Data Quality Subcommittee Monthly Meeting: Friday, February 14, 2020

Data Quality Subcommittee Monthly Meeting: Friday, February 14, 2020

Chairs: MisChele Vickers, Eunice Santos Ambassador: Krystal Collier CSTE Contact(s): Alyaa Altabbaa, Hayleigh McCall,

Agenda Announcements ONC Federal Health IT Strategic Plan and TEFCA and 2015 CEHRT thoughts from ONC Update on Promoting Interoperability Program from Interoperability Task Force Declaration of Readiness and Onboarding Guide Open mic

Announcements Next Data Quality Subcommittee call March 13, 2020 at 12 PM EST

NSSP CoP Membership Even though CSTE is a member-based organization, involvement in the NSSP CoP and its related groups will remain free of charge and independent of CSTE membership Email [email protected] to be added to the NSSP CoP or any of its related groups

2020 CSTE Annual Conference Conference registration now open! Early Bird Registration ends May 5, 2020

Guest Speaker(s) Rachel Abbey The Office of the National Coordination for Health Information Technology Office of the National Coordinator for Health IT (ONC) Updates

The Office of the National Coordinator for Health IT (ONC) Updates February 14, 2020 Rachel Abbey ([email protected]) Dan Chaput ([email protected])

9 ONC Updates High Level Overview 2015 Certified EHR Technology Trusted Exchange Framework and Common Agreement (TEFCA) The Federal Health IT Strategic Plan

10 ONC Updates EHR Certification Requirements For 2020: Everyone should be using 2015 edition of Certified Electronic Health Record Technology (CEHRT)—in the EHR Incentive Programs Details behind the certification program are here: https://www.healthit.gov/topic/certification-ehrs/2015-edition-test-method The results of a products being tested are here: https://chpl.healthit.gov/#/search

11 ONC Updates Public Health Certification Requirements Regulation Text Citation Certification Criterion §170.315(f)(1) Transmission to immunization registries §170.315(f)(2) Transmission to public health agencies—syndromic surveillance §170.315(f)(3) Transmission to public health agencies—reportable laboratory tests and values/results §170.315(f)(4) Transmission to cancer registries §170.315(f)(5) Transmission to public health agencies—electronic case reporting §170.315(f)(6) Transmission to public health agencies—antimicrobial use and resistance reporting §170.315(f)(7) Transmission to public health agencies—health care surveys https://www.healthit.gov/topic/certification/2015-standards-hub

12 ONC Updates ONC 2015 Edition Test Method

13 ONC Updates Certified Health IT Product List (CHPL)

14 ONC Updates Interoperability Standards Advisory (ISA)

15 ONC Updates Trusted Exchange Framework and Common Agreement (TEFCA)

16 ONC Updates 21st Century Cures 21st Century Cures Act – Section 4003(b) “[T]he National Coordinator shall convene appropriate public and private stakeholders to develop or support a trusted exchange framework for trust policies and practices and for a common agreement for exchange between health information networks.” [emphasis added]

17 ONC Updates TEFCA Goals GOAL 1 Provide a single “on-ramp” to nationwide connectivity GOAL 2 Electronic Health Information (EHI) securely follows you when and where it is needed GOAL 3 Support nationwide scalability

18 ONC Updates How will the Common Agreement work?

19 ONC Updates The Sequoia Project (Recognized Coordinating Entity)

20 ONC Updates The Sequoia Project (RCE Continued) The RCE website: https://rce.sequoiaproject.org/ The RCE is planning to seek stakeholder input: Common Agreement Workgroup Announced Number of stakeholder feedback sessions (please checkout the website)

21 ONC Updates Federal Health IT Strategic Plan (2020-2025)

22 ONC Updates 2020-2015 Federal Health IT Strategic Plan Public Comment Period Draft 2020-2025 Federal Health IT Strategic Plan is available for public comment The plan is intended to guide federal health information technology activities Public comment period ends on March 18 at 11:59PM ET The plan is available at: www.healthit.gov/plan

23 ONC Updates Participating Federal Contributors

24 ONC Updates Strategic Plan Framework Promote Health and Wellness Enhance the Delivery and Experience of Care Build a Secure, Data-Driven Ecosystem to Accelerate Research and Innovation Connect Healthcare and Health Data through an Interoperable Health IT Infrastructure

25 ONC Updates Timeline for Plan Publication Public Comment Jan. – March 2020 Spring of 2020 Summer of 2020 Public Comment Update Plan per Public Comments Publish Final 2020-2025 Federal Health IT Strategic Plan

