TUESDAY, 4:00 – 4:20PM

WEDNESDAY, 4:00 – 4:20PM

Douglas Hill, NHIN Implementation Lead (Contractor), Office of the National Coordinator for Health IT

Vanessa Manchester, CONNECT Program Manager (Contractor), Federal Health Architecture, Office of the National Coordinator for Health IT

Steps for Getting Started with the NHIN

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Objectives

» Establish the context for becoming a member of the NHIN Limited Production Exchange

» Understand the relationship between NHIN and CONNECT

» To meet these objectives:• Walk through of the NHIN On-boarding Process

• Walk through of implementing the CONNECT Solution

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NHIN Overview

The goal for the NHIN is to accelerate and enable secure health information exchange using the Internet. To that end, ONC is fostering development of four distinct NHIN components:

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CONNECT Solution

A specific, open-source software

instantiation of the NHIN specifications

NHIN Technical Assets

NHIN specifications, standards, registries,

testing tools, and other supporting products

NHIN Limited Production Exchange

A set of federal agencies, nationwide

organizations, and contractors/grantees

that are exchanging live health information using NHIN specs and policies.

NHIN Direct Project

An initiative that will develop the

minimum set of standards, services

and policies that enable less complex, local applications of

health info exchange

Roadmap: Becoming a Member of the NHIN Limited Production Exchange

4HIMSS 2010

NHIN DecisionNHIN Decision

Self QualifySelf Qualify

GO LIVE!GO LIVE!

On-BoardingOn-Boarding

Gateway Implementation

Gateway Implementation

NHIN Limited Production Exchange: Acceptance Criteria

• Accepted completed, signed and notarized application for participation

• Signed DURSA

• Operational gateway

• Successful completion of Conformance and Interoperability Testing

• Approval by the governing NHIN Coordinating Committee

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NHIN Limited Production Exchange: Eligibility Criteria

» Eligible legal entity – Federal agency or entity under agreement with Federal agency

» Existing production exchange capabilities• Facilitates and governs exchange of health information with participant

users (i.e. a network or governance entity)

» Authority to enter into the Data Use and Reciprocal Support Agreement (DURSA) and obligate its participant users to abide by these requirements

» Exchange information only for permitted purposes (defined in DURSA)

» Sufficient financial, technical and operational resources to support the testing and operation of information exchange

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Self Qualify for the NHIN Limited Production Exchange

• Review eligibility criteria specified in the DURSA.

• Submit a signed DURSA Joinder.

• Complete and submit the application.

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About CONNECT

» CONNECT is an open source software gateway that supports health information exchange – both locally and at the national level

» CONNECT uses Nationwide Health Information Network (NHIN) standards and governance to make sure that health information exchanges are compatible with other exchanges being set up throughout the country

» This software solution was initially developed by federal agencies to support their health-related missions, but it is now available to all organizations and can be used to help set up health information exchanges and share data using nationally-recognized interoperability standards

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Who Can Use CONNECT

CONNECT can be used to:• Set up a health information

exchange within an organization• Tie a health information exchange

into a regional network of health information exchanges

• Tie a health information exchange into the NHIN

Everyone! It’s Open Source

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Implementation Checklist for On-boarding to the NHIN

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Step to be executed by Organization

Step to be executed by Organization and CONNECT Team

Step to be executed by Organization and NHIN

Complete CONNECT Business Case Worksheet

Complete CONNECT Business Case Worksheet Determine Implementation NeedsDetermine Implementation Needs

Begin vetting the NHIN DURSA for Signature

Begin vetting the NHIN DURSA for Signature

Implement the CONNECT SolutionImplement the CONNECT Solution

Execute NHIN DURSAExecute NHIN DURSA

CONNECT Install Self-TestCONNECT Install Self-Test Peer to Peer TestPeer to Peer Test

Go Live!Publish Endpoint Information

Go Live!Publish Endpoint Information

CONNECT Solution UpgradesCONNECT Solution Upgrades

NHIN Interoperability TestingNHIN Interoperability Testing

NHIN Conformance TestingNHIN Conformance Testing

NHIN On-Boarding ProcessOn-boarding is an ONC-guided, four-stage process that organizations complete to take part in production NHIN exchange

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On-Boarding Process: Testing and Validation

• Testing ensures that potential participants in NHIN exchange operate in a way that conforms with NHIN specifications

– Conformance Testing – tests conformance to the NHIN specifications

– Interoperability Testing – tests the ability to perform common business activities with other NHIN gateways

• Validation confirms testing results and is an input to consideration for approval

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On-Boarding Process

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Thank You

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The participation of any company or organization in the NHIN and CONNECT area within the HIMSS Interoperability showcase

does not represent an endorsement by the Office of the National Coordinator for Health Information Technology, the Federal

Health Architecture or the Department of Health and Human Services.