Exhibit 300 Capital Asset Plan FY11

8/3/2019 Exhibit 300 Capital Asset Plan FY11

1/12

EXHIBIT 300 CAPITAL ASSET PLAN AND BUSINESS CASE SUMMARY

Exhibit 300: Capital Asset Plan and Business Case Summary

Part I: Summary Information And Justification (All Capital Assets)

Section A: Overview (All Capital Assets)

1. Date of Submission:2008-09-13 03:10:25

2. Agency:009

3. Bureau:90

4. Name of this Investment:OS ONC Nationwide Health Information Network (NHIN)

5. Unique Project (Investment) Identifier:009-90-03-00-01-0002-00

6. What kind of investment will this be in FY 2011?: Full-Acquisition

PlanningFull Acquisition

Operations and Maintenance

Mixed Life Cycle

Multi-Agency Collaboration

7. What was the first budget year this investment was submitted to OMB?FY2005

8. Provide a brief summary and justification for this investment, including a brief description of how

this closes in part or in whole an identified agency performance gap; this description may include links

to relevant information which should include relevant GAO reports, and links to relevant findings of

independent audits.The NHIN is the critical portion of the President's health IT agenda intended to facilitate development of a

secure, nationwide, interoperable health information infrastructure that will connect providers, consumers, and

others involved in supporting health and healthcare. The NHIN would enable health information to follow the

consumer, be available for clinical decision making, and support appropriate use of healthcare information

beyond direct patient care so as to improve health outcomes. The NHIN investment seeks to achieve these

goals by coordinating stakeholders in the development interoperable standards and by engaging industry in

the development of prototypes and trials. As a result, this investment will not develop or maintain a network,

system, or application in support of a NHIN. Instead, this investment focuses on its role of defining national

standards for health information exchange and partnering with communities across the nation to promote the

adoption of the NHIN standards. In FY07, 4 consortia designed, evaluated, and demonstrated

standards-based prototype architectures for the NHIN. In FY08, NHIN will further the work of the 4 consortia by

focusing on trial implementations through state and regional health information exchanges (HIEs). NHIN alsowill continue to leverage its role of defining national standards for health information exchange and

coordinating HIT stakeholders in the pursuit of the national health IT agenda. ONC awarded contracts to 9

HIEs to begin trial implementations of the NHIN on Sept 28, 2007. The NHIN Trial Implementations awardees

will participate in a collaborative effort to further specify the common interfaces that NHIN National Health

Information Exchanges (NHIEs) need to interoperate. Awardees will test their ability to work together in a

cooperative interoperability testing event and will demonstrate real time information exchange based upon the

NHIE specifications. ONC has also awarded 6 cooperative agreements ($600K) to bring an integrated delivery

system and state, regional and non-geographic HIE entities as participants in the NHIN. Participants will

implement and test the NHIN specifications and demonstrate their connectivity to others.

a.Provide here the date of any approved rebaselining within the past year, the date for the most

recent (or planned)alternatives analysis for this investment, and whether this investment has a

risk management plan and risk register.

9. Did the Agencys Executive/Investment Committee approve this request? *

OMB Circular No. A-11 (REVISED-NOVEMBER 2009) Page 1 / 12 of Section300


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a.If "yes," what was the date of this approval?*

10. Contact information of Program/Project Manager?

Name: *

Phone Number: *

Email: *

11. What project management qualifications does the Project Manager have? (per FAC-P/PM)?*

Project manager has been validated according to FAC-PMPM or DAWIA criteria as qualified for this

investment.

Project manager qualifications according to FAC-P/PM or DAWIA criteria is under review for this

investment.

Project manager assigned to investment, but does not meet requirements according to FAC-P/OM or

DAWIA criteria.

Project manager assigned but qualification status review has not yet started.

No project manager has yet been assigned to this investment.

