Nationwide Health Information Network (NHIN): Public Forums and Other Products

8:30am - 12:00pm

Opening Plenary

Presentation

Welcome Address

Dr. Robert Kolodner, National Coordinator, Office of the National Coordinator for Health Information Technology, U.S. Department of Health and Human Services

Keynote Address

Building a Nationwide Health Information Network: Solid Progress, Exciting Future

Ginger Price, NHIN Lead, Office of the National Coordinator for Health Information Technology, U.S. Department of Health and Human Services

The conclusion of the Trial Implementations marks an important milestone, and heralds a new focus on production readiness for the Nationwide Health Information Network (NHIN). This session will celebrate the highlights of the NHIN Trial Implementations and provide a glimpse into the future on the path to production.

The Way Forward: Update on the American Health Information Community (AHIC) Successor

Laura Miller, Interim Executive Director, AHIC Successor, Inc.

This session will feature a presentation by the AHIC Successor organization about their efforts to date. This session will also share the organization's plans for addressing NHIN governance needs.

NHIN Trial Implementations: Lessons Learned Panel Discussion

Lisa Carnahan, Computer Scientist, National Institute of Standards and Technology (NIST)
Jeff Blair, Director of Health Informatics, Lovelace Clinic Foundation/ New Mexico Health Information Collaborative (NMHIC)
Dave Riley, Program Lead, NHIN CONNECT, Federal Health Architecture (FHA), ONC
Steve Gravely, MHA, JD, Troutman Sanders LLP, Legal Counsel MedVirginia

NHIN Cooperative leaders will share lessons learned from their experiences facilitating the collaborative work of the Trial Implementations. The lessons learned will be discussed with an eye on moving the NHIN Cooperative process forward to support production in 2009.

Core Services Overview and Demonstration

J. Marc Overhage, MD, PhD, Director, Medical Informatics, Regenstrief Institute
Todd Rowland, MD, Director of Medical Informatics, HealthLink

This session will showcase several of the NHIN Core Services interfaces that enable the exchange of information between NHIN Health Information Exchanges (NHIEs). This session will also demonstrate how Core Services support the care of a patient in an Emergency Setting through accessing data from other health information exchanges.

Coming Attractions: NHIN Use Case Demonstration Preview

Susan Torzewski, Consumer Perspective Work Group Chair, CareSpark
Jean McGraw, Chief Operating Officer, MedVirginia
Laura Landry, Executive Director, Long Beach Network for Health (LBNH)
Dave Riley, Program Lead, NHIN CONNECT, Federal Health Architecture, ONC
Vanessa Manchester, Program Manager, NHIN CONNECT, Federal Health Architecture, ONC

This session will preview the NHIN Use Case Demonstrations. The Consumer, Provider, Population, and Federal Use Case Leads will give a high-level description of the AHIC use cases and information exchanges that will be demonstrated at the Forum. The leads will highlight specific sessions and key items that that will be presented.

12:00pm - 1:30pm

Town Hall Presentation/ Demonstration: My Family Health Portrait

Presentation

RADM Steven Galson, MD, MPH, Acting Surgeon General
Greg Feero, MD, PhD, Chief, Genomic Healthcare Branch, National Human Genome Research Institute
Kenneth Buetow, PhD, Associate Director, National Cancer Institute
Vish Sankaran, Program Director, Federal Health Architecture, Office of the National Coordinator for Health Information Technology.

The Surgeon General's My Family Health Portrait (MFHP) is a second-generation, web-based resource for family health history. Developed using open source software, it is standards-based, consumer-friendly, and it can be downloaded and customized in existing health IT systems. Speakers will discuss family history in health care, and describe the MFHP and ongoing demonstration projects.

12:00pm - 1:30pm

NHIE Salon Open

The NHIE Salon provides an opportunity for the Trial Implementation participants, including NHIEs and Federal partners to showcase their accomplishments in a more interactive setting for interested parties. The Salon will be open again to all Forum attendees from 5:00 - 6:30 pm.

1:30pm - 2:30pm

Concurrent Breakout Sessions

Session 1 - Demonstration: Emergency Responder Use Case

Presentation

Dave Perry, CIO, Lovelace Clinic Foundation/ New Mexico Health Information Collaborative (NMHIC)
Bob White, MD, MPH, Director of Medical Informatics, Lovelace Clinic Foundation/ New Mexico Health Information Collaborative (NMHIC)
Mike Jambrosic, Executive Director Albuquerque Ambulance Service
Philip Froman, MD, Medical Director Albuquerque Ambulance Service & New Mexico Region 1 EMS and Trauma Foundation
Paul Fu, MD MPH, Long Beach Network for Health
Chad Smeltzer, MD, Medical Epidemiologists, New Mexico Department of Health

This session will demonstrate the timely access to critical information located within the NMHIC Health Information Exchange Network and the NHIN. It will feature EMT staff, emergency room, and definitive care clinicians involved in the treatment of emergency incident victims fulfilling public health reporting requirements.

