Health DomainValue Proposition Briefing

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SCOPE

• Support information sharing and promote interoperability between healthcare organizations including Federal, state and local agencies

• Establish the foundation to make data exchanges discoverable, understandable, accessible, and reusable across multiple partners

• Based on existing principles and proven practices– Existing Healthcare Industry standards– UML in Information Exchange Package Documentation (IEPD)

artifacts– Extensive use of controlled vocabularies and terminologies as

recommended by the HIT Standards Advisory committees

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COI & KEY STAKEHOLDERS

• Federal Government Agencies– HHS OpDivs (Health related CDC, FDA, NIH, CMS, HRSA, SAMHSA, OIG,

NCI, HIS, etc)

• Healthcare Providers– Kaiser Permanente, Mayo Clinic, Cleveland Hospital, etc.

• Healthcare Payors– BCBS, Aetna, UHC, CMS, etc

• Universities – John Hopkins, University of Michigan, Duke, Indiana, Vanderbilt, Columbia, etc.

• State and Local Government Agencies– Texas Department of Health and Human Services, NYC Department of Health,

etc.

• Public Health Associations– NACHC, ASTHO, CSTE, APHL, and NAHDO

• Standards Development Organizations (SDOs): – HL7, ASC, IHE, NLM, Regenstrief, etc.

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VALUE PROPOSITION SUMMARY

• Interoperability– Enable interoperability of health data across the

health industry to support HHS’s objective of reaping the full economic benefit of exchanging healthcare information

• Reusability– Support the Health Community and the NIEM

community by making data exchanges discoverable, understandable, accessible, and reusable across public and private partners and stakeholders.

– Reuse existing standards where possible – drawing from existing health data standards from organizations such as HL7, IHE, ISO, X12, etc.

• Standardization– Provide unambiguous and consistent

descriptions of universal healthcare exchange language that helps the healthcare stakeholders and addresses PCAST recommendation

• Cost ReductionReduces the cost of information sharing for healthcare by reusing the data model and the IEPD’s

• Value ExpansionExpands the NIEM core data model by harmonizing them with the health care data model

• Promote Information SharingPromote the use of NIEM Health Domain data model and IEPD’s for health information sharing between Federal, state, local, and private information exchange partners

• Governance EstablishmentManage and govern the NIEM Health Domain data model and IEPD’s

• Repeatable Best PracticesCollaborate with NIEM PMO and ensure that the NIEM Health Domain is following the NIEM best practices and conforming to NIEM requirements

NIEM Health Value Proposition NIEM Health Potential Benefits

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LEVERAGING & INTEGRATING WITH EXISTING STANDARDS

• HL7 version 3 (including data types, RIM, and constructs such as CDA) as well as version 2.x

• IHE Profiles (such as the SVS Profile)

• ASC X12 standards (such as N274)

• All vocabulary and code set standards as listed in HITSP 8-17-11 Code Set Transmittal Memo (link)

– Including LOINC (Regenstrief), UCUM (Regenstrief/NLM), SNOMED-CT (IHTSDO/NLM), etc.

• Existing data elements of NIEM core

• Other standards in healthcare IT community, to be identified per the needs of individual exchanges

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POTENTIAL EXCHANGES IN CONSIDERATION

• Provider Directories queries

– Certificate Discovery

– Service Discovery

– Entity Discovery

– Interdependent Registries

• CHPL (Certified Health IT Product List)

• Queries to consent registries/repositories

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PLAN OF ACTIONS AND MILESTONES

• Develop Domain Charter by the 1st Quarter of 2012

• Develop Communication Plan and Buy-In from Leadership to Promote the Use of NIEM Health by the 2nd and 3rd Quarter of 2012

• Develop, Manage, and Govern Domain Data Models by the 4th Quarter of 2012 through the 1st Quarter of 2013