This document provides an introduction to Direct exchange for those engaged in Stage 2 Meaningful Use programs. It discusses how Direct exchange relates to Stage 2 MU objectives and the role of DirectTrust in supporting Direct exchange adoption. Direct exchange allows EHR users using different vendors to securely send and receive messages and attachments. It is one way providers can meet Stage 2 MU requirements for transmitting care summaries during transitions of care and allowing patients to view, download and transmit health information. The document describes how Direct exchange works, involving Health Information Service Providers, Certificate Authorities, Registration Authorities, and X.509 certificates to enable secure exchange between organizations and individuals.
On June 5, 2013, the Innovations Exchange held a Web event titled Building Health Information Exchanges To Support ACOs and Medical Homes: Delaware’s Experience. This was the third Web event in a three-part series designed to share novel experiences and lessons learned in putting accountable care organization (ACO) and patient-centered medical home (PCMH) principles into practice. For more information, visit https://innovations.ahrq.gov/events/2013/06/building-health-information-exchanges-support-acos-and-medical-homes-delawares.
FreshStartXX - Blueprint for a Revolution in Personal Health Management Shapi...David Wortley
FreshStartXX - A Blueprint for a Revolution in Personal Health Management Shaping a Future Society
What is FreshStartXX ?
FreshStartXX is an innovative product, infrastructure and set of services with the following attributes :-
• A smart loyalty card with incentives for healthy behaviours and improvements in key health indices
• An innovative social contract between citizens and society
• An exclusive health club that is open to everyone committed to health improvement
• An ecosystem of win-win partnerships enabled by technology and committed to health improvement
• A model for crowd-sourced personal healthcare
• A Personalised Health Navigation System
• A National Competition for Personal Healthcare Improvement
• A strong brand with a clear mission for addressing global challenges
• The largest Gamification project in history
• A commercially sustainable social initiative
• A new organizational model combining traditional hierarchical with new network structures
• A lean and agile start up organization acting as a catalyst for quantum behavioural change
• An international franchise opportunity
• A large scale nation building initiative
• A national programme of personal health management initiatives
On June 5, 2013, the Innovations Exchange held a Web event titled Building Health Information Exchanges To Support ACOs and Medical Homes: Delaware’s Experience. This was the third Web event in a three-part series designed to share novel experiences and lessons learned in putting accountable care organization (ACO) and patient-centered medical home (PCMH) principles into practice. For more information, visit https://innovations.ahrq.gov/events/2013/06/building-health-information-exchanges-support-acos-and-medical-homes-delawares.
FreshStartXX - Blueprint for a Revolution in Personal Health Management Shapi...David Wortley
FreshStartXX - A Blueprint for a Revolution in Personal Health Management Shaping a Future Society
What is FreshStartXX ?
FreshStartXX is an innovative product, infrastructure and set of services with the following attributes :-
• A smart loyalty card with incentives for healthy behaviours and improvements in key health indices
• An innovative social contract between citizens and society
• An exclusive health club that is open to everyone committed to health improvement
• An ecosystem of win-win partnerships enabled by technology and committed to health improvement
• A model for crowd-sourced personal healthcare
• A Personalised Health Navigation System
• A National Competition for Personal Healthcare Improvement
• A strong brand with a clear mission for addressing global challenges
• The largest Gamification project in history
• A commercially sustainable social initiative
• A new organizational model combining traditional hierarchical with new network structures
• A lean and agile start up organization acting as a catalyst for quantum behavioural change
• An international franchise opportunity
• A large scale nation building initiative
• A national programme of personal health management initiatives
By Annette Gardner, PhD, MPH
Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco
The Patient Protection and Affordable Care Act (ACA) is an opportunity to coordinate care among health care providers and transform local nets into seamless systems of care. The study conducted by Dr. Annette Gardner, PhD, MPH, at the Philip R. Lee Institute for Health Policy Studies, UCSF, shows safety net integration activities in five counties—Contra Costa, Humboldt, San Diego, San Joaquin, and San Mateo—suggests much progress has been made to this end in these counties.
