ONC 2018 Annual Meeting

November 29-30, 2018
Washington Hilton
1919 Connecticut Avenue
Washington, DC 20009

Recorded Sessions


The agenda below provides a high-level overview of the topics that were addressed at the annual meeting. 




Registration – Terrace Foyer


Plenary Sessions – International Ballroom Center


Welcome Message from Secretary of Health & Human Services Alex M. Azar II


Welcome from Lisa Lewis, Deputy National Coordinator for Operations, ONC


Keynote from Eric Hargan, Deputy Secretary of Health and Human Services


Fireside Chat with Congressional Health IT Champion
Join CMS’ Adam Boehler as he sits down with United States Senator Lamar Alexander (R-TN) to discuss numerous topics related to health IT.


Networking Break


Breakout Sessions – Columbia Rooms

1. Achieving Seamless Care Through Health Data Interoperability, Columbia 1&2
The DoD and VA represent two of our nation's largest healthcare systems, sharing more data than any other two major health systems. Join Dr. Lauren C. Thompson, Director, DoD/VA IPO, to learn more about the DoD/VA IPO's ongoing progress to transform the delivery of healthcare for our service members, veterans, and their families.
Download slides [PDF - 2.5 MB]

2. Bridging the Payer - Provider Data Divide: The P2 FHIR Taskforce & HL7 DaVinci Project, Columbia 5&7
Conducted in a workshop style format, this session will provide participants with an opportunity to learn about and engage with the ONC Payer + Provider (P2) FHIR Taskforce and the complimentary HL7 Da Vinci Project. These two complimentary initiatives, are seeking to accelerate payers and providers' ability to reduce provider burden and transition to Value-Based Care payment models, by increasing clinical data sharing by leveraging HL7's FHIR® Standard.
Download slides [PDF - 8.8 MB]

3. PULSE, EMS and HIE - A Federal, State and Private Perspective on Disaster Response, Columbia 3&4
2018 continues to be another challenging year in the United States as it relates to preparing for, responding to, and recovering from natural disasters—in particular the California wildfires and Hurricane Florence. The health IT community remains a vital partner at the table when it comes to disaster response. This session will discuss some health IT response efforts that were implemented and share how other states and private partners can become involved in building a more resilient health IT system for future disasters.
Download slides [PDF - 7.1 MB]

4. Tennessee Empowering MCO Providers: Increasing Health IT Functionality Reducing Reporting Burden, Columbia 9&10
As states continue building value-base payment models, partnerships with Managed Care Organizations (MCOs) has become increasingly important in aligning health care delivery and payment structures. States like Tennessee have leveraged their collaborative partnerships with MCOs to align patient-centered clinical quality measures, health care payment, and to coordinate the flow of health data where and when it is needed most.
Download slides [PDF - 4.2 MB]

5. Connecticut, Michigan, Oklahoma: State Data Sharing (HIE) Interoperability Design and Implementation Perspectives, Columbia 11-12
Three states share their continued efforts building data sharing (HIE) models supporting interoperability supporting alignment of patient-centered clinical quality measures, health care payment, and freeing the flow of health data to where and when it is needed most.
Download slides [PDF - 15.6 MB]

6. FDA Pre-Certification - Current Status and Potential Trajectory, Columbia 6
An overview of the FDA's Pre-Certification initiative: what it is, where it is on the development path, and where it is expected to go next. Designed for those who have not yet had the opportunity to hear about the FDA Pre-Certification initiative directly from FDA or to review its working materials, this session will include information on how those who want to can more closely follow the initiative’s development and potentially engage directly with its activities going forward.
Download slides [PDF - 2.8 MB]


Plenary Session – International Ballroom Center

Fireside Chat with Congressional Health IT Champion, Part Two
Join National Coordinator Don Rucker as he sits down with United States Senator Tammy Baldwin (D-WI) to discuss numerous topics related to health IT.




Afternoon Plenary Session – International Ballroom Center

Connecting Communities through Health Information Exchange - Panel Discussion
Health Information Exchanges are uniquely positioned to connect disparate entities within a community to support care coordination across clinics, hospitals, behavioral health providers, treatment centers for substance use disorders, group homes, and jails. This panel will explore ways that HIEs can engage with human and social service settings to strengthen care coordination and improve patient safety.
Download slides [PDF - 2.7 MB]

  • John Ohanian, CEO, 2-1-1 San Diego
  • Kelly Hoover Thompson, CEO, Strategic Health Information Exchange Collaborative (SHIEC)
  • Dr. David Kendrick, CEO, MyHealth Access Network
  • Mark Vafiades, Senior Advisor to the National Coordinator, ONC (Panel Moderator)

