1. Office of the National Coordinator for Health Information Technology ONC Update for HITSP Board U.S. Department of Health and Human Services John W. Loonsk, MD December 12, 2005 Document Number: HITSP 05 N 34 Date: December 13, 2005

2. ONC – Major Initiatives 1.American Health Information Community (“the Community”) 2.Nationwide Health Information Network (NHIN) Prototypes 3.Standards Harmonization (HITSP) 4.Compliance Certification (CCHIT) 5.Privacy and Security (HISPC) 6.Health Information Technology and Health Care Anti-Fraud 7.Health IT Adoption Initiative 8.Proposed changes to self-referral and anti- kickback rules 9.Digital Health Recovery for the Gulf Coast

3. The Community Significant progress after two meetings Five “breakthrough” areas discussed Working groups being considered 3 – 4 specific charges identified HITSP and other major ONC initiatives are to present at the January 17 th Community meeting

4. How can the Community Use Cases Help the HIT agenda? Clarity: provide clear, common descriptions of activities and participants in the health activities associated with a Breakthrough area Coordination: one tool in a broader framework to help focus on the realization of Breakthroughs Communication: provide a method for written communication across multiple HIT processes Leverage: support advancement of work from one process to meet the needs of other parts of the HIT agenda

5. Initial Community Use Case Areas Biosurveillance Broad Area: Implement real-time nationwide public health event monitoring and support rapid response management across public health and care delivery communities and other authorized government agencies. Specific Use Case Area: Transmit essential ambulatory care and emergency department visit, utilization, and lab result data from electronically enabled health care delivery and public health systems in standardized and anonymized format to authorized public health agencies with less than one day lag time.

6. Initial Community Use Case Areas Consumer Empowerment Broad Area: Gain wide adoption of a personal health record that is easy-to-use, portable, longitudinal, affordable, and consumer-centered. Specific Use Case Area: Deploy to targeted populations a pre-populated, consumer-directed and secure electronic registration summary. Deploy a widely available pre-populated medication history linked to the registration summary.

7. Initial Community Use Case Areas Electronic Health Record Broad Area: Support the implementation of interoperable, certified EHRs, minimizing integration issues for providers. Specific Use Case Area: Deploy standardized, widely available, secure solutions for accessing laboratory results and interpretations in a patient-centric manner for clinical care by authorized parties.

8. Use Case Schedule Initial Use Case Template Development finished Community Use Case Areas and Template Distributed Monday, December 12 Draft Use Cases Material Submitted COB January 18 Use Case Harmonization January 18 th – February 1 st Initial Use Cases Reviewed (by Community) and Released Beginning of February

9. Four consortia led by Accenture, CSC, IBM and Northrop Grumman Support the development of a Nationwide Health Information Network architecture Architecture for health care information that can follow consumers throughout their lives Will include the detailing of: Interoperable data exchange Patient identification and information locator and exchange services User authentication, access control and other security protections Specialized network functions Develop of Internet-based NHIN architecture prototypes Demonstrate interoperable health information exchange viability in three real-world health care environments Nationwide Health Information Network (NHIN)

10. What can the other ONC initiatives mean for HITSP? 1.Use cases and high level standards Also FHA/CHI, previous CCHIT work 2.High level standards from NHIN NHIN consensus product 3.~Integration / implementation profiles NHIN consensus “requests” 4.~Indirect use case needs NHIN, Privacy and Security, etc. 5.~Security model Possible NHIN consensus products, possible output from Privacy and Security

11. For More Information Website: www.hhs.gov/healthitwww.hhs.gov/healthit Email: john.loonsk@hhs.gov