This Report describes the factors that affect a local safety net's ability to develop integrated delivery systems and lessons learned from the implementation of 30 safety net integration "best practices".
All product and company names mentioned herein are for identification and educational purposes only and are the property of, and may be trademarks of, their respective owners.
Accountable Care Organizations - Early Lessons Learned from Strong Revenue Cy...GE Healthcare - IT
When the Centers for Medicare and Medicaid (CMS) Innovation
announced plans to select organizations for its Shared Savings
Accountable Care Organization program in April 2011 via a proposed
rule, reactions within the healthcare community were mixed. Some
were excited by the prospect of a push for more coordinated and
integrated care networks, while others criticized the specifics of the
proposal, concerned that the level of provider risk and other provisions
would make the model unsustainable over time. Subsequently, the
Centers for Medicare and Medicaid Services (CMS) issued a Final Rule
on Shared Savings Accountable Care Organizations (ACOs) that was
much more positively received throughout the healthcare community.
CMS then followed the Final Rule with an April 2012 announcement,
adding 27 initial Share Savings ACOs to its original 32 Pioneer ACO
group. With this backdrop in place, it’s clear that accountable care
is more than the latest healthcare buzzword. Today, there is a clear
change in the focus of healthcare providers, with an emphasis on
shifting the focus of payment for hospitals, physicians, and other
healthcare entities towards integrated care and a focus on value and
quality of care rather than the volume of services provided.¹
2 health systems advancing population health via collaborationGrant Thornton LLP
Improving community health as a fundamental mission for nonprofit hospitals and health systems, and measuring the impact were described by two local leaders and the leader of a study of collaborations.
By Annette Gardner, PhD, MPH
Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco
The Patient Protection and Affordable Care Act (ACA) is an opportunity to coordinate care among health care providers and transform local nets into seamless systems of care. The study conducted by Dr. Annette Gardner, PhD, MPH, at the Philip R. Lee Institute for Health Policy Studies, UCSF, shows safety net integration activities in five counties—Contra Costa, Humboldt, San Diego, San Joaquin, and San Mateo—suggests much progress has been made to this end in these counties.
This Report describes the factors that affect a local safety net's ability to develop integrated delivery systems and lessons learned from the implementation of 30 safety net integration "best practices".
All product and company names mentioned herein are for identification and educational purposes only and are the property of, and may be trademarks of, their respective owners.
Accountable Care Organizations - Early Lessons Learned from Strong Revenue Cy...GE Healthcare - IT
When the Centers for Medicare and Medicaid (CMS) Innovation
announced plans to select organizations for its Shared Savings
Accountable Care Organization program in April 2011 via a proposed
rule, reactions within the healthcare community were mixed. Some
were excited by the prospect of a push for more coordinated and
integrated care networks, while others criticized the specifics of the
proposal, concerned that the level of provider risk and other provisions
would make the model unsustainable over time. Subsequently, the
Centers for Medicare and Medicaid Services (CMS) issued a Final Rule
on Shared Savings Accountable Care Organizations (ACOs) that was
much more positively received throughout the healthcare community.
CMS then followed the Final Rule with an April 2012 announcement,
adding 27 initial Share Savings ACOs to its original 32 Pioneer ACO
group. With this backdrop in place, it’s clear that accountable care
is more than the latest healthcare buzzword. Today, there is a clear
change in the focus of healthcare providers, with an emphasis on
shifting the focus of payment for hospitals, physicians, and other
healthcare entities towards integrated care and a focus on value and
quality of care rather than the volume of services provided.¹
2 health systems advancing population health via collaborationGrant Thornton LLP
Improving community health as a fundamental mission for nonprofit hospitals and health systems, and measuring the impact were described by two local leaders and the leader of a study of collaborations.
Preparing for the Future: How one ACO is Using Analytics to Drive Clinical & ...Health Catalyst
Crystal Run Healthcare — a physician-led Accountable Care Organization (ACO) and one of the first ACOs to participate in the Medicare Shared Savings Program — is experiencing the long-anticipated shift toward more value-based reimbursement.