Session 2 - Demonstration: Wounded Warrior Continuity of Care and Determination of Disability Benefits

Presentation

Linda Fischetti, RN, MS, Chief Health Informatics Officer, Veterans Health Administration, Department of Veterans Affairs (VA)
Steve Steffensen, MD, Chief, AITG/TATRC, Department of Defense (DoD)
Judy Thierry, DO, Maternal and Child Health Coordinator, Indian Health Service (IHS)
Marty Prahl, Lead Health IT Architect, Social Security Administration (SSA)

This session demonstrates the second wounded warrior scenario from the Federal Consortium, a multiple-agency participant of the NHIN Cooperative. Federal and private organizations will showcase three live system demonstrations.

Using fictional, but true-to-life, medical encounters and real-time NHIN information exchanges, this session will illustrate how the NHIN supports continuity of care and determination of disability benefits for the wounded warrior patient population.

Session 3 - Presentation: Model Production DURSA

Presentation

Holt Anderson, Executive Director, North Carolina Healthcare Information and Communications Alliance (NCHICA)
Steve Gravely, MHA, JD, Troutman Sanders LLP, Legal Counsel for MedVirginia

This session will update attendees on the status of the production version of the Data Use and Reciprocal Support Agreement (DURSA) - the agreement that provides the legal foundation enabling the secure exchange of health information between and among participants and their users through the Nationwide Health Information Network.

Session 4 - NHIN Data Content Work Efforts

Presentation

Jeff Blair, Director of Health Informatics, Lovelace Clinic Foundation / New Mexico Health Information Collaborative (NMHIC)
Gil Kuperman, Director, Quality Informatics, New York Presbyterian Hospital / New York eHealth Collaborative (NYeC)

This session will provide an overview of the NHIN data specifications to support standards-based information exchange for the summary patient record and for the use cases demonstrated at the forum. Leaders from the NHIN Cooperative Core Content Workgroup will share lessons learned and experiences from their work over the past year.

2:45pm - 3:45pm

Concurrent Breakout Sessions

Session 5 - Demonstration: Biosurveillance: Coordinating a Nationwide Approach

Presentation

Dr. Jerome Tokars, Senior Scientist and Medical Epidemiologist, Centers for Disease Control (CDC)
Dr. Bryant Karras, Public Health Informatics Officer and Senior Epidemiologist, Washington Department of Health (WA-DOH)
David Dobbs, Program Manager, SAIC, CDC Situational Awareness through Health Information Exchange Project
Brian E. Dixon, MPA, Health IT Project Manager, Regenstrief Institute
Kevin C. Stevens, MA, MPH, Epidemiologist, Marion County Health Department
James F. Howell, D.V.M., M.P.H., DACVPM, Veterinary Epidemiologist, Indiana State Department of Health
Dr. Dale Morse, Assistant Commissioner, Office of Science, New York State Department of Health (NYSDOH)
Dr. Linh Le, Research Scientist, NYSDOH
Cheryl M. Stephens, MT(ASCP), MBA, PhD, Executive Director, Community Health Information Collaborative
John Fraser, CEO of MEDNETWorld.com, Community Health Information Collaborative

This session will demonstrate how the AHIC Biosurveillance Use case can be implemented within the Nationwide Health Information Network (NHIN). Health Information Exchanges in New York, Indiana and Washington send biosurveillance data to the CDC's BioSense program through the NHIN to enhance the ability of local, state and federal public health entities to assess situational awareness.

Session 6 - Demonstration: Authorized Release of Information to a Trusted Entity

Debbie Somers, Senior Advisor to the Deputy Commissioner for Systems, Social Security Administration (SSA)
Holt Anderson, Executive Director, North Carolina Healthcare Information and Communications Alliance (NCHICA)
Michael Matthews, CEO, MedVirginia
Martin Prahl, Lead Health IT Architect, Social Security Administration

This session will demonstrate the exchange of patient summary of care documents between providers and SSA to facilitate disability determinations. Transmissions will include the added information SSA needs to convey patient authorization, an electronic capability that will enable many uses of medical records by individuals.

