Federal Health Architecture Roadmap and Work Products Mary

Federal Health Architecture Roadmap and Work Products Mary Forbes Office of the National Coordinator for Health IT August 5, 2004

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Key Drivers and Influences l President – President’s Management Agenda – National Health IT Coordination - Goal to establish Electronic Health Records (EHR) for most citizens within 10 years l OMB – Federal Enterprise Architecture (FEA) program and the FEA reference models – Direction and authorization to develop the FHA – Recommended approach for developing Line of Business Target Architectures (29 Apr 2004) l Legislation – 2003 E-Government Act – HIPAA – Clinger Cohen Act of 1996 2

Strategic Framework and FHA Visions Dr. Brailer’s Framework for Strategic Action: Consumer-centric and Information-rich Health Care FHA: Safer and healthier citizens have improved access to health related information and services. 3

Strategic Framework and FHA Goals Dr. Brailer’s Framework for Strategic Action: l Inform Clinical Practice l Interconnect Clinicians l Personalize Care l Improve Population Health FHA: l Improved coordination and collaboration on national Health IT Solutions l Improved efficiency, standardization, reliability, and availability of comprehensive health information solutions. 4

Strategic Framework Goals with Strategies Inform Clinical Practice Personalize Care Incentivize EHR adoption, Encourage use of PHRs, Reduce risk of EHR investment, Promote EHR diffusion Enhance informed consumer choice, Promote use of telehealth systems Interconnect Clinicians Improve Population Health Foster regional collaborations, Unify public health surveillance architectures, Develop a national health information network, Coordinate federal health information systems Streamline quality and health status monitoring, Accelerate research and dissemination of evidence 5

FHA Principles Standards: Establish Federal interoperability standards. Investments: Coordinate Federal investments with business architecture. Data Collection: Minimize the data collection burden. Information Assurance: Secure Federal information. Functionality: Leverage standardization based on common functions. Information Access: Provide access to information. Proven Technologies: Select proven market technologies. Privacy: Comply with the Privacy Act of 1974. Evolution: Develop the architecture via a series of releases. Compliance: Comply with the law as expressed in legislative mandates, executive orders, Federal regulations, and other Federal guidelines. Representation: Collect architectural information from those who possess the knowledge of the business processes and associated information. 6

Intended Uses of the FHA l Provide common terminology for use within and across agency architectures l Identify and evaluate opportunities for: – Business process improvement – Enhanced information sharing across agencies – Addressing key gaps in mission performance – Enhancing IT automation support – Matching existing/planned solution providers to customers – Evolving to a family of common solution “patterns” – Reducing redundant investments 7

FHA Scope Business Lines and Sub-functions from the BRM Revision Access to Care Population Health Mgmt. Food and Nutrition Assistance Public Health Surveillance Patient Education Manage Enrollment and Eligibility Health Determinants Immunization Management Perform Assessment and Plan for Care Schedule Services and Check -in Manage Patient Movement and Patient Encounter Support Beneficiary Services Assess Effectiveness of Access to Care Support Community Outreach Epidemiologic Studies Vital Statistics Health Surveys Health Risk Assessment Detection Information Dissemination Prevention & Exclusion of Animal and Plant Pests and Diseases Invasive Species Management Interdiction of Smuggled or Illegal Trade/Transport Animals or Plants Health Care Services Diagnostics and Clinical management Consumer Health and Safety Population education Quality of Care-improving Facility Registration and Certification Managed Services Illness Prevention Product Approval Quality of Care-sustaining Conduct Health Related Research Health Alerts Emergency Response Outbreak Investigation and Intervention Technical Assistance and Consultation Program Implementation Assess Beneficiary Health Status Plan Health Services Deliver Health Services Define and Assess Population Manage Information/Manage Documentation Develop Population Health Management Practices Coordinate and Integrate Health Services Implement Tools / Manage Processes Ensure Quality of Health Services Evaluate Population Health Management Health Advancement Laboratory Research Promotion of Preventive Practices Epidemiologic Methods Research Agriculture Trade Management Prevention Research Ensuring a Healthy Food Chain Survey and Statistical Methods Research Health Effects Research Diagnostic Lab Testing and Quality Assurance Monitor Food and Drug Supply Investigative Operations Laboratory Operations Program Evaluations Conduct Recalls Health Training and Education Product Inspection Conservation of Endangered Species with Medical Properties Infrastructure Assessment and Development Import/Export Activities Facility Inspection Conduct Compliance Create Standards & Guidance Conservation of Endangered Species with Medical Properties Planning and Forecasting 8

Federal Health Architecture Framework Standards Technology Components Data Security Se cu em Se rvi ce s Target Business Architecture are Data Architecture h. C He alt ns um er He alt h& Sa are o. C es st Co e fet y an h. M alt He Ac c on ur ag ce an h A dv alt lat i ct le ofi Po ite Pr Segment Coordination ch rity Investment Review Ar cu Technology Architecture He Components Architecture y Se Design Drivers pu Business Drivers Data Architecture me Business Architecture rit en t nt Current Components Architecture Technology Architecture Business Architecture Data Architecture Components Architecture Technology Architecture Vision Strategic Direction Principles Architectural Models Market Research Asset Management Transitional Processes Adapted from the Federal Enterprise Architecture Framework, Version 1. 1, September 1999 9

FHA Products The Direct Products of this Investment will include the following: • A framework or roadmap for future health investments • Long team partnerships and collaboration across the health LOB • A robust FHA repository serving as a tool for decision making • Identification of gaps or opportunities where there is no consensus • Suggested transition strategies or plans. 10

Federal Health Architecture Framework Work Products Management and Governance Level Enterprise / FHA-level Policy Principles Roadmap Performance Federal Health Architecture Performance Plan (for each fiscal year) Governance Plan Program Management Plan Mission, Logistics, and Business FHA Missions and Business Lines Enterprise Roles, Authorities, and Organizational Relationships Data and Information Technical Solutions Technical Standards Security and Privacy FHA Integrated Dictionary FHA Systems Inventory Technical Reference Model FHA Information Security Profile FHA Information Objects FHA Solution Patterns FHA Standards Profile FHA Privacy Profile FHA Information Sharing and Exchange Matrix FHA Technology Forecast Transition Strategic Assessment Report FHA Issues and Resolutions FHA Transition Plan Communications Plan Framework Repository Work Group Level Performance Plan and/or Customer Service Standard (for each mission area and also for each region) Concept of Operations (for particular functional areas) Node Connectivity Diagram Information Sharing and Exchange Matrix (subsets of the FHA IESM associated with a particular mission or function) Systems, Components, Services, and Interfaces Mission Analysis Report (for particular mission areas) Systems Communications Description Roles, Authorities, and Organizational Relationships Operational Sequence Diagram 11

Data and Information Work Products 12