Title: Office of the National Coordinator for Health Information Technology
1 Consolidated Health Informatics Initiative and
the Functioning and Disability Domains Vish
Sankaran Program Director Office of the National
Coordinator for HIT
2Our Aging Population
- By 2015, 15 of the population will be receiving
Medicare benefits - In 2020, one in five Americans will be on
Medicare - 42.5 million Americans are enrolled in Medicare
- By 2016, 54.5 million Americans will be enrolled
- In 2025, 72.5 million Americans will be Medicare
recipients
3Current HIT Landscape
- Most practices still do not have Electronic
Health Records (EHRs) - Substantial value established
- Adoption challenges
- Personal Health Records (PHRs) are still early
in their development - Many models, great promise, questions about
utilization - Limits where EHRs exist
- Do not usually exchange data electronically with
each other, with hospitals, with labs, or with
pharmacies - Most EHR data must be input manually - impedes
adoption by consumers and clinicians
4Transformation is Underway Drivers of Health IT
Drivers of Health Information Technology
5National Health IT Agenda
- Widespread adoption of interoperable Electronic
Health Records within 10 years - Medical information follows the consumer
- Clinicians have complete, computerized patient
information - Quality initiatives measure performance and drive
quality-based competition - Public health and bioterrorism surveillance are
seamlessly integrated into care - Office of the National Coordinator (ONC) for
Health IT Established in response to Executive
Order 13335, April 27, 2004 to advance this
vision.
6What is the Federal Interest?
- Federal agencies are responsible for 40 of
overall US healthcare spending (2.1 trillion) - As healthcare stakeholders , we have an
opportunity and responsibility to advance the
national agenda to reduce the cost and improve
the quality safety of health care delivery
7Federal Health Architecture
- An eGov Line of Business in response to The
President's Management Agenda. Responsible for
- Ensuring that federal agencies can seamlessly
exchange health data between and among
themselves, with state, local and tribal
governments, and with private sector healthcare
organizations. - Leveraging federal expertise to advance federal
needs - Supporting federal activities in the development
and adoption of health IT standards. - The FHA is managed within the Office of the
National Coordinator for Health IT (ONC) at HHS.
8Agencies participating in FHA
9Mapping Federal Needs to Solutions
10Standards Harmonization Initiative(HITSP)
11The Nationwide Health Information Network
Initiative (NHIN)
- A network of networks
- Connect
- Providers (EHRs)
- Consumers (PHRs)
- Interconnect
- State, regional, and non-geographic health
information exchanges - Networks oriented to specific functions
- No centralized national database or systems
- Develop market for health information services
providers - Provide a secure foundation for growth and
innovation
12FHA Initiative - NHIN Connect
- Why?
- Federal NHIN participation will
- foster nationwide exchange of
- secure health information
- How?
- Federal health IT organization are expected to
participate in multiple ways - As direct health care delivery organizations
- As users of data (such as biosurveillance, public
health, and research) - FHA Support?
- FHA will assist Federal agencies in developing
their NHIN strategy and - implementation of NHIN services
13FHA InitiativeFederal Health Information
Planning and Reporting (FHIPR)
Federal Health IT Investment Planning Guide
- Health IT Law and Policies, Direction from the
National Health IT Agenda, Health IT Standards - Integrating with the NHIN, Certification
Criteria, Health IT Acquisition and Procurement - The Way Forward AHIC and Emerging Priorities,
Federal Health IT Investment Planning Checklist
Federal Health Information Reporting Guide
- Health IT Executive Orders (Executive Order
13335, Executive Order August 2006) - Health It Scorecard Requirements and Federal
Health IT Interoperability Survey - E-Gov Quarterly Milestones and OMB EA Assessment
14FHIA - Modeling the National Agenda
FHIA Model
National Health IT Agenda
Agency EA Model
Federal Transition Framework
15FHIA Task-- Coordinating Benefits Eligibility
- Many Federal agencies provide benefits pertaining
to healthcare and disability (DoD, VA, IHS, CMS,
OPM, SSA, others) - Many opportunities for significant cost
savings/recovery by coordinating benefits
eligibility determination between agencies, and
between agencies and non-Federal payors - FHIA will provide a forum for Federal partners to
identify potential common processes and services
16Together, we can solve the problem
- Recognizing
- Interoperability is the linchpin of this nation's
health landscape in 2014. - Interoperability serves the common good.
- Implementation of national HIT initiatives
requires cooperation between government and
private sectors - Implementation of national HIT demands a shared
commitment to success. - National HIT will change how business is
conducted within federal agencies. - 2004 Executive Order provides guidelines for
adoption that offer mutual benefit to all federal
agencies.