2023 ASTP/ONC Annual Meeting

Session

Plenary Session: TEFCA Live! A Celebration – Part 1

Celebrate this significant milestone where we will recognize the first designated Qualified Health Information Networks^TM joining TEFCA^SM. In Part 1, hear directly from federal and congressional leaders about this important step in implementing the 21^st Century Cures Act. 

Welcome and Opening Remarks

• Lisa Lewis Person, Deputy National Coordinator for Operations and Chief Operating Officer, ONC

Keynote: View from HHS

• Andrea Palm, Deputy Secretary, U.S. Department of Health and Human Services

Keynote: View from ONC

• Micky Tripathi, PhD, MPP, National Coordinator for Health Information Technology, ONC

Keynote: View from the White House

• Danielle Carnival, Deputy Assistant to the President for the Cancer Moonshot and Deputy Director for Health Outcomes, White House Office of Science and Technology Policy

Keynote: View from Congress

• Senator Tammy Baldwin
• Senator Bill Cassidy

Break

Plenary Session: TEFCA Live! A Celebration – Part 2

Celebrate this important milestone where we will recognize the first designated Qualified Health Information Networks joining TEFCA. In Part 2, we’ll discuss how an operational TEFCA can change health care nationwide and celebrate the designated QHINs.

Fireside Chat: How TEFCA will Benefit Public Health and Payers

• Micky Tripathi, PhD, MPP, ONC (Moderator)
• Jonathan Blum, MPP, Principal Deputy Administrator & Chief Operating Officer, Centers for Medicare & Medicaid Services
• Mandy K. Cohen, MD, Director, Centers for Disease Control and Prevention

Fireside Chat: How TEFCA will Benefit Providers and Patients

• Steve Posnack, MS, MHS, Deputy National Coordinator for Health Information Technology, ONC (Moderator)
• Shereef Elnahal, MD, MBA, Under Secretary for Health, U.S. Department of Veterans Affairs
• Susan K. Gregurick, Associate Director for Data Science and Director of the Office of Data Science Strategy, National Institutes of Health
• Roselyn Tso, Director, Indian Health Service

Roundtable: TEFCA Designated QHINs

• Mariann Yeager, CEO, The Sequoia Project (Moderator)
• John Blair, MD, CEO, MedAllies
• Rob Klootwyk, Director of Interoperability, Epic Nexus
• Steven Lane, MD, MPH, Chief Medical Officer, Health Gorilla
• Laura McCrary, EdD, President and CEO, KONZA National Network
• Jay Nakashima, Executive Director, eHealth Exchange

Closing Remarks

Micky Tripathi, PhD, MPP, ONC

Lunch

Breakout Sessions I

ONC Rulemaking Education Session: HTI-1 Final Rule Overview

There will be a second HTI-1 overview session at 1:00 on Friday, December 15, and it will be the same as this session.

View these slides here, by scrolling to Information Sessions.

Leading Edge Acceleration Projects: Cutting Edge Health IT Tools for Healthcare and Healthcare Research    
This session will highlight recently completed projects through the Leading Edge Acceleration Projects (LEAP) in Health IT program. LEAP is a cooperative agreement funding opportunity by ONC, with the goal to address well-documented and fast emerging challenges inhibiting the development, use, or advancement of well-designed, interoperable health IT, which are scalable across the health care industry. During this panel presentation, the awardees will share their tools developed for making electronic health record data clinical care and research ready, producing common data model for artificial intelligence training and research, and developing a platform leveraging bulk data to support research and learning. A question & answer session and discussion from the audience will follow the presentations.

Download Slides [PDF - 4.4 MB]

• Lolita Kachay, ONC (Moderator)
• Andrew McMurry, PhD, Boston Children's Hospital
• Kristen Miller, DrPH, MSPH, MSL, CPPS, MedStar Health Research Institute
• Wilson Pace, MD, FAAFP, DARTnet Institute
• Burak Serdar, Cloud Privacy Labs

Perspectives from the Field: Public Health Data Modernization at the Local, State, and Federal Level    
This session will include short presentations and a robust discussion from key partners involved in the CDC Data Modernization Initiative (DMI). Join to hear updates about progress made so far towards key strategic goals, and to hear about new initiatives coming soon.

