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Interoperability Roadmap Public Comments

ONC accepted public comments on Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap Draft Version 1.0. The comment period ended on April 3, 2015.

The draft Roadmap proposes critical actions that need to be taken by both private and public stakeholders to advance the nation towards a more connected, interoperable health IT infrastructure and was drafted by ONC based on input from private and public stakeholders. The draft Roadmap outlines the critical actions for different stakeholder groups necessary to help achieve an interoperable health IT ecosystem.


Terry Bequette
Please see my uploaded comments document. Thanks! Terry Bequette
Shelly Spiro
Executive Director
Pharmacy HIT Collaborative
On behalf of the membership of the Pharmacy Health Information Technology Collaborative (Collaborative), we are pleased to submit comments regarding the proposed Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap Draft Version 1.0. The attached document contains each of the 14 sections (A to N) and comments to each of the 8 questions. The Collaborative has been involved with the federal agencies developing the national health information technology (HIT) framework since 2010. The Collaborative is supportive of the proposed roadmap and recommendations to improve the safety of HIT through coordinated governance and safely designed and implemented systems, while maintaining and protecting patient privacy. The Collaborative was pleased to see and appreciates the Office of the National Coordinator (ONC) recognizing pharmacists numerous times in various sections of the roadmap. These include specifically listing pharmacists as health care providers and users of health information exchanges; referencing the NCPDP-HL7 Pharmacist/Pharmacy Provider Functional Profile Task Group; and acknowledging patient-centered care services, such as comprehensive medication management (CMM) and medication therapy management (MTM), provided by pharmacists. Pharmacists provide patient-centered care and services, maintain various secure patient care records, and as part of the integrated health care team, they are directly involved with other health care providers and patients in various practice settings. Pharmacists are in a strategic position to help improve patient safety and patient privacy, especially, through HIT.
The Pharmacy HIT Collaborative’s vision and mission are to assure the nation’s health care system is supported by meaningful use of HIT, the integration of pharmacists for the provision of quality patient care, and to advocate and educate key stakeholders regarding the meaningful use of HIT and the inclusion of pharmacists within a technology-enabled integrated health care system. The Collaborative was formed in the fall of 2010 by nine pharmacy professional associations, representing 250,000 members, and also includes seven associate members from other pharmacy-related organizations. The Pharmacy HIT Collaborative’s founding organizations represent pharmacists in all patient care settings and other facets of pharmacy, including pharmacy education and pharmacy education accreditation. The Collaborative’s Associate Members represent e-prescribing and health information networks, a standards development organization, transaction processing networks, pharmacy companies, system vendors and other organizations that support pharmacists’ services. The Collaborative has over 70 volunteers from all aspects of pharmacy developing guidance documents to help educate pharmacists and the pharmacy industry on areas related to HIT interoperability. These documents are distributed by the nine national pharmacy association's 250,000 members. The Collaborative is willing to commit through education and standards developement to support HIT interoperability between patients and providers including pharmacists for medication-related care information.
Joel Arp
Director, Marketing and Commercial Programs
Wolters Kluwer Health
Kari Guida
Senior Health Informatician
Minnesota Department of Health
Please see attached document for comments from the Minnesota Coordinated Response to the Interoperability Roadmap.
Cheri Lattimer
Executive Director
National Transitions of Care Coalition
Dena Mendelsohn
Health Policy Analyst
Consumers Union
See attached comment letter.
Thomas Merrill
General Counsel
New York City Department of Health and Mental Hygiene
Comments are uploaded.
Stephanie Glier
Senior Policy Analyst
Consumer-Purchaser Alliance
On behalf of the undersigned organizations, please see our comments in the attached letter.
Thomas Thrower
The Austin Diagnostic Clinic
Quintus R. Brown
Chief Technology Officer
Collaborative Health Support Services (C.He.S.S.)
David Susanto
Senior Manager
Leslie Krigstein
Interim Vice President of Public Policy
College of Healthcare Information Management Executives
Please see attached document.
Meghan Vanderstelt
HIT Manager & MI HIT Coordinator
MI Department of Community Health
Charlotte Powers
private individual
Proposal to repeal federal law that allows state legislatrues to enact true medical privacy laws. Comment: I strongly object to big government taking over control of what is a state's right.. This right should remain under the control of the state in which an indivdual resides. The individual has a better chance of overseeing and influcening their medical privacy a the local level. Our bodies and our rights are from God and do not belong to government. 2. The View that our patient date is public property. Comment: This is absurd to say the least. We are individuals and our health is our own private matter. This is a communist concept thinking that our health and bodies belong to the public. 7. Citizens to share daily activities and behavoirs. Comment: Another ridiculous progressive concept. We are not zoo animals. This totally eliminates privacy.
Mary Schilling
Federal Affairs Manager
American Congress of Obstetricians and Gynecologists
Thank you for this opportunity to comment on the Interoperability Roadmap. Please find attached comments from the American Congress of Obstetricians and Gynecologists.
• ACOG continues to work on the reVITALize standardization efforts to harmonize definitions for the data elements used in obstetrics and gynecology. The harmonization of these definitions is critical to assure that data sharing and aggregation can provide the kind of quality information we will need to provide the best care for women and newborns now and in the future. • ACOG worked with IHE to develop the obstetric profiles to ensure that the data elements necessary for appropriate obstetric care were included in antepartum, intrapartum, and postpartum workflows.