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HIE Readiness. How to power up with a plan. Take the Road Forward.

JANUARY 9, 2014
As 2014 Begins, ICD-10 Deadline Looms
As the new year gets off to a start, the latest findings for ICD-10 remain stark. With an October 1, 2014 deadline for conversion of the medical coding system from ICD-9 to ICD-10, some 80 percent of participants have not begun testing, and only about half have undergone the initial step of conducting an impact assessment, according to the Workgroup for Electronic Data Interchange (WEDI) survey published in mid-December.

Become a 'Champion' of the HIMSS Interoperability Definition
To facilitate adoption and deployment of interoperability in the industry, HIMSS has published the interoperability definition and is asking others to support the use of the definition in their industry activities. “By providing one definition of interoperability, the HIMSS Interoperability Definition Champion initiative builds on the foundation of health IT implementation,” says Joyce Sensmeier, MS, RN-BC, CPHIMS, FHIMSS, FAAN, Vice President of Informatics at HIMSS. Approved by its board of directors, IHE USA became the first HIMSS Interoperability Definition Champion in December 2013. Learn how your organization can become a HIMSS Interoperability Definition Champion by clicking on the headline above. For additional information, contact Jessie Bird at 312-915-9202.

Author Malcom Gladwell to Keynote Health Care Innovation Day
Best-selling author Malcolm Gladwell will be the keynote speaker at the Health Care Innovation Day Conference on Feb. 6, at the Omni Shoreham Hotel in Washington, DC. Gladwell will speak on how interoperability can strengthen our nation’s healthcare system. The conference convenes policy makers, industry representatives, providers, and consumers to discuss innovative solutions to the nation’s healthcare challenges. There is no cost to attend, but registration is required.

Health IT Gets New Roadmap: 10 Recommendations
By Erin McCann
Part of moving forward and progressing with health IT initiatives involves proactively setting new goals and establishing a roadmap for the future. The Workgroup for Electronic Data (WEDI) Interchange Foundation has taken this to task by releasing its 2013 report that puts forth recommendations for the health IT industry over the next decade. The report outlines 10 recommendations in four critical areas of focus, including patient engagement, payment models, data exchange and interoperability and innovative encounter models.

3rd Annual Mobile Survey - RESPONDENTS NEEDED
For the first time in 2011, HIMSS explored the use of mobile technology to improve access to the information needed on a day-to-day basis in a healthcare setting. The study is designed to collect information on an array of items related to mobile device usage. Questions assess organizations’ general use of mobile technology, access to patient data, means for securing information, and the benefits and barriers around the use of mobile technology. The current survey is built around the six topics of the mHIMSS Roadmap: New Care Models, Technology, ROI/Payment, Legal/Policy, Standards & Interoperability, and Privacy & Security. Responses for this survey are still being collected. If you complete the HIMSS Mobile Survey by Jan. 17 you will receive a $25 registration credit for the 2014 mHealth Summit.

IHE Junction
Swan Song for Connectathon in Windy City
Anticipation about the 2015 IHE North American Connectathon’s move to the HIMSS Innovation Center in Cleveland is running high among the event’s organizers, though they insist that they are not looking past their final year in Chicago Jan. 27-31, 2014. In fact, there are many reasons for excitement at the Windy City event, namely the rollout of the New Directions testing track, designed for testing of innovative health IT applications still in development.

Continua Health Alliance and IHE USA Expand Product Testing Capability Connectathon
Continua is co-locating its upcoming U.S. Plugfest at IHE North America (NA) Connectathon 2014, from Jan. 28-29, in Chicago. Plugfest Registration closes on Jan. 10.

Connectathon to Spotlight Interoperability Progress, Road Ahead
The IHE North America Connectathon continues its work toward interoperability.

Closer ties between Integrating the Healthcare Enterprise USA, the Office of the National Coordinator for Health IT and Standards and the ONC’s Interoperability Framework is necessary for interoperability to reach Meaningful Use Stage 3, said IHE USA President and HIMSS Vice President of Informatics, Joyce Sensmeier. Additionally she said, “The leadership of the ONC and S&I Framework became more involved and brought new proposals to consider for help with Stage 3. It’s for the good of everybody.”

Attend the IHE NA Connectathon Conference 2014
The IHE North American (NA) Connectathon Conference 2014 is a one-day educational conference held in conjunction with the IHE NA Connectathon on Jan. 29. Attendees gain critical best practices and learn from health IT’s top thought leaders and organizations as they converge in downtown Chicago. Click the link above to learn more, register and view the complete agenda.