Session 7 - Presentation: Consumer Perspectives

Presentation

Susan Torzewski, Consumer Perspectives Workgroup Chair, CareSpark
Liesa Jenkins, Executive Director, CareSpark
Sallie Milam, JD, CIPP/G, Executive Director, West Virginia Health Information Network (WVHIN)
Scott Brown, RPH, Pharmacy Director, Cabin Creek Health Systems (WVHIN)
Richard Steen, DMA, NHIN Business Team Lead, IBM Global Business Services North Carolina Healthcare Information and Communications Alliance, Inc. (NCHICA)
Tom Earnhardt, PA, Senior VP and COO, Cabarrus Family Medicine, NCHICA

Members of the Consumer Perspective workgroup and participating NHIE's with divergent policy, technical and end-user perspectives, will discuss processes, approaches and lessons learned about how consumers can control, view, update, and share personal health information with their health care provider of choice.

Session 8 - Presentation: NHIN Core Service Interface Specifications

Presentation

David Riley, Program Lead, NHIN CONNECT, Federal Health Architecture, ONC
Martin Renwick, Senior Executive, Accenture, West Virginia Health Information Network (WVHIN)

The Technical and Security Work Group identified 10 core services for which they developed Service Interface Specifications. This session will review those specifications as well as the guiding principles and assumptions that emerged during the specification writing process.

4:00pm - 5:00pm

Concurrent Breakout Sessions

Session 9 - Demonstration: Biosurveillance: State-Level Perspectives

Presentation

Gina Perez, Executive Director, Delaware Health Information Network (DHIN)
Kathy Wroten, Infection Control Manager, Christiana Care Health System (DHIN)
Ashley Love, State Epidemiologist, Delaware Division of Public Health

This session will demonstrate how the improved detection and management of outbreaks is made possible through the use network integration between Delaware Health Information Network (DHIN) and the Delaware Electronic Reporting and Surveillance System (DERSS). DHIN is transmitting biosurveillance chief complaint and reportable lab data from hospitals to the Division of Public Health (DPH).

Session 10 - Presentation: Security and Privacy in the NHIN

Presentation

Erik Rolf, CISA, CISSP, Security Architect, CareSpark
Stephen Gantz, CISSP-ISSAP, CEH, CGEIT, CIPP/G, Senior Architect, HHS EA Program
David Riley, Program Lead, NHIN CONNECT, Federal Health Architecture, ONC
Craig Miller, Chief Architect, NHIN CONNECT, Federal Health Architecture, ONC
Neel Phadke, PMP, NHIN Technical Architect, CareSpark

This session will have two parts. First, the presenters will explore how the current NHIN Security and Privacy framework helps to ensure data confidentiality and integrity in the context of the Trial Implementation, with a view towards production requirements. Second, CareSpark and the Federal Health Architecture team will demonstrate in detail the UDDI V3 XML-based NHIN Service Registry, the mechanism for NHIEs to dynamically discover and connect to each other.

Session 11 - Demonstration: Consumer Empowerment: Registration and Medication History

Presentation

Eleanor Sue Cantrell, MD, District Director, Lenowisco Health District, Virginia Department of Health
Randall E. Sermons, Attorney at Law, CareSpark
Sallie Milam, JD, CIPP/G, Executive Director, West Virginia Health Information Network (WVHIN)
Martin Renwick, Senior Executive, Accenture, (WHVIN)
Asad Khan, Senior Manager, Accenture, (WHVIN)
Susan Torzewski, Consumer Empowerment Workgroup Chairperson, CareSpark

This session will demonstrate a live, real-time exchange of data using the NHIN core services. We will show a consumer controlling the flow of their healthcare information using differing levels of permissions. We will also focus on the creation and exchange of personal health records and comprehensive medication history.

Session 12 - Presentation: Supporting Information Exchange to Support Newborn Screening Activities

Presentation

Gregory Downing, D.O., Ph.D., Project Director for the Personalized Health Care Initiative and Senior Advisor to Secretary Leavitt, Office of the Secretary, HHS
Alan Zuckerman, M.D., Consultant, Office of the Secretary, HHS
Constanze Coon, Ph.D., Manager, Bearing Point (Office of the National Coordinator for Health Information Technology, HHS)
Bill Brand, M.P.H., Director of Programs, Public Health Informatics Institute

The 2009 Newborn Screening Use Case will be discussed in the context of the NHIN demonstrations.