12. If this investment is a financial management system, then please fill out the following as reported in

the most recent financial systems inventory (FMSI):

Financial management system name(s) System acronym Unique Project Identifier (UPI) number* * *

a. If this investment is a financial management system AND the investment is part of the core

financial system then select the primary FFMIA compliance area that this investment addresses

(choose only one): *

computer system security requirement;

internal control system requirement;

core financial system requirement according to FSIO standards;

Federal accounting standard;

U.S. Government Standard General Ledger at the Transaction Level;

this is a core financial system, but does not address a FFMIA compliance area;

Not a core financial system; does not need to comply with FFMIA



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Section B: Summary of Funding (Budget Authority for Capital Assets)

1. Table 1: SUMMARY OF FUNDING FOR PROJECT PHASES(REPORTED IN MILLIONS)

(Estimates for BY+1 and beyond are for planning purposes only and do not represent budget decisions)

PY1 and

earlier

PY 2009 CY 2010 BY 2011 BY+1 2012 BY+2 2013 BY+3 2014 BY+4 and

beyond

Total

Planning: * $0.0 $0.0 $0.0 * * * * *

Acquisition: * $19.0 $18.8 $19.0 * * * * *

Subtotal

Planning &

Acquisition:

* $19.0 $18.8 $19.0 * * * * *

Operations

&

Maintenanc

e:

* $0.0 $0.0 $0.0 * * * * *

Disposition

Costs

(optional):

* $0.0 $0.0 $0.0 * * * * *

SUBTOTAL: * $19.0 $18.8 $19.0 * * * * *

Government FTE Costs should not be included in the amounts provided above.

Government

FTE Costs

* $0.3 $0.3 $0.3 * * * * *

Number of

FTE

represented

by Costs:

* $2.0 $2.0 $2.0 * * * * *

TOTAL(incl

uding FTE

costs)

* $21.3 $21.1 $21.3 * * * * *

2. If the summary of funding has changed from the FY 2010 Presidents Budget request, briefly explain

those changes:

*



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Section C: Acquisition/Contract Strategy (All Capital Assets)

1. Table 1: Contracts/Task Orders Table

Contract

or Task

Order

Number

Type of

Contract/

Task

Order (In

accordance with

FAR Part

16)

Has the

contract

been

awarded

(Y/N)

If so

what is

the date

of the

award? Ifnot, what

is the

planned

award

date?

Start

date of

Contract/

Task

Order

End date

of

Contract/

Task

Order

Total

Value of

Contract/

Task

Order (M)

Is this an

Interagen

cy

Acquisiti

on? (Y/N)

Is it

performa

nce

based?

(Y/N)

Competit

ively

awarded

? (Y/N)

What, if

any,

alternativ

e

financingoption is

being

used?

(ESPC,

UESC,

EUL,

N/A)

Is EVM in

the

contract?

(Y/N)

HHSP233

20074101

EC

CPIF:

Cost Plus

Incentive

Fee

Y 2007-09-3

0

2007-09-3

0

2010-09-3

0

$3.6 N Y Y * *

HHSP233

20074102

EC

CPIF:

Cost Plus

IncentiveFee

Y 2007-09-3

0

2007-09-3

0

2010-09-3

0

$3.3 N Y Y * *

HHSP233

20074103

EC

CPIF:

Cost Plus

Incentive

Fee

Y 2007-09-3

0

2007-09-3

0

2010-09-3

0

$3.5 N Y Y * *

HHSP233

20074104

EC

CPIF:

Cost Plus

Incentive

Fee

Y 2007-09-3

0

2007-09-3

0

2010-09-3

0

$3.2 N Y Y * *

HHSP233

20074105

EC

CPIF:

Cost Plus

Incentive

Fee

Y 2007-09-3

0

2007-09-3

0

2010-09-3

0

$3.7 N Y Y * *

HHSP233

20074106

EC

CPIF:

Cost Plus

Incentive

Fee

Y 2007-09-3

0

2007-09-3

0

2010-09-3

0

$1.5 N Y Y * *

HHSP233

20074107

EC

CPIF:

Cost Plus

Incentive

Fee

Y 2007-09-3

0

2007-09-3

0

2010-09-3

0

$2.2 N Y Y * *

HHSP233

20074101

8EC

CPIF:

