1. Direct Project Update Arien Malec

2. First Production Usage Immunization data from Hennepin County Medical Center to Minnesota Department of Health via VisionShare (soon to incorporate immunization data to individuals) Summary of Care record on Transition of Care with Dr. Al Puerini and members of the Rhode Island Primary Care Physicians Corporation via RIQI and Inpriva Primary care to Patient with Dr. Paolo Andre via Care360 and HealthVault Major significant announcements

3. Other Updates Updated specification addressing Privacy and Security Workgroup review comments nearing consensus Collecting utilization metrics, usage findings, lessons learned, and other experience reports for March 29 th HITSC meeting

4. S&I Framework Update Doug Fridsma, M.D., PhD Arien Malec

5. Overview Three initiatives fully launched –CDA Consolidation addressing the “onion problem” and associated consistency issues in HITSP C32/C83 and associated specifications –Transition of Care to address the standard “molecules” of exchange at a clinical semantic level with mappings to CCR/CCD in support of Stage 1 & 2 Meaningful Use –Lab Interface Improvement to reduce cost and time of new ambulatory lab report interfaces through standardized Implementation Guide and terminology We have a robust Initiative Committed Membership for each initiative, but would still welcome new committed organizations

6. S&I Framework Engagement

7. Frequently Asked Questions The S&I Framework is: –a) A sinister plot to undermine SDOs –b) A sinister plot to NIEMize healthcare –c) A sinister plot to apply abstract informatics modeling for no good purpose –d) A sinister plot to pay 22 year old consultants to re- learn all the lessons the "silverbacks/greybeards" have already learned –e) All of the above

8. Answers f) None of the above The S&I Framework is intended to be a consensus-driven community-oriented, mission- focused process to work with SDOs and the standards and vocabularies they produce to create implementation packages in support of national priorities, including Meaningful Use

9. S&I Framework Overview HITPC HITSC SDOs Federal Partners ONC S&I Steering Team Initiative Steering Committee S&I Framework Healthcare Community ONC Policy Steering

10. Working with HITSC We all have a lot to do –HITPC asked HITSC to address standards for Certificates and Directories –Draft meaningful use stage 2 recommendations from HITPC include many explicit and implicit asks to HITSC –The S&I Framework provides a approach for operationalizing these requests A streamlined process and working model will help us all achieve the mission

11. QUESTIONS?