To ensure financial stability as they assume more risk, Crystal Run is implementing a strategy focused on rapid growth and aligning physician reimbursement with favorable patient outcomes. To effectively execute on this strategy they knew they needed to become more data-driven. Webinar attendees will learn how this ACO is using advanced analytics to execute on their population management and growth strategies with a focus on continuous improvement in the following areas:
Ensuring patient care aligns with evidence based practices
Reducing inappropriate clinical variation
Enhancing operational efficiency
Analyzing data from a “single source of truth” integrated from their EMR, billing, costing, patient satisfaction and other operational systems
Making “self-service analytics” available to decision-makers to decrease time to decision
Please join Greg Spencer, MD, Chief Medical & Chief Medical Information Officer and Scott Hines, MD, Chief Quality Officer and Medical Specialties Medical Director, Crystal Run, as they discuss how advanced analytics is helping position the ACO for continued success in an increasingly value-based reimbursement environment.
Year after year, technology has played a role in changing the way that health care is delivered. Now in 2014, as technology continues to advance, consumers are demanding more convenient and cost effective care through increased use of mHealth and Telehealth. The mHealth + Telehealth World 2014 is must attend event for health care executives interested in learning how to most efficiently utilize Telehealth programs and mHealth practices to improve patient outcomes by promoting interoperability, sustainability, provider interest, and consumer engagement. Hear case studies, understand the ROI, and discuss ways to address critical issues – including licensing and security issues – of digital health practices.
http://www.worldcongress.com/events/HL14028/
eHealth business opportunities and things to consider when entering the USA m...getslidesdeck
For the GET Project Dave Whitlinger, Executive Director New York eHealth Collaborative was invited to be the guest speaker on an international Webinar to look at eHealth business opportunities and things to consider when entering the USA market.
iHT2 Health IT Summit Atlanta 2013, Michael Matthews, Chief Executive Officer, MedVirginia, Central & Eastern Virginia's Regional Health Information Exchange , Case Study “Health Information Exchange: State and National Updates”
Putting Patients Back at the Center of Healthcare: How CMS Measures Prioritiz...Health Catalyst
Today’s healthcare encounters are too often marked by more clinician screen time than patient-clinician engagement. Increasing regulatory reporting burdens are diverting clinician attention from their true priority—the patient. To put patients back at the center of care, CMS introduced its Meaningful Measures framework in 2017. The initiative identifies the highest priorities for quality measurement and improvement, with the goal of aligning measures with CMS strategic goals, including the following:
Empowering patients and clinicians to make decisions about their healthcare.
Supporting innovative approaches to improve quality, safety, accessibility, and affordability.
ANALYTIC APPROACH IN ACCESSING TRENDS AND IMPACTS OF MEDICAID-MEDICARE DUAL E...ijsc
The landscape of Medicaid and Medicare enrollment in the United States is undergoing dynamic changes,
driven by intricate policies, shifting demographic trends, and evolving healthcare access criteria. This
publication serves as a beacon, illuminating the multifaceted terrain of Medicaid and Medicare dual
enrollment and offering a comprehensive understanding of its complexities and challenges. The primary
objective is to advocate for the adoption of a centralized data-driven decision support system, recognizing
its transformative potential. By harnessing the power of data, we can revolutionize enrollment
management, streamline administrative processes, and facilitate the timely adjustment of policies, ensuring
more efficient and effective healthcare access. Empowerment is at the heart of our mission. We aim to
equip all healthcare stakeholders, from government agencies and insurance providers to healthcare
institutions and enrollees, with knowledge and insights. Informed decisions driven by data will lead to
improved healthcare access, ultimately catalyzing positive change within the Medicaid and Medicare
landscape. This publication represents a call to action, urging all players in the healthcare ecosystem to
embrace data-driven solutions, adapt to the evolving landscape, and work collaboratively to advance the
cause of accessible and effective healthcare for all.
