1. Federal Advisory Committees Introducing Future Topics and Adding Workgroups Discussion Document October 2009 ** Pre-decisional Draft Do not Disclose ** Federal Advisory Committees Federal Advisory Committees Introducing Future Topics and Adding Workgroups

2. HIT Policy Committee: 1.Privacy and Security* 2.2013 and 2015 MU Objectives 3.Adoption – EHR/HIT 4.Standards Process 5.NHIN and State HIEs* 6.Strategic Plan 7.Gaps in Measurements 8.Medicaid MU (coordinate with CMS) *Blue: Time Sensitive Topics ** Pre-decisional Draft Do not Disclose ** HIT Standards Committee: 1.Gaps in Standards 2.2013 and 2015 Certification Standards 3.Implementation and Adoption of Standards* 4.Process to Support NHIN 5.Privacy and Security Standards * 6.Retooling Clinical Measurements for EHR Future Topics

3. HIT Policy Committee Workgroup 1.Meaningful Use* 2.Adoption of HIT/EHR 3.Privacy and Security [new]* 4.NHIN and HIEs [new]* 5.Strategic Planning [new] *Blue – Workgroups that need to be active now NOTE: P&S Workgroups will share PC and SC members. ** Pre-decisional Draft Do not Disclose ** HIT Standards Committee Workgroups 1.Implementation and Adoption of Standards* 2.Privacy and Security* 3.Clinical Measures 4.Clinical Operations Proposed Workgroups

4. Privacy and Security (PC and SC) – Create new Privacy & Security Workgroup under Policy Committee to focus on these issues; add consumer representatives – Ask the P&S Policy Committee Workgroup to create recommendations based on results of the September Privacy hearing – Continue leveraging HIT Standards Committee Privacy and Security Workgroup to focus on Standards – security hearing is scheduled on November 19, 2009 NHIN and HIEs (PC) – Create new NHIN Workgroup ( may include members from the current IE Workgroup); add other necessary experts – Hold inaugural Workgroup in-person meeting early November; present issues, recommendations at December Policy Committee meeting Meaningful Use Specialists Measures (PC) – Continue to leverage MU WG – Hearing is scheduled for October 27 and 28 on specialties, small practices ** Pre-decisional Draft Do not Disclose ** High-level Plan for Priority Topics for Committees and Workgroups

5. Implementation/Adoption Workgroup (SC) – New Implementation WG has been launched under the leadership of Aneesh Chopra – Public hearing on October 29 th to hear adoption experiences; and web-site for public input will launch at that time HIT Policy Committee and HIT Standards Committee – Both FACA committees will receive briefing from ONC on broad strategies; ONC programs and evaluation plans Dec 2009/Jan 2010 Strategic Planning Workgroup (PC and SC) – Consider framework/guiding principles for work of PC and SC with respect to creation of Nation-wide, interoperable, private and security health information system. – Relate that framework to strategic plan for work of ONC. – Begin work on recommendations for ONC concerning a strategic plan. ** Pre-decisional Draft Do not Disclose ** High-level Plan for Priority Topics for Committees and Workgroups