Interoperability: Progress through Unprecedented Collaboration Charlene Underwood, MBA Director, Government and Industry Affairs, Siemens Chairperson, HIMSS Electronic Health Record Vendors Association National Health IT Week Washington, D.C. June

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Interoperability Progress through Unprecedented
CollaborationCharlene Underwood, MBADirector,
Government and Industry Affairs,
SiemensChairperson, HIMSS Electronic Health
Record Vendors AssociationNational Health IT
WeekWashington, D.C.June 5-9, 2006
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Agenda

• A Word About EHRVA
• Interoperability A Brief History
• Progress Based on Collaboration
• A Suggested Roadmap
• What Were Doing

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HIMSS EHRVABackground

• Formed in 2004
• All major EHR suppliers
• Large and small companies serving ambulatory and
  acute care provider organizations of all types
• 40 vendors
• Key initiatives to support accelerated EHR
  adoption
• Certification
• Interoperability
• Membership is open to HIMSS corporate members who
  design, develop and market EHRs in the US

HIMSS EHRVA collectively serves the majority of
healthcare providers in the US
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Interoperability A Definition

• Interoperability means the ability of health
  information systems to exchange and use
  healthcare information within and across
  organizational boundaries to advance the
  effective delivery of healthcare for individuals
  and communities.
• HIMSS
• 2006

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Interoperability Goals

• Work together to agree on interoperability
  standards.
• Include our customers in the decision making
  process.
• Simplify access to EHR Vendors for government,
  standard development organizations and other
  associations.
• Move quickly using incremental approaches to
  improve product availability by using tight
  execution and reuse of existing standards.
• Promote industry collaboration, standards
  planning, and convergence.

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Essential Factors to Achieving Goals

• Adoption of a single set of interoperability
  standards.
• Ability for standards to support multiple levels
  of sophistication, now and in the future.
• Ability to introduce advancements in standards
  incrementally, while assuring backward
  compatibility with current implementations.
• Processes for profiling and testing standards
  must be sustainable over time.

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Interoperability Strategies

• Collaboration
• Leadership
• Commitment
• Community

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Collaboration

• Interoperability Collaborative HIMSS EHRVA, IHE
  and HL7
• Promote and demonstrate interoperability
• Accelerate work towards a single set of standards
• Communicate to all stakeholders
• Technical
• Non-technical
• Policymakers
• Vendors Interoperability Roadmap
• Built on available standards and / or promote the
  need for new / harmonized standards
• Specify, test, and demonstrate interoperability
  in IHE

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2014 Goal for National EHR Use
2006 EHR Demonstration Projects
Consumer Population Connectivity
Interoperability Roadmap Consensus
Incorporates broader NHIN Initiatives Version 2
01.06
2006 Interoperability RoadmapV2 Publication IHE
Connectathon
RHIO Connectivity
Single Standard Harmonization
Begin HL7 convergence of CCR into CDA Launch of
HL7 Version 3
Interoperability Prototypes Gain Ground
2005 Interoperability Collaboration Formation
HHS Award of NHIN Demonstration Project contracts
Provider toProvider Connectivity
Gulf States RHIO Initiative
Reprioritization of National HIT Goals
Interoperability a necessity for emergency
response
2005 Hurricane Katrina
Interconnect Clinicians to Share Data
Inter Enterprise Connectivity
2005 AHIC Formation
Launch of Patient Care Coordination Domain
2004 HHS/ ONC Strategic Framework
Interoperability Roadmap Launch
Incremental interoperability approach established
Version 1- 01.05
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2014 Goal for National EHR Use

• Five Years from NowTransformation!
• Personal Health Records
• Physician-to-Patient communications
• Peer-to-Peer interaction
• Quality measures Pay-for-Performance
• Population health management
• Biosurveillance

• Two Years from Now
• Interoperable EHRs practices, hospitals, labs,
  imaging pharmacies
• Interactive patient information exchange

• 2006
• EHRVA
• Interoperability Roadmap V.2
• HIMSS
• IHE RHIO Demo
• NHIN Demo
• Projects

• Now
• EHR upswing
• Lack of connectivity hospitals, labs
  pharmacies
• Reliance on paper-based information

• 2004-2005
• HHS/ ONC
• Strategic
• Framework
• AHIC
• Hurricane Katrina
• Interoperability
• Collaborative

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The Future Delivering on the Value Promise

• Outreach and education
• AHIC and legislators
• Physician organizations
• Provider IT executives
• Support national interoperability efforts
• Community (AHIC) breakthrough areas
• HITSP harmonization efforts and use cases
• Global standards planning and harmonization
  efforts
• Deliver interoperable EHR components for the NHIN
  demo projects
• Real-world implementation of interoperability
• Work with RHIO projects to leverage EHRVA
  Interoperability Roadmap

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