Healthcare Information Technology Standards Panel

Transcription

1 Healthcare Information Technology Stards Panel 2006, 2007 Beyond John D. Halamka MD Chair, HITSP

2 A public-private Community was established to serve as the focal point for America s health information concerns drive opportunities for increasing interoperability The Certification Commission for Healthcare Information Technology (CCHIT) The Health Information Security Privacy Collaboration (HISPC) American Health Information Community Healthcare Information Technology Stards Panel (HITSP) Nationwide Health Information Network Architecture Projects (NHIN) HITSP HITSP includes includes different different member member organizations organizations is is administered administered by by a a Board Board of of Directors Directors SDOs SDOs (6%) (6%) Non-SDOs Non-SDOs (79%) (79%) Govt. Govt. bodies bodies (8%) (8%) Consumer Consumer groups groups (4%) (4%) 7 7 Project Project Team Team Undeclared Undeclared (3%) (3%) The The Community Community is is a a federally-chartered federally-chartered commission commission will will provide provide input input recommendations recommendations to to HHS HHS on on how how to to make make health health records records digital digital interoperable, interoperable, assure that the privacy security of those assure that the privacy security of those records are protected, in a smooth, marketled way. records are protected, in a smooth, marketled way. 1

3 Responsibilities of HITSP HITSP is responsible for harmonizing the stards used to exchange health data in the United States The Panel brings together experts from across the health care IT community from consumers to doctors, nurses, hospitals; from those who develop healthcare IT products to those who use them; from the government agencies who monitor the U.S. health care system to those organizations who are actually writing the stards All strategic decisions are made by consensus within the panel A Board of Directors provides governance administrative guidance HITSP submits its recommendations to AHIC 2

4 2006 the First Turn of the Crank Consumer Empowerment Medications Allergies Demographics Advance Directives Electronic Health Records Laboratory including blood banking microbiology Ordering results exchange Biosurveillance Deidentified registrations Labs Radiology 3

5 What did we do in 2006? Established the HITSP Organization its committees Created the stards harmonization process including all coordinating committee subprocesses Harmonized stards for 3 use cases (accepted by Secretary Leavitt) resolved three controversies along the way To resolve CCR v. CDA, the CCD was successfully balloted To resolve the need for Interim stards we accelerated CCD To resolve HL7 2.4 v. 2.5, ELINICS will be maintained by HL7 an HL version of ELINICS will be balloted in May To align HITSP interoperability specifications with CCHIT functional criteria, the CCHIT/HITSP Joint Working group is establishing a joint timeline for the next 3 years 4

6 HITSP Organization The Community HHS Secretary Mike Leavitt, Chair HITSP Member Populated Coordination Committees HHS ONCHIT1 PO, Dr. John Loonsk HITSP Dr. John Halamka, Chair Member Populated Board Panel HITSP Member Populated Technical Committees Harmonization Readiness Lynne Gilbertson Business Plan Steve Lieber International Lscape Bill Braithwaite CCHIT JWG Jamie Ferguson Foundations Bob Dolin & Steve Wagner Process Review Lynne Gilbertson & Erik Pupo Program/Project Management Team Executive in Charge, F. Schrotter, ANSI Program Manager, L. Jones GSI Deputy PM, J Corley, ATI Project Manager, Julie Pooley, Booz Allen Panel Secretariat Coordination Technical Committee Management Management Joyce Sensmeier, Michelle Deane, HIMSS ANSI Care Delivery (including Emergency Responder EHR Jamie Ferguson John Madden, MD Steve Wagner Consumer Empowerment Elaine Blechman, PhD Charles Parisot Population Health Floyd Eisenberg, MD, MPH Peter Elkin, MD Shaun Grannis Cross Technical Committee WG Security Privacy WG 5

7 HITSP Officers HITSP Chairman Dr. John Halamka, Chief Information Officer, Harvard Medical School HITSP Vice Chairman Dr. William Braithwaite, Health Information Policy Consulting HITSP Program Manager LeRoy Jones, CISSP HITSP Secretariat Michelle Deane, Staff Liaison, American National Stards Institute HITSP Project Director, Frances Schrotter, Senior Vice President Chief Operating Officer, American National Stards Institute 6

