1. January 26, 2007 State Alliance for e-Health January 26, 2007 Robert M. Kolodner, MD Interim National Coordinator Office of the National Coordinator for Health Information Technology (ONC)

2. January 26, 2007 State Alliance for e-Health Key Transformation Requirements 1. Electronic Health Records (EHR) 2.Personal Health Records (PHR) 3.Population Health Infrastructure 4.Standards (Data, Technical & Security) 5.Interoperable Health Information Exchange Network A Robust Interoperable Health Environment that brings together Nationwide Health Information Network

3. January 26, 2007 State Alliance for e-Health Health IT Add value for providers A healthier, safer nation Personalized health care Foster private, secure and confidential environment for data exchange Add value for patients Foster interoperability standards Encourage and guide interoperability National Health IT Support for a Healthier Nation High quality, safe health care Establish Nationwide Health Information Network (network of networks) AHIC Consumers manage their care and safety Foster adoption Establish Enabling Policies Improved Public Health Lower cost health care Institute certification

4. January 26, 2007 State Alliance for e-Health Organizational Framework to Facilitate Transformation: American Health Information Community American Health Information Community (AHIC) A federally-chartered advisory commission Chaired by Secretary Leavitt 17 members; public – private collaboration Detailed work performed in work groups and brought back to The Community for deliberation and decisions Work Groups AHIC Work Groups

5. January 26, 2007 State Alliance for e-Health American Health Information Community (AHIC) Work Groups –Seven work groups established Involving over 100 experts and stakeholders Over 60 meetings in 2006 Focus of Work Groups - Identify and make recommendations regarding policy, technical and social issues to support the priorities Consumer Empowerment Chronic Care Quality Personalized Medicine (Genomics) EHRs Confidentiality, Privacy & Security Biosurveillance November 29, 2005May 16, 2006October 31, 2006

6. January 26, 2007 State Alliance for e-Health State-level HIE Initiatives State Alliance for e-Health HISPC  State-level HIE Initiatives – Recognizing key issues, options, and strategies at the state level  NHIN - Nationwide Health Information Network Related Initiative NHIN  CCHIT – Certification Commission for Health IT CCHIT Collaborative Activities to Foster the Transformation  AHIC - American Health Information CommunityAHIC  HITSP – Health IT Standards PanelHITSP  Privacy and Security Solutions – formation of state level Health Information Security and Privacy Collaboration  And YOU - State Alliance for e-Health – consensus-based, executive-level advisory body

7. January 26, 2007 State Alliance for e-Health 2006 Health IT Accomplishments AHIC – American Health Information Community  7 Meetings completed in FY 06; 450 person hours; supported by approximately 45 work group meetings throughout the year.  First annual adoption survey report published  Clinical Decision Support Roadmap developed  New regulations creating exceptions and safe harbors to federal fraud and abuse laws to help physicians obtain automated systems  Executive Order To Help Increase The Transparency of America's Health Care System- Empowering Americans To Find Better Value And Better Care HITSP – Health IT Standards Panel  Delivered 1 st set of Interoperability Standards in October 2006 for First 3 Use Cases. Includes 30 standards and over 800 pages of interoperability guidelines.  Use Case Development  Establishing a process for identifying, adopting, & stimulating standards CCHIT– Certification Commission for Health IT  Early Fall, 2006 first set of certified ambulatory EHRS released  Expanded to 35 Electronic Health Record systems certified to date

8. January 26, 2007 State Alliance for e-Health 2006 Health IT Accomplishments (cont’d) NHIN – Nationwide Health Information Network Prototypes  Progress toward National Health Information Network (NHIN) architecture  Hosted two NHIN conferences  1 st Forum – Identified and catalogued functional requirements to frame the development of the NHIN  2 nd Forum - Advanced discussions and developed clarity on architecture issues associated with secure exchange; health information networking; desired architecture characteristics and key next steps to advance the NHIN Privacy and Security Solutions  Health Information Security and Privacy Collaboration (HISPC) formed as a result of Privacy and Solutions contract  34 states and territories identified variations in privacy and security solutions State Level HIE – State level Health Information Exchange Initiatives  Consensus RHIO conference  Final Report Issued: Development of State Level Health Information Exchange Initiatives & Development Workbook  Report on transparency coordination Medicaid and financial sustainability issued in January 2007

9. January 26, 2007 State Alliance for e-Health 2006 Health IT Accomplishments (cont’d) Adoption  Establishing federal guidelines for quality through transparency  Consumers making informed decisions based on quality and cost  Stark exception and anti-kickback safeharbor  Measurement of baseline EHR adoption (RWJ Adoption Report)

10. January 26, 2007 State Alliance for e-Health HIT Major Accomplishments Report http://www.hhs.gov/healthit/news/Accomplishments2006.pdf

11. January 26, 2007 State Alliance for e-Health Major Health IT Accomplishments - 2007 Secretary Leavitt accepted the 1 st round of HITSP Standards (Dec 2006) AHIC –Agreed on priorities for 2 nd round of Use Cases Emergency Responder EHR Consumer access to Clinical Information Medications Management Quality –Advanced recommendations regarding patient identity proofing –Advanced recommendations regarding PHRs 1 st meeting of State Alliance for e-Health (NGA) on January 26 3 rd NHIN Forum being held

12. January 26, 2007 State Alliance for e-Health For More Information Visit… www.hhs.gov/healthit