Mariann Yeager, NHIN Policy and Governance Lead (Contractor)Office of the National Coordinator for Health IT

David Riley, CONNECT Lead (Contractor)Federal Health Architecture, Office of the National Coordinator for Health IT

NHIN and CONNECT at a Glance

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MONDAY, 1:00PM – 1:20PM

TUESDAY, 11:30AM – 11:50AM

WEDNESDAY, 12:30PM – 12:50PM

What is the NHIN?

A set of policies, standards and services that enable the Internet to be used for secure and meaningful exchange of health information to improve health and health care.• Broad range of exchange needs – including simple, local applications and more robust exchange• To date, development has focused on supporting more robust exchange• For nationwide exchange, common elements needed across the spectrum• No matter the level of exchange, a trust fabric is essential

HIMSS 2010 2

Exchanging Patient Data: Providers and Patients

Vocabulary/ Document/ Message Standards

Vocabulary/ Document/ Message Standards DirectoriesDirectories

Authentication / Certificates

Authentication / Certificates Delivery ProtocolsDelivery Protocols

SecuritySecurity

TrustTrust

HIMSS 2010 3

Benefits of The NHIN

» Federal Agencies and Health Care Organizations

» Providers

» Patients

» State Health Information Exchanges

HIMSS 2010 4

Where We Are Now

» This vision for the NHIN has been officially endorsed bythe HIT policy committee (HITPC)

» ONC is developing a strategy to help catalyze this vision

• Create a light-weight “on-ramp” for providers and consumers to enable information exchange and meaningful use

• Gathering input on how to achieve this vision

• Focusing on real needs and real value• Ongoing support for limited production exchange• Initiating pilot to explore simple exchange• Governance rulemaking

HIMSS 2010 5

Production NHIN Exchange PartnersNHIN Limited Production Exchange» A group of trusted entities with a shared governance structure and mission, based upon

validated implementation of NHIN specifications and using a common trust framework, including technical, contractual and operational measures.

» Entities currently exchanging data in production:

• SSA• MedVirginia• VA• Kaiser Permanente• DoD

» Others engaging in the future through federally-sponsored programs

• 15 SSA contracts • State HIE Grants• CDC and states• Beacon Communities• Other federal programs

HIMSS 2010 6

NHIN Direct Project

» Set of standards, services, and policies that enable simple, secure exchange of health information between authorized care providers

» Expands set of participants and providers for nationwide exchange, while complementing and interoperating with NHIN Limited Production Exchange to support core Meaningful Use use cases:

• Doctor to Specialist• Lab to Doctor• Doctor to Patient

HIMSS 2010 7

What is CONNECT?

» CONNECT is an open source implementation of the NHIN Service Interface Specifications for securely exchanging interoperable health information• Platform for Participation• Platform for Innovation

» CONNECT is composed of:• Gateway• Enterprise Service Platform

• Enterprise Service components• Adapters for connecting edge systems

• Universal Client Framework

HIMSS 2010 8

Benefits of CONNECT

• Lower the activation threshold for adoption of NHIN standards and technologies

• CONNECT to a vibrant community of organizations intent on increasing effectiveness, improving quality, and reducing the cost of health care

• Communicate with those charged with setting the National Agenda for health information technology

• Collaborate with others who are transforming the delivery of health services using information technology

HIMSS 2010 9

Nationwide Health Information Network

Improving healthcare quality and efficiency by supporting secure information exchange

Email : nhin@hhs.gov

Web: www.hhs.gov/healthit

HIMSS 2010 10

Let’s CONNECT, Communicate,

and Collaborate!

Email: CONNECT@hhs.gov

Web: www.connectopensourge.org

CONNECT

Thank You

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The participation of any company or organization in the NHIN and CONNECT area within the HIMSS Interoperability showcase

does not represent an endorsement by the Office of the National Coordinator for Health Information Technology, the Federal

Health Architecture or the Department of Health and Human Services.