26 ONC Updates Public Comments Plan Ahead. The comment period closes at 11:59 p.m. Eastern Time on the date comments are due. Planning ahead helps to ensure that you submit your comments well before the deadline. Contact the Agency. If you have questions or do not understand a part of the regulatory document, reach out to the agency contact person listed on the document before submitting your comment. Identify the Issues. In your comment, clearly identify which issues you are commenting on within the regulatory action. Provide the page number, column, and/or paragraph from the Federal Register if you are commenting on a particular word, phrase, or sentence. Selection is Fine. You do not have to comment on every issue in a rule. You may select the issues on which you wish to comment. Address Specific Agency Requests. The Department often requests comments on specific parts of proposed rules. This may be a helpful place to focus your comments. Details, Details. Constructive, detailed comments (whether positive or negative) are most helpful. If you agree with a proposed action, your comments are helpful to show that the public wants or needs the proposed action. If you disagree with a proposed action, suggest an alternative (including not regulating at all) and include an explanation of how the alternative might meet the same objective or be more effective. Evidence-based information is particularly helpful. https://www.hhs.gov/sites/default/files/regulations/rulemaking-tool-kit.pdf

Phone: 202-690-7151 Contact ONC Health IT Feedback Form: https://www.healthit.gov/form/ healthit-feedback-form Rachel Abbey ([email protected]) Twitter: @onc healthIT Dan Chaput ([email protected] LinkedIn: Search “Office of the National Coordinator for Health Information Technology” Subscribe to our weekly eblast at healthit.gov for the latest updates!

Guest Speaker(s) Steve Eichner Health Information Technology Lead Center for Health Policy and Performance Texas Department of State Health Services and Centers for Disease Control and Prevention (CDC) Public Health (PH) Interoperability Task Force Update On National Health IT Policy and Legislation

UPDATE ON National Health IT Policy and Legislation

Key Areas of Change Meaningful Use to Promoting Interoperability Final Rules for Information Blocking (21st Century Cures Act) Trusted Exchange Framework and Common Agreement (TEFCA) Federal Health IT Strategic Plan

Meaningful Use to Promoting Interoperability The Centers for Medicare and Medicaid Services changed the name of the program to Promoting Interoperability Medicaid still provides the electronic health record incentive payment program, due to expire in 2021. Attestations are to each state’s Medicaid program (or designee). Medicare providers who do not meet exemption criteria may be subject to reductions in reimbursement rates in a future year if they do not meet program requirements.

Promoting Interoperability Requirements- Syndromic Surveillance Declaration of Readiness by Public Health Differentiating between hospitals and clinicians Examples: www.dshs.texas.gov/pi alabamapublichealth.gov/meaningfuluse/index.html 90 day reporting period within calendar year Must use messaging standards referenced in regulations Must be actively engaged: 1. Registration of Intent 2. Testing/onboarding 3. Submission into production environment Responsiveness to inquiries from public health

Public Health Interoperability Task Force https://www.cdc.gov/ehrmeaningfuluse/Meaningful-Use-MU-Public-Healt h-PH-Reporting-Requirements-Task-Force.html [email protected]

Final Rules on Information Blocking Community waiting on release of Final Rule HIMSS conference is in early March Rules will impact barriers and interfaces to health data

Trusted Exchange Framework and Common Agreement (TEFCA) Establishes a new framework for information exchange Supports connections between “Qualified Health Information Networks” (QHINs) Single Responsible Coordinating Entity- The Sequoia Project ( http://seqoiuaproject.com) Webinars next week Determining how and where public health connects

Federal Health IT Strategic Plan, 2020-2025 Produced by the Office of the National Coordinator for Health IT www.healthit.gov Draft out for comment Comments due March 18, 2020 Upcoming call to discuss impacts on public health Areas of interest Exchange of population-level health data Investment in health IT resources Access to needed information

Contact Steve Eichner Health Information Technology Lead Texas Department of State Health Services [email protected] Ph: 512.776.7180

Guest Speaker(s) MisChele Vickers Alabama Department of Public Health Promoting Interoperability Attestation (Former called Meaningful Use)

Status Letter Request Attest For Meaningful Use/Promoting Interoperability

www.alabamapublichealth.gov/infectiousdiseases http://www.alabamapublichealth.gov/

www.alabamapublichealth.gov/infectiousdiseases Statement of Readiness

www.alabamapublichealth.gov/infectiousdiseases Status Letter

www.alabamapublichealth.gov/infectiousdiseases E-mail Notification

www.alabamapublichealth.gov/infectiousdiseases How To Request Attestation Status Letter

Open Mic New issues! Tell us about your data quality issues Questions for the group