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