Standards & InteroperabilityFramework Overview
Doug Fridsma, MD, PhD
Director,
Office of Interoperability & Standards
ONC
IHE North American Connectathon 2011Chicago, IL
Agenda and Goals for Today
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» Opening Remarks and Introduction
» Background on ONC/Office of Interoperability & Standards
» Overview of the S&I Framework
» Q&A Session
ONC HIT Organizational Chart
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Office of Chief Scientist
Office of Chief Scientist
National Coordinator
National Coordinator
Office of Economic Analysis and
Modeling
Office of Economic Analysis and
Modeling
Deputy National Coordinator for
Operations
Deputy National Coordinator for
Operations
Deputy National Coordinator for
Programs & Policy
Deputy National Coordinator for
Programs & Policy
Office of the Chief Privacy Officer
Office of the Chief Privacy Officer
Office of Communications
Office of Communications
Office of OversightOffice of Oversight
Office of Mission Support
Office of Mission Support
Office of Strategic Initiatives
Office of Strategic Initiatives
Office of Policy and Planning
Office of Policy and Planning
Office of Interoperability and Standards
Office of Interoperability and Standards
Office of Provider Adoption SupportOffice of Provider Adoption Support
Office of State and Community
Programs
Office of State and Community
ProgramsOffice of Grants
ManagementOffice of Grants
Management
Office of Interoperability & Standards Organizational Structure
StandardsStandards Nationwide Health Information NetworkNationwide Health
Information Network Certificationand Testing Certificationand Testing
Federal Health Architecture Teams
Federal Health Architecture Teams
StandardsTeams
StandardsTeams
Nationwide Health Information Network
Teams
Nationwide Health Information Network
Teams
CertificationTeams
CertificationTeams
Federal Health Architecture Teams
Federal Health Architecture Teams
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Interoperability & StandardsInteroperability & Standards
CONNECTCertification
Test Infrastructure
Architecture
Reference Implementations
Emergent Pilots
Tools
Operations
Use Cases
Standards Support
Harmonization
Spec Factory
S&I Framework Mission
» Promote a sustainable ecosystem that drives increasing interoperability and standards adoption
» Create a collaborative, coordinated, incremental standards process that is led by the industry in solving real world problems
» Leverage “government as a platform” – provide tools, coordination, and harmonization that will support interested parties as they develop solutions to interoperability and standards adoption.
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THE ONC STANDARDS AND INTEROPERABILITY FRAMEWORK
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Outline
» The ONC S&I Framework(what is it, why is it, how does it work)
• Activities and Processes
• National Information Exchange Model
• Information Exchange Package Documentation
» Model-Centric Specifications For Healthcare Data Exchange
• The Approach – Model Centric Specification
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Why Do We Need an Interoperability Framework?
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Why Do We Need an Interoperability Framework?
» Move toward more “computational” implementation specifications (IS)
• Scalable processes• Ability to develop tools to increase the
efficiency of IS development and maintenance
• The importance of developing IS that are explicit and subject to less interpretation
» Link use cases and standards from inception to certification
• Keep the certification processes tightly linked to the standards and IS processes
• Support tool development for certification testing
• Develop the testing for compliance at the same time as developing the standards
» Integrate multiple SDOs with different expertise across the process
• Transport packages• Vocabulary• Value sets• Security
» Provide repeatable mechanisms for harmonization and integration of existing standards across SDO
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S&I Organizing Principles
» Not a “waterfall” Process: Developing and harmonizing standards and service specifications across diverse communities necessitates concurrent, agile activities
» Need for Structured Coordination: To manage coordination of the concurrent activities within the framework, we need well defined:
• Artifacts: We need to ensure the content and structure of the artifacts within the process are well defined and provide continuity within the activities and the tools.
• Roles: Clear “ownership” of significant artifacts and activities must be assigned to ensure coordination, to reduce duplication and to maintain continuity throughout the process. An example of this is the Use Case Steward, but there are additional roles throughout the process.
• Control Points: Need prioritization, validation or approval of artifacts to ensure quality and alignment with goals
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Bottom Up Use Case Development Within a Top-down Coordination Framework
NHIN Direct + Interoperability Framework = Focused Collaboration
CORE PRINCIPLES
Prioritization
Transparency
Engagement
Rapid Results
FocusedCollaboration
A Thousand Flowers Bloom
Commandand Control
Low High
Participation
Classic
Trade-Off
Lo
wH
igh
Focus
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Standards and Interoperability Architecture Refinement and Management Standards and Interoperability Architecture Refinement and Management
S&I Framework Overview
The Standards and Interoperability (S&I) Framework is a set of integrated functions, processes, and tools being guided by the healthcare and technology industry to achieve harmonized interoperability for healthcare.
VALUE / OUTPUTSVALUE / OUTPUTS12
S&I Framework Overview
HITPC HITSC
SDOs
FederalPartners
ONC
Healthcare Community
S&I Steering TeamS&I Steering Team
Initiative Steering CommitteeInitiative Steering Committee
S&I FrameworkS&I Framework
ONC Policy SteeringONC Policy Steering
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S&I Framework Overview
» Specific health interoperability initiatives guide the design and development of a fully integrated and connected health information system.
» An S&I Initiative focuses on a single challenge with a set of value-creating goals and outcomes, and the development of content, technical specifications and reusable tools and services.
» Call for Participation: The overall success of the S&I Framework is dependent upon volunteer experts from the healthcare industry and we welcome any interested party to get involved in S&I Framework Initiatives, participate in discussions and provide comments and feedback by joining the Wiki: http://wiki.siframework.org
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Contract TeamContract Team Initiative Steering CommitteeInitiative Steering Committee
Coordination should ensure alignment across and within initiatives
Use CaseUse Case
HarmonizationHarmonization