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Before you dive into HIE deployment, consider your HIE Readiness. Spot your gaps.

MARCH 6, 2014
HIMSS Annual Call for Committee Volunteers—Extended until Monday, March 17th
The HIMSS Annual Call for Committee Volunteers for the 2014-2015 fiscal year has been extended through March 17, 2014. We are looking for very active leaders to serve on the Interoperability & Standards and Health Information Exchange (HIE) Committees this year. As a volunteer you can play an instrumental part in the transformation and advancement of health IT by participating on these two or one of the other 17 HIMSS Committees. Contact Carrie Subelsky for more information and details about eligibility to serve. Take advantage of this extension and apply now!

Health IT Growing Rapidly Through 2017
The North American health IT market will grow at a compound annual growth rate of 7.4% to reach a total value of $31.3 billion in 2017, compared to $21.9 billion in 2012, the research firm Markets and Markets predicted in their June 2013 report.

Malcolm Gladwell Keynotes Healthcare Data Interoperability Summit
Relative to data interoperability, Gladwell recounted three stories to help “reframe” the data interoperability dialog that continues to gridlock much of the healthcare industry – and the promise of digital health. See also Healthcare IT News’ summary of his “three lessons in culture, framing and consequence,” from Health Care Innovation Day 2014.

Collaboration Focuses on Standards for eHealth, Internet of Things
The Institute of Electrical and Electronics Engineers Standards Association (IEEE-SA) and MEMS Industry Group, the trade association for micro-electromechanical systems, have signed a memorandum of understanding to help accelerate and broaden the adoption of globally relevant standards-based technologies for eHealth and the Internet of Things.

CCHIT to Cease EHR certifications
The Certification Commission for Health Information Technology will stop offering ONC testing and certification services. Instead, CCHIT will work toward increased IT interoperability by counseling providers and developers on certified EHR requirements. See also CCHIT executive director Alisa Ray’s Q&A Session with Healthcare IT News.

Showcase Connection
Departed HIMSS14, Next Stop The Kingdom of Saudi Arabia
The next HIMSS Interoperability Showcase™ takes place in Jeddah, The Kingdom of Saudi Arabia from April 13-April 14 at The Ministry of Health & HIMSS Middle East Conference & Exhibition.

Host Your Next Interoperability Event/Meeting at the HIMSS Innovation Center
The HIMSS Innovation Center is now open and ready to host events and meetings! Take a virtual tour of the Innovation Center to see the beautiful state-of-the-art facilities and download the planning document for information about catering, A-V, room layouts and capacity. Schedule your event now, and add a customized tour of the Technology Showcase and/or Simulation Center to enhance the experience! Innovation Center Collaborators and HIMSS organizational members receive reduced and/or waived facility fees to use the meeting space. If you have additional questions, please contact John Paganini, Senior Manager for Interoperability Initiatives, HIMSS Informatics Team.

Infusion Interoperability Workshop at HIMSS Innovation Center
On March 25-26, IHE USA and CareFusion present a 1 1/2 day workshop at the HIMSS Innovation Center in Cleveland focused on the hot topic of advancing interoperability of infusion devices and technology (e.g., intravenous therapy pumps) at the bed-side. Integrating the Healthcare Enterprise (IHE) has developed integration profiles utilizing standard communication protocols to enable data from infusion pumps to be included and updated in an electronic medical record. Attendees will gain critical best practices and learn from industry leaders/organizations about their successes in achieving infusion interoperability.

IHE Junction
BLOG: Reflections on IHE North American Connectathon 2014*
By Joyce Sensmeier, MS, RN-BC, CPHIMS, FHIMSS, FAAN
When I first started at HIMSS, IHE was one of my first assignments. Even though I had previous informatics experience, walking into my first technical committee meeting was quite overwhelming. I soon realized that solving interoperability was not going to be an easy task. But we have made a great deal of progress since that day, and this year’s event brought together 113 organizations and companies to test the interoperability and conformance to standards of more than 146 health IT systems and devices.

RETROSPECTIVE: Sixteen Years of Connectathons in Chicago*
By Derek Ritz, CPHIMS-CA
In 1999 in an underground parking garage of a suburban Chicago office building, Integrating the Healthcare Enterprise (IHE) held its first Connectathon to demonstrate interoperability between health information technology systems and solutions. 23 vendors testing 47 applications against one IHE Integration Profile marked the launch of IHE’s annual North American Connectathon.

PODCAST: What is IHE and What are Integration Profiles?*
Mike Nusbaum, BASc, MHSA, FHIMSS and Joyce Sensmeier, MS, RN-BC, CPHIMS, FHIMSS, FAAN
Listen to Mike and Joyce discuss the basics of IHE Integration Profiles, the role of IHE International, and the work of IHE Domain Committees.

