Cracking the Code on Nationwide Interoperability

DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

Healtheway is the trusted, independent convener of industry and government

Works to address the challenges of secure, interoperable nationwide health information exchange (HIE).

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Healtheway’s Role

NATIONWIDEINTEROPERABLESECURE

Current Healtheway Initiatives

The eHealth Exchange is the largest health information exchange network in the US

Carequality is a public-private collaborative creating a standardized, national-level interoperability framework to link all data sharing networks

Copyright © 2015 Care Connectivity Consortium

Largest HIE Network in the U.S.

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Tech Vendors

Federal Govt

States

PharmaciesPayers

HIEs

Care Facilities

Shared Governance and Trust Agreement Common Standards, Specifications & Policies

10 Years of Progress

2006

ONC sponsors prototype architectures, followed

by trial implementations.

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2008Focus shifted to

supportingproduction pilots

2009First production

exchange between Social Security

Administration and MedVirginia, followed by Veterans Health Administration and

Kaiser Permanente

2012Exchange

transitions to Healtheway.

Private sector participation

increases

2015Nationwide

implementation across 50

states

eHealth Exchange: Benefits

10,000 medical groups

900+ dialysis centers

8200 pharmacies

Supporting more than 100 million patients

All 50 states

Four federal agencies

(DoD, VA, HHS including CMS, and

SSA)

30% of U.S. hospitals

Benefit How eHealth Exchange Achieves Benefit

Reducing Costs

Using common standards, legal agreements and governance enables participants to reduce legal fees and avoid building custom interfaces with trading partners.

Improving Clinical and Business Decisions

Access to a nationwide data sharing network provides secure access to the comprehensive health data that healthcare providers, pharmacies and payers require to improve clinical decision making, patient safety, process improvement and fair payment.

Exchanging Data with Government Agencies

Federal participation in the eHealth Exchange supports data sharing among all participants and with agencies such as Centers for Medicare & Medicaid Services, the Department of Defense, the Social Security Administration and the Department of Veterans Affairs.

Planning for the Future

Because the eHealth Exchange is governed by a representative set of participants, its multi-purpose interoperability platform has the ability to evolve and incorporate new use cases, standards, etc.

• Improves Care Coordination and can reduce medical errors• Expedites Social Security Benefits for the disabled• Ensures that individuals with End Stage Renal Disease receive the highest

quality of care

• Allows access to critical information such as test results, medication history and allergy information is available to providers when the patient is transferred to another service.

• Enables exchange with government providers with national level ROI• Can earn credit for MU2 Transitions of Care Measures

• Supports active duty military, retirees, their families, and veterans throughout their care by making it possible for medical records to follow the patient

PATIENTS

PROVIDERS

ACTIVE DUTY MILITARY, RETIREES, AND VETERANS

How does the eHealth Exchange impact us?

Innovation Strategy

AUGMENT

Increase connectivity to other care settings

Improve content & patient matching

Identify high value transactions

MODERNIZE

Review legal framework, specifications, policies

Federated HPD Expand supported

transport protocols (e.g. Direct and FHIR)

ACCELERATE

Rapid Onboarding Strategy

Enhance Testing Program

INNOVATE

150+ Participants Increased

adoption, transactions, connected providers

Carequality

Accelerating seamless, interoperable health information exchange

What if you had a cell phone plan that only allowed you to call other customers of your

carrier?

That’s the situation for most

healthcare providers today, when they join a

data sharing network.

The Challenge

The Solution

Carequality creates a standardized, national-level interoperability framework to link all data sharing

networks

Carequality is creating a web of interconnected networks

A Trusted Approach

Collaborative

Multi-Stakehold

er

Open

Real- World

Carequality is Managed by

Healtheway is a nonprofit acting for the public good. It convenes industry and

government to address common interoperability challenges.

Carequality’s strength lies in its diverse stakeholder base. We approach the interoperability challenge from all sides.

The Carequality Community

• Physicians

• Consumers

• Government Agencies

• Data Sharing Networks

• Payers

• Behavioral Health

• Acute Care

• Long Term/Post-Acute Care

• Hospice and Home Care

• Research

• Public Health

• Vendors

• Standards Development Orgs.

• Pharmacies

• EMS Services

Carequality Members

Common rules of the road: In order for the varied participants to trust each other with health information, everyone needs to have a legal obligation to abide by the same rules.

Well-defined technical specs: Shared rules are not enough; clear standards must be laid out in an implementation guide that all implementers can follow.

A participant directory: To connect using the common standards, systems must know the addresses and roles of each participant.

Essential Elements

February 2014

Carequality Launch

May 2014

Operating Principles & Governance Model

June 2014

Steering Committee Formed

Aug/Sept 2014

Advisory Council & Work Groups Chartered

January 2015

Principles of Trust Adopted

April 2015

Initial RolloutKickoff

A Brief History

Carequality Initial Rollout Begins: APRIL 2015!

Initial Use Case Implementation Guide: Implement the technical, business, and policy requirements outlined in the Query Use Case Implementation Guide, and provide feedback to inform the version of the Guide adopted for general public use.

Legal Framework for Exchange: Provide feedback on Carequality’s legal framework, and implement the standardized terms once they are adopted.

It’s not too late to participate in the initial rollout! For information, contact admin@carequality.org

Demos:- Interoperability Showcase &

- Main Conference Exhibit Floor Booth #8448

www.healthewayinc.org