8 HITSP Technical Committees Care Delivery -- Deploy stardized, widely available, secure solutions for accessing laboratory results interpretations in a patient-centric manner for clinical care by authorized parties. Consumer Empowerment -- Deploy to targeted populations a pre-populated, consumer-directed secure electronic registration summary. Deploy a widely available pre-populated medication history linked to the registration summary. Population Health-- Transmit essential ambulatory care emergency department visit, utilization, lab result data from electronically enabled health care delivery public health systems in stardized anonymized format to authorized public health agencies with less than one day lag time. 7

9 HITSP Technical Committees Co-chairs HITSP Technical Committee - Care Delivery James Ferguson, Kaiser Permanente John Madden, MD, SNOMED International Steve Wagner, Department of Veterans Affairs HITSP Technical Committee - Consumer Empowerment Elaine Blechman, PhD, University of Colorado, Boulder Charles Parisot, GE Healthcare HITSP Technical Committee- Population Health Floyd Eisenberg, MD, MPH, Siemens Medical Solutions Peter Elkin, MD, Mayo Clinic College of Medicine Shaun Grannis, Department of Family Medicine, Indiana University School of Medicine HITSP Security Privacy Work Group Cross TC All Technical Committee Co-chairs 8

10 HITSP Cross-coordination Activities HITSP Cross-Technical Committee Coordination Bob Yencha, Alschuler Associates HITSP Security Privacy Workgroup Coordination Johnathan Coleman, Security Risk Solutions, LLC HITSP Emergency Responder-EHR Coordination Michael Glickman, Computer Network Architects, Inc. 9

11 Work Plan Schedule Overview Stards Harmonization Work Plan Tasks PROCESS I II III IV V VI VII VIII Harmonization Request Requirements Analysis Identification of Cidate Stards Gaps, Duplications Overlaps Resolution Stards Selection Construction of Interoperability Specification Inspection Test Interoperability Specification Release Dissemination IX Program Management TASKS Requirements, Stards Selection, Design Public Review Input 3 weeks Interoperability Specification Construct Development Inspection Test Public Comment Comment Resolution Panel Approval Implementation Support Testing 3 months 3 months 4 weeks 2 months On-going DOCUMENTATION Requirements, Stards Selection, Design Consolidated comments IS Docs V 1.0 Review Draft Summary of comment resolution Consolidated comments IS Docs V 1.0 Summary of comment resolution Annual Updates as Required 10

12 cd CE Interoperability Specification «interoperability specification» Consumer Empowerment - docid: = IS-03 contains contains contains contains «transaction package» Manage Sharing of Documents + docid: = ISTP-13 «composite stard» IHE XDS + Provide & Register Document Set: ITI-15 + Query Registry: ITI-16 + Register Document Set: ITI-14 + Retrieve Document: ITI-17 implements «base stard» ISO ebrs 2.1/3.0 «composite stard» CAQH «base stard» LOINC «base stard» X12 270/271 «component» Registration Med History Document(s) Content + docid: = ISC-32 «composite stard» Federal Medication Terminologies references «base stard» NDC RxNorm SPL «base stard» ASTM/HL7 CCD «base stard» NCPDP 8.1 «transaction» Patient ID Cross- Referencing + docid: = IST-22 «composite stard» IHE PIX - PIX Query: ITI-9 implements «transaction» Patient Demographics Query + docid: = ISTP-23 «composite stard» IHE PDQ «base stard» HL7 2.5 Message «base stard» HL7 CDA r2 «base stard» ASTM CCR

13 HITSP Named Stards Accredited Stards Committee (ASC) X12 Insurance Subcommittee (X12N) Implementation Guides Version plus Addenda A1 Accredited Stards Committee (ASC) X12 Stards Release American Society for Testing Materials (ASTM) Stard Specification for Continuity of Care Record (CCR): # E Council for Affordable Quality Health Care (CAQH) Committee on Operating Rules for Information Exchange (CORE) Phase I Operating Rules Federal Medication Terminologies Health Level Seven (HL7) Version 3.0 Continuity of Care Document (CCD) Health Level Seven (HL7) Version 3.0 Clinical Document Architecture (CDA/CDA R2) Health Level Seven (HL7) Version 2.5 Health Level Seven (HL7) EHR System Functional Model Draft Stard for Trial Use (DSTU) Integrating the Healthcare Enterprise (IHE) Laboratory Technical Framework Supplement Revision 1.0 * Integrating the Healthcare Enterprise (IHE) Patient Care Coordination (PCC) Technical Framework Revision 1.0 Logical Observation Identifiers Names Codes (LOINC ) National Council for Prescription Drug Programs (NCPDP) SCRIPT Stard Version

