Standards Subcommittee:Administrative Simplification

2017 Update

NPAG 2017Monterey Plaza HotelMonterey, CAMay 8, 2017

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Richard W. LandenMember, NCVHS

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Today’s Agenda• What is the NCVHS?• Current NCVHS activities and issues

• Admin Simp• Privacy, confidentiality and security• Population health• HHS data access and use

The National Committee on Vital and Health Statistics

NCVHS is the Department of Health and Human Services’ (HHS) statutory public advisory body on health data, statistics and national health information policy

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How NCVHS Advises HHS

• 18 members appointed for four-year terms

• Diverse backgrounds, expertise and geography

• Develops and delivers practical, timely, thorough recommendations to the HHS Secretary

• Holds quarterly meetings, convenes public hearings, listening sessions, workshops, roundtables

• Provides periodic reports to Congress

• Develops reports and resources

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NCVHS Domains

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Areas Focus

StandardsPublic health informatics and data standards; standards, code sets, and operating rules for administrative transactions as required under HIPAA and other legislation.

Population Health

Population-based data to enable communities to identify disparities and become learning systems for health. Vital and health statistics policy.

Privacy, Confidentiality and Security

Emerging issues related to health information privacy, confidentiality and security and data stewardship.

Data Access and Use

Principles, best practices, guidelines, gaps in the availability, accessibility, usability, and usefulness of HHS data resources.

NCVHS Membership

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Chairman: William W. Stead, MD, Vanderbilt University Medical Center – Nashville, TNHHS Executive Staff Director: Rashida Dorsey, PhD, MPHExecutive Secretary: Rebecca Hines, MHS

Raj Chanderraj, M.D., F.A.C.C., Nevada Heart & Vascular Center – Las Vegas, NVBruce B. Cohen, Ph.D., Massachusetts Department of Public Health – Boston, MALlewellyn J. Cornelius, Ph.D., University of Georgia – Athens, GANicholas L. Coussoule, BlueCross BlueShield of Tennessee – Chattanooga, TNBarbara J. Evans, Ph.D., J.D., LL.M., University of Houston Law Center – Houston, TX Alexandra Goss, Imprado / Dynavet Solutions – Harrisburg, PALinda L. Kloss, M.A., Strategic Advisors Ltd, – Chicago, ILRichard W. Landen, M.P.H., M.B.A., – Bonita Springs, FLDenise E. Love, National Assn of Health Data Organizations – Salt Lake City, UTVickie M. Mays, Ph.D., MSPH., University of California Los Angeles – Los Angeles, CARobert L. Phillips, Jr., M.D., MSPH, American Board of Family Medicine - Washington, DCHelga E. Rippen, M.D., Ph.D., Health Sciences South Carolina – Columbia, SCDavid A. Ross, Sc.D., Public Health Informatics Institute – Decatur, GA

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NCVHS Website and Resources

• www.ncvhs.hhs.gov

• Meeting announcements, letters to the Secretary, reports, tools, other resources available

• Electronic/remote access to meetings and meeting materials

Reports, Recommendations, Letters since NPAG 2016

March 21, 2017 – The NCVHS Health Data Framework White Paper

February 23, 2017 – Letter to the Secretary – Recommendations on De-identification of Protected Health Information under HIPAA

January 12, 2017 – NCVHS Measurement Framework for Community Health and Well-Being, V4

November 9, 2016 – Letter to the Secretary – Recommendation on the HIPAA Minimum Necessary Standard

October 13, 2016 – Review Committee Findings and Recommendations on Adopted Standards and Operating Rules

October 13, 2016 – ONC’s Draft 2017 Interoperability Standards Advisory

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Reports, Recommendations, Letters in 2017 Pipeline

Full Committee

• NCVHS 12th Report to Congress

▪ 20th anniversary of HIPAA

Population Health

• Letter: Recommendations on Measuring Health at the Community

Level - Opportunities for HHS Leadership

Data Access and Use

• Letter & Report: Recommendations on HealthData.gov for

Maximizing its Value

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2017 Activities of Interest to the EDI Community

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Subcommittee on Standards

• May 3, 2017 – Hearing on Health Plan Identifier (HPID)

• August TBD – Predictability Roadmap Workshop

Subcommittee on Population Health

• September 11 - 12, 2017 – Next Generation Vital Statistics Hearing

Health Plan Identifier

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Subcommittee on Standards

• May 3, 2017 – Hearing on Health Plan Identifier (HPID)

• Hearing purpose: seek further input from the health care industry for disposition and next steps of the Health Plan Identifier following its three year enforcement discretion period

• Overviews by CMS and WEDI• Spokespeople from industry/organizations

• Payers, providers, clearinghouses, standards organizations, business groups, billing services, government

• Written comments from any/all

Predictability Roadmap

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Subcommittee on Standards

• August TBD – Predictability Roadmap Workshop• Work plan in development• Summary: The predictability roadmap would provide the health care

industry with a degree of certainty in the timing and sequence of the adoption or implementation of new or revised standards and operating rules as required under the HIPAA and other legislation.

• NCVHS documents since 2009 have referenced lack of predictability around adoption path and timing of new/updated Admin Simp regulations

• With 20 years of HIPAA and several version migrations under our belts, can we identify a more efficient path for versioning?

Next Gen Vital Statistics

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Subcommittee on Population Health

• September 11 - 12, 2017 – Next Generation Vital Statistics Hearing

• Registration of births, deaths, marriages, divorces, and fetal deaths reside individually with states/territories

• 13 Federal Statistical Agencies• Obtain input from users of the system, e.g., Federal,

state, commercial, research• Purpose of this hearing: gather information on:

• Current status and vulnerabilities in vital statistics• Federal, state and local perspectives• Emerging best practices and potential solutions to

protect, improve and strengthen the system

Homework from NPAG 2016

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Remember this from NPAG 2016 last September?

What are your thoughts?

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Questions, Comments, Observations, Reactions?

Thank You!

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Richard LandenRichLanden@aol.com