Transcript 0701EHEALTHKOLODNER (Slide 1)

State Alliance for e-Health
January 26, 2007
Robert M. Kolodner, MD
Interim National Coordinator
Office of the National Coordinator for
Health Information Technology (ONC)
January 26, 2007
State Alliance for e-Health
Key Transformation Requirements
A Robust Interoperable Health Environment that brings together
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Electronic Health Records (EHR)
Personal Health Records (PHR)
Population Health Infrastructure
Standards (Data, Technical & Security)
Interoperable Health Information Exchange Network
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January 26, 2007
Nationwide Health Information Network
State Alliance for e-Health
National Health IT Support for a Healthier Nation
Add value for
patients
Add value for
providers
High quality, safe
health care
Lower cost
health care
Personalized
health care
Improved
Public Health
Consumers manage
their care and safety
A healthier, safer
nation
Foster
adoption
Establish Enabling
Policies
Encourage and guide
interoperability
Institute certification
Foster interoperability
standards
Health IT
Establish Nationwide Health
Information Network (network
of networks)
Foster private, secure and confidential environment
for data exchange
January 26, 2007
State Alliance for e-Health
Organizational Framework to Facilitate Transformation:
American Health Information Community
American Health Information Community (AHIC)
• A federally-chartered advisory commission
• Chaired by Secretary Leavitt
• 17 members; public – private collaboration
• Detailed work performed in work groups and brought back to
The Community for deliberation and decisions
Work Groups
January 26, 2007
AHIC
State Alliance for e-Health
Work Groups
American Health Information Community (AHIC)
Work Groups
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Seven work groups established
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Involving over 100 experts and stakeholders
Over 60 meetings in 2006
Focus of Work Groups - Identify and make recommendations regarding policy,
technical and social issues to support the priorities
November 29, 2005
Consumer
Empowerment
May 16, 2006
Confidentiality,
Privacy &
Security
Chronic Care
Biosurveillance
Quality
EHRs
January 26, 2007
State Alliance for e-Health
October 31, 2006
Personalized
Medicine
(Genomics)
Collaborative Activities to Foster the Transformation
AHIC
HITSP
 HITSP – Health IT Standards Panel
CCHIT
 CCHIT – Certification Commission for
Health IT
NHIN
 NHIN - Nationwide Health Information
Network Related Initiative
HISPC
State-level HIE
Initiatives
State Alliance for
e-Health
January 26, 2007
 AHIC - American Health Information
Community
 Privacy and Security Solutions –
formation of state level Health Information
Security and Privacy Collaboration
 State-level HIE Initiatives – Recognizing
key issues, options, and strategies at the
state level
 And YOU - State Alliance for e-Health –
consensus-based, executive-level advisory
body
State Alliance for e-Health
2006 Health IT Accomplishments
AHIC – American
Health Information
Community
 7 Meetings completed in FY 06; 450 person hours; supported by
approximately 45 work group meetings throughout the year.
First annual adoption survey report published
Clinical Decision Support Roadmap developed
New regulations creating exceptions and safe harbors to federal fraud and
abuse laws to help physicians obtain automated systems
Executive Order To Help Increase The Transparency of America's Health Care
System- Empowering Americans To Find Better Value And Better Care
HITSP – Health IT
Standards Panel
Delivered 1st set of Interoperability Standards in October 2006 for First 3 Use
Cases. Includes 30 standards and over 800 pages of interoperability
guidelines.
Use Case Development
Establishing a process for identifying, adopting, & stimulating standards
CCHIT–
Certification
Commission for
Health IT
January 26, 2007
Early Fall, 2006 first set of certified ambulatory EHRS released
Expanded to 35 Electronic Health Record systems certified to date
State Alliance for e-Health
2006 Health IT Accomplishments (cont’d)
NHIN –
Nationwide Health
Information
Network
Prototypes
Progress toward National Health Information Network (NHIN)
architecture
Hosted two NHIN conferences
 1st Forum – Identified and catalogued functional requirements to
frame the development of the NHIN
 2nd Forum - Advanced discussions and developed clarity on
architecture issues associated with secure exchange; health information
networking; desired architecture characteristics and key next steps to
advance the NHIN
Privacy and
Security
Solutions
Health Information Security and Privacy Collaboration (HISPC) formed
as a result of Privacy and Solutions contract
State Level HIE –
State level Health
Information
Exchange
Initiatives
Consensus RHIO conference
January 26, 2007
34 states and territories identified variations in privacy and security
solutions
Final Report Issued: Development of State Level Health Information
Exchange Initiatives & Development Workbook
Report on transparency coordination Medicaid and financial
sustainability issued in January 2007
State Alliance for e-Health
2006 Health IT Accomplishments (cont’d)
Adoption
Establishing federal guidelines for quality through
transparency
Consumers making informed decisions based on quality and
cost
Stark exception and anti-kickback safeharbor
Measurement of baseline EHR adoption (RWJ Adoption
Report)
January 26, 2007
State Alliance for e-Health
HIT Major Accomplishments Report
http://www.hhs.gov/healthit/news/Accomplishments2006.pdf
January 26, 2007
State Alliance for e-Health
Major Health IT Accomplishments - 2007
• Secretary Leavitt accepted the 1st round of HITSP
Standards (Dec 2006)
• AHIC
– Agreed on priorities for 2nd round of Use Cases
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Emergency Responder EHR
Consumer access to Clinical Information
Medications Management
Quality
– Advanced recommendations regarding patient identity proofing
– Advanced recommendations regarding PHRs
• 1st meeting of State Alliance for e-Health (NGA) on
January 26
• 3rd NHIN Forum being held
January 26, 2007
State Alliance for e-Health
For More Information Visit…
www.hhs.gov/healthit
January 26, 2007
State Alliance for e-Health