FY13 Standards Workplan and Priority Areas
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1 FY13 Standards Workplan and Priority Areas Health IT Standards Committee January 16, 2013 Jonathan Perlin, MD, PhD John Halamka, MD, PhD Doug Fridsma, MD, PhD, FACP, FACMI
2 Data Gathering HITPC Workplan HITPC Request for Comments HITSC Committee Recommendations gathered by ONC HITSC Workgroup Chairs ONC Meaningful Use Stage 3 Standards Gaps analysis
3 FY13 Workplan Category 1 - Quality and Safety Standards which support flexible platforms for measuring and reporting quality (QueryHealth, QRDA/HQMF) Standards which support measurement of EHR usability Standards which address current content gaps - HL7 version 2 lab orders, formulary downloads, cancel transaction needed for hospital discharge medication e-prescribing, representing genomic data in the EHR Standards which support defect reporting to PSOs Standards which support redundant data identification/reduction Category 2 - Health Information Exchange Standards which support query/response of provider and patient identity in directories Standards which support Record Locator Services Standards which support consent in a query/response architecture such as granular patient privacy preferences hosted in a managed service ("pull") and sent as part of the request for records ("push") Improvements to the CCDA standard to facilitate unambiguous parsing, longitudinal record sharing, and bulk record sharing Standards to support image exchange
4 FY13 Workplan Category 3 - Consumer Standards to support representation of patient generated data including consumer device data Standards to support consumer friendly terminology Standards to support transport of data to and from patients Standards to record advanced directives/care preferences Standards to record care plans/care team Category 4 - ACO/Population Health/Care Management Standards for clinical documentation supporting new payment models (includes ICD10, smart problem lists, computer assisted coding) Standards needed for registry support including structured data capture and transmission to third party repositories Standards to support closed loop referral workflow Standards to support data comparability across entities including detailed clinical models Standards for clinical decision support, both knowledge representation and application programming interfaces (APIs) for query/response to knowledge resources
5 FY13 Workplan Category 5- Privacy/Security Standards for securing data at rest, especially genomic data and consumer downloads Standards for application programming interfaces supporting modular application integration Standards supporting data segmentation for privacy Standards and certification criteria that anticipate broad NSTIC adoption Standards supporting Digital signature
6 ONC s Work By Category Category 1 Quality & Safety Standards which support flexible platforms for measuring and reporting quality (QueryHealth, QRDA/HQMF) Standards which support measurement of EHR usability Standards which address current content gaps - HL7 version 2 lab orders, formulary downloads, cancel transaction needed for hospital discharge medication e-prescribing, representing genomic data in the EHR Standards which support defect reporting to PSOs Standards which support redundant data identification/reduction Current/Planned ONC activities Structured Data Capture initiative (Jan 13) SI Initiative: Lab order initative SI initiative: edos (lab order compendium) Structured Data Capture initiative PDMP initiative
7 ONC s Work by Category Category 2 - Health Information Exchange Standards which support query/response of provider and patient identity in directories Standards which support Record Locator Services Standards which support consent in a query/response architecture such as granular patient privacy preferences hosted in a managed service ("pull") and sent as part of the request for records ("push") Improvements to the CCDA standard to facilitate unambiguous parsing, longitudinal record sharing, and bulk record sharing Standards to support image exchange Current/Planned ONC activities NwHIN IHE Profiles NwHIN IHE Profiles C-CDA initiative LTPAC shared care plans HITSC review of imaging standards PDMP
8 ONC Work by Category Category 3: Consumer Standards to support representation of patient generated data including consumer device data Standards to support consumer friendly terminology Standards to support transport of data to and from patients Standards to record advanced directives/care preferences Standards to record care plans/care team Current/Planned ONC activities Extension of C-CDA for author of record Devices - TBD SOA, DIRECT, pilots on RESTful approaches (FHA) LTPAC shared care plans ABBI (blue button) standards and implementation guides
9 ONC Work by Category Category 4: ACO/Population Health/Care Management Standards for clinical documentation supporting new payment models (includes ICD10, smart problem lists, computer assisted coding) Standards needed for registry support including structured data capture and transmission to third party repositories Standards to support closed loop referral workflow Standards to support data comparability across entities including detailed clinical models Standards for clinical decision support, both knowledge representation and application programming interfaces (APIs) for query/response to knowledge resources Current/Planned ONC activities Structured data capture initiative 360x pilots LOI/eDOS/LRI suite for labs CIMI TBD (is there an incremental path with CDEs?) SI initiative Health edecisions
10 ONC Work by Category Category 5: Privacy & Security Standards for securing data at rest, especially genomic data and consumer downloads Standards for application programming interfaces supporting modular application integration Standards supporting data segmentation for privacy Standards and certification criteria that anticipate broad NSTIC adoption Standards supporting Digital signature Current/Planned ONC activities Consider: Data access API ( Spigot ) based on existing standards. Query health? SI framework; Data segmentation for privacy pilots OAuth/eID standards pilot in REX pilots esmd initiative
11 ONC Work by Category Additional Activities Current/Planned ONC activities Implementation and pre-certification testing support Maintenance and updates to existing portfolio of standards
12 Comments/Feedback Committee response and feedback will help ONC develop a detailed plan to be reported at next HITSC meeting (February 20)
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