January 13, 2014

Privacy & Security Tiger Team: Kick-off to 2014

Office of the National Coordinator for Health Information Technology

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Roadmap

• Purpose: – Introductions– Debrief HITPC results– Review 2014 workplan– Frame the personal representatives policy

implementation issue

Office of the National Coordinator for Health Information Technology

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Privacy & Security Tiger Team – January 2014

• Deven McGraw, Chair, Center for Democracy & Technology • Micky Tripathi, Co-Chair • Dixie Baker, Martin, Blanck, and Associates• Judy Faulkner, Epic • Leslie Francis, University of Utah College of Law• Larry Garber, Member, Reliant Medical Group• Gayle Harrell, Consumer Representative/Florida • John Houston, University of Pittsburgh Medical Center• David Kotz, Member, Dartmouth College• David McCallie, Cerner Corporation • Wes Rishel, Gartner • Kitt Winter, Social Security Administration

Office of the National Coordinator for Health Information Technology

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Dec 4 HITPC Results

The Tiger Team's recommendations on Accounting of Disclosures were unanimously adopted by the Health IT Policy Committee with one addition– the Policy Committee is adding a recommendation

that the Office of Civil Rights further explore whether patient requests for investigations of inappropriate access to their records are being honored.

– the official transmittal letter completed

2014 HITPC Work Plan

2014 HITPC Work Plan

Workgroup Q1 Q2 Q3 Q4

Accountable Care • December AC Hearing recommendations

Meaningful Use • Deeming recommendations for MU3

Information Exchange • EHR business practices / stage 2 Hearing

• HIE acceleration • Integration of LTPAC/BH providers into exchange

Certification/Adoption • Voluntary certification recommendations

• Standard Occupational Codes – Workforce Subgroup

Privacy & Security • Policy implementation issues re: personal representatives and/or proxies

• Business associate data practices (potential hearing)

• Policy implementation issues re: minors

• Improving patient right of access in an electronic environment

• Security policy issues re: PHRs pulling data from provider systems (Blue Button +)

Consumer Empowerment

• Consensus on the shared care plan concept

Quality Measures