The NHIN Direct Project aims to enable secure and meaningful health information exchange over the internet. It has over 175 member organizations including healthcare IT vendors, health information exchanges, provider organizations, and government agencies. Members participate through various working groups that are developing specifications and use cases around content packaging, security, addressing, and routing for simple and scalable information sharing. The project's deliverables include formal specifications, reference implementations, testing frameworks, and policy recommendations to support nationwide health information exchange using the Direct standard.

1. NHIN Direct Project Health Information Technology Standards Committee Meeting April 28, 2010

2. Agenda What is the NHIN Direct Project? Who is part of the NHIN Direct Project and how do they participate? What are the deliverables and timeline for the NHIN Direct Project? Q&A

3. WHAT IS THE NHIN DIRECT PROJECT?

4. What is the NHIN Direct Project? The set of policies , standards and services that enable simple, direct, scalable transport over the Internet to be used for secure and meaningful exchange between known participants in support of meaningful use

5. What is new about the NHIN Direct Project?

6. WHO IS PART OF THE NHIN DIRECT PROJECT AND HOW DO THEY PARTICIPATE?

7. Over 175 NHIN Direct Project Members PHR Microsoft (HV/Amalga) EHR Allscripts Cerner eClinicalWorks Epic GE McKesson (through RelayHealth) HIE Technology RelayHealth (also PHR) Axolotl Mirth VisionShare GE MedAllies CSC Medicity Kryptiq IBM/Open Health Tools Secure Exchange Solutions Informatics Corporation of America Microsoft (HV/Amalga) Oracle Health Sciences Carespark/Anakam Carespark/Mobile MD HIT Association Clinical Groupware Collaborative Medical Associations American Academy of Family Physicians State/Regional HIO CA (CA HHS & CA HIE) CA (Redwood MedNet) TN (CareSpark) MA (NEHEN-CSC) MAeHC NY (HIXNY) NY (Hudson Valley through MedAllies) HITOC (Oregon Health Information Technology Oversight Council) RIQI (Rhode Island Quality Institute) Carespark HealthBridge IDN Kaiser BIDMC/CareGroup Consulting Gartner Carespark/CGI Federal Carespark/Serendipity Health HLN Consulting National Network SureScripts Medplus/Quest Federal Veteran's Administration Social Security Administration National Institutes of Health

8. Members can participate in a variety of ways

9. NHIN Direct is open & collaborative Membership Implementation Group: anyone whose organization would like to be actively involved in deploying the resulting standards and specifications in real-world implementation is welcome to join Workgroups: anyone who would like to provide the “heavy lifting” for NHIN Direct is welcomed to join – from large companies like Microsoft, to smaller medical non profits like Cautious Patient Discussions http://www.NHINDirect.org A Wiki and open to all Over 180 members engage in dialogue around NHIN Direct process & deliverables Implementation Group & Workgroup Calls are open to all All discussions are easily searchable on the Wiki through Wiki discussion threads and notes published after each Call

10. NHIN Direct is open & collaborative NHINDirect.org Views 4/20/10 NHINDirect.org Edits 4/20/10 NHINDirect.org Recent Changes Tracker

11. WHAT ARE THE DELIVERABLES AND TIMELINE FOR THE NHIN DIRECT PROJECT?

12. Timeline Weekly teleconferences Face to face meetings We Are Here TBD 7/27 6/11 5/6 Mar Apr May Jun Jul Aug Sep Oct … First Draft Specifications: Key User Stories Content Container Spec Security & Trust Spec Robust HIE Service Descrp. Individual Involvement Service Descrp. Addressing Spec Abstract Model Edge Spec Routing Spec and Service Descrp. 2nd Draft Specs June Early Ref Implementation Core Specifications and Service Descriptions Interaction Model/Service Orchestration Model July Ref Implementation Testing Framework Conformance Testing Scripts and Conformance Service Ref Implementation Guides Ops/prod Draft Cert. Conformance Testing Core Messaging Policy Recommendation Process Recommendations

13. Final Deliverables Specifications & service descriptions including Formalized models Core specifications and service descriptions Conformance testing scripts and conformance service Reference implementation guides for edge systems and routing systems (including sample code, testing and conformance documentation, legal and policy documentation, etc...) Implementation guide for CONNECT users Policy recommendations Recommendations on Federal role, states, etc... Policy recommendations for trust enablement Use of NHIN Direct Projects a model (positive or negative) Formalized modeling process recommendations Marketing/awareness Core messaging Placements in industry journals, key social media outlets, etc... Process recommendations

14. Deliverables due for May 6 th Face-to-Face Deliverables In Progress: Key User Stories : The User Story WG will provide a consistent, vetted set of User Stories Content Container Specifications: The Content Packaging WG will define a few workable alternatives for content packaging so that patient data of mixed types can be packaged and sent Security & Trust Specifications : The Security & Trust WG will provide alternatives and issue relating to security and trust enablement via technology Robust HIE Service Description: The Robust HIE WG will provide a Service Description of how to mix and match direct transactions and robust HIE/NHIN specifications and services capabilities at scale Individual Involvement Service Description: The Individual Involvement WG will provide a Service Description of how individuals can participate in NHIN Direct Project Services Addressing Specification: The Addressing WG will provide a Specification on to effective addressing methods -- what is the health “email” address Abstract Model: The Abstract Model WG will provide a Diagram and Specification of an Abstract Model that all WGs can use to determine core architectural components, assumptions and terminology Deliverables Not Yet Started: Edge Specification : The Concrete Implementation WG will provide a simple specification to allow EHR to send and receive content via enabling organization Routing Specification and Service Description: The Concrete Implementation WG will provide a specification and service description to cover routing between enabling organizations with the verification of signature based headers and explicit certified white lists

15. Q&A