Slides were not used for this session.

• Katie Tully, ONC (Moderator)
• Keith Fletcher, DC Department of Health
• J.T. Lane, MPH, ASTHO
• Abigail Viall, ScD, MA, CDC
• Rinzin Wangmo, New York City Department of Health and Mental Hygiene

Exploring the Relationship between Payment Models and Documentation Burden    
This session will explore how the use of EHRs outside of traditional fee-for-service environments may play a role in documentation burden experienced by clinicians. This session will also review a summary of current knowledge on the variation in documentation burden within different payment environments.

Download Slides [PDF - 6.1 MB]

• Andrew Gettinger, MD, FAMIA, Dartmouth (Moderator)
• Nate C. Apathy, PhD, MedStar Health
• A Jay Holmgren, University of California - San Francisco
• S. Trent Rosenbloom, MD, MPH, FAMIA, FACMI, Vanderbilt University Medical Center
• Sarah Rossetti, RN, PhD, FAAN, FACMI, FAMIA, FIAHSI, Columbia University
• Anna Taylor, MS, CIPCT, MultiCare Connected Care

Perspectives on Information Blocking: Insights from National Surveys and Claims Received by ONC    
This session will discuss insights from three data sources, each of which reflects individuals’ or organizations’ perceptions of information blocking: a nationwide survey of health information networks/health information exchanges, an ONC-supported survey of hospital leaders, and ONC’s publicly released information blocking ‘Quick Stat’ data. Presenters will discuss how the information and perspectives expressed in these data reflect trends related to information blocking in the healthcare delivery system, and the additional questions these data raise related to the prevalence of information blocking.

Download Slides [PDF - 587 KB]

• Dan Healy, ONC (Moderator)
• Jordan Everson, ONC
• Deven McGraw, Invitae

Break

Breakout Sessions II

ONC Rulemaking Education Session: Information Blocking Updates in the HTI-1 Final Rule and the Information Blocking Provider Disincentives Proposed Rule   
Hear about the information blocking provisions of the HTI-1 Final Rule, as well as an overview of the recent Information Blocking Provider Disincentives Proposed Rule.

Slides forthcoming. Meanwhile, watch the Nov. 15 Disincentives information session, and watch the Jan. 25 HTI-1 Final Rule information bocking session by scrolling to Information Sessions.

Transforming Cancer Data Collection and Use: Aligning Cancer Health IT Standards for Use Across Research, Health Care, and Public Health    
This session will focus on how ONC is supporting Cancer Moonshot goals to synergize cancer health IT standards and support health care and research transformation. ONC is working to establish the foundational support for standardized health data exchange via open, consensus-based standards, moving towards the next generation of “real world cancer data” for use in research, health care, and public health. ONC’s United States Core Data for Interoperability Plus (USCDI+) initiative supports identification and establishment of domain or program-specific data element lists that extend the existing United States Core Data for Interoperability (USCDI). This session will focus on USCDI+ Cancer work and its application to research, health care, and public health.

Download Slides [PDF - 4.6 MB]

• Aneesh Chopra, CareJourney (Moderator)
• Ali B. Abbasi, MD, US Food and Drug Administration
• Su Chen, MD, CodeX
• Jennifer Goldsack, MChem, MA, MBA, OLY, Digital Medicine Society
• Joseph Rogers, CDC
• Umit Topaloglu, PhD, FAMIA, NCI

Patient and Clinical Perspectives and Approaches on the Documentation, Exchange and Use of Social Needs and SDOH Data: Implications for Clinical Care and Downstream Use   
This session explores patient and provider perspectives on the collection, exchange and use of social needs and SDOH data and describes the current state of providers’ documentation and use of social needs and SDOH data using nationally representative survey data. The panel will discuss the implications of these results for standards development, patient consent and data segmentation, and support for using social needs data in clinical care and with community-based organizations.