*We ask that all attendees please clear the ballroom immediately following this panel. Thank you for your cooperation!*


Networking Break


Breakout Sessions

7. Advancing Interoperability at the State Level Through CMS' Innovation Accelerator Program, Columbia 3&4
This session will highlight efforts for advancing interoperability and health IT adoption through ONC guidance that is provided through CMS' Innovation Accelerator Program. Focus will be on health IT infrastructure needed to support value based payments and financial simulations.
Download slides [PDF - 3.1 MB]

8. Application Programming Interfaces (APIs) 101, Holmead (Lobby level)
The 21st Century Cures Act calls for the development of Application Programming Interfaces (APIs) to help enable a competitive marketplace. This session will provide you with a basic understanding of modern internet enabled APIs and become familiar with key technical terms developers commonly use when talking about APIs.
Download slides [PDF - 1.3 MB]

9. Ask the ONC Clinical Team Breakout, Columbia 6
Join ONC’s clinicians and ask questions about their work supporting interoperability and clinician burden reduction relative to health IT.

10. The Intersection Between Research and Care Delivery: Leveraging Health IT to Advance Precision Medicine, Columbia 11&12
ONC’s Chief Scientist Division works with a variety of federal, public, and private stakeholders to build an infrastructure that accelerates the integration of relevant electronic health data and evidence at the point of care. This session will focus on projects aimed at spurring innovation, supporting patient-centered outcomes research, and advancing precision medicine, through the sharing of electronic health data (clinical, genomic, and personal) between patients, providers, and researchers – a necessary catalyst to realize the anticipated benefits of 21st century health system.
Download slides [PDF - 2.1 MB]

11. Improving Opioid Prescribing through Electronic Clinical Decision Support Tools, Columbia 1&2
Integrating evidence-based clinical guidelines, such as The Centers for Disease Control and Prevention (CDC) Guideline for Prescribing Opioids for Chronic Pain, electronically into clinical workflow through clinical decision support (CDS) tools can help providers make informed decisions at the point of care. This breakout session will provide an overview of the CDC Prescribing Guideline and highlight several projects from ONC, AHRQ, and EHRA for developing electronic CDS tools to ensure safer use of long-term opioid therapy for patients.
Download slides [PDF - 8 MB]

12. ONC on FHIR, Columbia 9&10
Hear from ONC experts as they highlight a selection of ONC's Fast Healthcare Interoperability Resources (FHIR) projects relating to testing tools, patient-reported outcomes (PRO), provider directory, and prescription drug monitoring programs (PDMPs).
Download slides [PDF - 3.7 MB]

13. Payment Value Chain Panel Discussion, Columbia 5&7
This session will feature how the transition to value based care in the US healthcare industry, is driving greater alignment along the payment value chain between payers, providers, and patients. Finally bringing together data associated with claims, price transparency and clinical care, this alignment has the potential to finally make a comprehensive business case for interoperability and more importantly, the usability of health IT.
Download slides [PDF - 958 KB]

14. Addressing Gaps in Interoperability: Workgroup/Breakout Session, Columbia 8
During this session, the panel will discuss the current state of interoperability among non-federal acute care hospitals. Using results from the 2017 American Hospital Association's IT Supplement Survey we will highlight hospitals' rates of interoperable exchange, methods used, and barriers to interoperability.
Download slides [PDF - 3.3 MB]


Breakout Sessions II – Columbia Rooms

15. Medicaid Support for Interoperability, Columbia 6
This session will review the most recent state Medicaid Director's letters and describe how they impact state decisions and strategy around interoperability funding.
Download slides [PDF - 1.3 MB]

16. Digital Health Trends, Columbia 5&7
Based on industry investment analysis, this session aims to preview the areas of healthcare receiving the most investment and interest, and therefore have the potential to see new transformative technologies, tools, and solutions reach the marketplace and clinical settings in the near future.
Download slides [PDF - 12 MB]

17. CMS Data Element Library Deep Dive, Columbia 1&2
In support of the IMPACT Act goals and to advance interoperability between post-acute care and other providers, CMS published the Data Element Library in June 2018. The Data Element Library provides streamlined access to assessment data elements used in post-acute care and their associated health IT standards, making it easier for health IT vendors to incorporate them into electronic health records (EHRs). This session will provide an overview of the IMPACT Act, the Data Element Library and how this tool can support the reuse of assessment data to improve care coordination and health outcomes across settings. Panelists will provide examples for how reuse of assessment content can provide value for providers, clinicians, patients and families. The session will also include a discussion about opportunities to engage in future FHIR activities.
Download slides [PDF - 1.9 MB]

