THE OFFICE OF THE NATIONAL COORDINATOR’S …€™S ROAD MAP TO INTEROPERABILITY AND THE LEARNING ... An ecosystem where all stakeholders ... Supportive Payment and Regulatory

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

LONGITUDINALABILITY TO SHARE INFORMATION

BETWEEN DIFFERENT PROVIDERS

2004 Executive

Order 13335

2008 2005‐2008 IT Strategic Plan

& HIT organizations

formed

2009HITECH ACT 2010 Blue

Button

2011 Meaningful Use Stage 1

2012CDA created

2014Meaningful Use Stage 2

The Beginning of the Road

2015 Federal

2020

2015 Federal IT Strategic Plan 2015‐

2020

Vision and Mission

Source: A Shared Nationwide Interoperability Roadmap Final Version 1.0

Learning Health SystemThe 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 SystemAn 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 carePeople 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

WHY A LHSIOM 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


Drivers Supportive Payment and Regulatory Environment


Policy/Technical ComponentsShared Decision‐Making, Rules of

Engagement and Accountability


Policy/Technical ComponentsUbiquitous, Secure Network

Infrastructure


Policy/Technical ComponentsVerifiable Identity and Authentication of

all Participants


Policy/Technical ComponentsConsistent Representation of

Authorization to Access Electronic Health Information


Policy/Technical ComponentsConsistent Understanding and

Technical Representation of Permission to Collect, Share and Use Identifiable Electronic Health Information


Policy/Technical ComponentsAn Industry‐Wide Testing and

Certification Infrastructure


Standards Categories


Policy/Technical Components

Consistent Data Semantics



Consistent Data Formats



Secure, Standard Services


Policy /Technical ComponentsConsistent, Secure Transport Techniques


Policy /Technical Components

Accurate Individual Data Matching


Policy /Technical ComponentsHealth Care Directories and Resource

Location


OutcomesIndividuals Have Access to

Longitudinal Electronic Health Information, Can Contribute to that Information, and Can Direct It to Any Electronic Location


OutcomesProvider Workflows and Practices

Include Consistent Sharing and Use of Patient Information from All Available and Relevant Sources


OutcomesTracking Progress and Measuring

Success


The Journey Continues

2015‐2017Send, receive, find, and use priority data domains to improve health care quality and outcomes

2018 2020 Expand 2018‐2020 Expand data sources and

users in the interoperable health

IT ecosystem to improve health and

lower costs.

time data access

2021‐2024Achieve 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


Source: ONC Website

The picture can't be displayed.


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

Questions

Documents

THE OFFICE OF THE NATIONAL COORDINATOR’S …€™S ROAD MAP TO INTEROPERABILITY AND THE LEARNING ... An ecosystem where all stakeholders ... Supportive Payment and Regulatory