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UConn CSE 3000 - Health Information Network Update

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Johns Hopkins SchooI of Medicine Division of Health Sciences Informatics March 23, 2007Slide 2US National HIT Strategic PlanSlide 4President’s Strategic Framework for HITSlide 6Slide 7Slide 8Slide 9Slide 10Slide 11Slide 12Slide 13NHIN Development ProcessDHHS NHIN ContractsA public-private “Community” was established to serve as the focal point for America’s health information concerns and drive opportunities for increasing interoperabilityNHIN Development ProcessSlide 18Slide 19HITSP Standards CategoriesHITSP Framework for Interoperability Specification DevelopmentSlide 22Slide 23Slide 24Standard Harmonization ProcessConsumer Empowerment Use CaseElectronic Health Record Use CaseBiosurveillance Use CaseSlide 29Biosurveillance Technical Committee RecommendationsSlide 31Slide 32Slide 33Slide 34Slide 35Slide 36Slide 37Slide 38Review of State Findings: Variation AnalysisReview of State FindingsSlide 41Slide 42Slide 43Slide 44Slide 45Slide 46Integrating the Healthcare Enterprise (IHE) OverviewWhy IHE?Who is IHE?Slide 50Slide 51Slide 52IHE Technical FrameworksHIMSS IHE Interoperability Showcase February 2006 ParticipantsSlide 55Slide 56Slide 57Slide 58Slide 59PHDSC was Invited to Sponsor Public Health Domain at IHESlide 61Slide 62State Health Department Organizational ChartSlide 64Slide 65Slide 66Slide 67EHR-PH Data Exchange: Clinical & Public Health SystemsSlide 69Slide 70Slide 71Slide 72LaboratorySlide 74Slide 75Examples of Notifiable/Reportable Conditions by Selected StatesSlide 77Slide 78Johns Hopkins SchooI of MedicineDivision of Health Sciences Informatics March 23, 2007Nationwide Health Information Network Update Anna O. Orlova, [email protected] Health Data Standards Consortium &Johns Hopkins Bloomberg School of Public HealthBaltimore, Maryland, USATowards a Nationwide Health Information Network (NHIN)Where Should We Be in 2014Building a NHIN NHIN-2004NHIN-2005-2006NHIN-2007On July 21, 2004 the Department of Health and Human Services (DHHS) announced the decade of health information technology for “delivering consumer–centric and information-rich health care.” The vision is to build a National* Health Information Network (NHIN) of regional health information exchanges formed by health care providers who will utilize electronic health record systems. Thompson TG and Brailer DJ. The Decade of Heath Information Technology to Deliver Consumer-centric and Information-rich Health Care. Framework for Strategic Action. US DHHS, July 21, 2004.US National HIT Strategic Plan * Original term “National” has been changed on “Nationwide” in January 2006DHHS’ Framework for Health Information Technology: Building a NHINNHIN will be based on:Electronic Health Record Systems (EHRS) that will enableRegional Health Information Exchanges (RHIEs) organized viaRegional Health Information Organizations (RHIOs)Thompson TG and Brailer DJ. The Decade of Heath Information Technology to Deliver Consumer-centric and Information-rich Health Care. Framework for Strategic Action. US DHHS, July 21, 2004.President’s Strategic Framework for HITProvider RecordLaboratory ResultsSpecialist RecordRecordsReturnedIndex of where patients have recordsTemporary Aggregate Patient HistoryAuthorized RHIO Inquiry Requests for RecordsAnotherRHIO RHIO Patient data to other RHIOSource: Jennie Harvell. The Decade of Health Information Technology – Framework for Strategic Actions. MMIS Conference, September 2004US Nationwide Health Information NetworkUS Health Information Network - 2014Source: Dr. Peter Elkin, Mayo Clinic, MNRHIOs as NHIN ComponentsSource: Dr. Peter Elkin, Mayo Clinic, MN, 2006Emerging data shows the value that standardized health information exchange will provide to all stakeholders:Healthcare purchasers and payersHospitals and other healthcare providersLaboratoriesPracticing cliniciansPublic healthSource: John Glaser, Janet Marchibroda, Jim Schuping. CCBH. Washington, D.C. December 6-7, 2004URL: www.ehealthinitiative.com Nationwide Health Information Network (NHIN)Building a NHINOn November 15, 2004 Office of National Coordinator for Health Information Technology (ONC), Department of Health and Human Services (DHHS), releasedTHE REQUEST FOR INFORMATION (RFI) on the Development and Adoption of a “National” Health Information Network Over 500 responses from various healthcare stakeholders has been submitted.Building a NHINURL: http://www.dhhs.govPHDSC RESPONSE TO THE RFI on the Development and Adoption of a “National” Health Information Network was submitted to DHHS on January 18, 2005Public Health Data Standards Consortium URL: http://phdatastandards.info or http://www.phdsc.orgPHDSC Model:RHIOEHR-PHInfo ExchangePHDSC Model for Electronic Health Record-based Data ExchangeIn October 2005 DHHS Office of National Coordinator (ONC) awarded several NHIN contracts ($65M) as follows:Standards HarmonizationEHR CertificationNHIN Architecture PrototypesHealth Information Security and PrivacyNHIN Development Process URL: http://www.hhs.gov/healthit/ahic.htmlDHHS NHIN ContractsStandards Harmonization - Harmonize the health care and technology standards used in health information interchange to address gaps and conflicts in current standardsEHR Certification - Set forth certification criteria for the many electronic health care record products and technologies currently available on the marketNHIN Prototypes - Develop and evaluate prototypes for the network architecture to assess the feasibility of developing a national health information network prototypePrivacy - Address privacy and security policy questions affecting the exchange of health information. Work resulting from each of these projects will be used by HHS to develop and refine the business case for establishing the network.A public-private “Community” was established to serve as the focal point for America’s health information concerns and drive opportunities for increasing interoperabilityHealthcare Information Technology Standards Panel (HITSP) Nationwide Health Information Network (NHIN) Architecture Projects The Health Information Security and Privacy Collaboration (HISPC)The Certification Commission for Healthcare Information Technology (CCHIT)American Health Information Community(Community)The Community is a federally-chartered commission that provides input and recommendations to DHHS on how to make health records digital and interoperable, and


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