Download Slides [PDF - 2.3 MB]

• Samantha Meklir, ONC (Moderator)
• Catherine DesRoches, DrPH, Open Notes Initiative
• Sarah Downer, CMS Innovation Center
• Hannah K. Galvin, MD, FAAP, FAMIA, Cambridge Health Alliance
• Chelsea Richwine, ONC

Improving Patient Access to Health Information with Patients as Partners   
Health care works best when patients can access their health data, understand their conditions and choices, and be actively engaged in their care. Patient education promotes patient-centered care and increases understanding and adherence to medication and treatments, as well as facilitates decision-making for informed care choices. This session will highlight successful approaches to engage and educate patients, being responsive to their needs and preferences as partners in their care.

Download Slides [PDF - 2.1 MB]

• Medell Briggs-Malonson, MD, MPH, MSHS, UCLA Health (Moderator)
• Shally Madan, Luminate Health
• Sharlene Newman, PhD, Alabama Life Research Institute, The University of Alabama
• S. Trent Rosenbloom, MD, MPH, FAMIA, FACMI, Vanderbilt University Medical Center
• Shannon West, Datavant

Using Technology in Behavioral Health from Adoption to Integration: Moving Beyond Disparate Systems   
Join us for an opportunity to hear from leading experts about successes, opportunities, and challenges related to technology use in the behavioral health setting. This interactive session will feature a brief update on the current state of aligning and integrating primary care with behavioral health care including appropriate exchange of health data via a health information exchange (HIE), and identifying and using technology systems for interoperability in a meaningful way. Finally, we will pose audience questions for feedback on real world implications of adoption, integration, and interoperability.

Slides were not used for this session.

• Donna Davidson, ONC (Moderator)
• Tanzeem Choudhury, PhD, Cornell Tech and HealthRhythms Inc.
• Melissa Kotrys, MPH, Contexture
• Michael Lardieri, LCSW, Core Solutions, Inc.
• Jorge Petit, MD, Dr. JPetit Psychiatry Services

Break

Plenary Session: Fireside Chat: International Insights and the Global Digital Health Partnership

Join the Global Digital Health Partnership’s (GDHP) Steve Posnack (US ONC Deputy National Coordinator and GDHP Chair) and Abigail Norville (Netherland’s Ministry of Health, Welfare and Sport’s Deputy-Secretary General and GDHP Vice Chair) to learn more about the GDHP, the GDHP’s goals, the GDHP’s projects, and the GDHP’s future work efforts. Hear key insights from The Netherland’s on how the GDHP strengthens the Dutch national strategy on health data availability and interoperability, and what their plans are to advance the GDHP as a platform for global government collaboration. Join us and learn more about global insights!

• Steve Posnack, MS, MHS, Deputy National Coordinator, ONC
• Abigail Norville, Deputy Secretary General, Netherlands Ministry of Health, Welfare and Sport

Session

Welcome and Opening Remarks

• Micky Tripathi, PhD, MPP, National Coordinator for Health IT

Plenary Session: Rooting Out Racial Bias in Healthcare AI – Part 1: A Conversation with the Food and Drug Administration

Developers, providers and regulators can all agree that racial bias should be kept out of clinical AI tools as much as possible. But what will it take to make that a reality? And how can regulators and those they regulate work together to reach this goal? Dan Gorenstein, host and executive editor of the award-winning health policy podcast Tradeoffs, will moderate this dicussion, building off Tradeoffs in-depth reporting on this issue.

• Dan Gorenstein, Tradeoffs (Moderator)
• Suchi Saria, Bayesian Health and Johns Hopkins University
• Troy Tazbaz, Food and Drug Administration

Break

Plenary Session: Rooting Out Racial Bias in Healthcare AI – Part 2: A Conversation with the National Coordinator for Health IT

Developers, providers and regulators can all agree that racial bias should be kept out of clinical AI tools as much as possible. But what will it take to make that a reality? And how can regulators and those they regulate work together to reach this goal? Dan Gorenstein, host and executive editor of the award-winning health policy podcast Tradeoffs, will moderate this dicussion, building off Tradeoffs in-depth reporting on this issue.

