1. Break out Session 3: Promising Practices for Implementing Blue Button National Association For Trusted Exchange (NATE) PHR Ignite Pilot HHS Auditorium Sept 16 th 1:45 – 4pm Aaron Seib CEO, NATE; Contractor to the California Office of Health Information Integrity

2. Agenda Overview of NATE and SHPC PHR Ignite Pilot RFA in California Pilot Use Cases

3. National Association For Trusted Exchange (NATE) NATE is a consortium of states which focuses on finding common solutions to optimizing national exchange of health information. NATE is executing PHR Pilot with support from the ONC’s State Health Policy Consortium (SHPC). Please visit our website to learn more www.nate-trust.org

4. PHR Ignite Pilot Pilot Goal - Identify and overcome policy, governance and technical challenges of transporting patient data bi-directionally between untethered PHRs (patients) and providers. California, Oregon and Alaska are leading pilot projects under this program Other member states contributing to Policy Development of this program include Nevada, Utah, Hawaii, North Dakota, Michigan and Florida 4

5. PHR Ignite Pilot Pilot Deliverables – Identify and establish minimum technical, security and privacy requirements for PHRs participating in the pilot – Develop a trust mechanism known as a “trust bundle” to facilitate the determination of trust on the part of NATE participants interested in either sending and/or receiving information to/from a PHR source – Identify and support PHR vendors and providers as they provide consumers with access to their data via Direct-enabled exchange 5

6. Pilot Use Cases Use Case 1: Recruited providers will send structured data to a patient-subscribed NATE qualified PHR using Direct secure messaging/BlueButton+ specifications. Use Case 2: Patient data will be sent by the test patient from their PHR to a second provider using Direct secure messaging/BlueButton+ specifications. 6

7. Pilot Use Case 7

8. California RFA The California Office of Health Information Integrity (CalOHII) RFA – In partnership with NATE, CalOHII is piloting the exchange of patients’ personal health records to providers using real world patients and providers. – The goal of the pilot is to inform a roadmap for proceeding to a scalable deployment of a trusted mechanism that will enable the use of PHRs across multiple states. – A total of $400,00.00 will be awarded to qualified entities. – Proposals due September 13 th. 8

9. Getting involved NATE will be reaching out to other interested parties to contribute to the policy development that we will be tackling between now and the end of 2013. If you are interested in learning more please contact me at: aaron.seib@nate-trust.org 9