[Federal Register Volume 75, Number 181 (Monday, September 20, 2010)]
[Notices]
[Pages 57276-57277]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-23311]
[[Page 57276]]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the National Coordinator for Health Information
Technology; HIT Policy Committee Advisory Meeting; Notice of Meeting
AGENCY: Office of the National Coordinator for Health Information
Technology, HHS.
ACTION: Notice of meeting.
-----------------------------------------------------------------------
This notice announces a forthcoming meeting of a workgroup of a
public advisory committee of the Office of the National Coordinator for
Health Information Technology (ONC). The meeting will be open to the
public.
Name of Committee: Health IT Policy Committee's Governance
Workgroup.
General Function of the Health IT Policy Committee: To provide
recommendations to the National Coordinator on a policy framework for
the development and adoption of a nationwide health information
technology infrastructure that permits the electronic exchange and use
of health information as is consistent with the Federal Health IT
Strategic Plan and that includes recommendations on the areas in which
standards, implementation specifications, and certification criteria
are needed. Purpose of the Governance Workgroup: To draft a set of
recommendations on the scope and process of governance for the
nationwide health information network, including measures to ensure
accountability and oversight. The charge to the Governance Workgroup is
to draft a set of recommendations on the scope and process of
governance for the nationwide health information network, including
measures to ensure accountability and oversight.
Date and Time: The meeting will be held on September 28, 2010, from 9
a.m. to 5 p.m. Eastern Time.
Location: Washington Marriott Wardman Park Hotel, 2660 Woodley Road,
NW., Washington, DC 20008. For up-to-date information, go to the ONC
Web site, http://healthit.hhs.gov.
Contact Person: Judy Sparrow, Office of the National Coordinator, HHS,
330 C Street, SW., Washington, DC 20201, 202-205-4528, Fax: 202-690-
6079, e-mail: [email protected]. Please call the contact person for
up-to-date information on this meeting. A notice in the Federal
Register about last minute modifications that impact a previously
announced advisory committee meeting cannot always be published quickly
enough to provide timely notice.
Agenda: The Workgroup will hear testimony from invited panelists on
information on governance of the nationwide health information network.
ONC intends to make background material available to the public no
later than two (2) business days prior to the meeting. If ONC is unable
to post the background material on its Web site prior to the meeting,
it will be made publicly available at the location of the advisory
committee meeting, and the background material will be posed on ONC's
Web site after the meeting, at http://healthit.hhs.gov.
Procedure: Interested persons may present data, information, or
views, in writing, on issues identified by the Workgroup. Written
submissions may be made to the contact person on or before September
24, 2010. Written comments are limited to 10 pages, and should be
either mailed to the address above or e-mailed to [email protected],
with the Subject Line: Responses for Governance Workgroup. The
questions the Workgroup is interested in are as follows:
Panel 1: Governance Models in Other Domains
1. Please share your experiences in establishing governance
requirements to ensure trust in the privacy and security of the
information exchange, e.g., to secure the data, to assure appropriate
use of the data exchanged, to address responsibilities for obtaining
consent, etcetera. Were governance requirements established to ensure a
certain level of interoperability? What types of governance mechanisms
and processes were established? What conditions, requirements, and
processes facilitated the resolution of disputes between parties with
differing interests?
2. Please describe whether and how you have included multiple
stakeholders in governance? To what extent have consumers been engaged?
3. Please describe the relationship between the private sector
parties and the government--was authority delegated from the
government, did the government oversee either the governance process or
the results of the process, was the government simply participating as
a member of the group etc.? What changes, if any, would you recommend?
Because the relationship between the government and the private sector
may differ in governance mechanisms in technical and policy domains,
please share your views as to how to determine and establish the most
appropriate relationship.
4. In considering the question as to how to determine the most
appropriate governance mechanism, please address: the costs and
benefits involved in delegation of authority from the government; the
need for ensuring some degree of openness in the process of developing
requirements when authority is delegated; and the most appropriate
means available for determining compliance and enforcing any
requirements that have been established through the governance
mechanism.
Panels 2 and 3: Governance Experience of Implementers of Health
Information Exchange
1. Please Provide an Introduction to Your Organization
Describe the stakeholders that are governed by the
governance process.
Describe the group that executes the governance process.
How is the authority of the governing body established
(contract, law, other)?
2. Trust
Please share your experiences in governance mechanisms for
trust--what types of governance mechanisms and processes do you have in
place (or are needed) to promote trust in the exchange?
How have you addressed privacy and security obligations
(e.g., to safeguard information, to assure appropriate use of the data
exchanged, to address responsibilities for obtaining consent, etc.)
through governance?
Please describe how you have included multiple
stakeholders in governance (e.g., how they were able to engage those
stakeholders in effective participation? what challenges/enablers to
engage in effective participation? To what extent have consumers been
engaged?)
Please identify issues, if any, that still need to be
addressed. What types of governance mechanisms are needed to promote
trust to facilitate exchange?
What suggestions do you have for ONC for establishing
governance in this area?
2. Interoperability
Please share experiences in governance mechanisms for
interoperability--what that types of governance mechanisms and
processes do you have in place (or are needed) to promote
interoperability in the exchange?
How are expectations for interoperability established and
assured?
What suggestions do you have for ONC for establishing
governance in this area?
[[Page 57277]]
3. Accountability, Enforcement and Oversight
Please share your experiences in establishing
accountability, enforcement and oversight with regard to both trust and
interoperability.
What suggestions do you have for ONC for establishing
governance in this area? Examples of specific issues include:
How should organizations be vetted for participation?
How should the exchange of information be monitored for
appropriateness in a large volume/distributed environment?
How should information be provided to a consumer regarding
who accessed his/her information?
How should consumer complaints be investigated?
How should ``bad actors'' be disciplined?
Panel 4: Existing Governance Authorities
1. Please describe the scope and jurisdiction of your authority/
authorities, with particular reference to areas that are/may be related
to the exchange of health information over a network.
2. Please describe how your authorities are implemented.
3. Please offer suggestions to the Office of the National
Coordinator for developing, implementing and coordinating governance.
Persons attending ONC's advisory committee meetings are advised
that the agency is not responsible for providing access to electrical
outlets.
ONC welcomes the attendance of the public at its advisory committee
meetings. Seating is limited at the location, and ONC will make every
effort to accommodate persons with physical disabilities or special
needs. If you require special accommodations due to a disability,
please contact Judy Sparrow at least seven (7) days in advance of the
meeting.
ONC is committed to the orderly conduct of its advisory committee
meetings. Please visit our Web site at http://healthit.hhs.gov for
procedures on public conduct during advisory committee meetings.
Notice of this meeting is given under the Federal Advisory
Committee Act (Pub. L. 92-463, 5 U.S.C., App. 2).
Dated: September 13, 2010.
Judith Sparrow,
Office of Programs and Coordination, Office of the National Coordinator
for Health Information Technology.
[FR Doc. 2010-23311 Filed 9-17-10; 8:45 am]
BILLING CODE 4150-45-P