Still Time to Become an IHE NA Connectathon Sponsor
The IHE North American Connectathon & Conference 2014, is the hub for interoperability and problem resolution to advance our nation’s healthcare. With hundreds of health IT experts converging in Chicago for a week of interoperability testing, distinguish your organization as a leader in the health IT industry with by becoming a sponsor for the IHE NA Connectathon or Conference 2014. Participating sponsors extend their marketing reach, and receive complimentary badges and discounts. Learn more about the new sponsorship packages available for 2014 by contacting

HIE Highway
Good Staffing Critical to HIE
While lots of factors have to come together to make a successful health information exchange initiative, none can work well without the proper level of skilled staffing and support—regardless of how sound its technology infrastructure might be, according to the HIMSS and American Health Information Management Association collaboration resulting in a white paper entitled, Trends in Health Information Exchange Organizational Staffing.

The Challenge for 2014

Click on the link above to read a summary of the Third Annual New York eHealth Collaborative (NYeC) Digital Health Conference held in November 2013 in New York City. NYeC is a resource for healthcare providers adopting electronic health records as well as the creator of the Statewide Health Information Network of New York (SHIN-NY).

Policy Pipeline
HIMSS & HHS Collaborate on Patient Identification and Data Matching
Through HHS’s existing “Innovator in Residence” (IIR) program, HIMSS and the U.S. Department of Health & Human Services are collaborating to move forward on the creation of a nationwide patient data matching strategy. HIMSS is currently recruiting an IIR to develop a vision, strategy, and implementation plan for the near-term deployment of consistent patient data matching in health that builds on the body of work from HHS’s Office of the National Coordinator for Health IT (ONC) and healthcare community partners. The IIR will also assess the longer-term applicability of identity management methods, processes and technologies currently in use in healthcare and other sectors.

Senators Press for EHR Interoperability
Senators John Thune and Mike Enzi, Republicans from South Dakota and Wyoming, added an amendment requiring interoperability to be achieved by 2017 to the meaningful user under the Electronic Health Record Meaningful Use program with rules established via federal committee under the direction of the HHS Office of the National Coordinator.

FCC Hosts mHealth Innovation Expo
The Federal Communications Commission (FCC) hosted its first-ever mHealth Innovation Expo. The event took place at the FCC, and featured multiple mHealth products and solutions as well as federal government programs supporting and leveraging mHealth to improve healthcare.

ANSI Submits Response to Office of the Federal Register on Incorporation by Reference
In its response to the October 2013 notice from the Office of the Federal Register (OFR), ANSI reiterated its support for a flexible, multifaceted approach to making standards that have been incorporated by reference (IBR) reasonably available. The deadline for public comment on the OFR’s notice has been extended to January 31, 2014.
Interoperability Interchange*
EDITORIAL: 10 Years and 6 Czars into HIT, Where Are We Now?
By Diana Manos
It has been almost a decade since President George W. Bush launched the Office of the National Coordinator for Health IT (ONC). With the announcement that New Orleans Health Commissioner Karen DeSalvo, MD, will be filling the national coordinator position, now is a good time to stand back and take stock.

INTERVIEW: Health Data Interoperability Woes Could Be Solved Fast, If We Wanted
Political forces in Washington and in the marketplace that protect the non-interoperability of data are holding back the free flow of health data between systems, said Anna McCollister-Slipp in this audio interview by Don Fluckinger. Recorded at the 2014 mHealth Summit in December, McCollister-Slipp exhorts healthcare provider IT teams to stand up for interoperability for the benefit of patients. She also calls on patients, especially those living with chronic diseases, to demand interoperability in order to simplify and improve their healthcare.

PANEL: Why We Need Medical Interoperability
On November 5, West Health IDEA Series held a live and online panel discussion entitled, How Medical Interoperability Can Improve Patient Safety and Lower Costs in Health Care. West Health is a research organization that focuses on technologies to reduce healthcare costs. Watch the one-hour panel by clicking: Why We Need Medical Interoperability.

VIDEO: Challenges of Interoperability in Healthcare
At AHIMA’s annual conference, John Lynn (@techguy) had a chance to sit down with Steve Bonney, VP of Business Development and Strategy at BayScribe. In this video interview, Steve and John discuss the challenges of getting structured data in healthcare and how you can use good technology to get the healthcare data without disrupting the physician workflow. Steve also discusses some of the benefits of having interoperable data in healthcare. If you’re interested in healthcare data exchange or interoperability, then you’ll enjoy this YouTube video.

