1. Interoperability: Progress through Unprecedented Collaboration Charlene Underwood, MBA Director, Government and Industry Affairs, Siemens Chairperson, HIMSS Electronic Health Record Vendors Association National Health IT Week Washington, D.C. June 5-9, 2006

2. Agenda A Word About EHRVA Interoperability: A Brief History Progress Based on Collaboration A Suggested Roadmap What We’re Doing

3. HIMSS EHRVA Background Formed in 2004 All major EHR suppliers –Large and small companies serving ambulatory and acute care provider organizations of all types –40+ vendors Key initiatives to support accelerated EHR adoption –Certification –Interoperability Membership is open to HIMSS corporate members who design, develop and market EHRs in the US HIMSS EHRVA collectively serves the majority of healthcare providers in the US

4. Interoperability: A Definition Interoperability means the ability of health information systems to exchange and use healthcare information within and across organizational boundaries to advance the effective delivery of healthcare for individuals and communities. HIMSS 2006

5. Interoperability Goals Work together to agree on interoperability standards. Include our customers in the decision making process. Simplify access to EHR Vendors for government, standard development organizations and other associations. Move quickly using incremental approaches to improve product availability by using tight execution and reuse of existing standards. Promote industry collaboration, standards planning, and convergence.

6. Essential Factors to Achieving Goals Adoption of a single set of interoperability standards. Ability for standards to support multiple levels of sophistication, now and in the future. Ability to introduce advancements in standards incrementally, while assuring backward compatibility with current implementations. Processes for profiling and testing standards must be sustainable over time.

7. Interoperability Strategies Collaboration Leadership Commitment Community

8. Collaboration Interoperability Collaborative: HIMSS EHRVA, IHE and HL7 –Promote and demonstrate interoperability –Accelerate work towards a single set of standards –Communicate to all stakeholders Technical Non-technical Policymakers Vendors: Interoperability Roadmap –Built on available standards and / or promote the need for new / harmonized standards –Specify, test, and demonstrate interoperability in IHE

9. 2006Interoperability Roadmap V2 Publication IHEConnectathon 2004 HHS/ ONC StrategicFramework 2005 AHIC Formation 2005HurricaneKatrina 2006EHRDemonstrationProjects 2005InteroperabilityCollaborationFormation 2014 Goal for National EHR Use Consumer & Population Connectivity RHIO Connectivity Inter Enterprise Connectivity Provider to Provider Connectivity Interoperability Roadmap Consensus Incorporates broader NHIN Initiatives Version 2 – 01.06 Begin HL7 convergence of CCR into CDA Launch of HL7 Version 3 Single Standard Harmonization Interoperability Prototypes Gain Ground HHS Award of NHIN Demonstration Project contracts Gulf States RHIO Initiative Reprioritization of National HIT Goals: Interoperability a necessity for emergency response Interconnect Clinicians to Share Data Launch of Patient Care Coordination Domain Interoperability Roadmap Launch Incremental interoperability approach established Version 1- 01.05

10. 2006 EHRVA EHRVA Interoperability Roadmap V.2 HIMSSHIMSS IHE RHIO Demo IHE RHIO Demo NHIN Demo NHIN Demo Projects Projects 2004-2005 HHS/ ONC HHS/ ONCStrategicFramework AHIC AHIC Hurricane Katrina Hurricane Katrina Interoperability Interoperability Collaborative Collaborative 2014 Goal for National EHR Use Five Years from Now…Transformation! Personal Health Records Physician-to-Patient communications Peer-to-Peer interaction Quality measures & Pay-for-Performance Population health management Biosurveillance Two Years from Now… Interoperable EHRs: practices, hospitals, labs, imaging & pharmacies Interactive patient information exchange Now… EHR upswing Lack of connectivity: hospitals, labs & pharmacies Reliance on paper-based information

11. The Future: Delivering on the Value Promise Outreach and education –AHIC and legislators –Physician organizations –Provider IT executives Support national interoperability efforts –Community (AHIC) breakthrough areas –HITSP harmonization efforts and use cases –Global standards planning and harmonization efforts Deliver interoperable EHR components for the NHIN demo projects –Real-world implementation of interoperability –Work with RHIO projects to leverage EHRVA Interoperability Roadmap