ANALYTIC APPROACH IN ACCESSING TRENDS AND IMPACTS OF MEDICAID-MEDICARE DUAL E...ijsc
The landscape of Medicaid and Medicare enrollment in the United States is undergoing dynamic changes,
driven by intricate policies, shifting demographic trends, and evolving healthcare access criteria. This
publication serves as a beacon, illuminating the multifaceted terrain of Medicaid and Medicare dual
enrollment and offering a comprehensive understanding of its complexities and challenges. The primary
objective is to advocate for the adoption of a centralized data-driven decision support system, recognizing
its transformative potential. By harnessing the power of data, we can revolutionize enrollment
management, streamline administrative processes, and facilitate the timely adjustment of policies, ensuring
more efficient and effective healthcare access. Empowerment is at the heart of our mission. We aim to
equip all healthcare stakeholders, from government agencies and insurance providers to healthcare
institutions and enrollees, with knowledge and insights. Informed decisions driven by data will lead to
improved healthcare access, ultimately catalyzing positive change within the Medicaid and Medicare
landscape. This publication represents a call to action, urging all players in the healthcare ecosystem to
embrace data-driven solutions, adapt to the evolving landscape, and work collaboratively to advance the
cause of accessible and effective healthcare for all.
Virtual health is supporting continuing efforts to further humanize health care by extending and expanding the concept of a patient-centric care delivery model into one that is truly life-centric.
Virtual health uses telecommunication and networked technologies to connect clinicians with patients (and with other clinicians) to remotely deliver health care services and support well-being. For providers, committing to virtual health at a personal and organizational level affords ever-increasing opportunities to deliver the right care at the right time in the right place, in a connected and coordinated manner.
By strengthening and facilitating a therapeutic alliance between clinicians and patients, virtual health is an important step on our continuous journey to humanize health care. It works within and around a patient’s life, as opposed to their sickness, to deliver care when, where, and how they need and want it. Also, virtual health works its way into consumers’ daily routines by being embedded in electronic devices associated with living life (e.g., smartphones and personal computers) more so than caring for sickness.
The healthcare industry is primed for expanded adoption of virtual health; a 2016 report estimated that the US virtual health market will reach $3.5 billion in revenues by 2022. Several factors are elevating stakeholder interest, including expected physician shortages, continued growth in digital technologies, changing reimbursement models, increasing consumer demand, and the evolving regulatory landscape. One game-changer: Today, nine in 10 American adults use the internet, giving clinicians the capability and flexibility to communicate with and serve health care consumers via the web.
Transparency is vital for quality care and informed decision making and it begins with accurate medical records provided by medical transcription services.
If you want to avoid damaging litigation, concentrate on dialogue and details. Cardiologists who fail to maintain detailed, two-way conversations with patients and thoroughly assess diagnostic data are at risk of negligence lawsuits, a study shows.
3D Volume Echocardiography: Answering the Challenges of the Right HeartTrimed Media Group
Dr. Michael Pfeiffer, a cardiologist and assistant professor of medicine at Penn State Hershey Heart and Vascular Institute in Hershey, Pa. discusses the advantages of 3D volume echocardiography in the right heart.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
5. www.DirectTrust.org
1101 Connecticut Ave NW, Washington, DC 20036
The requirements for Stage 2
1. CPOE
2. E‐Prescribing
3. Record demographics
4. Record vitals
5. Record smoking status
6. Use clinical decision support
7. Patients view, download, transmit
8. Clinical summaries to patients
9. Protect electronic health
information
10. Incorporate lab results
11. Generate patient lists
12. Reminders for follow‐up care
13. Patient educational resources
14. Medication reconciliation
15. Transmit care summaries for
transitions of care
16. Report immunizations
17. Secure messaging with patients
plus menu items……
18. Report syndromic data
19. Record electronic notes
20. Imaging results
21. Record family history
22. Report cancer cases
23. Report other registry cases
6. www.DirectTrust.org
1101 Connecticut Ave NW, Washington, DC 20036
The HIE requirements for Stage 2
1. CPOE
2. E‐Prescribing
3. Record demographics
4. Record vitals
5. Record smoking status
6. Use clinical decision support
7. Patients view, download, transmit
8. Clinical summaries to patients
9. Protect electronic health
information
10. Incorporate lab results
11. Generate patient lists
12. Reminders for follow‐up care
13. Patient educational resources
14. Medication reconciliation
15. Transmit care summaries for
transitions of care
16. Report immunizations
17. Secure messaging with patients
plus menu items……
18. Report syndromic data
19. Record electronic notes
20. Imaging results
21. Record family history
22. Report cancer cases
23. Report other registry cases
7. www.DirectTrust.org
1101 Connecticut Ave NW, Washington, DC 20036
The Direct HIE requirements for Stage 2
1. CPOE
2. E‐Prescribing
3. Record demographics
4. Record vitals
5. Record smoking status
6. Use clinical decision support
7. Patients view, download, transmit
8. Clinical summaries to patients
9. Protect electronic health
information
10. Incorporate lab results
11. Generate patient lists
12. Reminders for follow‐up care
13. Patient educational resources
14. Medication reconciliation
15. Transmit care summaries for
transitions of care
16. Report immunizations
17. Secure messaging with patients
plus menu items……
18. Report syndromic data
19. Record electronic notes
20. Imaging results
21. Record family history
22. Report cancer cases
23. Report other registry cases
13. www.DirectTrust.org
1101 Connecticut Ave NW, Washington, DC 20036 1313
Health Information Service
Provider (HISP)
Healthcare
Organization (HCO)
Identity vetting at
a specific level of
Assurance, LoA.