IHE USA Publishes Certification White Paper
In a joint initiative, IHE USA & ICSA Labs published a white paper to explain the current state of industry conformance to IHE frameworks and the need for rigor, precision and proof of correctness that certification achieves. IHE USA certification carries with it a broad range of benefits to clinical users, their IT vendors and policy-makers who are aware of how crucial IT integration is to coordinating and improving people's health.

Now Available - IHE NA 2014 Connectathon Conference Presentations
If you weren’t able to attend the IHE NA Connectathon Conference 2014, not a problem! Presentations are now available for free download. This one-day, educational and networking event built upon the IHE North American Connectathon. The conference brought together industry leaders, including ONC’s Doug Fridsma, to discuss the ways IHE is advancing interoperability. If you did attend, please complete the Conference evaluation form online. Next year’s Connectathon Conference is scheduled for Jan. 28, 2015 in Cleveland, Ohio.

IHE North American Connectathon Expanded into New Directions
IHE USA expanded testing services at the 2014 IHE North American (NA) Connectathon. The expansion included mobile access, patient care devices, laboratory systems and cross-enterprise exchange of information. A new testing track called New Directions was announced to foster cooperation amongst interoperability leaders and evaluate best practices for hospitals and medical offices to streamline the secure exchange of patient data.

*The views expressed in the noted IHE Junction articles are those of the authors and do not necessarily reflect the views of HIMSS.

Policy Pipeline
Institute for eHealth Policy – HIT 101 Session for Congressional Staff
Each year the Institute for eHealth Policy holds briefings geared toward new and returning congressional health staff to provide the latest on evolving health IT policy issues.

Happy Birthday, HITECH!
Five years ago, on Feb. 17, 2009, President Barack Obama signed into law the American Recovery and Reinvestment Act of 2009. The “Stimulus Bill” included the Health Information Technology for Economic and Clinical Health (HITECH) Act. HITECH codified into law the Office of the National Coordinator for Health IT and created the Medicare and Medicaid EHR Incentive Program—aka the Meaningful Use plan.

DeSalvo: Interoperability 'Top Priority'
Interoperability does not only need to adhere to the three-part aim of reducing costs, improving care and improving health. Five more things, she said, are essential.

Health IT Standards Committee Discusses Patient Generated Health Data
On Feb. 18th, the Health IT Standards Committee received an update report from its Consumer Technology Workgroup on patient generated health data and discussed joint recommendations on this topic from the Consumer Technology Workgroup as well as the Clinical Operations Workgroup.

HIMSS Regulatory Chart Tracks Health IT Regulations
The HIMSS regulatory chart offers an at-a-glance snapshot of all health IT-related regulations HIMSS is following in 2014. The chart includes links to proposed and final regulations and to HIMSS comments and position statements, along with anticipated timelines.

HIMSS Exchange
Volunteers Needed to Review ONC 2015 Voluntary Certification Criteria
The Office of the National Coordinator (ONC) released their Voluntary 2015 Edition Electronic Health Record (EHR) Certification Criteria; Interoperability Updates and Regulatory Improvements Notice of Proposed Rulemaking (NPRM). All comments will be due no later than April 28, 2014. HIMSS will be responding to this NPRM. If you are interested in serving on this ad hoc work group, please e-mail Mary-Ellen Devitt Johnson. Volunteer calls for this cross HIMSS team will be held on Wednesdays at 3pm Eastern Time from March 12 through April 2 (i.e., four meetings on March 12, 19, 26, and April 2).

Continuity of Care Maturity Model Launched at HIMSS14
HIMSS is pleased to introduce the Continuity of Care Maturity Model, a global model that addresses the importance of interoperability, information exchange, care coordination, patient engagement and analytics with the ultimate goal of holistic individual and population health management.

Launch of New Mergers & Acquisition Technology Framework at HIMSS14
The new Mergers & Acquisition Technology Framework was designed by the Enterprise Information Systems Committee. The framework’s goal is to provide a comprehensive approach to the technological considerations associated with the merger and/or acquisition of an organization. It provides a checklist against which the implementing organization can review its actions, and facilitates the successful completion of technology integration regarding a merger and/or acquisition. For more information contact Adam Bazar, Sr. Manager, Health Information Systems at HIMSS.
Interoperability Interchange*
BLOG: Interoperability Standards – Shades of Gray Doug Fridsma, MD
By Doug Fridsma, MD, PhD
Understanding what interoperability is (and what it is not) will help us chart a path to achieving nationwide health information exchange and interoperability.

