HIT Policy CommitteeFederal Health IT Strategic Plan

April 13, 2011

Jodi Daniel, ONCSeth Pazinski, ONC

Updated to Reflect the Changing Landscape

• Section 3001(c)(3) of the Public Health Service Act, as added by the HITECH Act, requires the National Coordinator to update and publish the Strategic Plan (originally published in June 2008).

• Accounts for the rapidly changing landscape of health IT and health IT policy and the impact of two major pieces of legislation: the HITECH Act and the Affordable Care Act

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Updated to Reflect the Changing Landscape

Strategic Plan Scope

The Office of the National Coordinator’s

strategy for realizing Congress and the

Administration’s health IT agenda

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Health IT in the HHS Strategic Plan

Goal 2: Advance Scientific Knowledge and Innovation

Goal 3: Advance the Health, Safety, and Well-Being of the American People

Goal 4: Increase Efficiency, Transparency, and Accountability of HHS Programs

Goal 5: Strengthen the Nation’s Health and Human Services Infrastructure and Workforce

HHS’ Strategic PlanHHS’ Strategic Plan

Goal 1: Transform Health CareHealth IT objective in HHS Plan

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How Can Health IT Transform Health Care?

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• Enhance ability to study care delivery and payment systems

• Empower individuals and increase transparency

• Improve care, efficiency, and population health outcomes

Better Information Transform Health Care

Better Technology

2015: End state of the Federal Health IT Strategic Plan

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HIT Policy Committee

Recommends a Framework

for the Strategic Plan

HIT Policy Committee

Recommends a Framework

for the Strategic Plan

May 2010May 2010 June - July 2010

June - July 2010

Aug. – Nov. 2010

Aug. – Nov. 2010

Dec. 2010 - Mar. 2011

Dec. 2010 - Mar. 2011

Strategic Plan WG

Develops the Framework

Strategic Plan WG

Develops the Framework

Dec. 2009 - April 2010Dec. 2009 - April 2010

Interviews held with HHS and

other Federal partners

Interviews held with HHS and

other Federal partners

ONC Drafts the Strategic

Plan

ONC Drafts the Strategic

Plan

Federal Clearance

Federal Clearance

Public Comment

Period

Public Comment

Period

Strategic Planning Process

April 2011April 2011

Indicates Public Comment Period for Input on the Development of the Plan

High Level ActivitiesHigh Level Activities

Publish Final Strategic

Plan

Publish Final Strategic

Plan

May-June 2011

May-June 2011

Federal Health IT Strategic Plan: 2011-2015

7Federal Health IT Strategic PlanPre-decisional Draft – Do Not Disclose

Federal Health IT Strategic Plan: 2011-2015

Evolution of the Strategic Framework to the Strategic PlanContext• The Framework was well underway prior to the release of the Affordable

Care ActSimilarities:• Largely the same priorities and vision• Focus on Outcomes Differences:• Structurally different • Reflects impact of the Affordable Care Act• Makes empowering individuals a goal

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Evolution of the Strategic Framework to the Strategic PlanSt

rate

gic

Fram

ewor

k

Goal I: Achieve Adoption and Information Exchange through Meaningful Use of Health IT

Goal II:  Improve Care, Improve Population Health, and Reduce Health Care Costs through the Use of

Health IT

Goal III:  Inspire Confidence and Trust in Health IT

Goal IV:  Empower Individuals with Health IT to Improve their Health and the Health Care System

Goal V:  Achieve Rapid Learning and Technological Advancement

Strategic Plan

Public Comment Period

The Federal Health IT Strategic Plan Public Comment Period is open through

April 22, 2011, 11:59 p.m. (Eastern).

http://www.healthit.gov/buzz-blog/from-the-onc-desk/hit-strat-plan/

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APPENDIXGOALS AND OBJECTIVES

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Goal I: Achieve Adoption and Information Exchange through Meaningful Use of Health IT

Nationwide adoption and meaningful use of electronic health records by providers will set up the underlying infrastructure for capturing and exchanging health information.

Objectives

•I.A. Accelerate adoption of electronic health records

•I.B. Facilitate information exchange to support meaningful use of electronic health records

•I.C. Support health IT adoption and information exchange for public health and populations with unique needs

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Goal II: Improve Care, Improve Population Health, and Reduce Health Care Costs through the Use of Health IT

Meaningful use is not just about capturing and exchanging information – It is about ensuring that information is used in ways that benefit health and care.

Objectives

•II.A. Support more sophisticated uses of EHRs and other health IT to improve health system performance

•II.B. Better manage care, efficiency, and population health through EHR-generated reporting measures

•II.C. Demonstrate health IT-enabled reform of payment structures, clinical practices, and population health management

•II.D. Support new approaches to the use of health IT in research, public and population health, and national security

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Goal III: Inspire Confidence and Trust in Health IT

The digitization of health records will create new challenges for protecting privacy and security of health information and new opportunities to improve safeguards. We must assure that patients and providers understand and trust the use and exchange of electronic health information.

Objectives

•III.A. Protect confidentiality, integrity, and availability of health information

•III.B. Inform individuals of their rights and increase transparency regarding the uses of protected health information

•III.C. Improve safety and effectiveness of health IT

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Goal IV: Empower Individuals

The greatest opportunity for health improvements will come from people taking more ownership over their wellness, and care becoming more patient-centered. The first step in empowering individuals is to engage them with their own health information.

Objectives

•IV.A. Engage individuals with health IT

•IV.B. Accelerate individual and caregiver access to their electronic health information in a format they can use and reuse

•IV.C. Integrate patient-generated health information and consumer health IT with clinical applications to support patient-centered care

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Goal IV: Empower Individuals with Health IT to Improve their Health and the Health Care System

Goal V: Achieve Rapid Learning and Technological Advancement

EHRs are an innovation that is changing the way we capture and exchange health information. Using this information can help advance research and drive innovation.

Objectives

•V.A. Lead the creation of a learning health system to support quality, research, and public and population health

•V.B. Broaden the capacity of health IT through innovation and research

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