Jackie Jones LHIMA ONC Roadmap.ppt...Microsoft PowerPoint - Jackie Jones LHIMA ONC Roadmap.ppt...

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THE OFFICE OF THE NATIONAL COORDINATOR’S ROAD MAP TO

INTEROPERABILITY AND THE LEARNING HEALTH SYSTEM

ONC WEBSITE

CONSUMER KNOWLEDGE

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INTEROPERABLITY

ABILITY TO SHARE HEALTHINFORMATION AMONG DIFFERENT COMPUTER SYSTEMS

LONGITUDINAL

ABILITY TO SHARE INFORMATION BETWEEN DIFFERENT PROVIDERS

2004 Executive

Order 13335

2004 Executive

Order 13335

2005‐2008 IT Strategic Plan

& HIT organizations

formed

2005‐2008 IT Strategic Plan

& HIT organizations

formed

2009HITECH ACT

2009HITECH ACT 2010 Blue

Button2010 Blue Button

2011 Meaningful Use Stage 1

2011 Meaningful Use Stage 1

2012CDA created

2012CDA created

2014Meaningful Use Stage 2

2014Meaningful Use Stage 2

The Beginning of the Road

2015 Federal IT Strategic Plan 2015‐

2020

2015 Federal IT Strategic Plan 2015‐

2020

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Vision and Mission

Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Learning Health System

The Institute of Medicine (IOM) defines a learning health system as

“one in which progress in science, informatics, and care culture align to generate new knowledge as an ongoing, natural by‐product of the care experience, and seamlessly refine and deliver best practices for continuous improvement in health and health care.”

Learning Health System

An ecosystem where all stakeholders can securely, effectively and efficiently contribute, share and analyze data.

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LHS Stakeholders


People receiving care or supporting the care of others

Organizations that pay for care

People and Organizations that

– deliver care and services

– support the public good

– Generate new knowledge, whether research or quality improvement

– Provide health IT capabilities

– Govern, certify and/or have oversight

– Develop and maintain standards

WHY A LHS

IOM statistic

‐ it currently takes 17 years for “a new validated item of biomedical knowledge with implications for health care to find its way into routine use in health care.” A learning health system could take that 17 years and bring it down to 17 months, 17 weeks or even 17 hours.

LHS in USA

Source: Charles Friedman, PhD

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Health IT Ecosystem

ONC: Connecting Health Care for the Nation: A 10 Year Vision to Achieve an Interoperable Health IT Infrastructure

Roadmap Organization

Three Main Sections


Drivers

Supportive Payment and Regulatory

Environment


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Policy/Technical Components

Shared Decision‐Making, Rules of Engagement and Accountability



Ubiquitous, Secure Network Infrastructure



Verifiable Identity and Authentication of all Participants


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Consistent Representation of Authorization to Access Electronic Health Information



Consistent Understanding and Technical Representation of Permission to Collect, Share and Use Identifiable Electronic Health Information



An Industry‐Wide Testing and Certification Infrastructure


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Standards Categories



Consistent Data Semantics



Consistent Data Formats


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Secure, Standard Services


Policy /Technical Components

Consistent, Secure Transport Techniques



Accurate Individual Data Matching


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Health Care Directories and Resource Location


OutcomesIndividuals Have Access to

Longitudinal Electronic Health Information, Can Contribute to that Information, and Can Direct It to Any Electronic Location


OutcomesProvider Workflows and Practices

Include Consistent Sharing and Use of Patient Information from All Available and Relevant Sources


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Outcomes

Tracking Progress and Measuring Success


The Journey Continues

2015‐2017Send, receive, find, and use priority data domains to improve health care quality and outcomes

2015‐2017Send, receive, find, and use priority data domains to improve health care quality and outcomes

2018‐2020 Expand data sources and

users in the interoperable health

IT ecosystem to improve health and

lower costs.

2018‐2020 Expand data sources and

users in the interoperable health

IT ecosystem to improve health and

lower costs.

2021‐2024Achieve nationwide interoperability to enable a learning

health system, with the person at the center of

a system that can continuously improve care, public health, and science through real time data access

2021‐2024Achieve nationwide interoperability to enable a learning

health system, with the person at the center of

a system that can continuously improve care, public health, and science through real time data access


Source: ONC Website

The picture can't be displayed.

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Resources• The “Learning Health System” as the Consummate

Informatics Challenge, Charles Friedman, PhD, University of Michigan, May 14, 2013

• www.learninghealth.org

• The Office of the National Coordinator for Health Information Technology Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap; Final Version 1.0

• The Office of the National Coordinator for Health Information Technology Connecting Health and Care for the Nation: A 10‐year Vision to Achieve an Interoperable Health IT Infrastructure

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