PDMP & Health IT Integration Initiative

Transcription

1 PDMP & Health IT Integration Initiative Standards and Interoperability Framework Johnathan Coleman, CISSP Initiative Coordinator, PDMP/HITI Office of Standards and Technology (OST)/Office of the Chief Privacy Officer (OCPO) Office of the National Coordinator for Health Information Technology (ONC) Contractor: Security Risk Solutions, Inc. 23 September 2014

2 Standards & Interoperability (S&I) Framework: The S&I Framework: Creates a collaborative, coordinated, incremental standards process. Is guided by the ONC (with input from Federal Advisory Committees). Is enabled and led by an open community of industry participants who are interested in solving real-world problems. Each S&I Initiative focuses on a narrowly-defined, broadly applicable challenge, tackled through a rigorous development cycle, and provides input to Federal Advisory Committees for consideration. 2

3 S&I Initiative Portfolio Snapshot: Active Initiatives Community-Led* or Other Agency- Led Inactive or Closed Initiatives Pre-Discovery Use Case Harmonization RI, Test & Pilot Evaluation Data Access Framework Data Provenance Clinical Quality Framework Structured Data Capture PDMP & HIT Integration EU/US ehealth Cooperation Blue Button Plus Public Health Lab Results Interface Laboratory Orders Interface Electronic Submission of Medical Documentation Longitudinal Coordination of Care Direct Project (S&I Archetype) Data Segmentation for Privacy Transitions of Care Query Health Health edecisions In production * Community led initiatives leverage the S&I framework platform with minimal or no ONC funded contractor support. 3

4 S&I Framework Phases 4 Phase Planned Activities Pre-Discovery Development of Initiative Synopsis Development of Initiative Charter Definition of Goals & Initiative Outcomes Discovery Creation/Validation of Use Cases, User Stories & Functional Requirements Identification of interoperability gaps, barriers, obstacles and costs Review of Candidate Standards Implementation Creation of aligned specification Documentation of relevant specifications and reference implementations such as guides, design documents, etc. Development of testing tools and reference implementation tools Pilot Validation of aligned specifications, testing tools, and reference implementation tools Revision of documentation and tools Evaluation Measurement of initiative success against goals and outcomes Identification of best practices and lessons learned from pilots for wider scale deployment Identification of hard and soft policy tools that could be considered for wider scale deployments

5 PDMP & HIT Integration Initiative Purpose: Help standardize approaches to enable integration of controlled substance history information from PDMPs into health IT systems (e.g. EHRs, pharmacy systems) Improve timely and convenient access to PDMP data by health care providers Approach: Using the S&I Framework, the initiative will help enable integration of PDMP data into the normal clinical workflow by: Bringing together the PDMP and health IT communities to evaluate existing standards and methods Mitigating gaps in standards for facilitating information flow from PDMPs to health care providers Developing an implementation guide to facilitate piloting/testing of harmonized standards 5

6 PDMP & HIT Integration Initiative Target Outcomes: Create momentum towards building Health IT systems with more integrated PDMP data. Increase adoption of integrated PDMP data within Health IT systems to enable healthcare providers make more informed clinical decisions and reduce prescription drug misuse/overdose in the USA. Establish standardized data and message content structure for the exchange of patient controlled substance history information from PDMPs to EHRs/Pharmacy IT systems. Leverage established state-to-state PDMP data exchange infrastructure (i.e. PDMP Hubs) to facilitate interoperability and extend data to Health IT systems. Allow flexibility in workflow transactions and state policy governing PDMP datasharing by promoting translations between PMIX and three other applicable standards ASAP Web Services, NCPDP SCRIPT, HL7 V2. 6

7 PDMP & HITI Scope 7

8 PDMP & HIT Integration Initiative Summary Sponsoring Agencies ONC: OCPO & OST SAMHSA Whitehouse Office of National Drug Control Policy (ONDCP) interested party Outputs Charter 01/07/2014 Use Case 03/25/2014 Implementation Guide: 09/09/2014 Pilots Fall/Winter 2014 Strong Community Participation 223 Registered Members 166 unique registered organizations 78 Committed Members Jan 2014 Feb 2014 Mar 2014 Apr 2014 May 2014 Jun 2014 Jul 2014 Aug 2014 Sep 2014 Oct 2014 Nov 2014 Dec 2013 Pre-Discovery Discovery Harmonization Pilots 1/7/14 3/25/14 9/9/14 Charter Consensus Use Case Consensus Implementation Guide Consensus END 8

9 PDMP & HIT Integration Initiative Reference Information/Contacts S&I PDMP/HITI Wiki Page: Federal Sponsors: Jinhee Lee, SAMHSA Jennifer Frazier, ONC Helen Caton-Peters, ONC Initiative Coordinators: Johnathan Coleman Sherry Green 9

10 Thank you! Questions? 10