Carequality for a Common HIE Framework

Transcription

1 ( ) , A c c e s s C o d e Carequality for a Common HIE Framework Accelerating seamless, interoperable health information exchange 1

2 What is Carequality? 2

3 What if you had a cell phone plan that only allowed you to call other customers of your carrier? 3

4 That s the situation for most healthcare providers today, when they join a data sharing network. 4

5 Carequality is a public-private, multi-stakeholder collaborative that has come together to address this challenge. 5

6 Who is Involved? 6

7 The Carequality Community Physicians Consumers Government Agencies Data Sharing Networks Payers Behavioral Health Acute Care Long Term/Post-Acute Care Hospice and Home Care Research Public Health Vendors Standards Development Orgs. Pharmacies EMS Services 7

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9 A Brief History Carequality launch February 2014 Operating principles and governance model May 2014 Steering Committee formed June 2014 Advisory Council and Work Groups Chartered Aug/Sept 2014 Principles of Trust adopted January

10 How Does It Work? 10

11 Essential Elements Common rules of the road: In order for the varied participants to trust each other with health information, everyone need to have a legal obligation to abide by the same rules. Well-defined technical specs: Shared rules are not enough; clear standards must be laid out in an implementation guide that all implementers can follow. A participant directory: To connect using the common standards, systems must know the addresses and roles of each participant. 11

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13 What is a Use Case? A Use Case is an interoperability need, such the need to obtain patient documents. Other examples might include subscribing to results for an attributed patient, or supplying paid claims information to providers. A Carequality Use Case has well-defined roles, and available technical standards. 13

14 What is a Carequality Implementer? Generally, an implementer is a data sharing network. It could be a state, regional, or even private HIE. It could also be a vendor providing connectivity to its customers. It could be a network of one 14

15 Trust is Fundamental 15

16 Operating Principles for a Trusted Process Inclusiveness and transparency Flexibility and innovation Clear and equitable oversight Standards-based Vendor-neutral 16

17 Principles of Trust Among Exchange Partners (1) HIPAA Compliance Carequality Implementers will adopt HIPAAcompliant privacy and security practices Compliance with Use Case Implementation Guide Non-Discrimination Carequality Implementers will not discriminate against one another Local Autonomy Local rules may be honored as long as they are consistently applied and don t unreasonably limit interoperability Accountability Each Carequality Implementer will be responsible and accountable for its own actions Cooperation Carequality Implementers will cooperate with one another on matters relating to shared Use Cases 17

18 Principles of Trust Among Exchange Partners (2) Acceptable Use Interoperability through Carequality will only be used for the permitted purposes as defined in the Implementation Guides Universal Customer Flow-Downs Carequality Implementers must ensure that their network members abide by the Implementation Guides Identity Proofing and Authentication Carequality Implementers will adopt requirements to ensure that access to their network is appropriate Information Handling Transparency Carequality Implementers will make their information handling practices transparent and publicly accessible 18

19 Use Case Implementation Guide Defines Roles and their relationships Defines technical specifications Defines Use-Case-specific requirements Permitted purposes Permitted users Full participation SLAs Data sufficiency and integrity 19

20 What s the Current Status? 20

21 Implementing the Legal Structure Principles of Trust need to be translated into a legally binding agreement Network members must have uniform requirements Roles and relationships must be defined for initial Use Case Process: Operations Tiger Team develops drafts Steering Committee and Advisory Council review and revise Steering Committee adopts final version 21

22 Writing Technical Specifications Carequality is not a Standards Development Organization Identify existing standards May introduce additional constraints Testing among potential early Implementers 22

23 What s the Next Step? 23

24 Initial Pilot Need to vet both legal structure and technical specs First phase legal structure Implementers review and provide feedback on draft agreement Pilot end users (network members) review requirements Feedback incorporated and agreements signed Second phase production exchange Implementers connect according to Implementation Guide specs End users activate technical components Testing Go-live 24

25 Timeline Participants commit by early April Legal framework review beginning in mid-april Agreements finalized early summer Production go live by end of year 25

26 Requirements for Participants Implementers: Review Carequality agreement and provide feedback Sign updated agreement Implement technical requirements Enlist End User participants (e.g. customers, network members) End Users: Review Carequality participation requirements and provide feedback Agree to participation requirements Activate technical components 26

27 Please contact us at if you are interested in being part of the pilot 27

28 For More Information: Visit our web site: Follow us on 28

29 Thank You! 29