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Delay In Transition from ICD-9 to ICD-10 Code Set
On Tuesday, April 1, President Barack Obama signed the "Protecting Access to Medicare Act of 2014," HR 4302. The U.S. Senate passed it on March 31 and the House passed the bill in a voice vote on March 27. Section 212 of the law will delay the conversion to ICD-10 by one year.

Who Stole U.S. Healthcare Interop?
The health data chaos we have today doesn't allow for interoperability, portability or mobility. It’s why fax machines remain the "lingua franca" of U.S. healthcare. Every healthcare entity in the U.S. sees each patient, event and location as unique to them. For lack of a single identifier, there’s no easy or cost-effective way to coordinate patient care.

Forum on eHealth Standardization and Interoperability
The World Health Organization (WHO) hosted the Joint Inter-Ministerial Policy Dialogue on eHealth Standardization and Second WHO Forum on eHealth Standardization and Interoperability from February 10-11, 2014 at WHO headquarters in Geneva, Switzerland. Click on the headline above to download the final report and other conference documents.

Healthcare Leaders Set to Invest Big in Interoperability in 2014
A recent survey conducted by HIMSS Media on behalf of Philips Healthcare reveals that healthcare leaders will focus health information technology (HIT) investments in 2014 on interoperability, mobile connectivity and technologies that drive real-time actionable information at the point of care.

More Medical Interoperability Could Lead to Big Savings in U.S.
Medical interoperability could be a source of more than $30 billion a year in savings and improve patient care and safety, according to a new white paper released by the Gary and Mary West Health Institute and the Office of the National Coordinator for Health Information Technology (ONC).

Last Stop - HIMSS14
HIMSS14 Photo Highlights
The HIMSS14 Annual Conference and Exhibition brought more than 38,000 healthcare professionals to Orlando for learning and networking. Check out some HIMSS14 photos!

Personal Connected Health Alliance Announced at HIMSS14
HIMSS Board Chair and Partners HealthCare deputy CIO Scott MacLean revealed a new collaboration between the Continua Health Alliance, HIMSS and the mHealth Summit. Personal Connected Health Alliance (PCHA) will focus on linking consumers with interoperable, personalized health solutions that meet their lifestyle needs

Summary of New Interoperability Symposium and Other Highlights from HIMSS14
The HIMSS Interoperability & Standards (I&S) Committee Chair, Dr. Keith Salzman provides an overview of the new Interoperability Pre-conference Symposium and highlights other key events at HIMSS14. His key takeaway from HIMSS14 is that we are in this together and need to collaborate to move forward. Interoperability is becoming both possible and a focus of the healthcare community.

HL7 Sponsored I&S Committee Panel -- FHIR®: The Future of Interoperability - Now Available!
HL7 CEO, Charles Jaffe, MD, PhD, moderates a panel of interoperability and standards experts during the HIMSS14 Interoperability & Standards Committee Networking Breakfast. Designed with a focus on simplicity and ease of implementation, Fast Health Interoperability Standard (FHIR) is an exciting new addition to the HL7 standards platform. HL7 has made this 60 minute video of the panel presentation available for a limited time.

ONC Chiefs Compare Notes on Past Decade
At CCHIT's "The Decade of Health IT" Summit at HIMSS14, four national coordinators looked back on their experiences working to drive healthcare information technology adoption over the past 10 years.

Hillary Wows the HIMSS Crowd
Former Secretary of State Hillary Rodham Clinton did not disappoint while speaking at the HIMSS14 Annual Conference and Exhibition Feb. 26.

IHE USA 2014 Cycle Certification Program
The first products tested at the North American Connectathon have achieved 2014 Cycle IHE USA Certification. See the IHE USA Certified Product Directory for detailed information on the specific products, versions, and certification criteria. Certification of these products to select IHE profiles will give purchasers of the health IT products additional independent, third-party assurance that the product has been tested and exhibits interoperable capabilities for optimal data exchange and security.

Debrief on IHE Domain Volume One Meeting
The IHE Domain Volume One Meeting took place in Vienna, Austria from February 10-24. The purpose of the meeting was to plan for and finalize the business requirements, use cases and whitepapers needed for upcoming public comment publication. There was an abundance of great debate and conversation about each of the S&I work products. (See Page 2 of the S&I Framework March 2014 Newsletter for this article.)

