An Ohio Response to NHIN

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An Ohio Response to NHIN

• The Nationwide Health Information Network
• Richard Moore
• Dennis Swartzlander

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Key Organizations

• ONCHIT - Office of the National Coordinator for
  Health Information Technology
• RHIO Regional Health Information Organization
• NHIN Nationwide Health Information Network
• AHIC American Health Information Community
• AHRQ Agency for Healthcare Research and Quality
• CCBH Connecting Communities for Better Health
• eHI Foundation for eHealth Initiative

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Connecting to the NHIN
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Road to the NHIN
Start

• 4/04 ONCHIT
• 7/04 EMR, NHIN
• 11/04 RFI NHIN
• 1/05 RFI Review
• 6/05 RFP Announced
• 7/19/05 RFP Due
• 10/1/05 Awards
• 12/05 Standards
• 12/05 Designs
• 6/05 1st Demo
• 9/06 2nd Demo

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ONCHIT Contracts

• EHR Compliance Certification
• Standards Harmonization
• Security and Privacy
• Prototype of the NHIN

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Compliance Certification

• One Contractor to Perform Compliance
  Certification
• Evaluate EHR functionality
• Ambulatory
• Inpatient
• Decision support
• Performance reporting
• Interoperability
• Security
• Reliability

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Standards Harmonization

• Not-for-profit, private sector /or
  multi-stakeholder group
• Develop and evaluate a process to harmonize
  standards
• Support widespread interoperability among
  healthcare software applications, particularly
  electronic health record systems.

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Security and Privacy

• One Contractor to develop and execute a plan to
  assess and analyze the impact of business
  policies and state laws on security and privacy
  practices
• Develop solutions in up to 40 states or
  territories.

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NHIN Prototype

• Multiple (6) contractors to develop, create
  prototypes to evaluate a nationwide health
  information network (NHIN) architecture.
• Test network functions, security protections and
  monitoring, and demonstrate feasibility of
  scalable models.
• Development designs and architectures that
  specify the construction, models of operation,
  enhancement and maintenance, and live
  demonstrations of the Internet-based NHIN
  prototype.
• The contractors must demonstrate interoperable
  health information exchange in real-world health
  care environments maximizing the use of existing
  infrastructure.

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Current Demonstration Projects via CCBH

• Colorado Health Information Exchange (COHIE)-
  Denver, CO
• Indiana Health Information Exchange (Central
  Indiana Healthcare Collaboration) -
  Indianapolis, IN
• MA-SHARE MedsInfo e-Prescribing Initiative
  Waltham, MA
• MD/DC Collaborative for Healthcare Information
  Technology - Baltimore-Washington Metropolitan
  Area
• Santa Barbara County Care Data Exchange Santa
  Barbara, CA
• Taconic Health Information Network and Community
  - Fishkill, NY
• Tri-Cities TN-VA Care Data Exchange - Kingsport,
  TN
• Whatcom County e-Prescribing Project -
  Bellingham, WA
• Wisconsin Health Information Exchange -
  Milwaukee, WI

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More Demonstrations

• UHIN - Utah Health Information Network
• ARIC - Ohio University Appalachian Regional
  Informatics Consortium
• HealthBridge Cincinnati, OH
• KeHN Kentucky e-Health Network
• PHIN CDC Public Health Information Network
• Vista Veterans Administration
  

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UHIN Connecting since 2002
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An Ohio Response to RFP
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An Ohio Response to RFP

• HTP Healthcare Transaction Processors, Inc.
• OSUMC The Ohio State University Medical Center,
  Hospital James Cancer Center
• OSUCCC The Ohio State University Comprehensive
  Cancer Center
• OSU Physicians, Inc
• Case Western Reserve University
• Ireland Cancer Center
• MGO The Medical Group of Ohio
• ODH Ohio Department of Health
• OHA Ohio Hospital Association
• OSC Ohio Supercomputer Center
• Ohio Board of Regents
• Third Frontier Network

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Proposed Solutions

• Cancer patient aggregate data.
• Cancer referral from Physician to Tertiary
  Hospital transfer data.
• Transfer patient back to physician transfer
  data.
• Report cancer diagnosis to ODH
• Collect data for Associations IPA OHA.

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Further extensions

• Referral of Cancer Case Study patients from one
  market area to another.
• Coordination of Care between competing physician
  groups.
• Movement of data over TFN
• Last mile communication solutions

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Resources

• ONCHIT http//www.hhs.gov/healthit
• eHI http//ccbh.ehealthinitiative.org
• HTP http//www.htp-inc.com

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Q A

• Richard Moore
• DME Consulting Services
• rkmoore_at_dmeconsulting.com
• Dennis Swartzlander
• HTP, Inc.
• swartz_at_htp-inc.com