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February 22, 2010 Stakeholder Forum and Board of Directors Meeting

Feb  22, 2010

NeHC Stakeholder Forums  

NHIN 101: An Introduction to the Nationwide Health Information Network

The Nationwide Health Information Network (NHIN) as we know it is evolving in 2010. On Monday, February 22, the NeHC Board of Directors and stakeholders learned about this vital initiative.

First, senior officials from the Office of the National Coordinator for Health IT (ONC) and the Chair of the HIT Policy Committee's NHIN Workgroup presented an in-depth look at the "NHIN Past, Present & Future," including the first public announcement of a brand new exchange model: NHIN Direct.

Then, NeHC Vice Chair Dr. Simon Cohn of Kaiser Permanente moderated an informative panel discussion with today's users of the NHIN.

NHIN Past, Present & Future

  • Douglas B. Fridsma, MD, PhD - Senior Advisor, Office of the National Coordinator for Health IT (ONC)
  • Mariann Yeager - Contractor to the Office of Policy & Planning, ONC
  • David Lansky, PhD - President and Chief Executive Officer, Pacific Business Group on Health; Chair, HIT Policy Committee's NHIN Workgroup

Who Uses the NHIN Today? A NeHC Expert Panel Discussion

  • NeHC Vice Chair Simon P. Cohn, MD - Associate Executive Director, The Permanente Federation, Kaiser Permanente [Moderator]
  • Stephen L. Ondra, MD - Senior Policy Advisor for Health Affairs, U.S. Department of Veterans Affairs
  • Charles Magruder, MD, MPH - Senior Advisor for Health Information Exchange, National Center for Public Health Informatics, Centers for Disease Control and Prevention (CDC)
  • Brian E. Dixon, MPA - Health Information Project Manager, Regenstrief Institute
  • Liesa Jenkins - Executive Director, CareSpark


Meeting Agenda

Presentation Slides

Meeting Transcript

Recorded Webinar

Recorded Video

Comment on the Meeting


Stakeholder Questions:

NHIN Past, Present & Future

  • Q from Rob Levy: I assume the NHIN-Direct is meant to be an iterative and incremental development process increasing capabilities and functionaliities over time. Is there a broader or over-arching strategic plan and document?
  • Q from Joe Liscinsky: More of a technical nature….as part of the NHIN – a) do you have any technical data around what you recommend/require as the minimum data set that needs to be captured and b) do you have any documents around what you use for de-duplication methodology or protocol?
  • Q from Daniel Belletti: when might we expect some report from these NHIN Productin exchange sights (either individually or a collective report)?
  • Q from Greg Smith: Can you clarify two issues. 1. Can an eligible professional and hospital meet meaningful use just connecting to the NHIN and 2. How does the NHIN relate to state HIEs and/or regional HIEs
  • Q from Raul Recarey: If the NHIN is set up to allow providers (and IDN's) to connect directly and meet meaningful use criteria, what incentives do they have to connect to a State-designated HIE?
  • Q from Eduardo Gonzalez Loumiet: Where can we find more information on NHIN Direct?
  • Q from Alex Alexander: Question for Doug: Is the NHIN direct a mechanism by individual providers to directly connect to NHIN? if so how do you plan the onborading process to encourage individual providers to understand and adopt/join in NHIN?
  • Q from Patricia Valenti: what is the definition of "exchanging data in production"?
  • Video comment from Sherry Reynolds: I though that the certification in the interim rule is for vendors EMR's not necessarily for HIE or info exhchanges
  • Twitter Q from Sherry Reynolds: (Tweeting #NeHC conference on #NHIN high volume apology) What policies, standards & services do we need to empower consumers?
  • Q from Daniel Belletti: Is there planning for the collective of available infomration on the NHIN to become a public use dataset for research?
  • Q from Patricia Valenti: what is the process for a private organizations to build solutions around CONNECT?

Who Uses the NHIN Today?

  • Q from Cathy Stueckemann: How does HNIN plan to incorporate Pres. Obama's reqt that federal agencies/entities have meaningful tribal consultation on matters impacting them? PPTs seemed to focus only on states/regions, but no reference to inclusion of Tribes/elected nat'l orgs.
  • Q from Adele Allison: Can the panel provide any guidance on the types of contracts involved being referenced by the VA?
  • Q from Riki Merrick: Is the DURSA publically available, so other efforts could use it as well?
  • Q from Cathy Stueckemann: On slide 72, are there arrows missing to indicate bidirectionality, especially from the state DOH to Regenstrief; and from CDC to state DOH?
  • Q from Riki Merrick: What SNOMED codes are you using to identify lab results for H1N1 and differentiate between the "seasonal vs pandemic" strains in circulation?
  • Q from Riki Merrick: Can you provide a link to the draft specifications, or are thye not publicially available yet?


Time: 3:00 pm - 5:00 pm ET

Location: Top of the Hill Banquet & Conference Center
                 Reserve Officers Association
                 One Constitution Avenue NE
                 Washington, DC 20002
                 [Across the street from the Senate Office Buildings - Accessible via Union Station or Capitol South Metro Stops]

Webinar: https://nationalehealthevents.webex.com/nationalehealthevents/onstage/g.php?t=a&d=668909907

Audioconference: (866) 699-3239 or (408) 792-6300
(Please join the event with a computer system first and follow the audio instructions on the screen.)

Access/Event code: 668 909 907

Attendee ID: You will receive this number when you join the event first with a computer connection. YOU MUST ENTER AN ATTENDEE ID TO PARTICIPATE IN PUBLIC COMMENT.

Streaming Video: http://www.freedocast.com/nationalehealth