14 2007 The second turn of the crank Privacy Security stards Emergency Responder Personal Health Records Medication Management Quality 13

15 Consumer Access to Clinical Information 14

16 Medications Management 15

17 Quality 16

18 HITSP 2007 Timeline Work Plan Schedule Overview 02/05/07 HITSP Board 04/23/07 HITSP Board 07/09/07 HITSP Board 10/09/07 HITSP Board 02/12/07 HITSP Panel 03/19/07 HITSP Panel 05/11/07 HITSP Panel 07/16/07 HITSP Panel 09/07/07 HITSP Panel 10/15/07 HITSP Panel JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 03/06 03/08 TC Face to Face Chicago IL 5/08 5/10 TC Face to Face Arlington VA 6/18 6/20 TC Face to Face San Diego CA 09/04 09/06 TC Face to Face Arlington VA Activity 1 Version 2.0 of Existing EHR, CE, BIO ISs Implementation Support Testing (includes minor document updates) On-going Support EHR, CE BIO v 2.0 Activity 2 On-going Work for Existing EHR, CE, BIO ISs (e.g. Security Privacy) Activity 3 New Emergency Responder EHR Use Case S&P EHR-ER v 1.0, EHR, CE, BIO v M.m Requirements, Stards Selection, Design Public Input 04/13 05/03 IS Construct Development Inspect Test Public Comment Comment Resolution Panel Approval Implementation Support Testing (with annual updates as required) 01/19 04/12 04/13 07/19 07/20 08/16 08/17 10/15 Activity 4 New Use Cases from AHIC Detail Schedule to be Established Upon Review of the Use Cases 17

19 Detailed Schedule Version 1.0 of the Security Privacy Constructs Emergency Responder EHR IS Requirements Design TC approves RSSD Activity TC Face to Face in Chicago to document Requirements, Stards Selection, Design (RSSD) March 19 Panel Meeting to review progress Project Team Editorial Review Publication Public Review Input on the RSSD TCs Construct Development Comment Disposition TC Face to Face in Arlington to triage comments continue IS development May 11 Panel Meeting to review summary of comments received status of IS development TC Face to Face in San Diego to continue IS development Date Now April 12 March 6 8 March 19 April 6 April 9-12 April 13 May 3 April 13 July 19 May 8-10 May 11 June July 16 Panel Meeting to review summary of comment disposition draft IS docs July 16 Continued on next page 18

20 Detailed Schedule Version 1.0 of the Security Privacy Constructs Emergency Responder EHR IS Inspection Test Public Comment Activity Comment Resolution Re-publication TC Disposition Comments Update Documents TC Face to Face in Arlington to complete comment resolution update documents September 7 Panel Meeting to review progress of comment resolution Project Team Editorial Review, Audit, Re-publication Release 5 days in advance of Panel meeting October 15 Panel Meeting to Approve ISs Date July 20 August 16 August 17 October 8 August 17 September 21 September 4-6 September 7 September 24 October 5 October 8 October 15 19

21 Summary Over the past year, HITSP has become an established, trusted organization with a multi-stakeholder, open, transparent process for stards harmonization In 2007, we will complete 4 additional uses cases In 2008, we expect an additional 3-4 uses cases Our Foundations Committee will work on the medium to long term alignment of stards organizations their work products in parallel with the Use Case work of the entire panel 20

22 Contact Information For general HITSP-related questions please contact: Michelle Maas-Deane HITSP Secretariat American National Stards Institute Phone: For ANSI Document Library related questions please contact: Alison Ziegler Program Administrator, Stards Panels American National Stards Institute Phone: For Technical Committee questions: or Joyce Sensmeier MS, RN-BC, CPHIMS, FHIMSS Vice President, Informatics HIMSS Phone: Jessica Kant Coordinator, Stards Harmonization Healthcare Information & Management Systems Society Phone: Fax: