1. TUESDAY, 4:00 – 4:20PM WEDNESDAY, 4:00 – 4:20PM Douglas Hill, NHIN Implementation Lead (Contractor), Office of the National Coordinator for Health IT Vanessa Manchester, CONNECT Program Manager (Contractor), Federal Health Architecture, Office of the National Coordinator for Health IT Steps for Getting Started with the NHIN 1

2. Objectives »Establish the context for becoming a member of the NHIN Limited Production Exchange »Understand the relationship between NHIN and CONNECT »To meet these objectives: Walk through of the NHIN On-boarding Process Walk through of implementing the CONNECT Solution 2HIMSS 2010

3. NHIN Overview The goal for the NHIN is to accelerate and enable secure health information exchange using the Internet. To that end, ONC is fostering development of four distinct NHIN components: 3HIMSS 2010 CONNECT Solution A specific, open- source software instantiation of the NHIN specifications NHIN Technical Assets NHIN specifications, standards, registries, testing tools, and other supporting products NHIN Limited Production Exchange A set of federal agencies, nationwide organizations, and contractors/grantees that are exchanging live health information using NHIN specs and policies. NHIN Direct Project An initiative that will develop the minimum set of standards, services and policies that enable less complex, local applications of health info exchange

4. Roadmap: Becoming a Member of the NHIN Limited Production Exchange 4HIMSS 2010 NHIN Decision Self Qualify GO LIVE! On-Boarding Gateway Implementation

5. NHIN Limited Production Exchange: Acceptance Criteria Accepted completed, signed and notarized application for participation Signed DURSA Operational gateway Successful completion of Conformance and Interoperability Testing Approval by the governing NHIN Coordinating Committee 5HIMSS 2010

6. NHIN Limited Production Exchange: Eligibility Criteria »Eligible legal entity – Federal agency or entity under agreement with Federal agency »Existing production exchange capabilities Facilitates and governs exchange of health information with participant users (i.e. a network or governance entity) »Authority to enter into the Data Use and Reciprocal Support Agreement (DURSA) and obligate its participant users to abide by these requirements »Exchange information only for permitted purposes (defined in DURSA) »Sufficient financial, technical and operational resources to support the testing and operation of information exchange 6HIMSS 2010

7. Self Qualify for the NHIN Limited Production Exchange Review eligibility criteria specified in the DURSA. Submit a signed DURSA Joinder. Complete and submit the application. 7HIMSS 2010

8. About CONNECT »CONNECT is an open source software gateway that supports health information exchange – both locally and at the national level »CONNECT uses Nationwide Health Information Network (NHIN) standards and governance to make sure that health information exchanges are compatible with other exchanges being set up throughout the country »This software solution was initially developed by federal agencies to support their health-related missions, but it is now available to all organizations and can be used to help set up health information exchanges and share data using nationally-recognized interoperability standards 8HIMSS 2010

9. Who Can Use CONNECT CONNECT can be used to: Set up a health information exchange within an organization Tie a health information exchange into a regional network of health information exchanges Tie a health information exchange into the NHIN Everyone! It’s Open Source 9HIMSS 2010

10. Implementation Checklist for On-boarding to the NHIN 10HIMSS 2010 Step to be executed by Organization Step to be executed by Organization and CONNECT Team Step to be executed by Organization and NHIN Complete CONNECT Business Case Worksheet Complete CONNECT Business Case Worksheet Determine Implementation Needs Begin vetting the NHIN DURSA for Signature Implement the CONNECT Solution Execute NHIN DURSA CONNECT Install Self-Test Peer to Peer Test Go Live! Publish Endpoint Information Go Live! Publish Endpoint Information CONNECT Solution Upgrades NHIN Interoperability Testing NHIN Conformance Testing

11. NHIN On-Boarding Process On-boarding is an ONC-guided, four-stage process that organizations complete to take part in production NHIN exchange 11HIMSS 2010

12. On-Boarding Process: Testing and Validation Testing ensures that potential participants in NHIN exchange operate in a way that conforms with NHIN specifications – Conformance Testing – tests conformance to the NHIN specifications – Interoperability Testing – tests the ability to perform common business activities with other NHIN gateways Validation confirms testing results and is an input to consideration for approval 12HIMSS 2010

13. On-Boarding Process 13HIMSS 2010

14. Thank You 14 The participation of any company or organization in the NHIN and CONNECT area within the HIMSS Interoperability showcase does not represent an endorsement by the Office of the National Coordinator for Health Information Technology, the Federal Health Architecture or the Department of Health and Human Services.