18. Partnerships to Support Health IT Certification, Columbia 9&10
Learn how ONC collaborates with "Program Partners", introduces new Program Partner branding, and conducts a panel discussion revealing the benefits of joining the ONC Health IT Certification Program as a Partner.
Download slides [PDF - 1.7 MB]

19. Leveraging Health IT to Promote Patient Electronic Health Access within Health Systems and Through Provider Education, Columbia 3&4
ONC and OCR are working together to implement 21st Century Cures Section 4006 to empower patients and improve access to their electronic heath information. This session will highlight how the USG and stakeholders across the HIT landscape are promoting patient access by educating providers on allowable sharing of patient information, clarifying misunderstanding that may currently impede lawful sharing, and ensuring that individuals understand their HIPAA-protected right to access their health information when and where they need it, in the format that they choose.
Download slides part 1 [PDF - 1.2 MB]
Download slides part 2 [PDF - 1.7 MB]
Download slides part 3 [PDF - 526 KB]

20. Using Direct Messaging & CCDA to Improve Care Coordination, Columbia 11&12
This session provides an overview of Direct adoption and use, and describes an initiative utilizing Direct messaging and the C-CDA document format to deliver outcomes-based care to reduce patient risk of developing diabetic retinopathy. It also illustrates the use of Direct in creating a MIPS measure related to co-managed cataract surgery, integrating data from Ophthalmologists’ and Optometrists’ EHRs.
Download slides [PDF - 1.6 MB]

21. Health IT Innovations to Support Long Term Surveillance and Treatment of Opioid Exposure in Children, Columbia 8
This session will focus on efforts to address barriers to longitudinal surveillance and treatment for children impacted by the opioid crisis. Panelists and participants will discuss current initiatives including those to develop and innovate health IT solutions for the longer term treatment of children with NAS or in utero opioid exposure.
Download slides: Addressing Neonatal Abstinence Syndrome [PDF - 6.2 MB]
Download slides: HHS Initiative on Neonatal Abstinence Syndrome (NAS) [PDF - 703 KB]
Download slides: Health IT Innovations to Support Long Term Surveillance and Treatment of Opioid Exposure in Children [PDF - 896 KB]
Download slides: CMS Opioid Strategy [PDF - 1 MB]




Registration – Concourse Level


Day 2 Plenary Sessions – International Ballroom Center


Welcome from Teresa Zayas-Caban, Chief Scientist, ONC


Keynote from Don Rucker, MD, National Coordinator for Health IT


Data and Value-Based Care Panel
HHS is working to transform the U.S. healthcare system into one that pays for value by building a system that maximizes the promise of health IT, improves transparency in price and quality, pioneers bold new models in Medicare and Medicaid, and removes government burdens that impede care coordination. A value-driven healthcare system will look dramatically different from what we have today: Such a system will pay for health and outcomes rather than sickness and procedures. It will deliver better and more affordable healthcare, and it will support the next generation of cures to diseases.

  • Mark McClellan, MD, PhD, Director, Duke-Robert J. Margolis, Center for Health Policy
  • Niall Brennan, MPP, President & CEO, Health Care Cost Institute
  • Mark Pauly, PhD, Bendheim Professor, Professor of Health Care Management, Professor of Business Economics and Public Policy, University of Pennsylvania
  • Don Rucker, MD, National Coordinator for Health IT, ONC (Moderator)

Networking Break


Breakout Sessions – Concourse Level

22. Getting to the True Cost of Interoperability: the Marketplace Transparency Project, Jefferson East
Explore ways to improve transparency of various health IT services costs and receive an update on ONC's cooperative agreement with University of California, San Francisco (UCSF) to build an open crowd-sourced platform for users to self-report, review and compare such costs.
Download slides [PDF - 1.8 MB]

23. Health IT Tools and Stakeholder Approaches in Support of the Care Continuum, Jefferson West
This session will focus on current stakeholder led efforts to identify and crosswalk clinical priorities to ONC certification with specific examples. This session will also highlight ONC tools/resources available to help stakeholders achieve the successful health IT implementation of their priorities in practice.
Download slides: ONC’s Certified Health IT Product List (CHPL) [PDF - 1.1 MB]
Download slides: Connecting Ambulatory Surgery Centers [PDF - 1.1 MB]
Download slides: Opportunities to Improve the Safety and Use of EHRs [PDF - 1.1 MB]
Download slides: The American Academy of Pediatrics and Pediatric Informatics [PDF - 1.8 MB]

24. Interoperability for Combating the Opioid Epidemic: Lessons Learned From PDMPs, Lincoln East
One strategy to combat the opioid epidemic is to optimize the use of prescription drug monitoring program (PDMP) data to inform better prescribing, dispensing, and treatment decisions. This session will explore innovative ways that PDMP reports have been integrated into health IT systems to improve the way that patient profiles are presented to prescribers. In addition, this session will also examine relevant laws and policies that may impact integration and other enhancement efforts.
Download slides [PDF - 2.8 MB]