Cost Plus

Incentive

Fee

Y 2007-09-3

0

2007-09-3

0

2010-09-3

0

$3.6 N Y Y * *

HHSP233

20074109

EC

CPIF:

Cost Plus

Incentive

Fee

Y 2007-09-3

0

2007-09-3

0

2010-09-3

0

$4.0 N Y Y * *

TBD FFP: Firm

Fixed

Price

N 2009-01-0

2

2009-01-0

2

2010-09-3

0

$28.6 N Y Y * *

HHSP233

20064103

EC

FFP: Firm

Fixed

Price

Y 2005-11-1

0

2005-11-1

0

2007-01-3

1

$7.2 N Y Y * *

HHSP233

20064101

EC

FFP: Firm

Fixed

Price

Y 2005-11-1

0

2005-11-1

0

2007-01-3

1

$4.7 N Y Y * *

HHSP233

20064100

EC

FFP: Firm

Fixed

Price

Y 2005-11-1

0

2005-11-1

0

2007-01-3

1

$7.4 N Y Y * *



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Table 1: Contracts/Task Orders Table

Contract

or Task

Order

Number

Type of

Contract/

Task

Order (In

accordan

ce with

FAR Part

16)

Has the

contract

been

awarded

(Y/N)

If so what

is the

date of

the

award? If

not, what

is the

planned

awarddate?

Start date

of

Contract/

Task

Order

End date

of

Contract/

Task

Order

Total

Value of

Contract/

Task

Order (M)

Is this an

Interagen

cy

Acquisiti

on? (Y/N)

Is it

performa

nce

based?

(Y/N)

Competiti

vely

awarded?

(Y/N)

What, if

any,

alternativ

e

financing

option is

being

used?

(ESPC,UESC,

EUL, N/A)

Is EVM in

the

contract?

(Y/N)

HHSP233

20064102

EC

FFP: Firm

Fixed

Price

Y 2005-11-1

0

2005-11-1

0

2007-01-3

1

$3.7 N Y Y * *

2. If earned value is not required or will not be a contract requirement for any of the contracts or task

orders above, explain why:

*

3. Is there an acquisition plan which reflects the requirements of FAR Subpart 7.1 and has been

approved in accordance with agency requirements?*a.If "yes," what is the date?*



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Section D: Performance Information (All Capital Assets)

Table 1: Performance Information Table

Fiscal Year Strategic

Goal(s)

Supported

Measurement

Area

Measurement

Grouping

Measurement

Indicator

Baseline Target Actual Results

2007 Effective

Management ofHuman

Capital/Informati

on

Technology/Res

ources

Processes and

Activities

Innovation and

Improvement

# of approved

deploymentplans (one per

prototype) as

seen through

documented

acceptance by

the NHIN

Project

Manager.

3 4

2007 Effective

Management of

Human

Capital/Informati

on

Technology/Res

ources

Processes and

Activities

Innovation and

Improvement

# of approved

operational

plans for a

NHIN (one per

prototype) as

seen through

documented

acceptance by

the NHIN

Project

Manager.

3 4

2007 Effective

Management of

Human

Capital/Informati

on

Technology/Res

ources

Processes and

Activities

Planning # of approved

revenue and

cost models for

the NHIN

prototypes (one

per prototype)

as seen through

documented

acceptance by

the NHINProject

Manager.

3 4

2007 Effective

Management of

Human

Capital/Informati

on

Technology/Res

ources

Customer

Results

Customer

Impact or

Burden

# of updates of

the strategy,

goals, and

progress of the

NHIN prototype

project by

delivering

regular updates

to the

deliberations of

the AHIC.

2 3 4

2007 S.O. 1.3 -

Improve health

care quality,

safety, cost and

value

Technology User

Requirements

# of public

meetings (NHIN

Forums) with

broad

stakeholder

representation

to share ideas,

provide

information,

establish

awareness, and

gain

stakeholder

buy-in,

acceleratingsecure and

seamless

exchange of

1 2 2



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Goal(s)

Supported

Measurement

Area

Measurement

Grouping

Measurement

Indicator


health

information

across the

nation.

