1. Barriers to Interoperability Task Force Meeting Interoperability Measurement Update September 25, 2015 Pre-Decisional Do not Cite or Distribute the Contents of This Presentation 1

2. Agenda Describe draft interoperability measurement framework Describe proposed measures to assess progress in the near-term and long-term Discuss next steps for assessing progress in the near-term vs. long-term 2

3. Draft Interoperability Measurement Framework 3

4. Measuring Progress along the Journey

5. Near-Term Measurement Framework: 2015-2017 5

6. Proposed Measures for Assessing Progress: 2015-2017 Key metrics The proportion of individuals, office-based physicians, hospitals, and behavioral health, long-term care, and post-acute care providers that: – Send, receive, find and use electronic health information; – Have electronic health information available from outside sources and make electronic health information available to outside sources; and – Use electronic health information from outside sources to inform decision-making Context: Ascertain the prevalence and strength of barriers to interoperability 6

7. Next steps for near-term measurement Report on progress based upon current data sources – National survey data – Meaningful Use attestation data Work with stakeholders and Federal Partners to refine measures and data sources, and address gaps – Shift to measures based on system usage – Expand scope to behavioral health care providers and LTPAC – Adoption and uptake of standards 7

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9. Next steps Engagement with Federal Partners and stakeholders to expand scope of measurement outside of care continuum and individuals – ASPE is supporting the development of interoperability measures for outside of traditional health care settings and patient generated data Development of a comprehensive measurement framework to identify downstream impacts of interoperability via validated, external stakeholder driven process – NQF type process 9

10. Summary The scope of near-term (2015-2017) interoperability measurement: – Sending, receiving, finding and using of electronic health information across the care continuum and individuals – Availability of information from outside sources and subsequent usage of that information – Barriers impeding interoperability The scope of the long-term measurement (beyond 2017) expands: – Settings beyond healthcare – Impacts on key processes and outcomes sensitive to interoperability 10

11. Questions? Contact: Vaishali Patel vaishali.patel@hhs.govvaishali.patel@hhs.gov 11