Infusion Interoperability Workshop at the HIMSS Innovation Center -New Dates!
On August 20-21, IHE USA and CareFusion will 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 bedside. Integrating the Healthcare Enterprise (IHE) has developed integration profiles utilizing standard communication protocols to enable data from infusion pumps to be transferred 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. Learn more!

Save the Date! IHE World Summit
Plans are underway for the rescheduled IHE World Summit entitled, Building Bridges to Better Health, Health IT Standards & Interoperability in a Global Context which will be held in Chicago, Illinois from September 11-13, 2014.

Policy Pipeline
HIMSS Response to Voluntary CEHRT Criteria for 2015
HIMSS is rapidly working on its response to the ONC published notice of proposed rulemaking (NPRM) that includes proposals for the next edition of the certified electronic health record technology (CEHRT) criteria. Comments are due no later than April 28, 2014. For more information, see the HIMSS fact sheet on the proposed regulation.

GAO Recommends CMS and ONC Increase Focus on Information Exchange
On March 25, the Government Accountability Office (GAO) released a report, Electronic Health Records: HHS Strategy to Address Information Exchange Challenges Lacks Specific Prioritized Actions and Milestones.

Health IT Standards Committee Discusses Stage 3
The Health IT Standards Committee held its 55th public meeting on March 26th, discussing ONC standards and interoperability initiatives, 2015 edition certification and Meaningful Use Stage 3.

HIMSS Overview of Federal HIT Regulations for 2014
This HIMSS overview provides a snapshot of the US Federal Government Regulatory Activity most relevant to Health IT.

HSR Releases REC Study
A study of the Health IT Regional Extension Center (REC) Program was released by Health Services Research. The study assessed the program’s progress towards the goal of supporting over 100,000 providers in small, rural, and underserved practices to achieve meaningful use of EHRs. The Office of the National Coordinator for Health IT (ONC) has arranged for open access to the study for a limited time.

FDA Issues Proposed Rule on Classifying Medical Devices
On Tuesday, March 25, the Food and Drug Administration (FDA) published a proposed rule to amend its regulations around how the agency classifies and reclassifies medical devices based on the applicable provisions in the Food and Drug Administration Safety and Innovation Act (FDASIA) of 2012.

HIMSS Exchange
Join the HIMSS Health Story Project Roundtable!
If you are a HIMSS Member, join the HIMSS Health Story Project first Roundtable meeting on Monday, April 7, 2014 from 4-5 p.m. ET, 3-4 p.m. CT, 1-2 p.m. PT. To learn more about the Project or to speak with a HIMSS staff member, please contact

HIMSS/NCPDP April 10 Webinar on New Standard for Electronic Prior Authorization
Attend Part 3 of the Pharmacy Informatics Town Hall Series on the new National Council for Prescription Drug Programs (NCPDP) standard for electronic prior authorization (ePA). The standard provides one of the most desired ePrescribing workflow capabilities using EHRs. The event will be held on Thursday, April 10, 2014 at 12 p.m. ET, 11 a.m. CT, 9 a.m. PT. Register now!

JHIM Seeks Abstracts on ACOs, HIEs and Payment Models
The HIMSS Journal of Healthcare Information Management (JHIM) has opened an abstracts call for its summer 2014 issue on accountable care organizations, health information exchange and new payment models. The abstracts should include a working title and a 250-word synopsis. Submissions due no later than Monday, April 7.

Call for Speakers: Government Health IT Conference
The 2014 Government Health IT Conference & Exhibition which is being held at the Ronald Reagan Building and International Trade Center in Washington, DC from June 17-18 is currently accepting presenter proposals. Proposals should be free of commercial bias and should include only one or two speakers. The deadline for proposals is Monday, April 7. For questions or more information, contact Kerry Amato.

Physician Podcast: The Nuts and Bolts of Achieving HIPAA Security Rule Compliance
Download a podcast produced by the AMA and HIMSS to listen to a risk assessment discussion between Dr. Salvatore Volpe, a solo physician practitioner, and Lee Kim, BS, JD, Director, Privacy and Security at HIMSS. The podcast has been approved for 1 CME Credit.
Interoperability Interchange*
BLOG: From Syntactic and Semantic to Pragmatic Interoperability in Healthcare
By Chuck Webster, MD, MSIE, MSIS
So, what the heck is pragmatic interoperability? "Pragmatic interoperability (PI) is the compatibility between the intended versus the actual effect of message exchange." The best current practical candidate for achieving pragmatic interoperability is workflow technology.

