E-Health Vision and Standards Roadmap Roundtable

National Center for Health
Statistics (NCHS)
3311 Toledo Road, Hyattsville, MD 20782

Auditorium A & B

September 18, 2013

Printable Acrobat Agenda, Purpose, Framing Questions

Meeting Minutes

Wednesday, September 18, 2013


8:30 – 8:45 a.m Welcome and Review of the
Co-Chairs,Walter Suarez and

Ob Soonthornsime

8:45 – 9:00 a.m. Purpose, Goals and Outcomes of
9:00 – NoonAnd

1:00 – 3:00 p.m..

Vision and Roadmap for

  • E-Health Vision and Goals
  • Industry Trends
    • Current regulatory requirements, mandates
    • Care delivery reform, payment reform
    • E-Health, new business requirements, data needs, administrative
      transactions and standards
  • The Context and Scope of an E-Health Standards

    • Key Strategic Objectives
    • Increase e-health standardization
    • Expand interoperability
    • Improve e-health enabled health delivery, coverage and payment
    • Align policies and implementations across industry sectors
    • Data management and Analytics
    • Privacy and Security
    • Outreach, education and technical assistance
    • Other
  • The Scope of E-Health Standards Roadmap
  • E-Health>>>Standards>>>Administrative
    Processes>>>Meaningful Use


  • Goals of an E-Health Standards Roadmap
    • Facilitate Achievement of E-Health Vision
    • Prioritize Areas of Work
    • Identify Milestones, Interdependencies, Timelines and Outcomes
  • Roadmap and Timing
    • Defining the Principles for a Standards Roadmap
    • Plotting all into a Roadmap
    • Defining Core Roadmap Components, Key Milestones, Interdependencies,
    • Identified gaps, issues, constraints, and challenges ahead


12:00 – 1:00 p.m. Lunch
1:00 – 3:00 p.m.. Vision and Roadmap for

Continuation from Morning Agenda

3:00 – 3:15 p.m. BREAK
3:15 – 4:45 p.m. Subcommittee Discussion

  • Discussion of Themes
  • Next Steps
Subcommittee Members
4:45 – 5:00 p.m. Public Comment
5:00 p.m.. Adjourn


The health care industry is experiencing major transformative changes as a result of the confluence of various national, regional and local initiatives, including the Affordable Care Act, adoption of electronic health records and the Meaningful Use program, implementation of national messaging and vocabulary standards for clinical exchanges, establishment of regional health information exchanges, and adoption of new administrative standards, including new versions of HIPAA transactions, operating rules, ICD-10 and Health Plan ID.

Recognizing the challenges that the industry faces today and will
experience over the coming years to adjust to these transformative changes, NCVHS is working to identify a vision for E-Health standards, in particular those related to administrative processes, a series of key milestones through 2020, and attempt to develop and propose a roadmap providing guidance as to what lies ahead.

The purpose of this second Roundtable is to advance the work of the
Committee in the development of this Roadmap and its core components, including 1) the various upcoming health care compliance requirements and deadlines that relate to health IT standards, in a multi-year timeline; 2) the milestones needed to successfully achieve these compliance requirements, including the development and testing of proposed standards; 3) the underlying standards needed to achieve those milestones and requirements; 4) the interdependencies of the various compliance requirements, milestones and standards development
processes; 5) the gaps, overlaps and issues with these requirements; and 6) opportunities for better alignment, synergistic coordination, and most
effective, appropriate sequencing of requirements, milestones and standards development.

The objectives of the Roadmap are to 1) Identify the information
requirements to support a transforming health care system and the changes in current information processing necessary to satisfy those requirements; 2) Understand key mandates, milestones, and timelines to ensure effective execution, adoption as well as their potential modification to secure better alignment in supporting future information needs and 3) Demonstrate transparency around challenges issues and opportunities for HHS agencies, and stakeholders.

The main expected outcomes of the Roundtable include: 1) an articulated
vision for E-Health Standards; 2) a series of identified key industry trends
affecting the business of health care; and 3) the core components of an
E-Health Standards Roadmap, including goals of the Roadmap, milestones, interdependencies, timelines and outcomes.

The Roundtable will bring together subject-matter experts and
representatives from various stakeholders to discuss questions related to each of the six items identified above in a facilitated exchange format. Topics to be covered include, but will not be limited to: 1) Administrative Transaction Standards, Codes, Identifiers, Operating Rules; 2) ACA-related health information exchange requirements; 3) Meaningful Use; 4) Quality and Patient Safety; and 5) Privacy and Security.


E-Health Vision and Goals

  • What is your vision for e-Health?
  • What are the most critical industry trends that will transform the way the
    business of health care is conducted?
  • What will be the most critical changes in business requirement, data needs
    and administrative transactions and standards?

Context and Scope: Strategic Framework and Objectives and Goals of E-Health Standards


  • What should be the key components of the strategic framework for an
    E-Health Standards Roadmap?
  • What should be the Scope and core strategic objectives of the
    E-Health Standards Roadmap? For example, cross-mapping the CMS strategic
    objectives with the domain of Standards
Strategic Objectives Relationship to Standards
(and relationship to NCVHS Standards Sub-Committee, or
other Sub- Committees)
Increase eHealth Standardization
Expand Interoperability
Improve eHealth Enabled health delivery,
coverage, payment
Align policies and implementations across
Data management and analysis
Privacy and security

Roadmap and Timing

  • What are the core components of an E-Health Roadmap?
  • What are the Key Milestones to include in the Roadmap?
  • What type of Inter-Dependencies is important to highlight in the Roadmap?
  • What is the Timeline for the various Roadmap components?
  • What are some of key gaps, issues, constraints and challenges ahead in
    deploying the Roadmap?

Should you require reasonable accommodation, please contact the CDC Office
of Equal Employment Opportunity on (301) 458-4EEO (4336) as soon as possible.

Times, topics, and speakers are subject to change.  For final agenda, please call 301-458-4200 at NCHS or visit the NCVHS Home Page at

October 2, 2013