2007 S.O. 1.3 -Improve health

care quality,

safety, cost and

value

Technology DataStandardization

or Tagging

# ofconsensus-base

d sets of

interoperability

standards

supporting three

use-cases

1 2 3

2007 S.O. 1.3 -

Improve health

care quality,

safety, cost and

value

Mission and

Business

Results

Health Care

Delivery

Services

# of Prototype

NHIN

architectures

that meet

specified criteria

of:- Deployed

within & across

3 or more

distinct health

care markets

3 4

2007 S.O. 1.3 -

Improve health

care quality,

safety, cost and

value

Processes and

Activities

Security Increase

nationwide

consensus and

utilization of

common

security and

privacy

standards in

health

information

exchange.

No nationwide

security

standards for

health

information

exchange

Complete first

consensus-base

d definition of

security

requirements for

nationwide

health

information

exchange

Completed

2008 S.O. 1.3 -Improve health

care quality,

safety, cost and

value

CustomerResults

ServiceAvailability

# of NHIN TrialImplementation

that

successfully

demonstrate the

interoperability

of their

networks using

standard

interfaces.

None Six of the nineNHIN Trial

Implementation

s successfully

demonstrate the

implementation

of standard

interfaces in

their HIE.

TBD

2008 S.O. 1.3 -

Improve health

care quality,

safety, cost and

value

Processes and

Activities

Compliance % HIEs

executing data

use and

reciprocal

support

agreements

None 80% fully

executed

agreements in

place.

TBD

2008 S.O. 1.3 -

Improve health

care quality,

safety, cost and

value

Technology Data

Standardization

or Tagging

Harmonize a

third set of

standards for

priorities

identified by

AHIC.

Three

Interoperability

Specifications

Accepted

At least four

additional

Interoperability

Specifications

are accepted.

TBD

2008 S.O. 1.3 -

Improve health

care quality,

safety, cost and

value

Processes and

Activities

Security The NHIN Trial

Implementation

s provide

secure data

delivery to

EHRs, PHRs,

other systemsand networks.

None



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Goal(s)

Supported

Measurement

Area

Measurement

Grouping

Measurement

Indicator


Part II: Planning, Acquisition And Performance Information

Section A: Cost and Schedule Performance (All Capital Assets)

1. Comparison of Actual Work Completed and Actual Costs to Current Approved Baseline

Description

of Milestones

Planned Cost

($M)

Actual Cost

($M)

Planned Start

Date

Actual Start

Date

Planned

Completion

Date

Actual

Completion

Date

Planned

Percent

Complete

Actual

Percent

Complete

Formally

establish ONC

$0.3 $0.3 2005-05-01 2005-05-01 2005-08-31 2005-08-31 100.00% 100.00%

Finalize

contracts and

obtain

updated

project plans

and contractcosts from

contractors

$2.4 $3.6 2005-11-04 2005-06-06 2005-11-28 2005-11-28 100.00% 100.00%

Three

recommended

use cases

$1.6 $0.4 2005-11-04 2005-11-28 2005-12-15 2006-02-06 100.00% 100.00%

Detailed

technical

designs,

architectures,

required data,

information,

other

technical

data, and

security

policies for

prototype

NHINs

$4.0 $4.7 2005-11-04 2005-11-28 2006-02-06 2006-02-06 100.00% 100.00%

A

recommended

set of required

data,

information,

and other

technical

standards

$5.1 $1.2 2005-11-04 2006-02-06 2006-02-06 2006-07-06 100.00% 100.00%

Development,testing, and

evaluation of

a functional

prototpe

$7.7 $9.9 2005-11-04 2006-04-01 2006-11-06 2007-01-12 100.00% 100.00%

Live

Demonstratio

n of NHIN

Prototype

$0.7 $1.1 2005-11-04 2006-05-06 2006-11-06 2007-01-16 100.00% 100.00%

Final

Deployment

Plan

$0.6 $0.4 2005-11-04 2006-05-27 2006-11-06 2006-12-31 100.00% 100.00%

Final

OperationalPlan

$0.7 $0.4 2005-11-04 2006-06-03 2006-11-06 2006-12-31 100.00% 100.00%

Integrate

initial HITSP

$2.5 $3.1 2007-05-31 2008-01-15 0029-02-28 2008-09-30 100.00% 100.00%



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Description

of Milestones

Planned Cost

($M)

