Our Mission: Offering Interoperable Secure ... - HIMSS Chapter

Our Mission: Offering Interoperable Secure Communications Solutions for Better Coordinated Care

Presentation to:

May 2015

- 2 -

Leaders in Directed Exchange

is an ENHAC accredited Health Information Service Provider (“HISP”), Registration

Authority (“RA”) and Certificate Authority (“CA”) and provides a suite of HIPAA-

compliant “Directed Exchange” communication solutions for users across the care continuum.

Secure Communication Solutions for Practices, Ancillary Healthcare Providers,

Healthcare Organizations, Hospital Systems & HIT Application Service Providers

- 3 -

Technical and Policy Credentials

HIPAA, HITECH & Direct Project Expertise and Industry Leadership

Voting Member of DirectTrust Policy Board

Co-Chair Direct Directory Policy Workgroup

Co-Chair DirecText Work Group.

Voting Member DirectTrust Anchor Trust Bundle Approval Committee

Voting Member DTAAP Steering Committee

Member Security and Trust Compliance Work Group

Member Certificate Policy and Practices Work Group

Member DirectTrust esMD Workgroup

Member Trust Anchor Bundle Operations Workgroup

Member of the Reference Implementation Work Group

Member Patient and Consumer Participation Workgroup

Member of Direct Project Implementation Geographies Workgroup

- 4 -

MaxMD Client Geographic Footprint

CONFIDENTIAL

www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036

A deeper dive into Direct

• Before Direct users can exchange messages and attachments, they must interact with three entities that serve as “trusted agents,” each of which has separate roles and responsibilities. o A Health Information Service Provider, HISP, handles the encryption

and identity validation on behalf of the Direct addressee, assigns accounts and addresses, and arranges for the addressees to be issued an X.509 digital certificate;

o A Certificate Authority, CA, issues the X.509 digital certificate to the addressee, along with the public key, relying on the information supplied to it by the;

o A Registration Authority, RA, which verifies and proofs the identity of the addressee applying for an X.509 digital certificate.

5

http://www.directtrust.org/


Accreditation & Audit

6

DirectTrust is accrediting HISPs, CAs, and RAs In partnership with EHNAC. Look for the EHNAC-DirectTrust seal of accreditation for assurances of best practices for privacy, security, and trust-in-identity. Accreditation status of HISPs, CAs, RAs is always available at www.DirectTrust.org

6


www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036 7

Fully Accredited HISPs/CAs/RAs

Count of Organization Name Programs

Stage - Organization 1 - DTAAP-HISP 2 - DTAAP-CA 3 - DTAAP-RA Count Expiration Date Trust Bundle

Accreditation

Cerner Corporation 1 1 4/29/2015 ATAB

Informatics Corporation of America 1 1 1 5/8/2015 ATAB

Inpriva, Inc. 1 1 1 7/11/2015 ATAB

MedAllies 1 1 1 12/12/2015 ATAB

DataMotion Inc. 1 1 1/7/2016 ATAB

DataMotion Inc. (DTAAP-HISP) 1 1/7/2016 ATAB

IOD Incorporated 1 1 1 2/3/2016 ATAB

MRO Corporation 1 2/3/2016 ATAB

EMR Direct 1 1 1 2/11/2016 ATAB

Covisint 1 2/14/2016 ATAB

Secure Exchange Solutions, Inc. 1 1 1 5/30/2016 ATAB

Updox, LLC 1 1 1 6/19/2016 ATAB

Truven Health Analytics 1 1 1 7/25/2016 ATAB

Mirth LLC, a QSI company 1 8/6/2016 ATAB

RelayHealth Clinical 1 8/20/2016 ATAB

Health Companion, Inc. 1 1 1 9/3/2016 ATAB

Medicity 1 9/17/2016 ATAB

Healthcare Information Xchange of New York, Inc. 1 9/26/2016 ATAB

Optum 1 10/1/2016 ATAB

Axesson 1 10/3/2016 ATAB

Rochester RHIO 1 10/3/2016 ATAB

athenahealth, Inc. 1 1 1 10/24/2016 ATAB

Orion Health 1 1/13/2017 ATAB

Nitor Group 1 2/24/2017 ATAB

Cozeva - Applied Research Works, Inc. 1 2/26/2017 ATAB

iShare Medical LLC 1 2/26/2017 ATAB

Cerner Corporation (DTAAP-HISP) 1 4/29/2017 ATAB

Max.MD 1 1 1 5/8/2017 ATAB

Michiana Health Information Network 1 8/8/2017 ATAB

CareAccord 1 1 1 10/24/2015 ATAB

HealthUnity Corporation 1 2/25/2017 ATAB

Surescripts 1 1 1 3/7/2017 ATAB

eClinicalDirect, LLC 1 4/7/2017 ATAB

DigiCert, Inc. 1 1 9/13/2015

Pulse Systems, Inc. 1 4/17/2016

New York eHealth Collaborative 1 5/15/2016

Utah Health Information Network 1 1 7/19/2016

Integrated Care Collaboration 1 8/13/2016

Simplicity Health Systems 1 12/19/2016

Quest Diagnostics 1 12/29/2016

Accreditation Total 37 16 17 38



DirectTrust Approach

8

Security & Trust Framework

EHNAC-DirectTrust Accreditation Program

Trusted Anchor Bundle Distribution

The goal is to provide scalable and sustainable Trust Relationships and promote Interoperability .



DirectTrust Members 149 and Counting…..

9 9

Lucy Johns, MPH


- 10 -

Network Interoperability March 13, 2015 – 30 HISPs Testing


Organizations served by DirectTrust Member HISPs

11

667 1,460 3,336

5,627

28,148

35,657

39,751

-

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

45,000

Organizations served by HISPs

Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q3 2014 Q4 2014 Q1 2015



Number of Direct Addresses

12

8,724 45,300

73,922

182,279

428,105

663,321

752,496

-

100,000

200,000

300,000

400,000

500,000

600,000

700,000

800,000

Number of Direct Addresses

Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q3 2014 Q4 2014 Q1 2015



Patients/Consumers with Direct Addresses

13

938

24,967

56,008 54,939

-

10,000

20,000

30,000

40,000

50,000

60,000

Patients/Consumers with Direct Addresses

Q1 2014 Q3 2014 Q4 2014 Q1 2015



Direct Exchange Growth

14

122,842 2,195,433 2,567,110

3,938,346

7,746,375

22,959,139

27,316,438

-

5,000,000

10,000,000

15,000,000

20,000,000

25,000,000

30,000,000

Direct Exchange Growth

Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q3 2014 Q4 2014 Q1 2015



How it works: Direct exchange leverages SMTP and has a trust layer added in

[email protected]

encryption

identity validation

15


- 16 -

Lab Results Reporting today – One to One

- 17 -

Versatility of Directed Exchange – One to Many

- 18 -

Bridging Meaningful Use to Practical Use


Direct exchange capability is going to be ubiquitous

• Direct exchange is not the only way that providers can meet the health information exchange requirements of Stage 2 MU.

• However, since all certified EHR technology must enable use of Direct exchange, Direct is the easiest solution to deploy.

• There are scalable benefits of using Direct exchange

beyond Stage 2 MU, e.g. for secure exchanges of information with payers; with Medicare, Medicaid, and the VA; within the context of an ACO using multiple EHRs; for patient engagement generally.

19


Our Mission: Offering Interoperable Secure ... - HIMSS Chapter

Documents

Transcript of Our Mission: Offering Interoperable Secure ... - HIMSS Chapter