Transcript The Decade of Health Information Technology Begins:

American Health
Information Community
HITSP Accomplishments 2006-2008
John D. Halamka MD
Chair, HITSP
November 12, 2008
Creating a culture
• HITSP has become the established
convener for standards harmonization
• 600 participating organizations
• Silos are disappearing and conversations
have brought stakeholders together to
resolve their differences
• Volunteer hours continue to grow
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Steady growth of Technical Committee participation level
since January 2006
HITSP Membership
600
400
300
Total # of TC Members
200
100
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Number of Members
500
Months
AHIC Priorities and Use Case Roadmap
2006
AHIC Priorities and Use Case Roadmap
2007 Use Cases
2008 Use Cases
Consumer Access
to Clinical
Information
Consumer
Empowerment
· Registration
· Medication
History
· Access to
Clinical Data
· Provider
Permissions
· PHR Transfer
Remote
Monitoring
· Remote
Monitoring of
Vital Signs and
Labs (Glucose)
Patient –
Provider Secure
Messaging
· Structured
email
· Reminders
2009 Use Case
Newborn Screening
2009 Use Case Ext/Gaps
General Laboratory Orders
Medication Gaps
Common Device Connectivity
EHR (Lab)
· Laboratory
Result
Reporting
Emergency
Responder
EHR
· On-Site Care
· Emergency Care
· Definitive Care
· Provider
Authentication
and
Authorization
Medication
Management
· Medication
Reconciliation
· Ambulatory
Prescriptions
· Contraindications
Consultations
and Transfers of
Care
· Referrals
· Problem Lists
· Transfer of Care
Personalized
Healthcare
· Laboratory
Genetic /
Genomic Data
· Family Medical
History
Clinical Encounter Notes
Order Sets
Scheduling
Common Data Transport
Consumer Preferences
Biosurveillance
· Visit
· Utilization
· Clinical Data
· Lab and
Radiology
Quality
· Hospital
Measurement and
Reporting
· Clinician
Measurement and
Reporting
· Feedback to
Clinicians
Public Health
Case Reporting
· Case Reporting
· Bidirectional
Communication
· Labs
· Adverse Events
Immunizations &
Response
Management
· Resource
Identification
· Vaccine
· EHR Data
Medical Home:
Co-Morbidity and Registries
Maternal and Child Health
Long Term Care - Assessments
Prior Auth for Treatment,
Payment, & Operations
Consumer AE Reporting
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Organized for rapid delivery
• Domain Committees select the most appropriate
reusable standards using objective criteria
• Perspective Committees ensure interoperability
specifications meet the needs of the use cases and are
maintained
• Foundations Committee plans future innovation
• Increased Use Case throughput by 100% over 3-year
period
– 3 in 2006
– 4 in 2007
– 6 in 2008
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Optimized Processes
I
II
Receive
Request to
Harmonize
III
IV
Identify
Candidate
Standards
Conduct
Requirements
Analysis
V
VI
VII
Begin
Inspection
Testing
Select
Standards
Identify and
Resolve Gaps,
Duplications
and Overlap
Develop
Interoperability
Specification
HITSP Program Management
VIII
IX
Begin
Support
Release and
Disseminate
Interoperability
Specification
140
120
year 1
year 2
100
year 3
80
60
40
20
0
new
constructs
Instances of
construct
reuse
avg new avg instances
avg
number
constructs of construct constructs Interop Specs
7
per IS
reuse per IS
per IS
per year
Poised for the future
• Educating all stakeholders and accelerating adoption
• Creating testing tools and enhanced implementation
guides
• An essential component of the NHIN
• Collaborating with CCHIT
• Aligned with the AHIC Successor
• Taking on additional work (Clinical Research) with
AHIC guidance
• Strategy, Structure and Staffing are in place for long
term success
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