Actual Cost

($M)

Planned Start

Date

Actual Start

Date

Planned

Completion

Date

Actual

Completion

Date

Planned

Percent

Complete

Actual

Percent

Complete

Interoperabilty

NHIN Trial

Implementatio

ns

$13.5 $13.9 2007-11-30 2008-01-15 2008-05-30 2009-02-28 100.00% 100.00%

Data

exchange

between

health

information

network

service

providers will

move from

prototyping to

detailed

operations

testing

$3.3 $3.3 2009-10-01 2008-10-01 2010-09-30 2009-02-28 100.00% 100.00%

Integrate 2nd

round of

HITSP

Interoperabilty

Specifications

(Emergency

Responder

EHR and

others) into

trial

implementatio

ns

$4.5 $5.2 2008-03-03 2008-06-15 2009-02-06 2009-02-28 100.00% 100.00%

Draft

Deployment

Plan

$0.6 $0.4 2005-11-04 2006-02-06 2006-07-06 2006-08-14 0.00% 100.00%

Draft

operational

plan

$0.4 $0.4 2005-11-04 2006-02-06 2006-07-06 2006-08-14 0.00% 100.00%

Revenue and

Cost Models

$0.8 $0.9 2005-11-04 2006-03-04 2006-08-06 2006-12-03 0.00% 100.00%

Development,

testing, and

evaluation of

a functional

prototpe

$7.7 $9.9 2005-11-04 2006-04-01 2006-11-06 2007-01-12 0.00% 100.00%

Live

Demonstratio

n of NHIN

Prototype

$0.7 $1.1 2005-11-04 2006-05-06 2006-11-06 2007-01-16 0.00% 100.00%

Final

Deployment

Plan

$0.6 $0.4 2005-11-04 2006-05-27 2006-11-06 2006-12-31 0.00% 100.00%

Final

Operational

Plan

$0.7 $0.4 2005-11-04 2006-06-03 2006-11-06 2006-12-31 0.00% 100.00%

Framework for

connecting

private sectornetwork

systems

$7.5 $7.2 2007-10-01 2008-01-15 2008-09-30 2008-09-30 0.00% 100.00%



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Description

of Milestones

Planned Cost

($M)

Actual Cost

($M)

Planned Start

Date

Actual Start

Date

Planned

Completion

Date

Actual

Completion

Date

Planned

Percent

Complete

Actual

Percent

Complete

Integrate 2nd

round of

HITSP

$5.4 $5.2 2008-03-03 2008-06-15 2009-02-06 2009-02-28 0.00% 100.00%

Instantiate

DURSA and

Operating

Policies &

Procedures

and NHIN

Interim

Governance.

Coordinate

with

Standards

and Policy

Committees.

$8.8 $2.6 2009-04-01 2009-04-01 2010-04-01 28.00% 30.00%

Deploy the

Operational

NHIN

Infrastructure

$4.1 $2.6 2009-04-01 2009-04-01 2010-04-01 64.00% 65.00%

Release

Package 1 of

NHIN Service

Specifications

which

baselines the

CORE

Services

$4.7 $3.8 2009-04-01 2009-04-01 2010-04-01 78.00% 80.00%

NHINOutreach,

Adoption and

Conferences

FY2010

$2.2 $0.3 2009-04-01 2009-04-01 2010-04-01 15.00% 16.00%

Obtain

stakeholder

input and

Develop

NPRM

$0.2 $0.0 2009-10-01 2009-10-01 2010-12-31 15.00% 16.00%

Develop and

Publish Draft

Rule for NHIN

Governance

* * 2010-01-01 2011-06-01 0.00% 0.00%

Release

Package 2 of

NHIN Service

Specifications

* * 2010-04-01 2010-10-01 0.00% 0.00%

Update

DURSA and

Operating

Policies &

Procedures,

and NHIN

Interim

Governance

based on

feedback from

operations.

