1. Task Force Discussion Standards & Interoperability Task Force Stan Huff, Co-Chair Arien Malec, Co-Chair January 30, 2015

2. S&I Taskforce Draft Work Plan 2 MeetingsTask Friday, January 23 rd 1:30pm – 3:30pm ET Kick off and overview of the S&I Framework Review charge Action steps Tuesday, January 27 th, 11:30 – 1:00 pm ET Briefed HISTC on focus and preliminary findings Friday, January 30 th 1:30pm – 3:30 pm ET Review and discuss action steps Explore “How” – starting with how “identified national priorities” should be made Tuesday, February 17 th 1:30pm – 3:30 pm ET Review Interoperability Roadmap milestones Review and discuss action steps Prep for Virtual Hearing Friday, February 27 th 1:30pm - 3:30pm ET Virtual Hearing Thursday, March 5 th 12:00pm – 2:00pm ET Summarize Virtual Hearing Develop recommendations Friday, March 13 th 2:00pm – 4:00pm ET Finalize Phase I recommendations - update documents/plans Prep for March HITSC presentation Wednesday, March 18 th HITSC Meeting Phase I Recommendations

3. S&I Framework Task Force Charge Is there a continued need for the S&I Framework (or an equivalent process) to advance standards and implementation specification development? 1.If yes, in what ways could the current S&I Framework be improved or enhanced to better address identified industry needs? 2.If no, what alternatives should be considered to address the identified industry needs? 3

4. Approach 1.Evaluate the what – Key “jobs to be done" that S&I was addressing relative to national needs and the mission and orientation of SDOs and make recommendations on key jobs that national facilitation might address (if any) 2.Evaluate the how – Assess S&I relative to agreed jobs, and make recommendations on going-forward mission and structure for ONC-organized engagement 4

5. Preliminary Findings: the “What” Key roles that help fill gaps relative to SDO missions: Support identified national priorities – Reduce optionality for existing standards – Coordinate across SDOs and supporting SDOs – Facilitate consolidated artifacts (e.g., consolidated implementation guides) Support production use by – Facilitate pilots and effective production implementation – Feed learnings back to SDOs (e.g., to further reduce optionality and clarify ambiguity) – Evaluate success of standards and implementation guidance in achieving national priorities Facilitate effective Federal participation in SDOs Recommend needs for infrastructure and non-traditional SDO artifacts. For example: Value sets Provider directory data sources (e.g., CMS NPPES modernization) Organizational identity assurance 5

6. Today’s Discussion Explore the “How” Starting with national priorities evaluate how the S&I framework should execute on its jobs 1.What are the criteria for qualifying an initiative as a priority? 2.How many national priorities are reasonable to execute against? 3.What does “priority” look like? Ranked list? 4.What should a “defined national priority” look like? How do we know an initiative is on or off scope? 5.Are real-world meaningful outcomes defined? Do we know what success looks like? 6

7. Further Discussion: How should S&I conduct business? 1.What are the key S&I business processes? 2.Which S&I business processes work well? 3.How can S&I business processes improve? 7

8. Discussion/Questions 8

9. Member list 9 NameOrganization Stan Huff, Co-ChairIntermountain Healthcare, HL7 Arien Malec, Co-ChairRelayHealth Clinical Solutions Jamie FergusonKaiser Permanente Holly MillerMedAllies, Inc. David TaoIndependent Consultant Ken McCaslinQuest Diagnostics Josh Mandel Boston Children's Hospital Boston Joyce Sensmeier HIMSS Mark Segal Electronic Health Record Association (EHRA)