Standards Subcommittee: Administrative Simplification 2017 Update
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1 Standards Subcommittee: Administrative Simplification 2017 Update NPAG 2017 Monterey Plaza Hotel Monterey, CA May 8, 2017 Richard W. Landen Member, NCVHS 1
2 Today s Agenda What is the NCVHS? Current NCVHS activities and issues Admin Simp Privacy, confidentiality and security Population health HHS data access and use 2
3 The National Committee on Vital and Health Statistics NCVHS is the Department of Health and Human Services (HHS) statutory public advisory body on health data, statistics and national health information policy 3
4 How NCVHS Advises HHS 18 members appointed for four-year terms Diverse backgrounds, expertise and geography Develops and delivers practical, timely, thorough recommendations to the HHS Secretary Holds quarterly meetings, convenes public hearings, listening sessions, workshops, roundtables Provides periodic reports to Congress Develops reports and resources 4
5 NCVHS Domains Areas Standards Population Health Privacy, Confidentiality and Security Data Access and Use Focus Public health informatics and data standards; standards, code sets, and operating rules for administrative transactions as required under HIPAA and other legislation. Population-based data to enable communities to identify disparities and become learning systems for health. Vital and health statistics policy. Emerging issues related to health information privacy, confidentiality and security and data stewardship. Principles, best practices, guidelines, gaps in the availability, accessibility, usability, and usefulness of HHS data resources. 5
6 NCVHS Membership Chairman: William W. Stead, MD, Vanderbilt University Medical Center Nashville, TN HHS Executive Staff Director: Rashida Dorsey, PhD, MPH Executive Secretary: Rebecca Hines, MHS Raj Chanderraj, M.D., F.A.C.C., Nevada Heart & Vascular Center Las Vegas, NV Bruce B. Cohen, Ph.D., Massachusetts Department of Public Health Boston, MA Llewellyn J. Cornelius, Ph.D., University of Georgia Athens, GA Nicholas L. Coussoule, BlueCross BlueShield of Tennessee Chattanooga, TN Barbara J. Evans, Ph.D., J.D., LL.M., University of Houston Law Center Houston, TX Alexandra Goss, Imprado / Dynavet Solutions Harrisburg, PA Linda L. Kloss, M.A., Strategic Advisors Ltd, Chicago, IL Richard W. Landen, M.P.H., M.B.A., Bonita Springs, FL Denise E. Love, National Assn of Health Data Organizations Salt Lake City, UT Vickie M. Mays, Ph.D., MSPH., University of California Los Angeles Los Angeles, CA Robert L. Phillips, Jr., M.D., MSPH, American Board of Family Medicine - Washington, DC Helga E. Rippen, M.D., Ph.D., Health Sciences South Carolina Columbia, SC David A. Ross, Sc.D., Public Health Informatics Institute Decatur, GA 6
7 NCVHS Website and Resources Meeting announcements, letters to the Secretary, reports, tools, other resources available Electronic/remote access to meetings and meeting materials 7
8 Reports, Recommendations, Letters since NPAG 2016 March 21, 2017 The NCVHS Health Data Framework White Paper February 23, 2017 Letter to the Secretary Recommendations on Deidentification of Protected Health Information under HIPAA January 12, 2017 NCVHS Measurement Framework for Community Health and Well-Being, V4 November 9, 2016 Letter to the Secretary Recommendation on the HIPAA Minimum Necessary Standard October 13, 2016 Review Committee Findings and Recommendations on Adopted Standards and Operating Rules October 13, 2016 ONC s Draft 2017 Interoperability Standards Advisory 8
9 Full Committee Reports, Recommendations, Letters in 2017 Pipeline NCVHS 12th Report to Congress 20 th anniversary of HIPAA Population Health Letter: Recommendations on Measuring Health at the Community Level - Opportunities for HHS Leadership Data Access and Use Letter & Report: Recommendations on HealthData.gov for Maximizing its Value 9
10 2017 Activities of Interest to the EDI Community Subcommittee on Standards May 3, 2017 Hearing on Health Plan Identifier (HPID) August TBD Predictability Roadmap Workshop Subcommittee on Population Health September 11-12, 2017 Next Generation Vital Statistics Hearing 10
11 Health Plan Identifier Subcommittee on Standards May 3, 2017 Hearing on Health Plan Identifier (HPID) Hearing purpose: seek further input from the health care industry for disposition and next steps of the Health Plan Identifier following its three year enforcement discretion period Overviews by CMS and WEDI Spokespeople from industry/organizations Payers, providers, clearinghouses, standards organizations, business groups, billing services, government Written comments from any/all 11
12 Predictability Roadmap Subcommittee on Standards August TBD Predictability Roadmap Workshop Work plan in development Summary: The predictability roadmap would provide the health care industry with a degree of certainty in the timing and sequence of the adoption or implementation of new or revised standards and operating rules as required under the HIPAA and other legislation. NCVHS documents since 2009 have referenced lack of predictability around adoption path and timing of new/updated Admin Simp regulations With 20 years of HIPAA and several version migrations under our belts, can we identify a more efficient path for versioning? 12
13 Next Gen Vital Statistics Subcommittee on Population Health September 11-12, 2017 Next Generation Vital Statistics Hearing Registration of births, deaths, marriages, divorces, and fetal deaths reside individually with states/territories 13 Federal Statistical Agencies Obtain input from users of the system, e.g., Federal, state, commercial, research Purpose of this hearing: gather information on: Current status and vulnerabilities in vital statistics Federal, state and local perspectives Emerging best practices and potential solutions to protect, improve and strengthen the system 13
14 Homework from NPAG 2016 Remember this from NPAG 2016 last September? What are your thoughts? 14
15 Questions, Comments, Observations, Reactions? 15
16 Thank You! Richard Landen 16
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