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NATE, DirectTrust and EHNAC Agree That Consumer Access to Data is Critical Next Step in the Future of Interoperable Health IT

WASHINGTON, D.C. (April 14, 2016) – On Sunday, April 10, 2016, theNational Association for Trusted Exchange (NATE), DirectTrust and the Electronic Healthcare Network Accreditation Commission (EHNAC) – all organizations with a focus on the success of Direct secure messaging – joined together to talk about interoperability in healthcare.  In a pre-conference workshop affiliated with the 13thAnnual World Health Care Congress, the three organizations presented from three very different perspectives on “The Demand for Secure Interoperable Health Information Exchange: Options and Opportunities 2016,” creating a dynamic that echoed the recurring theme of the complementary nature of the organizations’ work.

Dr. David Kibbe, President and CEO of DirectTrust, led the day with a discussion of the factors and players involved in interoperability in healthcare, including some predictions on the future expansion and contraction of various networks.  Lee Barrett, Executive Director of EHNAC, focused his comments on the potential security risks involved in interoperability and the importance of maintaining a risk management strategy.  Aaron Seib, CEO of NATE, talked about the critical role of the patient in any interoperable exchange of personal health data.  Renee Smith, Global Director of IT Enterprise Planning and Portfolio Management, Walgreens Boots Alliance, ably facilitated the discussion, and Paul Uhrig, EVP, Chief Administrative, Legal & Privacy Officer, Surescripts, provided insightful wrap-up commentary.

By the end of the day, much had been discussed about how to measure interoperability, the degree to which security should be a deciding factor in sharing health data, and the role of providers and others in educating patients about their rights to their own information and the various methods available to them to get that information electronically.  While all three organizations brought very different outlooks and offerings to the discussion, the day signaled a renewed sense of collaboration and understanding that the organizations each have a complementary role to play in the success of Direct as a method of securely transporting confidential information.  Further, it was clear that all three organizations see patient involvement as critical to the path forward.

Some quotes from the day:

Paul Uhrig, EVP, Chief Administrative, Legal & Privacy Officer, Surescripts: “The Federal investment in HIT has certainly been a driver of demand of the technologies that many providers are using, but in the future it is likely we’ll see increased consumer engagement and demand, and that very much will drive different and increased demand for interoperability.”

Lee Barrett, Executive Director, EHNAC: “Today’s patients are much more informed and are a lot smarter on the existing capabilities available for managing their own health. As these consumer tools continue to advance, resolving interoperability challenges across healthcare stakeholders and their products will need to remain a top priority.”

Aaron Seib, CEO, NATE: “Ultimately, the consumer is the only person who is a part of every encounter that they have.  And if they are going to have 100% information awareness to share with their next provider and to participate and actually partner with all their caregivers, not just the ones that are in the HIEs, not just the ones that are using a particular EMR, but every provider that they’re going to get care from , we have to enable them to get data in the app of their choice…”

David Kibbe, MD, MBA, President and CEO, DirectTrust: “I do think there is great potential, and things might happen very fast. This idea of a shared medical record, that is in the control of the individual, that literally drives patients in a different way through the medical system, could emerge almost overnight.”

Renee Smith, Global Director of IT Enterprise Planning and Portfolio Management, Walgreens Boots Alliance: “I look forward to the day, and the day is coming, when the patient or consumer has that empowerment and that technology and the appropriate security… If that’s not why we’re all here, then we’re in the wrong place at the wrong time, because that is what success will look like.”

Aaron Seib: “I think we as a nation have been working on the right priorities, in the right order: make this work for doctors, make the data available to consumers, let the consumers decide how to use that data. I believe that three years from now, we’ll see the portion of the population that is most burdened by disease using tools to better manage their care and better partner with their doctors.  The key to get from here to there is not to wait for the perfect solution that satisfies everyone that may never come.”

April 14, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Clearing the Way for Patients to Get Access to their Data

WASHINGTON, D.C. (February 3, 2015) – The National Association for Trusted Exchange (NATE) today kicked off its new NATE Blue Button for Consumers (NBB4C) Trust Bundle at the 2015 ONC Annual Meeting with a surprise display of interoperability in patient-mediated exchange.  Shortly after NATE’s announcement, Greg Meyer, Director, Distinguished Engineer, Cerner Corporation, demonstrated how a provider using a Cerner electronic medical record (EMR) can simply push a patient record to the patient’s personal health record (PHR), in this case to the Humetrix iBlueButton app running on the patient’s smartphone.

The new NBB4C Trust Bundle helps relying parties to identify consumer facing applications (CFAs) that meet or exceed criteria considered to be the most important characteristics of a trustworthy steward of consumer health information, while still enabling patients to benefit from the value of having access to their health information.  Participation in the trust bundle will facilitate secure exchange of health information from provider-controlled applications to consumer-controlled applications such as PHRs using Direct secure messaging protocols.