BLOG: HL7 is as Open as a Fax Machine
By Stanley Crane
I’ve blogged a lot about Open from a technical perspective. But there is a market perspective of Open, too. As international standards bearer for interoperability, HL7 plays a vital role in healthcare today. But that doesn’t mean that HL7 fosters an Open marketplace. Why? Because transactions in an Open system shouldn’t be so costly. Open can help solve two of the chief complaints about Health IT 1. the cost of interfaces, and 2. the lack of scalability. There’s more to Open than standard forms.

*The views expressed in the above Interoperability Interchange opinion section are those of the authors and do not necessarily reflect the views of HIMSS.

Cut through the clutter: Post healthcare IT jobs. Find healthcare IT candidates.

Solutions Central
CDISC Standards - Available for Use
The Clinical Data Interchange Standards Consortium (CDISC) has recently made standards available for use and has published them for download. Click on the headline to download the PDF of available standards. Additionally, CDISC SHARE, which is a cornerstone of the CDISC technical roadmap, is a global electronic repository for developing, integrating and accessing CDISC metadata standards in electronic format. To learn more about CDISC SHARE click on the video about the metadata repository.

HIMSS Analytics Report: Importance of Strategic Interoperability
A recent HIMSS Analytics survey reveals that hospitals and health systems are focusing on achieving interoperability with their information systems in order to deliver high-quality, safe patient care. As these initiatives are being implemented, healthcare organizations are beginning to understand the importance of strategic interoperability. Not only will strategic interoperability meet current needs, including meaningful use Stage 2 and participation in accountable care organizations, but it will position hospitals and health systems to be able to meet unanticipated and future needs for securely sharing patient information—all with the goal of driving high-quality, cost-efficient, patient-centered care and improved clinical outcomes. Click on the headline about to visit the Strategic Interoperability Knowledge Center and download the report.

Happtique Suspends mHealth App Certification Program
Less than two weeks after Happtique approved the first set of mobile health apps as part of its certification program, it suspended the program.

Strategic Interoperability. Improve clinical outcomes. Enable data exchange. Provide cost-effective care. Go Now.

connect with himss
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Jan. 23-14
HL7 Working Group Meeting
Long-Term Care CXO Summit, Las Vegas, NV

Jan. 27-31
IHE NA Connectathon 2014
Hyatt Regency, Chicago, IL

Jan. 29
IHE NA Connectathon Conference 2014
Hyatt Regency, Chicago, IL

Feb. 6
Health Care Innovation Day 2014 (HCI/DC2014)
Omni Shoreham Hotel, Washington, DC

Feb. 10-14

IHE Domain Volume One Meeting
Technikum Wein College Campus in Vienna, Austria

Feb. 23
Pre-conference Symposia at HIMSS14
-The Interoperability Explosion: Where We Are and Where We're Headed
-Delivering on the Promise of HIE: Realizing Value through Innovation
Orlando, FL

Feb. 23-27
Orlando, FL

Feb. 24-26
HIMSS Interoperability Showcase at HIMSS14
Orlando, FL

Feb. 24
VIP Showcase Tour & Break - hosted by Interoperability & Standards (I&S) Committee
Orlando, FL

Feb. 25
IHE Networking Breakfast at HIMSS14
Orlando, FL

Feb. 26, 2014
I&S Committee Networking Breakfast and Panel at HIMSS14
Orlando, FL

To ensure the continuation of your HIMSS member benefits, login to the Member Center to renew your membership today. If you need a paper invoice, request one via e–mail to the Member Services department. You can also renew by phone at 312-664-4467 (option 8, then 2).

Disclaimer: The inclusion of an organization name, product or service in this publication should not be construed as a HIMSS endorsement of such organization, product or service, nor is the failure to include an organization name, product or service to be construed as disapproval.

Information Xchange
features extended coverage of all aspects pertaining to interoperability and standards leading to health information exchange. Published on the first Thursday of the month, this newsletter provides the latest industry news, case studies and expert interviews. Information Xchange is a complimentary resource for HIMSS members, organizations, government agencies and anyone involved and interested in today's interoperability, standards and information exchange activities.

We hope you have enjoyed Information Xchange. If you and your colleagues would like to permanently subscribe to each and every complimentary edition, click here.

Information Xchange Team
Joyce E. Sensmeier, MS, RN, BC, CPHIMS, FHIMSS, FAAN, Vice President, Informatics,
Pam Matthews, RN, MBA, CPHIMS, LFHIMSS, Senior Director, Informatics,
Mary-Ellen Devitt Johnson, MPP, Senior Manager, Interoperability & Standards,
Julie Moffitt, Senior Coordinator, Informatics,
Matt Schlossberg, Editor, Information Xchange,, 312-915-9282
33 West Monroe Street, Suite 1700
Chicago, IL 60603-5616

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