All official NCVHS documents including meeting transcripts are posted on the NCVHS Website (http://www.ncvhs.hhs.gov)

Department of Health and Human Services

NATIONAL COMMITTEE ON VITAL AND HEALTH STATISTICS

Subcommittee on Standards and Security

January 29 - 30, 2008

Hubert Humphrey Building , Room 705-A
200 Independence Avenue, S.W.
Washington , DC

Meeting Synopsis

The National Committee on Vital and Health Statistics Subcommittee on Standards and Security was convened on January 29 - 30, 2008. The meeting was open to the public.

Present:

Committee Members

• Jeffrey S. Blair, MBA, Co-Chairman
• Harry Reynolds, Co-Chairman
• Justine M. Carr, MD (by phone on 1-30-08)
• Simon P. Cohn, MD
• Judith Warren, PhD, RN

Absent

• J. Marc Overhage, MD, PhD

Staff and Liaisons

• Denise Buenning, MSM, CMS
• Marietta Squire, NCVHS/CDC
• Jorge Ferrer, MD, VA
• Marjorie Greenberg, NCHS/CDC, Executive Secretary
• Steven J. Steindel, PhD, CDC
• Karen Trudel, CMS

Others*

• Michael J. DeCarlo, BlueCross BlueShield
• Mark Gingrich, RXHUB
• Sue Mitchell, RHIA, Omnicare Information Solutions
• Stanley Nachimson, Nachimson Advisors, LLC
• Dana Sherwood, PCMA

*presenters listed below

Summary of Final Subcommittee Discussions

Topics under consideration on January 29, 2008 included: a new Secretary; the question of how standards can help populations; business and information models for some of the standards; where security should reside; facilitation of standards adoption/implementation within and outside of the HIPAA process; and issues that cross Subcommittees such as pay for performance and medical home (although it was pointed out that everything that NCVHS does needs standards input). The Subcommittee was updated on NIH. Mr. Reynolds challenged the Subcommittee to identify where its work makes a difference and how to create a “smoother flow” between Subcommittees. A clarification of the NCVHS/HHS role relative to the work of AHIC, HITSP, and CCHIT was requested as was a delineation of the Subcommittee’s overall role in developing strategy and terminology for HIPAA and non-HIPAA standards.

Other questions included: what else needs to be done; and what other subjects should the Standards Subcommittee participate in but not necessarily lead (e.g., NHIN)? Clarification of a broad roadmap was requested as was the need to stay on top of the interplay between IHE and HITSP. A conversation ensued about another “big” standards issue having to do with decision support/knowledge representation systems and in particular, making them transportable and computable. Dr. Fitzmaurice pointed out the need to keep up with what the 13 gateways to the NHIN are learning about HITSP standards. .

On January 30, 2008, the Subcommittee’s involvement with the AHIC letter was discussed as was the need to streamline the Subcommittee’s proposal on the HIPAA process. It was mentioned that the OASS is considering information on post adjudication standards (which is tied to other HIPAA standards) relative to timelines and information needed to move forward.

ACTION STEPS

• Mr. Blair, Mr. Reynolds, and Ms. Buenning will work on two letters that incorporate input from the Long Term Care Panel and the NCPDP (the second of which includes the dental perspective).
• A determination will be made about whether the Subcommittee should meet again prior to the May 2008 full committee meeting.

Topics and Presenters

Tuesday, January 29, 2008

• Welcome and Introductions Jeffrey S. Blair, Harry Reynolds
• Update on E-Prescribing Denise Buenning, CMS
• NPRM/Final Rule
• NPI Update Karen Trudel, CMS
• Long-term Care & NCPDP SCRIPT 10.2 Lynne Gilbertson, NCPDP
• Overview of SCRIPT 10.2
• Subcommittee Discussion Jeffrey S. Blair, Harry Reynolds
• Long Term Care Panel
  • American Assn. of Homes and Services for the Frank McKinney, MDI Achieve
  • Aging; American Health Care Assn.; National Eileen Doll, RN, NHA
  • Assn. for the Support of Long Term Care
  • American Medical Directors Assn. William Russell, MD
  • Long Term Care Pharmacy Alliance Rachelle Spiro, RPh, Spiro Consulting
• DSMO Presentation Lynne Gilbertson, NCPDP, DSMO
• Margaret Weiker, EDS
• Donald L. Bechtel, Healthcare Data Exchange (HDX)
• Subcommittee Discussion Harry Reynolds
• Standards & Security “Inventory”

Wednesday, January 30, 2008

• Welcome and Introductions Jeffrey S. Blair, Harry Reynolds
• HITSP Overview John Halamka, M.D., HITSP
• Panel Discussion: Upcoming Issues
  • HL7 John Quinn, Ernst & Young LLP; Chair, HL7 Technical Comm.
  • WEDI J. Robert Barbour, JD, MPS, CPHIMS ; Montefiore Medical
  • X12 Alix Goss, Washington Publishing Company
• Subcommittee Discussion Jeffrey S. Blair, Harry Reynolds
• AHIC Letter
• Streamlining Proposal Etc.

See official transcript for full Subcommittee discussion.