• Dan Gorenstein, Tradeoffs (Moderator)
• James Ellzy, MD, Oracle Health
• Micky Tripathi, PhD, MPP, ONC

Plenary Session: Rooting Out Racial Bias in Healthcare AI – Part 3: A Conversation with the HHS Office for Civil Rights

Developers, providers and regulators can all agree that racial bias should be kept out of clinical AI tools as much as possible. But what will it take to make that a reality? And how can regulators and those they regulate work together to reach this goal? Dan Gorenstein, host and executive editor of the award-winning health policy podcast Tradeoffs, will moderate this dicussion, building off Tradeoffs in-depth reporting on this issue.

• Dan Gorenstein, Tradeoffs (Moderator)
• Jenny Ma, JD, HHS Office for Civil Rights
• Mark Sendak, MD, MPP, Duke Institute for Health Innovation

Lunch

EMS Data Summit 2.0

View the agenda

Breakout Sessions III

ONC Rulemaking Education Session: HTI-1 Final Rule Overview     
This session will be a repeat of the HTI-1 Final Rule overview session from Thursday, December 14.

View these slides here, by scrolling to Information Sessions.

PHIT for Duty: Expanding the Nation’s Public Health Workforce – Case Studies in Training Future Leaders in Public Health Informatics and Technology     
ONC is helping expand the nation’s public health workforce by training a new, diverse cohort of health IT professionals to strengthen the nation’s ability to fight future public health emergencies. Come hear students and consortium representatives discuss their experiences and lessons learned through the Public Health Informatics and Technology (PHIT) Workforce Development Program.

Download Slides [PDF - 3.4 MB]

• Sherilyn Pruitt, ONC (Moderator)
• Maggie Wanis, ONC (Moderator)
• Robert Hammarberg, DrPH, The University of Texas Health Science Center at Houston (UTHealth Houston) School of Public Health
• Erin Hitomi, Orange County Asian and Pacific Islander Community Alliance (OCAPICA)
• Kaylia Johnson, MPH, Oakland County Health Division
• Anastasia Jones, Texas Department of State Health Services, Public Health Region 8
• Raja Sengupta, University of California, Berkley
• Allene Stephen, GNR Public Health

Federal Agency FHIR (Fast Healthcare Interoperability Resources) Adoption: From Vision to Reality     
HL7® Fast Healthcare Interoperability Resources® (FHIR) has evolved from a novel idea for exchanging health data in 2011 to a mandatory standard cited in regulation today. Aligning agency efforts around development and use of FHIR at the federal level will strengthen health data exchange, support innovative applications, and promote improved health outcomes nationwide. This session will detail ONC’s vision for FHIR’s role in improving the health of individuals and populations and perspectives from key partner agencies.

Download Slides [PDF - 4.0 MB]

• Adam Wong, ONC (Moderator)
• Anupam Banerjea, U.S. Department of Veterans Affairs Office of Information and Technology (OIT)
• Paula Braun, ONC and CDC
• Grahame Grieve, HL7
• Lynda Rowe, MBA, MPH, CDC

Coordinating An Approach for the Use of AI To Support Health and Healthcare     
The White House recently released an Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence alongside an Office of Management and Budget memo. Together these documents outline a coordinated strategy to optimize the use of artificial intelligence (AI), including predictive algorithms and generative AI, across every sector of the United States economy. During this session attendees will hear from ONC and a panel of key federal officials to learn about the specific ways ONC and our federal partners are working together to ensure that our health care system can get the full benefit of responsible and trustworthy AI.

Slides were not used for this session.

• Kathryn Marchesini, ONC (Moderator)
• Miles Plant, Federal Trade Commission
• Greg Singleton, HHS Office of the Chief Information Officer
• Troy Tazbaz, Food and Drug Administration
• Dana Wolff-Hughes, PhD, National Institutes for Health

The Future of Pharmacy Interoperability     
During this session industry experts will discuss perspectives on topics ranging from real-time inventory transparency to AI-enabled pharmacy workflows. Panelists will also reflect on the recent recommendations of the HITAC Task Force on Pharmacy Interoperability and Emerging Therapeutics, discussing how this work may advance the exchange of pharmacy data across healthcare settings.

