1 nhin direct + interoperability framework = focused collaboration bottom up use case development...
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NHIN Direct + Interoperability Framework = Focused Collaboration
Bottom up use case development within a top-down coordination framework
CORE PRINCIPLES
Prioritization
Transparency
Engagement
Rapid Results
FocusedCollaboration
Thousand Blossom Blooms
Commandand Control
Low High
Participation
Classic
Trade-Off
Lo
wH
igh
Focus
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NHIN Direct Lessons Learned
Key Lessons From The Direct Project• Focused problem-solving around a particular business
case drives engagement
• Asking participants to commit to implementation and pilots drives positive behavior and focus
• The policy tools at ONC's disposal work to engage industry broadly
– Aligning federal partners, states with private companies generates more value than the sum of its parts
• Open source reference implementations are a key tool to promote standards adoption by lowering the total industry cost to achieve the value chain
• Communities are awesome things…
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Approach to S&I Framework
NATIONAL GOALS: QUALITY, COST, ACCESS, PUBLIC HEALTH(HITECH, ACA, etc.)
NATIONAL GOALS: QUALITY, COST, ACCESS, PUBLIC HEALTH(HITECH, ACA, etc.)
Robust Interoperability Across Settings of Care, Increased "Systemness" of Care Delivery“ultra-large scale systems”
Robust Interoperability Across Settings of Care, Increased "Systemness" of Care Delivery“ultra-large scale systems”
Tools and Services(Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc)
(Stanley)
Tools and Services(Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc)
(Stanley)
Use Case Developmentand Functional Requirements(Accenture)
Use Case Developmentand Functional Requirements(Accenture)
Certificationand Testing
(Stanley/Deloitte)
Certificationand Testing
(Stanley/Deloitte)
Harmonization ofCore Concepts
(Deloitte)
Harmonization ofCore Concepts
(Deloitte)
Implementation Specifications
(Deloitte)
Implementation Specifications
(Deloitte)
Reference Implementation
(Lockheed Martin)
Reference Implementation
(Lockheed Martin)
PRIORITY 1 PRIORITY 2 PRIORITY 3 PRIORITY 4
Value and Outcome Focused Projects to Address Key Obstacles, Prioritized by Value, MU, Leverage
2 Months2 Months 2 Months
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2 Months
2 Months
2 Months
Tools and Services(Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc)
(Stanley)
Tools and Services(Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc)
(Stanley)
Use Case Developmentand Functional Requirements(Accenture)
Use Case Developmentand Functional Requirements(Accenture)
Certificationand Testing
(Stanley/Deloitte)
Certificationand Testing
(Stanley/Deloitte)
Harmonization ofCore Concepts
(Deloitte)
Harmonization ofCore Concepts
(Deloitte)
Implementation Specifications
(Deloitte)
Implementation Specifications
(Deloitte)
Reference Implementation
(Lockheed Martin)
Reference Implementation
(Lockheed Martin)
PRIORITY 1
PRIORITY 2
PRIORITY 3
PRIORITY 4
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Principles
• Organizing principle – “solving problems” throughout the entire value chain, and use that as the “glue” for the other metrics from OIS
• Each team in the S&I framework will assist in solving a problem
• Operationalize the process and problems with metrics, risks and milestones
• Solve value focused problems in small increments; build consistency across projects through a national vision and a model-based approach
• Balance between bottom-up goal-directed coordination and top-down structured coordination