5:00pm - 6:00pm

NHIE Salon Open to Forum Attendees

The NHIE Salon provides an opportunity for the Trial Implementation participants, including NHIEs and Federal partners to showcase their accomplishments in a more interactive setting for interested parties. Additionally, the Salon will be open from 1:30 - 5:00 by NHIE invitation only.

9:00am - 10:00am

Concurrent Breakout Sessions

Session 13 - Demonstration: Consumer Access to Clinical Information Use Case

Presentation

Holt Anderson, Executive Director, North Carolina Healthcare Information and Communications Alliance (NCHICA)
Sam Spicer, MD, VP Medical Affairs, New Hanover Health Network
Linda T. Briggs, BSN, MHA, Administrative Director of Applications Support in Information Systems, FirstHealth of the Carolinas
Geoff Lawson, Director, Information Systems, Morehead Memorial Hospital
Ginny Wagner, Executive Project Manager, Public Sector, IBM Corporation, (NCHICA)
Leonard Nayda Executive IT Architect, Healthcare & Life Sciences, IBM Corporation, (NCHICA)

This session will demonstrate specific NHIE capabilities for consumers to make their personal health information available to healthcare providers in ways which respect their needs for privacy, security and confidentiality. A Personal Health Record can be a key enabler for consumers to gather and control access to their personal health information.

Session 14 - Demonstration: Lab Results Use Case

Presentation

Sallie Milam JD, CIPP/G, Executive Director, West Virginia Health Information Network (WVHIN)
Scott Brown, RPh, Pharmacy Director, Cabin Creek Health Center (WVHIN)
Martin Renwick, Senior Executive, Accenture (WVHIN)
Asad Khan, Senior Manager, Accenture (WVHIN)
Michael Matthews, CEO, MedVirginia
Jean McGraw, Chief Operating Officer, MedVirginia
James Ratliff, MD, Virginia Urology and Board Chairman, MedVirginia

This session will demonstrate how reference lab results can be integrated into a health information exchange utility for community physicians to view. We will also illustrate how these results are then forwarded to a physician's Electronic Health Records (EHR) system in an ambulatory setting.

Session 15 - Demonstration: National Cancer Institute: Linking Research and Care

George A. Komatsoulis, Ph.D., Deputy Director, NCI Center for Biomedical Informatics and Information Technology (CBIIT)
Bill Dyer, Clinical Trials Product Representative, NCI
Steve Steffensen, MD, Chief, AITG/TATRC, Department of Defense
Dr. George Peredy, MD, National Physician Lead, Kaiser Permanente

Demonstrations of test systems at the Department of Defense, Kaiser Permanente, and the National Cancer Institute (NCI), will show how continuity of care can be achieved through partnerships between federal and private care providers. Information is exchanged across the NHIN to link research and care delivery—ultimately advancing research and supporting healthcare decisions.

Session 16 - Presentation: Testing the NHIN

Presentation

Lisa Carnahan, Testing Workgroup Co-Chair, National Institute for Standards and Technology (NIST)
Benson Chang, Testing Workgroup Co-Chair, CGI (CareSpark)
Lee Jones, Architect and Sr. Consultant, New York eHealth Collaborative (NYeC)
Dave Perry, CIO, Lovelace Clinic Foundation/ New Mexico Health Information Collaborative (NMHIC)
Bob Yencha, Health Information Technology Standards Panel (HITSP) Technical Liaison to NHIN, Alschuler Associates, LLC

This session will provide an overview of the NHIN testing tools and process, as well as the lessons learned and experiences from testing interoperability for the NHIN Trial Implementations.

10:15am - 11:45am

Concurrent Breakout Sessions

Session 17 - Demonstration: Quality Use Case

Presentation

Paul Fu, Jr. MD, Associate Professor, David Geffen School of Medicine at UCLA, UCLA School of Public Health, Director, Clinical Informatics, Harbor-UCLA Medical Center, Long Beach Network for Health (LBNH)
Josh Pevnick, MD, Assistant Professor of Clinical Medicine, UCLA, Attending Physician, Department of Medicine, Cedars-Sinai Medical Center, (LBNH)
Gregory N. Larkin MD, Chief Medical Officer, Indiana Health Information Exchange (IHIE)
Randolph C. Barrows Jr. MD MS, CMIO, MedAllies
Jesse Singer DO, MPH, Director of Quality Informatics, Primary Care Information Program, New York City Department of Health & Mental Hygiene

This session will demonstrate the exchange of information between systems that collect electronic health information and the systems that support healthcare quality measurement, feedback, and reporting. The AHIC Quality Use Case focuses upon three areas: (1) the impact that collection of electronic health information has upon driving quality of care through better, more comprehensive clinical information at the point of care; (2) measuring and reporting quality with a minimum of burden assessed on the provider; and (3) aggregating health information for the purpose of public reporting of quality.