OPINION: Standards for Patient Generated Healthcare Data
By John D. Halamka, MD
For patient generated data sent from interfaced applications, C-CDA is recommended as a container for types of templates that are well understood (e.g. problems, meds, allergies). C-CDA (Consolidated Clinical Document Architecture) over existing (Direct, Exchange) and other modes of transport are reasonable ways to get data in and out of EHRs, PHRs and patient facing applications. C-CDA should not be required as the architecture that integrated applications must use.

More on this topic from:
ONC Health IT Buzz by Mary Jo Deering
HL7 Standards Blog by John Dzivak

INTERVIEW: Why is Interoperability So Essential to Patient Outcomes?
By Kyle Murphy, PhD
Interoperability continues to be a topic of debate among industry stakeholders. In order for it to become a reality, it is becoming increasingly clear that providers must make their health IT partners — from EHR vendors to health information exchange (HIEs) — understand why interoperable systems are so important, and the answer to that question is ensuring that the patient’s experience across the continuum of care is a positive one.

INFOGRAPHIC: Health Data Interoperability in the United States - The State of Health Information Exchange with associated blog
By Jon Mertz
Healthcare interoperability is the “must have” for our care delivery system. The reasons why this is important are many, including:
  • Exchange of health data will raise quality of care by delivering relevant patient information to the right care provider in a timely and secure way.
  • Exchange of health data will reduce costs, eliminating duplicate tests and leveraging relevant patient data in meaningful ways.
  • Exchange of health data will become more mobile and patients will want to transfer their relevant data to their care providers in a simple, secure way.
VIDEO: Making a Difference in the Health Space
By Carla Smith, Executive Vice President at HIMSS
Carla joins HuffPost Live to discuss her “ah-ha” moment which let her to know that she wanted to make a difference in the health space. She shares her excitement about having Hilary Clinton as the keynote at HIMSS14 in Orlando, with 40,000 of her “closest” friends. Approxmately 5 minutes.

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

HIE Highway
Are Public Health Information Exchanges On the Way Out?
If a recent Black Book survey of payers, hospitals and physicians turns out to be true, then the number of public HIEs is likely to dwindle in the years ahead.

Healtheway Convenes Carequality to Take HIE to Next Level
“We’ve seen substantial progress in enabling HIE and connecting networks,” said Mariann Yeager, executive director for Healtheway. “But it’s time to have an interoperability framework that will allow exchange to occur in a way inclusive to all industry stakeholders.”

HIE Network Sees Record Participation
More healthcare organizations are moving forward with health information exchange initiatives, with one national exchange network reporting record participation numbers.

Hospital of the University of Pennsylvania Case Study: Solving the Unstructured Data Dilemma with Enterprise Content Management. Read Now.

Solutions Central
HA Interoperability Report Released at HIMSS14
In the HIMSS Analytics Report: Current State of Health Data Interoperability in the U.S. Trends, Challenges and Strategies for Success was released at HIMSS14. One of the biggest barriers to sharing information with other organizations is the inability of some statewide health information exchanges (HIEs) to accept certain data sets that hospitals are required to provide under Meaningful Use.

NIST Releases Cybersecurity Framework
The National Institute of Standards and Technology (NIST) published the first version of its Framework for Improving Critical Infrastructure Cybersecurity.

ATIS Publishes Priority Classification Levels for Next Generation Networks Voluntary Standard
To determine priority for information and communication technology (ICT) transmissions, the Alliance for Telecommunications Industry Solutions (ATIS) recently published ATIS-0100022.2008(R2013), Priority Classification Levels for Next Generation Networks (NGN).This American National Standard (ANS) formalizes admission control classification levels for telecommunications services seeking entry into NGN and service restoration classification levels for NGN traffic.

March 13: The Next Layer of Mobility Planning: Workflow and Management. Register Now.

connect with himss
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March 11-13
HL7 Implementation Workshop: Meaningful Use Standards & FHIR

March 19
ANSI Course 208: The Operating Procedures of U.S. TAGs to ISO: Strengthening the U.S. Voice in International Standardization

March 20
HIMSS14 Outcomes

March 21
ANSI Course 281: The American Way:American National Standard (ANS) Development Process

March 25-26
IHE USA Infusion Interoperability Workshop

March 31-April 4

April 7-11
IHE Europe Connectathon 2014

April 13-14
The Ministry of Health & HIMSS Middle East Conference & Exhibition 2014

April 16
Healthcare Business Intelligence Forum

April 17
Physician Webinar: Standards & Interoperability - The Key to Data Exchange

May 4-9
HL7 Working Group Meeting

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,
Bailey Grattelo, Editor, Information Xchange,
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