“Thank you to my colleagues at Cerner and Humetrix for helping NATE demonstrate the capabilities of the new NATE Blue Button for Consumers Trust Bundle at the ONC Annual Meeting.  Greg’s demonstration today shows that the NBB4C is ready now to enable real world exchange between provider-facing applications and consumer-facing applications, empowering the consumer to get access to their data,” said NATE’s CEO Aaron Seib.  “Our industry achieved a major milestone today.  We studied the issues around securely sharing information from providers to patients and together we took a leap of faith.  Consumers across the country will now have more control over their care.  NBB4C gets the information flowing to where it should be: in the hands of the patient.  I look forward to the day when patients across the nation routinely download their health information into a consumer-facing application of their choice and use it to improve their lives and the lives of those they love.”

The NBB4C Trust Bundle is the result of the next generation of NATE’s ongoingPHR Ignite Project and incorporates lessons learned from NATE’s administration of the Blue Button Consumer Trust Bundles.  Over the past year, NATE and a task group made up of thought leaders in the patient-mediated exchange space worked together to develop a set of criteria and expectations that balances what is a ‘must have’ for today and what can wait until tomorrow, what is practical as a starting point and what is a showstopper that would kill consumer engagement if introduced.  In November 2014, NATE crowdsourced the trust framework, calling for and receiving comments from across the industry.  In January 2015, the NATE Board of Directors approved the workgroup’s recommendation for release into production.

“The NBB4C establishes a practical framework that will enable patients to securely exchange health information with their providers without burdening the patient with unnecessary steps to obtain their data and share it with whomever they choose,” said MaryAnne Sterling, Consumer Ombudsman for the NATE Board of Directors.  “As a long time caregiver for my aging parents, this work is important to all of us who manage healthcare on behalf of others.  I have confidence that applications participating in the NBB4C will meet or exceed my expectation that my family’s health information will be confidential and secure.”

Interested CFAs may begin onboarding to the NBB4C Trust Bundle now athttp://nate-trust.org/trustbundles.  Stakeholders interested in participating in the next phase of NATE’s work in consumer-mediated exchange should consider NATE membership or subscribe to news from NATE’s PHR Community.

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About National Association for Trusted Exchange

The National Association for Trusted Exchange (NATE) brings the expertise of its membership and other stakeholders together to find common solutions that optimize the appropriate exchange of health information for greater gains in adoption and outcomes. Emerging from the Western States Consortium, a pilot project supported by the Office of the National Coordinator for Health Information Technology (ONC), NATE was established as a not-for-profit organization in May 2013. Consistent with NATE’s mission to address the legal, policy, and technical barriers that inhibit health information exchange between entities within a state and across states, NATE leads and participates in a number of ongoing and emerging projects in the HIE domain. NATE has been operating its own Trust Bundles in production since November 2012 and recently took over administration of the Blue Button Consumer Trust Bundles.  Working with a broad set of stakeholders through multiple task forces, crowdsourcing and a call for public comment, NATE is proud to make available the first release of NATE’s Blue Button for Consumers (NBB4C) Trust Bundle beginning in 2015.

About Cerner

Cerner’s health information technologies connect people, information and systems at more than 18,000 facilities worldwide. Recognized for innovation, Cerner solutions assist clinicians in making care decisions and enable organizations to manage the health of populations. The company also offers an integrated clinical and financial system to help health care organizations manage revenue, as well as a wide range of services to support clients’ clinical, financial and operational needs. Cerner’s mission is to contribute to the improvement of health care delivery and the health of communities. Nasdaq: CERN. For more information about Cerner, visit cerner.com, read our blog at cerner.com/blog, connect with us on Twitter at twitter.com/cerner and on Facebook atfacebook.com/cerner.

As of February 2, 2015, Cerner Corporation acquired Siemens Health Services.  Certain trademarks, service marks and logos set forth herein are property of Cerner Corporation and/or its subsidiaries. All other non-Cerner marks are the property of their respective owners.

About Humetrix

Humetrix has pioneered the development of innovative consumer-centered IT solutions over the past 15 years, which have been deployed around the world.  The company’s award winning Blue Button enabled apps are the mobile embodiment of the U.S. Federal government Blue Button initiative available to more than 150 million Americans. Humetrix’s HHS award winning emergency and disaster preparedness mobile apps are now being advocated by EMS agencies across the US and were demonstrated at the White House Innovation for Disaster Response and Recovery Demo Day last summer. For more information, visit www.ibluebutton.com and www.humetrix.com.

February 3, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.