Certificate Authority (CA)
Certificate
Validation Service
X.509 Certificate
Issuance Service
Revocation
Services
Certificate Signing
Services
Registration Authority (RA)
Compile/Validate Identity and Trust
Documentation
The CA and RA
enforce the
policies specified
in the DirectTrust
and FBCA
Certificate Policy
(CP).
Crediential issued
on the basis of RA’s
Identity vetting at
specific LoA..
HCO Direct
Addressees
Basic services for user: DNS
discovery; encryption;
certificate signing and
validation; send/receive
MDNs; provide HISP-side of
edge protocol connection
compliance with Direct
standard,
The HISP enforces the
policies specified in the
DirectTrust HISP Policy (HP),
and MUST use accredited RA
and CA.
The HCO relies on HISP, CA,
and RA as accredited trusted
agents, and bears ultimate
responsibility for HIPAA
privacy and security.
NOTE: Three separate roles and
responsibilities from “trusted agents”
combine to enable Direct exchange
1.
2.
3.
23. www.DirectTrust.org
1101 Connecticut Ave NW, Washington, DC 20036 2323
Health Information Service
Provider (HISP)
Healthcare
Organization (HCO)
Identity vetting at
a specific level of
Assurance, LoA.
Certificate Authority (CA)
Certificate
Validation Service
X.509 Certificate
Issuance Service
Revocation
Services
Certificate Signing
Services
Registration Authority (RA)
Compile/Validate Identity and Trust
Documentation
The CA and RA
enforce the
policies specified
in the DirectTrust
and FBCA
Certificate Policy
(CP).
Crediential issued
on the basis of RA’s
Identity vetting at
specific LoA..
HCO Direct
Addressees
Basic services for user: DNS
discovery; encryption;
certificate signing and
validation; send/receive
MDNs; provide HISP-side of
edge protocol connection
compliance with Direct
standard,
The HISP enforces the
policies specified in the
DirectTrust HISP Policy (HP),
and MUST use accredited RA
and CA.
The HCO relies on HISP, CA,
and RA as accredited trusted
agents, and bears ultimate
responsibility for HIPAA
privacy and security.
How Direct works: Three separate roles and
responsibilities from “trusted agents”
combine to enable Direct exchange
1.
2.
3.
25. www.DirectTrust.org
1101 Connecticut Ave NW, Washington, DC 20036
DirectTrust Anchor Bundle for
“scaling” of trust relationships
Trust Community Anchor Distribution Site
Bu
Trust Bundle
(PKCS7)
HISP B
Trust
Store
HISP C
Trust
Store
HISP D
Trust
Store
HISP A
Trust
Store
HTTP(S)
As of September, 2013,
there are 10 accredited
HISPs’ trust anchors in the
Trust Anchor Bundle, leveraging
90 separate connections between
the HISPs, and linking over
1,000 health care organizations
to the DirectTrust network.
https://bundles.directtrust.org