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Direct Project Update  Health IT Standards Committee Meeting Arien Malec, Direct Project Coordinator March 29, 2011
Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Background
What is Direct? Secure Directed Exchange via the Internet ,[object Object],[object Object],[object Object],[object Object]
Why is Direct needed? To provide an alternative to legacy mechanisms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],When current methods of health information exchange are inadequate:
How does Direct fit in with other types of exchange? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Nationwide Health Information Network Exchange Nearby HIE EMR to EMR (HIE) Direct Project
Live Implementations
Where is Direct implemented today? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],-   -
Minnesota ,[object Object],[object Object],[object Object],Meaningful Use Criterion Direct User Story Submit electronic immunization data to immunization registries or immunization information systems ,[object Object]
New York ,[object Object],[object Object],[object Object],Meaningful Use Criterion Direct User Story Provide summary of care record for patients referred or transitioned to another provider or setting ,[object Object],[object Object],[object Object]
Rhode Island ,[object Object],[object Object],[object Object],Meaningful Use Criterion Direct User Story Provide summary of care record for patients referred or transitioned to another provider or setting ,[object Object],[object Object]
Maryland & District of Columbia ,[object Object],[object Object],[object Object],Meaningful Use Criterion Direct User Story Provide summary of care record for patients referred or transitioned to another provider or setting ,[object Object],[object Object]
Virginia ,[object Object],[object Object],[object Object],Meaningful Use Criterion Direct User Story Provide summary of care record for patients referred or transitioned to another provider or setting ,[object Object],[object Object],[object Object],[object Object]
Missouri ,[object Object],[object Object],[object Object],Meaningful Use Criterion Direct User Story  For individual professionals, provide patients with clinical summaries for each office visit; for hospitals, provide an electronic copy of hospital discharge instructions on request ,[object Object],[object Object]
Technology Providers for Pilots
Technology Providers for Pilots - HISPs
Technology Providers for Pilots - EHRs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Technology Providers for Pilots - Non-EHR Clients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Technology Providers for Pilots - PHR & Lab ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Major Findings and Experience
Overview Comments ,[object Object],[object Object],[object Object]
Implementation Speed/Difficulty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Implementation Speed/Difficulty (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ongoing Utilization Ease/Difficulty ,[object Object],[object Object],[object Object],[object Object]
Certificate Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Overall Speed/Latency ,[object Object],[object Object],[object Object],[object Object],[object Object]
Workflow ,[object Object],[object Object],[object Object]
Who has committed to implement Direct? (As of March 17, 2011)
Direct Ecosystem
What is the end state for Direct? ,[object Object]
Brief Update on NwHIN Exchange and CONNECT
NwHIN Exchange Update ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nationwide Health Information Network Governance Efforts ,[object Object],[object Object],[object Object],[object Object]
Why address governance now? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Governance Workgroup Recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object]
CONNECT Update ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Open Source Developments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Discussion

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Direct Project HITSC Update 03.29.11

Hinweis der Redaktion

  1. Arien: - Appended “ Enables Internet scale with no need for central network authority ” with “that must provide sophisticated services such as EMPI, distributed query/retrieve, or data storage.” - Added examples to point 4 Claudia: addressed your comment “ Early on have a slide about the examples of health info being exchanged today using Direct.” on slide 4
  2. http://www.flickr.com/photos/dougww/922328173/
  3. Arien: I added item #1 on this list, and examples to items 3 and 4, per Claudia’s request. Do these make sense?
  4. Arien: I added the states to this list