Session 18 - Demonstration: Medication Management Use Case

Presentation

Linas Simonaitis, MD, MS, Indiana University School of Medicine, Research Scientist, Regenstrief Institute
Brian Dixon, MPA, Health IT Project Manager, Regenstrief Institute
Michael Matthews, CEO, MedVirginia
Jean McGraw, Chief Operating Officer, MedVirginia
Gerard Filicko, Senior VP, Physician Services, MedVirginia
James Ratliff, MD, Virginia Urology and Board Chairman, MedVirginia
Chris Voigt, Health Information Architect, CGI (CareSpark)
William H. Bestermann Jr., MD, Medical Director, Holston Medical Group
Divya Shroff, MD, Associate Chief of Staff, Informatics, Department of Veterans Affairs (VA)
Denise Marshall, Training Manager, HealtheLink
Edward Scott, Development Team Lead, Axolotl (HealthBridge/ HealtheLink)

This session will demonstrate the value of building a consolidated medication history from a patient's self-reported information and data from the patient's pharmacy. In addition, we will demonstrate the use of e-prescribing in an ambulatory setting and upon inpatient discharge, with these medications accessible by physicians caring for the patient post-discharge. Imbedded clinical decision support will highlight the identification of potential adverse drug events.

Session 19 - Presentation: Achieving Financial Sustainability: Business Models for Health Information Exchange

Lynn Dierker, RN, Project Director, State-level HIE Consensus Project
Holt Anderson, Executive Director, North Carolina Healthcare Information and Communications Alliance (NCHICA)
Andrew Weniger, NHIN 2 Project Manager, NCHICA
Jeff Blair, Director of Health Informatics, Lovelace Clinic Foundation / New Mexico Health Information Collaborative (NMHIC)
Ray Campbell, CEO, Massachusetts Health Data Consortium, and Chair, State-level HIE Consensus Project Steering Committee

NHIN and state-level HIE leaders will discuss business approaches and financing considerations for achieving sustainability. NHIN Cooperative business plans will be highlighted, as well as prevailing state-level attempts to build and finance interoperability. Perspectives about reaching scale and sustainability based on the results of the recent State-level HIE Leadership Forum consensus retreat will frame a lively panel and audience discussion about challenges and opportunities for advancing the NHIN.

Session 20 - Presentation: Federal Health Architecture

Presentation

Vish Sankaran, Program Director, Federal Health Architecture, ONC
David Riley, Program Lead, NHIN CONNECT, Federal Health Architecture, ONC
Vanessa Manchester, Program Manager, NHIN CONNECT, Federal Health Architecture, ONC
Craig Miller, Chief Architect, NHIN CONNECT, Federal Health Architecture, ONC
Dan Galik, FSS Co-chair, Chief Information Security Officer, HHS
Ashley Corbin, FSS Co-chair, Director, DRAV/CMS
Richard Burk, FHISE Initiative Lead, Federal Health Architecture, ONC

This session will present the FHA Initiative: Federal Security Strategy (FSS), Federal Health Information Sharing Environment (FHISE) and the Federal NHIN Connect. We will feature a presentation on the architecture of the NHIN CONNECT solution, created by FHA advanced inter-agency collaboration, and the strategy for public release of the software and how the industry can leverage the solution. Panel topics will include current and new federal agencies program participation, and federal government efforts to facilitate the NHIN path to production.

12:00 pm - 1:00 pm

The NHIN: A Path to Production

Presentation

Aneesh Chopra, Secretary of Technology, Commonwealth of Virginia
Bill Gray, Deputy Commissioner for Systems, Social Security Administration
Michael Matthews, CEO, MedVirginia
Ginger Price, NHIN Lead, Office of the National Coordinator for Health Information Technology, U.S. Department of Health and Human Services
Vish Sankaran, Program Director, Federal Health Architecture, ONC
Debbie Somers, Senior Advisor to the Deputy Commissioner for Systems, Social Security Administration (SSA)

This session will highlight key insights gleaned from the NHIN Trial Implementations. ONC will provide a look ahead, including plans to move to a limited production in 2009. Special guests on the panel will include the first limited production pilot partners, sharing their production plans for 2009.