Our Mission: Offering Interoperable Secure Communications Solutions for Better Coordinated Care
Presentation to:
May 2015
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Leaders in Directed Exchange
is an ENHAC accredited Health Information Service Provider (“HISP”), Registration
Authority (“RA”) and Certificate Authority (“CA”) and provides a suite of HIPAA-
compliant “Directed Exchange” communication solutions for users across the care continuum.
Secure Communication Solutions for Practices, Ancillary Healthcare Providers,
Healthcare Organizations, Hospital Systems & HIT Application Service Providers
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Technical and Policy Credentials
HIPAA, HITECH & Direct Project Expertise and Industry Leadership
Voting Member of DirectTrust Policy Board
Co-Chair Direct Directory Policy Workgroup
Co-Chair DirecText Work Group.
Voting Member DirectTrust Anchor Trust Bundle Approval Committee
Voting Member DTAAP Steering Committee
Member Security and Trust Compliance Work Group
Member Certificate Policy and Practices Work Group
Member DirectTrust esMD Workgroup
Member Trust Anchor Bundle Operations Workgroup
Member of the Reference Implementation Work Group
Member Patient and Consumer Participation Workgroup
Member of Direct Project Implementation Geographies Workgroup
www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036
A deeper dive into Direct
• Before Direct users can exchange messages and attachments, they must interact with three entities that serve as “trusted agents,” each of which has separate roles and responsibilities. o A Health Information Service Provider, HISP, handles the encryption
and identity validation on behalf of the Direct addressee, assigns accounts and addresses, and arranges for the addressees to be issued an X.509 digital certificate;
o A Certificate Authority, CA, issues the X.509 digital certificate to the addressee, along with the public key, relying on the information supplied to it by the;
o A Registration Authority, RA, which verifies and proofs the identity of the addressee applying for an X.509 digital certificate.
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www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036
Accreditation & Audit
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DirectTrust is accrediting HISPs, CAs, and RAs In partnership with EHNAC. Look for the EHNAC-DirectTrust seal of accreditation for assurances of best practices for privacy, security, and trust-in-identity. Accreditation status of HISPs, CAs, RAs is always available at www.DirectTrust.org
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Fully Accredited HISPs/CAs/RAs
Count of Organization Name Programs
Stage - Organization 1 - DTAAP-HISP 2 - DTAAP-CA 3 - DTAAP-RA Count Expiration Date Trust Bundle
Accreditation
Cerner Corporation 1 1 4/29/2015 ATAB
Informatics Corporation of America 1 1 1 5/8/2015 ATAB
Inpriva, Inc. 1 1 1 7/11/2015 ATAB
MedAllies 1 1 1 12/12/2015 ATAB
DataMotion Inc. 1 1 1/7/2016 ATAB
DataMotion Inc. (DTAAP-HISP) 1 1/7/2016 ATAB
IOD Incorporated 1 1 1 2/3/2016 ATAB
MRO Corporation 1 2/3/2016 ATAB
EMR Direct 1 1 1 2/11/2016 ATAB
Covisint 1 2/14/2016 ATAB
Secure Exchange Solutions, Inc. 1 1 1 5/30/2016 ATAB
Updox, LLC 1 1 1 6/19/2016 ATAB
Truven Health Analytics 1 1 1 7/25/2016 ATAB
Mirth LLC, a QSI company 1 8/6/2016 ATAB
RelayHealth Clinical 1 8/20/2016 ATAB
Health Companion, Inc. 1 1 1 9/3/2016 ATAB
Medicity 1 9/17/2016 ATAB
Healthcare Information Xchange of New York, Inc. 1 9/26/2016 ATAB
Optum 1 10/1/2016 ATAB
Axesson 1 10/3/2016 ATAB
Rochester RHIO 1 10/3/2016 ATAB
athenahealth, Inc. 1 1 1 10/24/2016 ATAB
Orion Health 1 1/13/2017 ATAB
Nitor Group 1 2/24/2017 ATAB
Cozeva - Applied Research Works, Inc. 1 2/26/2017 ATAB
iShare Medical LLC 1 2/26/2017 ATAB
Cerner Corporation (DTAAP-HISP) 1 4/29/2017 ATAB
Max.MD 1 1 1 5/8/2017 ATAB
Michiana Health Information Network 1 8/8/2017 ATAB
CareAccord 1 1 1 10/24/2015 ATAB
HealthUnity Corporation 1 2/25/2017 ATAB
Surescripts 1 1 1 3/7/2017 ATAB
eClinicalDirect, LLC 1 4/7/2017 ATAB
DigiCert, Inc. 1 1 9/13/2015
Pulse Systems, Inc. 1 4/17/2016
New York eHealth Collaborative 1 5/15/2016
Utah Health Information Network 1 1 7/19/2016
Integrated Care Collaboration 1 8/13/2016
Simplicity Health Systems 1 12/19/2016
Quest Diagnostics 1 12/29/2016
Accreditation Total 37 16 17 38
www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036
DirectTrust Approach
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Security & Trust Framework
EHNAC-DirectTrust Accreditation Program
Trusted Anchor Bundle Distribution
The goal is to provide scalable and sustainable Trust Relationships and promote Interoperability .
www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036
DirectTrust Members 149 and Counting…..
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Lucy Johns, MPH
www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036
Organizations served by DirectTrust Member HISPs
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667 1,460 3,336
5,627
28,148
35,657
39,751
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5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
Organizations served by HISPs
Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q3 2014 Q4 2014 Q1 2015
www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036
Number of Direct Addresses
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8,724 45,300
73,922
182,279
428,105
663,321
752,496
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100,000
200,000
300,000
400,000
500,000
600,000
700,000
800,000
Number of Direct Addresses
Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q3 2014 Q4 2014 Q1 2015
www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036
Patients/Consumers with Direct Addresses
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938
24,967
56,008 54,939
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10,000
20,000
30,000
40,000
50,000
60,000
Patients/Consumers with Direct Addresses
Q1 2014 Q3 2014 Q4 2014 Q1 2015
www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036
Direct Exchange Growth
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122,842 2,195,433 2,567,110
3,938,346
7,746,375
22,959,139
27,316,438
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5,000,000
10,000,000
15,000,000
20,000,000
25,000,000
30,000,000
Direct Exchange Growth
Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q3 2014 Q4 2014 Q1 2015
www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036
How it works: Direct exchange leverages SMTP and has a trust layer added in
encryption
identity validation
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www.DirectTrust.org 1101 Connecticut Ave NW, Washington, DC 20036
Direct exchange capability is going to be ubiquitous
• Direct exchange is not the only way that providers can meet the health information exchange requirements of Stage 2 MU.
• However, since all certified EHR technology must enable use of Direct exchange, Direct is the easiest solution to deploy.
• There are scalable benefits of using Direct exchange
beyond Stage 2 MU, e.g. for secure exchanges of information with payers; with Medicare, Medicaid, and the VA; within the context of an ACO using multiple EHRs; for patient engagement generally.
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