IT patient safety measures and measure concepts. Blueprint for later work in this field. 5

6. Roadmap Methods Test Objective: o Convene workgroup of volunteer stakeholders o Research available evidence to inform solution(s) o Disseminate collaboratively developed solutions Focus: Identify specific opportunities and solutions to improve usability related to medication management Possible Outcomes: o New resource(s) such as tools or implementation guides; and/or o Activity to promote existing tools or resources 6

7. Private Sector Initiatives ECRI Institute: Partnership for Health IT Patient Safety –Copy and Paste workgroup –Patient Identification workgroup PEW Charitable Trusts Medical Device Initiative –EHR Usability Meeting –Exploring other initiatives AMA-MedStar Health Partnership Developed –EHR User-Centered Design Evaluation FrameworkEHR User-Centered Design Evaluation Framework CHIME Patient ID Hero-X $1M Challenge Prize 7