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THE OFFICE OF THE NATIONAL COORDINATOR’S ROAD MAP TO INTEROPERABILITY AND THE LEARNING HEALTH SYSTEM

ONC WEBSITE

CONSUMER KNOWLEDGE

INTEROPERABLITY ABILITY TO SHARE HEALTH INFORMATION AMONG DIFFERENT COMPUTER SYSTEMS

LONGITUDINAL ABILITY TO SHARE INFORMATION BETWEEN DIFFERENT PROVIDERS

2015 Federal 2015 Federal IT Strategic 2014 Plan 2015‐ Meaningful 2020 2020 Use Stage 2 The Beginning 2012 of the Road CDA created 2011 Meaningful Use Stage 1 2009 2010 Blue HITECH ACT Button 2004 2005‐2008 2008 Executive IT Strategic Plan Order 13335 & HIT organizations formed

Vision and Mission Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Learning Health System The Institute of Medicine (IOM) defines a learning health system as “one in which progress in science, informatics, and care culture align to generate new knowledge as an ongoing, natural by‐product of the care experience, and seamlessly refine and deliver best practices for continuous improvement in health and health care.”

Learning Health System An ecosystem where all stakeholders can securely, effectively and efficiently contribute, share and analyze data.

LHS Stakeholders People receiving care or supporting the care of others Organizations that pay for care People and Organizations that – deliver care and services – support the public good – Generate new knowledge, whether research or quality improvement – Provide health IT capabilities – Govern, certify and/or have oversight – Develop and maintain standards Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

WHY A LHS IOM statistic ‐ it currently takes 17 years for “a new validated item of biomedical knowledge with implications for health care to find its way into routine use in health care.” A learning health system could take that 17 years and bring it down to 17 months, 17 weeks or even 17 hours.

LHS in USA Source: Charles Friedman, PhD

Health IT Ecosystem ONC: Connecting Health Care for the Nation: A 10 Year Vision to Achieve an Interoperable Health IT Infrastructure

Roadmap Organization Three Main Sections Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Drivers Supportive Payment and Regulatory Environment Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Policy/Technical Components Shared Decision‐Making, Rules of Engagement and Accountability Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Policy/Technical Components Ubiquitous, Secure Network Infrastructure Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Policy/Technical Components Verifiable Identity and Authentication of all Participants Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Policy/Technical Components Consistent Representation of Authorization to Access Electronic Health Information Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Policy/Technical Components Consistent Understanding and Technical Representation of Permission to Collect, Share and Use Identifiable Electronic Health Information Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Policy/Technical Components An Industry‐Wide Testing and Certification Infrastructure Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Standards Categories Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Policy/Technical Components Consistent Data Semantics Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Policy/Technical Components Consistent Data Formats Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Policy/Technical Components Secure, Standard Services Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Policy /Technical Components Consistent, Secure Transport Techniques Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Policy /Technical Components Accurate Individual Data Matching Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Policy /Technical Components Health Care Directories and Resource Location Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Outcomes Individuals Have Access to Longitudinal Electronic Health Information, Can Contribute to that Information, and Can Direct It to Any Electronic Location Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Outcomes Provider Workflows and Practices Include Consistent Sharing and Use of Patient Information from All Available and Relevant Sources Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Outcomes Tracking Progress and Measuring Success Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

The Journey Continues 2021‐2024 Achieve nationwide interoperability to enable a learning health system, with the person at the center of a system that can continuously improve care, public health, and science through real time data access time data access 2018 2020 Expand 2018‐2020 Expand data sources and users in the interoperable health IT ecosystem to improve health and lower costs. 2015‐2017 Send, receive, find, and use priority data domains to improve health care quality Source: A Shared Nationwide and outcomes Interoperability Roadmap Final Version 1.0

The picture can't be displayed. Source: ONC Website

Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Resources • The “Learning Health System” as the Consummate Informatics Challenge, Charles Friedman, PhD, University of Michigan, May 14, 2013 • www.learninghealth.org • The Office of the National Coordinator for Health Information Technology Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap; Final Version 1.0 • The Office of the National Coordinator for Health Information Technology Connecting Health and Care for the Nation: A 10‐year Vision to Achieve an Interoperable Health IT Infrastructure

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