235869 Building the Information Exchange Superhighway - How ONC Interoperability Initiatives Lay the Foundation

Monday, October 31, 2011: 11:30 AM

Erik Pupo, MBA, CPHIMS , Health Solutions, Vangent, Alexandria, VA
In order to achieve the robust health information exchange needed for critical public health needs like chronic disease prevention and management, health information exchange initiatives are needed that guide the design and development of a fully integrated and connected health information system to enhance efficiency, quality and effectiveness of the delivery of healthcare. The focus of current ONC interoperability initiatives is on delivering guidance to the health information technology community that can achieve lasting results in healthcare delivery improvements, through the development of content and technical specifications, the development of reusable tools and services, and the effort to unite stakeholders on common healthcare challenges.

This presentation will focus on the three main health information exchange platforms that have been developed and evolved by ONC (Direct, CONNECT, and Exchange). Outlining the coordination of these three initiatives and how they help meet public health information exchange requirements is critical to helping advance the role of standardized interoperability in enabling nationwide health information exchange, specifically surrounding public health information.

Using the concept of a “highway”, initial basic health information exchange requirements are met by the Direct Project and its set of specifications. As an organizations information exchange needs expand, CONNECT would serve as a platform for enabling health information exchange at the state and commercial level, by and between individuals and/or organizations. Finally, Exchange would develop enterprise-ready, scalable specifications that allow for individuals and organizations to fully participate on the Nationwide Health Information Network and share information at a national level.

Support for the different levels of exchange outlined in the three ONC health information exchange initiatives is a bedrock principle for achieving robust public health outcomes.

Learning Areas:
Chronic disease management and prevention
Communication and informatics
Program planning
Public health administration or related administration
Public health or related laws, regulations, standards, or guidelines
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
Describe key ONC interoperability initiatives and their coordination. Evaluate various approaches by which public health professionals can utilize ONC interoperability initiatives. Identify the significant benefits of ONC interoperability initiatives to the public health community.

Keywords: Health Information Systems, Health Management Information Systems

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have 12 years of experience in healthcare, including senior positions in federal, state, and commercial healthcare initiatives. I currently serve as program manager for the Office of the National Coordinator’s (ONC) Federal Health Architecture (FHA) program, as well as a Strategic Advisor to ONC on issues associated with privacy and security, and healthcare standards. My work at ONC includes providing subject matter expertise on multiple areas of health IT, such as policy briefings for ONC leadership, architecting and analyzing healthcare information exchange opportunities for federal agencies, and preparing policy and research briefs on health IT security and interoperability issues. I provide leadership in defining the architecture for the Nationwide Health Information Network and its associated interoperability initiatives
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.