1. Genevieve Morris Principal Deputy National Coordinator for Health IT
News from Washington
Genevieve Morris
Principal Deputy National Coordinator for Health IT
June 7, 2017

2. Current Landscape – Send, Find, Receive, Integrate
About 4 in 10 hospitals continued to integrate summary of care records received without manual entry in 2015; this did not significantly change between 2014 and 2015.
A little over one-quarter of hospitals engaged in all four domains related to interoperability, which is a significant increase though by three percentage points between 2014 and 2015.
SOURCE: AHA Annual Survey Information Technology Supplement.
NOTES: *Significantly different from previous year (p < 0.05).

3. Patient information available from outside sources in 2015
About half of hospitals had necessary patient information available from providers or sources outside their systems in From 2014 to 2015 there was a 5% jump across all non-federal acute care hospitals.
SOURCE: AHA Annual Survey Information Technology Supplement.
NOTES: *Significantly different from previous year (p < 0.05).

4. Physicians and Interoperability
Nearly 1 in 10 physicians electronically sent, received, queried, and were able to integrate patient health information in 2015.
SOURCE: National Electronic Health Record Survey, 2015
NOTES: Integration for patient health information based upon composite rate of integrating various types of information. Find refers to electronically searching for information from outside sources “always”, “often” or “sometimes” across all physicians. No data available for finding summary of care records.

5. Mission and Priorities
FEDERAL HEALTH IT MISSION
ONC PRIORITIES
Improve the health and well-being of individuals and communities through the use of technology and health information that is accessible when and where it matters most.
ONC will work to make health information more accessible, decrease the documentation burden, and support EHR usability under 21st Century Cures and MACRA.

6. ONC 2017-2018 Projected Outcomes
COMPETITIVE MARKETPLACE
PATIENT
PROVIDER
Interoperability
Movable health records to shop for and coordinate care
Improved data flow standards
Accessible API’s
Ability to efficiently to send, receive, and analyze data
More eye contact with providers
Lower cost of care
Lower system costs
Usability
A burden reduction:
Less wasted time
Less hassle
Ability to support new business models and software applications

7. Interoperability Goal
Reliable clinical information flows to enable communication among services that make use of health information.
Achieving this goal will support a competitive market that will give consumers and providers more choices. 
Consumers will have greater choices on where they seek care by allowing them to take their records with them.
Consumers and providers will be able to choose the products and tools that best meet their needs.

8. Interoperability Targets
Technical
Trust
Financial
Workforce

9. Patient/Provider Data Matching
Technical
Patient/Provider Data Matching
Technical
Data Quality
Standards
Data Semantics
Data Syntax
Consent
Authentication/ Authorization
Transport

10. Intellectual Property Non-Disclosure Agreements
Trust
Privacy/HIPAA
Data Stewardship
Intellectual Property
Permitted Purposes
Non-Disclosure Agreements
Trust

11. Financial Financial Business Model for Sharing Incentives for Sharing
Secondary Data Business Models
Business Model to Codify Data

12. Interface and MDM Engineers
Workforce
Workforce
Provider IT Staff
Interface and MDM Engineers
Clinical Informatics

13. Harnessing Market Forces for Interoperability
Competition
Health system, payer, and network competition
Culture
Changing the consumer mindset
Integration into providers’ workflows

14. Next Steps
Next Steps
ONC cannot address all of the targets on its own…
Further describe the interoperability targets to ensure broad understanding and agreement with the industry on what must be addressed.
Work collaboratively with the industry to prioritize the targets that must be addressed.
Work collaboratively with the industry to build a strategy to overcome the prioritized targets.