Digital Health Infrastructure for Futuristic Health Systems

1

Lisa Lewis Deputy National Coordinator for Operations and COO Office of the National Coordinator for Health IT (ONC)

Interoperable Health Care System

2

Emergency Response

Hospitals

Outpatient Facilities

EHRs

Apps/Tech

Providers

Pharmacies Genomics

Research

Specialized Care

Public Health

Labs

HIEs

{APIs}

Empowered Patients

3

Hospitals EHR Developers

Pharmacies

Payers

Federal, State, and Local Governments

Research/Innovation Patients & Caregivers

Providers Labs

Outpatient Providers Apps/

Technology

Medications

Genomics

21st Century Cures Act

• Increase Innovation and Competition

• Reduce Burden and Advance Interoperability

• Promote Patient Access

• Reduce Information Blocking

https://www.healthit.gov/NPRM

ONC’s Proposed Rule to Improve the Interoperability of Health Information

5

Industry Innovations

6

Trusted Exchange Framework & Common Agreement (TEFCA)

7

Provide a single “on-ramp” to nationwide connectivity

Electronic Health Information (EHI) securely follows you when and

where it is needed

Support nationwide scalability

GOAL 3 GOAL 2 GOAL 1

TEFCA Exchange Purposes

8

Business Planning and

Development*

Public Health*

Treatment* Individual

Access Services

Benefits Determination

Utilization Review*

Quality Assessment & Improvement*

Exchange Purposes

*Only applies to HIPAA covered entities and business associates

@ONC_HealthIT @HHSONC

Questions?

TEFCA Overview

10

RCE provides oversight and governance for QHINs.

QHINs connect directly to each other to facilitate nationwide interoperability.

Each QHIN represents a variety of Participants that they connect together, serving a wide range of Participant Members and Individual Users.

PARTICIPANT MEMBERS AND INDIVIDUAL USERS

PA R T I C I PA N T S