Coordinate

with

Standards

* * 2010-04-01 2011-04-01 0.00% 0.00%



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Description

of Milestones

Planned Cost

($M)

Actual Cost

($M)

Planned Start

Date

Actual Start

Date

Planned

Completion

Date

Actual

Completion

Date

Planned

Percent

Complete

Actual

Percent

Complete

and Policy

Committees.

Maintain and

update

OperationalNHIN

Infrastructure

* * 2010-04-01 2011-04-01 0.00% 0.00%

Release

Package 3 of

NHIN Service

Specifications

* * 2010-10-02 2011-04-01 0.00% 0.00%

NHIN

Outreach,

Adoption and

Conferences

FY2011

* * 2010-04-01 2011-04-01 0.00% 0.00%

Develop and

Publish FinalRule for NHIN

Governance

* * 2011-06-02 2011-11-01 0.00% 0.00%

Release

Package 4 of

NHIN Service

Specifications

* * 2011-04-02 2011-10-01 0.00% 0.00%

Coordinate

updates and

the maturation

of the NHIN

policies and

operating

procedures.

* * 2011-04-01 2012-01-03 0.00% 0.00%

Maintain and

update

Operational

NHIN

Infrastructure

* * 2011-04-01 2012-04-01 0.00% 0.00%

Release

Package 5 of

NHIN Service

Specifications

* * 2011-10-02 2012-04-01 0.00% 0.00%

NHIN

Outreach,

Adoption and

Conferences

FY2012

* * 2011-04-01 2012-04-01 0.00% 0.00%

Transition

NHIN

Governance

* * 2011-06-01 2012-11-01 0.00% 0.00%

Release

Package 6 of

NHIN Service

Specifications

* * 2012-04-02 2012-10-01 0.00% 0.00%

Coordinate

updates and

the maturation

of the NHIN

policies and

operatingprocedures.

* * 2012-04-01 2013-01-03 0.00% 0.00%

Maintain and

update

* * 2012-04-01 2013-04-01 0.00% 0.00%



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Description

of Milestones

Planned Cost

($M)

Actual Cost

($M)

Planned Start

Date

Actual Start

Date

Planned

Completion

Date

Actual

Completion

Date

Planned

Percent

Complete

Actual

Percent

Complete

Operational

NHIN

Infrastructure

Release

Package 7 ofNHIN Service

Specifications

* * 2012-10-02 2013-04-01 0.00% 0.00%

NHIN

Outreach,

Adoption and

Conferences

FY2013

* * 2012-04-01 2013-04-01 0.00% 0.00%

Transition

NHIN

Governance

* * 2012-04-01 2013-04-01 0.00% 0.00%

Release

Package 8 of

NHIN ServiceSpecifications

* * 2013-04-02 2013-10-01 0.00% 0.00%

Coordinate

updates and

the maturation

of the NHIN

policies and

operating

procedures.

* * 2013-04-01 2014-01-03 0.00% 0.00%

Maintain and

update

Operational

NHIN

Infrastructure

* * 2013-04-01 2014-04-01 0.00% 0.00%

Release

Package 9 of

NHIN Service

Specifications

* * 2013-10-02 2014-04-01 0.00% 0.00%

NHIN

Outreach,

Adoption and

Conferences

FY2014

* * 2013-04-01 2014-04-01 0.00% 0.00%

Transition

NHIN

Governance

* * 2013-04-01 2014-04-01 0.00% 0.00%

Release

Package 10 of

NHIN Service

Specifications

* * 2014-04-02 2014-10-01 0.00% 0.00%

* - Indicates data is redacted.

Documents

Exhibit 300 Capital Asset Plan FY11