DoD/VA Interagency Program Office (IPO) Town Hall Meeting. April 27, 2017
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1 DoD/VA Interagency Program Office (IPO) Town Hall Meeting April 27, 2017 IPO Town Hall 27 Apr 2017 Distribution C: Distribution authorized to DoD and VA components only; Other requests for this document shall be referred to DoD/VA IPO
2 Purpose and Agenda Purpose Foster coordination and collaboration across IPO, PEO, DoD and VA in addressing emerging developments and issues in Health Information Technology (HIT) standards and policies. Agenda Introductions LCDR Kent Bui ONC Updates Mr. Chris Hills CommonWell Carequality Alliance Speakers Jitin Asnaani, Executive Director, CommonWell Health Alliance Mariann Yeager, CEO, The Sequoia Project Dave Cassel, Director, Carequality Wrap-Up LCDR Kent Bui IPO Town Hall 27 Apr 2017 Distribution C: Distribution authorized to DoD and VA components only; Other requests for this document shall be referred to DoD/VA IPO 2
3 ONC/FHA Updates ONC C-CDA Scorecard Release 1.0 (moved from beta), Scorecard API's with instructions are available at that same location C-CDA validator API's have moved, FHA FHA Stakeholder Collaboration Meetings Federal Health Information Model (FHIM) FHIM Harmonization with new FHIR release Information Modeling Security Domain Terminology Modeling Security Domain ONC & FHA HcDir Task Force and Tiger Teams Development of Initial FHIR Capability within VSAC CONNECT Product Manager s Meetings & Strategic Plan Update to the Federal Partner Direct Exchange Guidelines (if approval given) Federal Health Architects Council IPO Town Hall 27 Apr 2017 Distribution C: Distribution authorized to DoD and VA components only; Other requests for this document shall be referred to DoD/VA IPO 3
4 Upcoming Meetings / Events Date ONC / FHA Upcoming Meetings / Events Apr 2017 Health Datapalooza, 03 May FHA Managing Board 09 Jun DirectTrust Collaborative Workshop 30 Nov - 01 Dec ONC Annual Meeting TBD Date Standards Measurement Framework (To be released shortly) DoD / IPO Upcoming Meeting / Events 02 May FHIR & C-CDA Affinity Group (bi-weekly) Jun Quarterly HDS BL Joint Program Synchronization Workshop Jul DHITS Conference (Caribe Royale-Orlando, FL) 3 Aug HealthTrac, ATARC Federal Cloud Computing Summit IPO Town Hall 27 Apr 2017 Distribution C: Distribution authorized to DoD and VA components only; Other requests for this document shall be referred to DoD/VA IPO 4
5 Jitin Asnaani Executive Director, CommonWell Health Alliance All All rights reserved. This information is is subject to to confidentiality obligations. Unauthorized use, disclosure or or reproduction is is strictly prohibited. 5 5
6 CommonWell Health Alliance: Our Vision We are an independent, not-for-profit trade association open to all organizations devoted to the simple notion: + That health data should be available to individuals and providers regardless of where care occurs, and + That provider access to this data must be built-in to HIT at a reasonable cost for use by a broad range of health care providers and the people they serve All All rights reserved. This information is is subject to to confidentiality obligations. Unauthorized use, disclosure or or reproduction is is strictly prohibited. 6
7 We created a highly scalable person-centered network CommonWell Services Lab Clinic PCP Community Hospital IDN 1. Enroll individuals in the network 2. Find their Records 3. Match and Link their records 4. Broker queries and responses Trusted & Secure + Directed Query Post-Acute Pharmacy + Argonaut Project APIs (REST/OAuth) Specialist + Proactive Notifications All All rights reserved. This information is is subject to to confidentiality obligations. Unauthorized use, disclosure or or reproduction is is strictly prohibited. 7
8 CommonWell Members serve the care continuum Founding Contributor General >2/3 of acute EHR >1/3 of ambulatory EHR Leaders in post-acute care, imaging, patient portals, lab, retail pharmacy and more Source: KLAS and SK&A, a Cegedim Company 2016 Hospital EMR Market Share, May KLAS Enterprises, LLC. All rights reserved. Physician Office Usage of EHR Software SK&A. February Initial Service Provider All All rights reserved. This information is is subject to to confidentiality obligations. Unauthorized use, disclosure or or reproduction is is strictly prohibited. 8
9 5K live sites, 16M enrolled patients, 50M records Acute Ambulatory Critical Access Home Health Rehab/LTC Patient Portal Imaging Laboratory Ambulance Pharmacy HIE Gov t Etc All All rights reserved. This information is is subject to to confidentiality obligations. Unauthorized use, disclosure or or reproduction is is strictly prohibited. 9
10 IPO Town Hall Mariann Yeager, CEO, The Sequoia Project Dave Cassel, Director, Carequality April 27, The Sequoia Project. All rights reserved. 10
11 The Sequoia Project. All rights reserved. Overview
12 The Sequoia Project s Role The Sequoia Project is the trusted, independent convener of industry and government Works to address the challenges of secure, interoperable nationwide health information exchange (HIE). SECURE INTEROPERABLE NATIONWIDE The Sequoia Project. All rights reserved.
13 Our Work Current Initiatives The first nationwide, publicprivate health data sharing network in the US. A national-level interoperability framework to inter-connect networks. An interoperability testing program for medical images and reports Priorities 13 FHIR-Based Based Provider Directory Improve Content via New Testing Program Improve Patient Identity Management Across Organizations
14 ehealth Exchange Continues to Grow & Evolve Latest Validated Products ehealth Exchange Gateway 1.0 Jiva HIE Connect Resonance Of 30+ technologies used on the network, 15+ are validated products Benefits of Validation: New participants leveraging an ehealth Exchange Validated Product reduce effort and cost in onboarding Latest Use Cases Added Authorized Release of Information Life Insurance Enables life insurance companies to request copies of an individual s medical records for the purposes of making a determination for life insurance benefits Image Share Use Case Enables organizations to share images via the ehealth Exchange 14
15 The Sequoia Project. All rights reserved. Overview
16 The Power of Connecting Communities How do you get nationwide connectivity? Clinic by clinic, hospital by hospital? Data sharing networks have already connected many participants within communities. The connections grow exponentially by connecting these networks. If you connect six clinics, you might reach a few dozen physicians. If you connect six communities, you can reach thousands of physicians The Sequoia Project. All rights reserved.
17 Carequality Implementers HIEs Technology Vendors Service Providers PHRs The Sequoia Project. All rights reserved.
18 Accelerating Health Data Sharing in America 18,000+ Clinics 800+ Hospitals 250K Providers 6 Implementers are in production to date, with 3 more expected Q The Sequoia Project. All rights reserved.
19 The Sequoia Project. All rights reserved. Connectivity Agreement
20 Carequality and CommonWell Agree on Connectivity & Collaboration to Advance Interoperability CommonWell to Implement Carequality Directed Query specficiations on behalf of its members and their clients CommonWell Basic RLS to be Available to Carequality Implementers Sequoia Project and CommonWell to explore collaboration opportunities in the future The Sequoia Project. All rights reserved.
21 The Sequoia Project. All rights reserved. Discussion
22 Wrap Up Wrap Up Provide feedback on today s DoD/VA IPO Town Hall at: IPO Town Hall 27 Apr 2017 Distribution C: Distribution authorized to DoD and VA components only; Other requests for this document shall be referred to DoD/VA IPO 22
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