Legal and Policy Advisory Group

Rescheduled December Meeting 

January 7, 2014
Agenda

Project Update
Mass HIway Phase 2 policy input
Next Steps

Phase 1 – Transaction and deployment update
Phase 1 – Transaction and deployment update cont.
•	Beverly Hospital/NHS
•	Chair City Family Medicine
•	Christopher House
•	Dr. Masucci
•	Orleans Medical Center
•	Pulmonary and Primary Care Associates

Transactions exchanged for November – 129,045
Cumulative transactions to date – 1,764,493

HISP to HISP Connectivity
Current Status
•	      Key HISP Vendors identified and engaged for implementation (Expected completion- Jan 2014)
•	Surescripts
•	eClinicalWorks
•	Secure Exchange Solutions (SES)

Next Steps
•	HISPs ready to start testing in January 2014
•	Aprima
•	MEDfc Corporation
•	McKesson Homecare and Hospice
Phase 2 overall timeline
Agenda

Project Update
Mass HIway Phase 2 policy input
Next Steps

Setting the table for today’s discussion
 	HISP to HISP trust discussion
•	The market has evolved rapidly and it has become necessary for the Mass HIway to connect with several other Health Information Services Providers (HISPs) in order to reach many Massachusetts providers
•	EOHHS has determined that it will execute HISP Agreements with these HISPs as well as Participant Agreements with the Massachusetts organizations and individual healthcare providers that come under the HISP
•	Today we will discuss the Mass HIway approach to other HISPs and the specific policy guidance being contemplated for the HISP Agreement
What is a HISP?
 	A Health Information Service Provider (HISP) is a network that has its own trust fabric, comprising two key elements:
•	A HISP issues its own Direct addresses
•	A HISP issues its own Direct-compliant certificates to their end-points. 

 	HISP examples:
•	Surescripts
•	eClinicalWorks
•	Winchester / Secure Exchange Solutions (SES)
 	Not HISPs:
•	PVIX
•	Holyoke
•	Meditech
•	Partners
•	Epic
HISP to HISP Contract Approach
HISP to HISP Technical Approach
HISP to HISP - Establishing Trust Community
HISP to HISP – Privacy & Security obligations
HISP to HISP - Charging
Managing HISP-to-HISP-to-HISP
 	The Mass HIway will not be able to broker message transport from Mass HIway Participants that are in one non-HIway HISP to Mass HIway Participants that are in another non-HIway HISP
Provider Directory will have HISP-specific access
HISP to HISP – Provider Directory
Agenda

Project Update
Mass HIway Phase 2 policy input
Next Steps

Next steps
 	Next steps
•	Meeting notes synthesized and provided back to Advisory Group for final comments
•	Presentation materials and notes to be posted to EOHHS website
•	Next Advisory Group Meeting – January 21, 2:30-4:00
-	Mass Medical Society – Suffolk conference room
-	Conference call (866) 951-1151 x. 8234356
•	HIT Council –January 13, 3:30-5:00 One Ashburton Place, 21st Floor

 	HIT Council meeting schedule, presentations, and minutes may be found at http://www.mass.gov/eohhs/gov/commissions-and-initiatives/masshiway/hit-council-meetings.html