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HIT Policy Committee NHIN Workgroup Call Discussion Framework DRAFT - V 3-1 March 16, 2010 David Lansky, Chair Danny Weitzner, Co-Chair
Discussion Topics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
UPDATE: LEVEL OF ASSURANCE  ,[object Object]
Phase 1 (Jan. 2010):  Recommendation #4 - Authentication ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Update Regarding  Level of Assurance Analysis  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TRUST FRAMEWORK:  ESSENTIAL COMPONENTS FOR TRUST ,[object Object]
Phase 2 - Recommendation #4:  Role of Government ,[object Object],[object Object],[object Object],[object Object],[object Object]
HIE Trust Framework  ,[object Object],[object Object],[object Object],[object Object]
HIE Trust Framework:  Essential Components for Trust (proposed) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1. Appreciation of the long-term value ,[object Object],[object Object],[object Object]
2. Validation of information exchange partners ,[object Object],[object Object],[object Object]
3. Minimum technical requirements ,[object Object],[object Object]
4. Code of conduct  ,[object Object],[object Object],[object Object],[object Object],[object Object]
5. Oversight ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
6. Answerability ,[object Object],[object Object],[object Object],[object Object]
Trust Framework:  Applied Scenarios ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trust Framework:  Point-to-Point Push, no Trust-Enabling Organization (TEO)  – Examples not exhaustive Validation of Exchange Partners Technical Req’ts Code of Conduct Oversight Answerability Trust Agreement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],- Exchange partners primarily responsible  - Monitoring receipt of information - Patient may confirm info receipt - Gov’t oversight -privacy & security , certification criteria and  process ,[object Object],[object Object],[object Object],Informal agreement between parties
Trust Framework:  Transmission Using Trust Enabling Organization (TEO)   – Examples not exhaustive Validation Technical Req’ts Code of Conduct Oversight Answerability Trust Agreement TEO validates identities of  exchange partners and/or users Other participants rely upon this ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Potential Roles for Trust Enabling Organizations (TEO) Validation  Technical Requirements Code of Conduct  Oversight Answerability  Trust agreement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],- Identify set of expectations that participating exchange partners will meet - Confirm that exchange partners agree on the expectations in the code of conduct.  - Implement and maintain measures to assure TEO complies with code of conduct ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],-Formal trust agreements between TEO and each exchange partners  - Quasi-gov’tl status may reduce need for TEO-exchange partner agreements
IMPLICATIONS OF NHIN DIRECT FOR STATES AND EXISTING STATE HIE GRANTEES ,[object Object]
Potential Role of States in Enabling Secure Routing Through NHIN Direct ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Implications of NHIN Direct for State HIE grants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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NHIN Policy Call Discusses HIE Trust Framework

  • 1. HIT Policy Committee NHIN Workgroup Call Discussion Framework DRAFT - V 3-1 March 16, 2010 David Lansky, Chair Danny Weitzner, Co-Chair
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