VIDEO: How Is Uneven HIE Adoption Affecting Population Health?
With Pamela Arora, CIO Children’s Medical Center
As a 2013 HIMSS Davies Award and Stage 7 hospital under the HIMSS Analytics EMR Adoption Model (EMRAM), expectations are already high for Children’s Medical Center, and linking to HIEs ranks high on Pamela Arora’s list of priorities for the coming year as her organization attempts to implement a model of accountable care for its pediatric population in Texas.

OPINION: Difficulties Aligning HIE Stakeholders
By Chad Johnson
While the information in the report does illustrate the high level of skepticism about public HIEs, it should not be used as an indictment for all HIEs. There are many HIEs that have proven to be financially viable and have created high value for member organizations. Chad Johnson, Communications Manager for Corepoint, suggests that over the next few years the marketplace will likely weed out the HIEs that have not solved the important interoperability details.

PODCAST: Physician Engagement with HIE
With Joe Heyman and Dan Paoletti
Download a podcast produced by the AMA and HIMSS. Listen to Dr. Joe Heyman, former Chair of the AMA Board of Trustees and former President of the Massachusetts Medical Society, and Dan Paoletti, VP and CEO of the Ohio Health Information Partnership (OHIP) discuss the importance of physician engagement with health information exchange. Specific attention is given to the benefits for both physicians and their practices; challenges to overcome, including recommendations for physicians with no access to an HIE organization; and requirements for participation.

LETTER: ANSI Focusing on Standards Incorporated by Reference
By S. Joe Bhatia, President and CEO, American National Standards Institute (ANSI)
The issue of standards incorporated by reference (IBR-ed) into federal legislation continues to be at the forefront of our community’s attention. And 2014 has already seen an increased level of discussion and activity among the private sector, in Congress and in the executive branch in an effort to address concerns about the "reasonable availability" of IBR-ed standards and their copyright protection.

INTERVIEW: Technology Will Drive Care Improvement
With Judy Murphy, ONC Deputy National Coordinator
She talks about ONC's primary goal in 2014: the state of interoperability and information exchange standards.

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

Leveraging Healthcare Analytics to Improve Organizational Performance. April 16-17, 2014. Renaissance Washington, Washington DC. Registation Is Open. Reserve Your Spot Today.

Solutions Central
Continua Releases New Design Guidelines
Standards organization, Continua Health Alliance made available its most recent 2014 design guidelines. To request a free copy of the guidelines, email:

New UN Standard to Improve eHealth Interoperability
The International Telecommunication Union (ITU), a UN agency focusing on the information and communication technologies, has offered its first stage approval to an important standard enabling an exchange of multimedia health data between health provider, a controlling function and patient. The new standard will enable different eHealth systems to smoothly exchange patient health data in both low- and high-resource settings, making it ideal for applications in both developed and developing countries.

ICD-10 National Pilot Program Outcomes Report
The HIMSS/WEDI ICD-10 National Pilot Program was an industry-wide healthcare collaborative which was established to minimize the guess work related to ICD-10 testing and to learn best practices from early adopter organizations.

Interoperability Knowledge Center
Check out the Healthcare IT News on-line resource for interoperability videos, white papers, case studies, and webinars.

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

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HIE Highway
Midwestern HIEs Join Fores
Two Midwest health information exchanges, Tiger Institute Health Alliance and Lewis and Clark Information Exchange, are now able to share the data of 2.5 million patients across Missouri and Kansas.

Top EHR-Adopting State Launches HIE
The state boasting one of the highest electronic health record adoption rates in the nation has officially launched its statewide HIE.

Top EHR-Adopting State Launches HIE
Federal HITECH Act funding for the HIE runs out by July 2014; Event Notification Service (ENS) was built as part of a sustainability plan that includes providers and insurers paying fees for HIE services. However, only insurers pay for the new notification alerts.

Feb. 23-May 24
HIMSS14 Online

April 7-11
IHE Europe Connectathon 2014

April 10
Pharmacy Informatics Town Hall: New Standard for Electronic Prior Authorization

April 13
IHE IT Infrastructure (ITI) Domain-Public Comments Due

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

April 16
Healthcare Business Intelligence Forum

April 17
Physician’s Webinar: Standards and Interoperability - The Key to Data Exchange

April 27
IHE Patient Care Coordination (PCC) Domain-Public Comments Due

April 28-May 2
IHE International ITI, PCC & QRPH Meetings

May 5
Webinar: Protect Privacy and Leverage De-identified Data for Healthcare Innovation

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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