S&I FRAMEWORK PROPOSED INITIATIVE SUMMARIES

Dr. Douglas Fridsma

Office of Interoperability and Standards

December 10, 2010

Bottom Up Use Case Development Within a Top-down Coordination Framework

Target Problems + Interoperability Framework = Focused Collaboration

2

CORE PRINCIPLES

Prioritization

Transparency

Engagement

Rapid Results

FocusedCollaboration

A Thousand Flowers Bloom

Commandand Control

Low High

Participation

ClassicTrade-Off

Lo

wH

igh

Focus

Approach to S&I Framework

NATIONAL GOALS: QUALITY, COST, ACCESS, PUBLIC HEALTH(HITECH, ACA, etc.)

NATIONAL GOALS: QUALITY, COST, ACCESS, PUBLIC HEALTH(HITECH, ACA, etc.)

Robust Interoperability Across Settings of Care, Increased "Systemness" of Care Delivery“ultra-large scale systems”

Robust Interoperability Across Settings of Care, Increased "Systemness" of Care Delivery“ultra-large scale systems”

Tools and Services(Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc)

(Stanley)

Tools and Services(Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc)

(Stanley)

Use Case Developmentand Functional Requirements(Accenture)

Use Case Developmentand Functional Requirements(Accenture)

Certificationand Testing

(Stanley/Deloitte)

Certificationand Testing

(Stanley/Deloitte)

Harmonization ofCore Concepts

(Deloitte)

Harmonization ofCore Concepts

(Deloitte)

Implementation Specifications

(Deloitte)

Implementation Specifications

(Deloitte)

Reference Implementation

(Lockheed Martin)

Reference Implementation

(Lockheed Martin)

PRIORITY 1 PRIORITY 2 PRIORITY 3 PRIORITY 4

Value and Outcome Focused Projects to Address Key Obstacles, Prioritized by Value, MU, Leverage

2 Months2 Months 2 Months

3

Standards and Interoperability as a “Platform” for Interoperability Initiatives Standards and Interoperability as a “Platform” for Interoperability Initiatives

Initiatives

Tools and Services(Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc)

Tools and Services(Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc)

Use Case Developmentand Functional Requirements

Use Case Developmentand Functional Requirements

Certificationand TestingCertificationand Testing

Harmonization ofCore Concepts

Harmonization ofCore Concepts

Implementation Specifications

Implementation Specifications

Reference Implementation

Reference Implementation

Initiative 1

Initiative 2

Initiative 3

Initiative…N

Standards SupportStandards SupportPilot Demonstration

ProjectsPilot Demonstration

Projects

4

Contract TeamContract Team Initiative Steering CommitteeInitiative Steering Committee

Another view…

Use Case(Accenture)

Use Case(Accenture)

Harmonization(Deloitte)

Harmonization(Deloitte)