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Meaningful Health Care Informatics Blog

May 13 2012   6:18PM GMT

RFI released by the ONC on Governance of the Nationwide Health Information Network

Posted by: RedaChouffani

On May 11th, 2012 the ONC published Request for Information (RFI) on governance of the Nationwide Health Information Network (click here)

The ONC is seeking to develop a common set of rules to guide the development of a baseline “Rules of the Road”.  This comes after having an ad-hoc governance approach for the NWHIN that was the result of the work from contractual relationships, state, federal laws and other self-regulating principles.

Some of the key components available in the proposal are:

Adoption of “conditions for trusted exchange (CTE)”:

CTEs would reflect the nationwide health information network’s portfolio of standards, services and policies.  The initial set of CTEs has been included in the RFI.

Establishment of a voluntary framework for entities that facilitate electronic exchange to be validated to CTEs adopted for the electronic exchange services or activities they are capable of supporting:

This is a certification program similar to what the HIT certification done through the ONC.  Once an entity meets the requirements it would be considered a network-validated entity NVE.

Approaches for monitoring and transparent oversight:

This would create a mechanism that will ensure the protection of consumer rights by ensuring the NEs are performing their services adequately, and having a formal process to revoke an NVE’s validation status.

Establishment of processes that could be used to adopt, revise, and retire CTEs that are no longer appropriate.

Establishment of a process to classify the readiness for nationwide adoption and use of technical standards and implementation specifications to support interoperability related CTEs.

Currently the document has been posted in the federal register as a pre-publication PDF document.  It is scheduled to be officially available on May the 15th, 2012.  The public period is open for 30 days after the publication date.

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