impact of federal health it priorities on fha strategic plan
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Impact of Federal Health IT Priorities on FHA Strategic Plan. Gretchen Wyatt, ONC Dr. Lauren Thompson, Director, FHA. Agenda. Federal Health IT Priorities Impact of Federal Health IT Priorities on FHA’s Strategic Plan. - PowerPoint PPT PresentationTRANSCRIPT
Impact of Federal Health IT Priorities on FHA Strategic Plan
Gretchen Wyatt, ONCDr. Lauren Thompson, Director, FHA
Agenda
• Federal Health IT Priorities
• Impact of Federal Health IT Priorities on FHA’s Strategic Plan
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Gretchen WyattOffice of the National Coordinator for Health IT
FEDERAL HEALTH IT PRIORITIES
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FHA Strategic Plan – Vision
A Federal health information technology environment that is interoperable with the private sector and supports the President’s health information technology plan enabling better care, increased efficiency, and improved population health
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Federal Health Architecture: Advancing National Health IT
FHA Moving Forward: 2014STRATEGIC GOALSEstablish a unified federal voice on health data exchange and interoperability• Establish FHA as a “convener of stature”, and broaden
participation• Institutionalize governance decision-making processes• Expand outreach and access to tools
Achieve adoption of interoperability specifications, leading to active data exchange in the Federal health community• Support S&I Framework by providing federal use cases
and pilots• Enable FHA partners to move from legacy to new solutions in
effective, coordinated manner
Align federal policies in healthcare data exchange• Provide a forum of cataloging and aligning federal policies
and practices
FHA Guiding Principles
StakeholderEngagement
Demonstratethrough Pilots
Open Communicationand Transparency
Commitmentto Action
Focus onSpecifications
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Impact of Federal Health IT Priorities
• FHA Strategic Plan grows and evolves to support federal health IT priorities
• FHA federal partners contribute to development of priorities, ensure addition of federal requirements
• FHA encourages federal agencies to adopt priorities to their unique health IT requirements
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Current FHA Health IT Priorities
• Healthcare Directory• Patient Consent & Authorization• Directed Exchange• CONNECT• Federal Health Information Model (FHIM)• Integrating with the Standards and
Interoperability Framework• Patient Identification
– This is an ONC priority that FHA supports.
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CONNECT Open Source Community Development
• CONNECT is moving to the open source community for management
• FHA will remain engaged to ensure developments include federal requirements
Join the CONNECT Open Community Collaboration today: http://www.connectopensource.org/developer-resources/forums
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Engagement in the Standards & Interoperability (S&I) Framework
• Support for Federal partner priorities such as Meaningful Use
• Direct support of Federal partner use cases
• FHIM provides semantic and syntactic modeling constructs to support the definition of information
• FHIM, combined with MDHT*, can be used to generate implementation standards using an MDA* approach
*MDHT - Model Driven Health Tools*MDA - Model Driven Architecture
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FHIM S&I
Requirements
Scope
Modeling
Data Collection
Publish
Discovery
Pre-Discovery
Pilot
Implementation
Evaluation
FHA Workgroups
• Core workgroups that support federal health IT priorities:– Architecture & Modeling– Data Exchange &
Interoperability– Communications &
Coordination – Directed Exchange
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Stay connected, communicate and collaborate
• Find out more about FHA on the ONC website: http://www.healthit.gov/FHA
• Contact us at: [email protected]
• Subscribe, watch, and share:
@ONC_FHA,
@CONNECT_Project
http://www.flickr.com/photos/federalhealtharchitecture/
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Applying RESTful Health Exchange, FHIR, and DirectONC Annual Meeting
Ollie Gray (TATRC)24 January 2014
Outline
• RESTful Health Exchange• RESTful Health Exchange Addresses Gaps• Research, Development, Testing and Evaluation
(RDT&E) with REST and Direct• RDT&E Outcomes• Summary
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RESTful Health Exchange
• Open source project to apply Web technologies to demonstrate a simple, secure, standards-based health information exchange – Builds the foundation for patient access to data via the Web and mobile
devices, facilitating broad electronic health data exchange– Offers a new approach to health data exchange:
– Replaces moving documents to linking to needed information
• Sponsored by the Federal Health Architecture (FHA) program in FY12, TATRC in FY13 and FY14, VHA in FY14– Addresses NwHIN Power Team recommendation to develop a specification
for RESTful exchange of health data– Applies RESTful health data exchange to key capability gaps
VHA=Veterans Health AdministrationNwHIN=Nationwide Health Information Networkhttp://wiki.siframework.org/RHEx
REST technology enables secure, Web-based health data exchange
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RESTful Health Exchange Addresses Gaps
• SMTP (Direct) does not scale to allow sharing of very large files, such as diagnostic images
• Lightweight exchange is needed to allow health information sharing with out-of-network providers