25. Empowering Patients and Improving Outcomes: Challenges and Opportunities in Linking Clinical and Claims Data, Lincoln West
Review and discuss recent trends, challenges, and opportunities in linking clinical and claims data. Discussions will include consumer-directed exchange, identity matching, authorization, authentication, and blockchain.
Download slides [PDF - 5.3 MB]

26. Clinician Burden Report Deep Dive and Discussion, Georgetown West
During this session, participants will hear about ONC and CMS work documenting the effects of health IT on clinician burden and providing suggestions on how to reduce clinician burden associated with the use of Electronic Health Records (EHRs). This session will provide participants with an overview of ONC’s and CMS’ recently released Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs as well as an opportunity to provide input and feedback to those efforts.

27. Interoperability Standards Advisory Deep Dive, Monroe
Learn about the Interoperability Standards Advisory (ISA), as well as a deeper dive into how it’s organized, new functionality to enhance the site’s usability, and a high-level overview of public comments received during this year’s annual review and comment period. The session will also include some discussion about how stakeholders are using the ISA and some ongoing work within the Health IT Advisory Committee on priority uses of health IT for interoperability.
Download slides [PDF - 1.3 MB]

28. Linking Community Data Toward a Patient-Centered Model in California, Georgetown East
Governments and those who partner with governments in providing services are increasingly shifting their focus to the recipient or client. The California Health and Human Services Agency also has been shifting its focus to the client. By linking data across its programs, CHHS is gaining insights into its clients and how its programs intersect. These efforts have involved building external and internal partnerships, opening ourselves up to calculated risks, and nurturing a culture change within the Agency.




Afternoon Plenary – International Ballroom Center

Addressing Clinician Burden: A Panel Discussion
ONC and CMS leadership will discuss HHS’s work to help reduce clinician burden, and how it supports the Administration's priorities of increasing nationwide interoperability and combating the opioid epidemic.

  • Elise Sweeney Anthony, Executive Director, Office of Policy, ONC, Moderator
  • Steve Posnack, Executive Director, Office of Technology, ONC
  • Andy Gettinger, MD, Chief Clinical Officer, ONC
  • Kim Brandt, Principal Deputy Administrator, CMS
  • Alexandra Mugge, Acting Chief Health Informatics Officer, CMS

Networking Break

3:00 - 4:00

Breakout Sessions – Concourse Level

29. Updated Security Risk Assessment Tool Demo, Jefferson East
This session provides an overview and demonstration of the new Security Risk Assessment Tool which ONC, in collaboration with the HHS Office for Civil Rights (OCR), developed to help guide users through the process of conducting a risk assessment. The updated tool has new features and an enhanced user interface.
Download slides [PDF - 1.5 MB]

30. Electronic Public Health Reporting, Jefferson West
Electronic public health reporting makes public health reporting easier for providers by saving them time, increasing accuracy, and improving security. This presentation will provide stories from public health professionals on how public health reporting systems have progressed from pen, paper and faxing to a more automated process. Public health relies on the automated data reporting process to facilitate public health investigations and emergency response which enables better communication and coordination with our clinical healthcare partners.
Download slides [PDF - 8.9 MB]

31. Advancing Interoperability in Home and Community Based Services (HCBS), Lincoln East
This session will look at the updated and newly released (2018) home and community based services (HCBS) Medicaid Health IT Toolkits for SPAs, Waivers and Demonstrations (Version 2.0) as a vehicle to advance Health IT, HIE and Interoperability through HCBS Medicaid Program Design. It will also look at the electronic Long-Term Services and Supports (eLTSS) Initiative, which is a joint project between CMS and ONC focused on advancing data-level interoperability for individuals receiving HCBS. Working in close partnership with ONC and CMS, the Administration for Community Living (ACL) will also share opportunities for states to apply for technical assistance from the newly created National Center for Advancing Person-centered Practices and Systems (NCAPPS).
Download slides [PDF - 2.3 MB]

32. FHIR Implementation and Transition Planning, Lincoln West
During this session, the speakers will discuss takeaways and lessons learned from implementations of FHIR DSTU2 or R3 at vendor and provider organizations and how these organizations are preparing for the transition to FHIR R4.
Download slides [PDF - 2.5 MB]

33. Exploring the Certified Health IT Products List (CHPL): Data Findings and Applications, Monroe
Learn about data available in the Open Certified Health IT Products List (CHPL) and findings from ONC’s analysis of the CHPL data.
Download slides [PDF - 879 KB]


Meeting Closes