Download Slides [PDF - 2.2 MB]

• Tricia Lee Rolle, ONC (Moderator)
• Samm Anderegg, PharmD, MS, Docstation
• Brian Fung, PharmD, MPH, Verily
• Meg Murphy, PharmD, Surescripts
• Rick Sage, NCPDP
• Lisa Schwartz, PharmD, RPh, NCPA

Break

Breakout Sessions IV

ONC Rulemaking Education Session: Decision Support Interventions Provisions in the HTI-1 Final Rule     
Hear about the DSI provisions of the HTI-1 final rule.

View these slides here, by scrolling to Information Sessions.

Strategies for Enhanced Laboratory Data Interoperability     
This panel discussion will delve into the laboratory data exchange landscape and how advancements in standards play a pivotal role in ensuring the harmonious exchange of laboratory information. Distinguished experts will discuss trends and barriers to seamless data exchange, including pilots and modern approaches to sharing orders and results across the ecosystem. Additionally, ONC will share their laboratory interoperability initiatives, including ONC’s collaborative efforts with federal partners and standards development focused on laboratory interoperability, laboratory data elements in United States Core Data for Interoperability (USCDI) version 4, and emerging UCSDI+ public health data elements.

Download Slides [PDF - 2.7 MB]

• Sara Armson, ONC (Moderator)
• Jasmine Chaitram, CDC
• Dari Shirazi, APHL
• Marjorie Rallins, Regenstrief Institute

HHS Health IT Alignment Policy: Promoting Health IT Standards Alignment Across the Department of Health and Human Services     
The HHS Health IT Alignment Policy, led by the Office of the National Coordinator for Health Information Technology (ONC), is a Department-wide management policy to ensure alignment of health IT-related activities across all relevant HHS funding and regulatory/guidance actions. The Department of Health and Human Services (HHS) instituted this policy to ensure HHS agencies align and coordinate health IT-related activities. The policy sets out to eliminate program and data silos, support HHS interoperability goals, and advance the effectiveness and efficiency of Department programs and policies. During this panel, ONC and other HHS agency staff will discuss the progress made on implementing the policy so far and where they plan to go next to optimize alignment of health IT activities across the Department.

Download Slides [PDF - 373 KB]

• Peter Banks, ONC (Moderator)
• Janal Parham, HRSA
• Blenda Perez, ASFR
• Clare Pierce-Wrobel, Domestic Policy Council
• Tara Ramanathan Holiday, CDC
• David De Voursney, MPP, SAMHSA/CMHS

USCDI + : Extending Beyond the USCDI     
Two years ago, ONC launched the USCDI+ initiative to address gaps between USCDI and federal programs and drive alignment and harmonization across federal agencies. The first project for USCDI+ focused on work with CMS to support their quality measure program digital transformation to FHIR based reporting. Now USCDI+ initiatives have expanded across additional domains and use cases. In this session, we look to provide an overview of current USCDI+ initiatives and discuss the impact USCDI+ has had within our partner federal agencies.

Download Slides [PDF - 2.2 MB]

• Liz Turi, ONC (Moderator)
• Joel Andress, CMS
• Nahida Chaktoura, NIH/NICHD
• Talisha Searcy, SAMHSA
• Alek Sripipatana, HRSA
• Abigail Viall, ScD, MA, CDC

From Challenges to Solutions: Exploring ONC SDOH Information Exchange Tools and Resources     
Join ONC and other participants as we explore existing and emerging approaches, resources, and solutions to enable SDOH information exchange to better address health related social needs in communities across the nation as aligned with HHS’s Call to Action. During this session, attendees will explore the community-informed ONC tools and learning sessions available to help advance interoperable approaches including to adopt and advance the use of open data standards and to facilitate seamless referrals and care coordination across health care, community-based organizations, and other relevant entities. As part of this session, participants will break out into groups to discuss the themes from the SDOH Information Exchange Learning Forums. State and regional representatives are encouraged to attend this session along with their community partners to explore and share key actions to help build a stronger, more integrated health and social care system. 

Download Slides [PDF - 2.2 MB]

• Meley Gebresellassie, ONC (Moderator)
• John Rancourt, ONC (Moderator)
• Lauren Girard, Contexture
• Eliel de Oliveira, Department of Population Medicine of Harvard Medical School & Harvard Pilgrim Health Care Institute