• Standing up CONNECT can be a challenge for small, independent providers and providers in rural areas
• CONNECT capabilities not needed for stateless transactions
Research, Development, Testing and Evaluation (RDT&E) with REST and Direct
Improved Coordination of Care ~ Timely Remote Record Access ~ Low barrier of entry 16
REST with Direct for Sharing Diagnostic Images
Demonstrated in a RDT&E environment that MHS and third-party providers can access diagnostic images
and associated records securely over the WebMHS = Military Health SystemPCM = Primary Care Manager
Improved Coordination of Care ~ Timely Remote Record Access 17
RDT&E Outcomes
• RDT&E initiatives successfully demonstrated that:– Physicians can securely share health data over the Web– Diagnostic images can be shared using REST with Direct– High volumes of data can be moved over the Web securely in support of HIE
patient data integration
• RESTful capability is being implemented across Maine to support small, independent providers and FQHCs in medically underserved areas
• New Pilot with TATRC in FY14– REST and FHIR technology being explored as possible solutions for
government HIE exchanges
• New pilot with VHA Office of Rural Health (ORH)– REST, FHIR, and Direct technology will support secure sharing of information
between VHA and third-party providers in support of home healthcare for Veterans in rural Utah
FQHC = Federally Qualified Health CenteriEHR = integrated Electronic Health Record 18
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Summary
• RDT&E initiatives with REST and Direct have addressed gaps in capability– Out-of-network providers can share information securely over
the Web using REST– Direct + REST can be used to share diagnostic images in a
scalable fashion– REST can be used to allow small, independent providers and
providers in rural areas to exchange health information
• RDT&E initiatives contributed to the goals of:– Improved care coordination– Equal healthcare for all– Timely remote record access– Low barrier-of-entry for small practices
• Applicability of FHIR is being exploredGoals map to :http://www.himss.org/ValueSuite
24 January 2014Deb Gallagher, GSA
FPKIPA Chair
ONC Annual MeetingFederal Priorities for Health IT Training Session
Federal PKICross-Certifictation Overview
Work Groups and Tiger Teams FPKI Overview FPKI Cross-Certification Process
Cross-Certified Affiliates PIV-I Providers
EGCA Overview and Purpose
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Agenda
Criticality of PKI
PKI provides identity authentication, integrity, confidentiality Formal controls for certificate issuance and management
enable trust in these services
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Consumer OnlineShopping and Banking
CAC Card Access to Systems and Facilities
Trusted B2B, G2B, C2B, C2G
Communications
PIV Card Access toSystems and Facilities
Trusted NetworkDevices and VPN
Signed Code for Trusted Execution
Public Key Infrastructure
• Government Trusted by Commercial Organizations• Commercial Organizations Trusted by Government• Policies and Governance
• Trusted Issuers• Trusted Algorithms• Revocation and Validation
PKI Enables
PKI TrustComponents
FPKI Purpose The FPKI facilitates federated identity
Throughout the Federal Government; and Between the Federal Government and external partners
Includes the FPKI Trust Infrastructure Federal Bridge Certificate Authority (FBCA)
– Cross-certification assures comparability of certificate issuance policies– Incorporates multiple assurance levels
Federal Common Policy CA (FCPCA) – Trust Anchor for the U.S. Federal Government
E-Governance CAs (EGCA)– Supports various ICAM Programs
The FPKI Policy Authority (FPKIPA) governs policies for operation of the FBCA, FCPCA, and EGCA Operates under the authority of the Federal CIO Council
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Cross-Certification Process Overview
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Currently Cross-Certified Affiliates
Federal Agencies Department of Defense (DoD); Department of State (DoS); Drug Enforcement Administration
(DEA CSOS); Government Printing Office
(GPO); Department of Treasury; United States Postal Service
(USPS); and United States Patent and
Trademark Office (USPTO)
Two PKI Bridges CertiPath:* Aerospace and
Defense– Eid Passport*– Cassidian*– Carillion*
Non-Federal PKIs State of Illinois Entrust* Verizon Business* Symantec* ACES – ORC & Identrust DoD ECAs DigiCert* ORC* Identrust Exostar
SAFE-BioPharma: Pharmaceutical and healthcare industries
• = PIV-I Provider25
EGCA – Supports ICAM The EGCA supports the ICAM mission by:
Enabling governance – control which endpoints participate and can be trusted for technical interoperability or information sharing.
Conveying trust between endpoints in a transaction – allow endpoints to determine trust at run time.
Facilitating secure communications between endpoints in a transaction – once endpoints have established trust, the ensuing communication between endpoints is secure.
The EGCA supports ICAM Assertion-based Initiatives• Issues certificates to devices and applications.• Issues different types of certificates to different types of endpoints.
Enables trusted access to government services for more participants and communities of interest (e.g., commercial and financial communities).
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Questions?
Deb GallagherGeneral Services AdministrationOffice of Governmentwide PolicyDirector, Identity Assurance and Trusted Access Division202.219.1627 (desk)202.604.5733 (mobile)[email protected]
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Q&A ???