1 NHIN Direct + Interoperability Framework = Focused Collaboration Bottom up use case development within a top-down coordination framework CORE PRINCIPLES.

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Presentation transcript:

1 NHIN Direct + Interoperability Framework = Focused Collaboration Bottom up use case development within a top-down coordination framework CORE PRINCIPLES Prioritization Transparency Engagement Rapid Results Focused Collaboration Thousand Blossom Blooms Command and Control LowHigh Participation Classic Trade-Off Low High Focus

2 NHIN Direct Lessons Learned Key Lessons From The Direct Project Focused problem-solving around a particular business case drives engagement Asking participants to commit to implementation and pilots drives positive behavior and focus The policy tools at ONC's disposal work to engage industry broadly –Aligning federal partners, states with private companies generates more value than the sum of its parts Open source reference implementations are a key tool to promote standards adoption by lowering the total industry cost to achieve the value chain Communities are awesome things…

3 Approach to S&I Framework NATIONAL GOALS: QUALITY, COST, ACCESS, PUBLIC HEALTH (HITECH, ACA, etc.) Robust Interoperability Across Settings of Care, Increased "Systemness" of Care Delivery “ultra-large scale systems” Robust Interoperability Across Settings of Care, Increased "Systemness" of Care Delivery “ultra-large scale systems” Tools and Services (Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc) (Stanley) Tools and Services (Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc) (Stanley) Use Case Development and Functional Requirements (Accenture) Use Case Development and Functional Requirements (Accenture) Certification and Testing (Stanley/Deloitte) Certification and Testing (Stanley/Deloitte) Harmonization of Core Concepts (Deloitte) Harmonization of Core Concepts (Deloitte) Implementation Specifications (Deloitte) Implementation Specifications (Deloitte) Reference Implementation (Lockheed Martin) Reference Implementation (Lockheed Martin) PRIORITY 1 PRIORITY 2PRIORITY 3 PRIORITY 4 Value and Outcome Focused Projects to Address Key Obstacles, Prioritized by Value, MU, Leverage 2 Months

4 Tools and Services (Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc) (Stanley) Tools and Services (Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc) (Stanley) Use Case Development and Functional Requirements (Accenture) Use Case Development and Functional Requirements (Accenture) Certification and Testing (Stanley/Deloitte) Certification and Testing (Stanley/Deloitte) Harmonization of Core Concepts (Deloitte) Harmonization of Core Concepts (Deloitte) Implementation Specifications (Deloitte) Implementation Specifications (Deloitte) Reference Implementation (Lockheed Martin) Reference Implementation (Lockheed Martin) PRIORITY 1 PRIORITY 2 PRIORITY 3 PRIORITY 4

5 Principles Organizing principle – “solving problems” throughout the entire value chain, and use that as the “glue” for the other metrics from OIS Each team in the S&I framework will assist in solving a problem Operationalize the process and problems with metrics, risks and milestones Solve value focused problems in small increments; build consistency across projects through a national vision and a model-based approach Balance between bottom-up goal-directed coordination and top-down structured coordination