California Trust Framework Pilot Request for Participation

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Nov 20, 2013 (3 years and 11 months ago)

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CHeQ:

California Trust Framework Pilot Request for Funding

Page
1


California Trust Framework Pilot
Request for
Participation

For Health Information Organizations
and
Health Information Exchange
Service Providers



Health
information organizations (HIOs) and
health information exchange (HIE)
service providers

in California may
be eligible to participate in the California Trust Framework Pilot (the Pilot)

administered

by California Health
eQuality (CHeQ).



BACKGROUND


A cri
tical component of the California strategy for HIE is exchange among community
HIO
s
, enterprise HIOs,

and HIE service providers, both across California and across state lines. The Directory and Trust Services (D&TS)
component of CHeQ’s activities is
designed specifically to help meet the procedural and technical needs for
interstate and inter
-
organizational exchange by creating a trusted exchange environment in California.


CHeQ participated in the National Association for Trusted Exchange (NATE, form
erly the Western States
Consortium) pilot which used Direct specifications to exchange health information between providers for
treatment purposes across state lines. That pilot
used

an initial version of D&TS, which included a trust
community managed thro
ugh the distribution of trust bundles and a federated approach to provider directories,
both of which have become a potential national model. NATE has completed its pilot, and CHeQ continues to
manage certificates and directory services
through D&TS
in sup
port of California’s participation in NATE.


In March

2013
, CalOHII convened the California Association of Health Information Exchanges (CAHIE), a statewide
group of community and enterprise health information organization leaders working together to advan
ce safe and
secure HIE throughout California. CAHIE’s vision is to create a California trust framework that is based on national
standards and protocols for trusted exchange and to create pathways
to ensure that
providers connect to and use
Direct and/or

e
Health Exchange (formerly NwHIN). CAHIE’s effort extends NATE’s model by including query
-
based
exchange using Exchange specifications. It focuses on California's needs while not adversely impacting interstate
and national exchange. Through its interagency
agreement with CHHS, CHeQ

is working with CAHIE to use

D&TS
to create the technical governan
ce structure to enable California’s
trust f
ramework
.

CHeQ is seeking community
and enterprise HIOs and HIE service providers to participate in
CHeQ
's

California
Trust Framework Pilot
.


OBJECTIVES


The Pilot is designed to
inform CHeQ and CAHIE on the
policies, practices, and
technology to create and manage
the
California
trust framework
.
The Pilot will have two phases. In the first phase, applicants
prepare their
application to o
nboard

to the California trust framework. The second phase

begins if/when an applicant is
determined to be eligible

and
will include onboarding

and use of the trust framework to enable exchange
between onboarded organizations
. CHeQ anticipates that the les
sons learned through the Pilot will have direct
input into the CAHIE trust framework.

B
ecause

phase one will

inform the policies and eligibility criteria, not all
organizations
that participate in phase one may be able to onboard
and participate in phase
two.





CHeQ: California Trust Fra
mework Pilot Request for Participation


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2




Organizations
meeting the eligibility requirements defined during phase one
and continuing with phase two
must

participate in one or more of these phase two
activities:


1.

Management of trust anchors for Direct exchange using the new
Implementation
Guide for Direct

Project Trust Bundle Distribution
;


2.

Discovery of individual and/or organization Direct addresses using Healthcare Provider Directory (HPD)
specifications as modified by Change Proposal CP
-
ITI
-
601
-
04 to incorporate the HPD+ structure

proposed by the EHR | HIE Interoperability Workgroup;


3.

Management of certificates for gateways implementing Exchange specifications for Patient Discovery,
Query for Documents,
and
Retrieve Documents;


4.

Discovery of service endpoints for Exchange service
s using a California
-
specific instance of the


Exchange specification for Web Services Directory;
and/
or,


5.

Discovery of service endpoints for Exchange services using HPD specifications as modified by


CP
-
ITI
-
601
-
04.


ELIGIBILITY

FOR
PARTICIPATION


Community and enterprise HIOs and HIE service provider
s

are eligible to participate

in the Pilot

if they have
implemented

either
one
or both of the following:


1.

Direct Project specifications in compliance with the
Applicability Statement

for Secure Health Transport

version 1.1;


2.

Exchange specifications (Patient Discovery, Query for Documents,

and

Retrieve Documents) in compliance
with specificati
ons published by Healthēway.


FUNDING


No funding is available at this time.


TIMELINE AND
MILESTONES


CHeQ is accepting applications immediat
ely, and will consider the second

round of applica
tions received on or
before November

1
, 2013

for the second

round of onboarding. The pilot will continue through November 30
,
2013
.


INSTRUCTIONS


Please send your
R
equest for
Participation

by email to
cheq@ucdmc.ucdavis.edu

or by fax to CHeQ C
alifornia

Trust Framework Pilot

at (916) 734
-
4754. Questions
can be di
rected to
Becca Lit
man
,
rebecca.litman@ucdmc.ucdavis.edu
.






CHeQ: California Trust Fra
mework Pilot Request for Participation


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3

Applicants
and other interested parties are highly encouraged to monitor the
California Trust Framework
Pilot
space on the CHeQ project wiki at
http://cheq.wikispaces.com/Trust+Framework

to understand and contribute to
the emerging
P
ilot requirements.


All Applicants must submit

both the Request for

Participation

(below) and the CAHIE Pilot
Application

(attached)
.


REFERENCES


For more information,
please
see:




http://www.ohii.ca.gov/calohi/PrivacySecurity/CAHIE.aspx

for information on the California Association of
Health Information Exchanges;



http://wiki.directproject.org/Applicability+Statement+for+Secure+Health+Transp
ort

for information on
Direct Project specifications;



http://healthewayinc.org/index.php/in
-
the
-
news/44
-
exchange
-
specifications
-
manifest

for information on
t
he Exchange specifications;



http://wiki.directproject.org/Trust+Bundle+Sub+Work+Group

for information on the new national
standard for trust bundle content and distribution; and



http://cheq.wikispaces.com/Trust+Framework

for a discussion of the components of the
California trust
framework
, including a listing of all of the applicable standards.



CHeQ: California Trust Framework Pilot Request for
Participation

CHeQ:

California Trust Framework Pilot Request for Funding

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4


Name of
Applicant
:




Type of
Organization
:




HIO







HIE Service Provider


Mailing Address
:






Physical Address
:

(if different from Mailing Address)











Name of
Primary Contact
:


Title:


Phone:









Fax:


Email:



My organization has implemen
ted and
is currently using

(check
all that apply):




Direct Project specifications in compliance with the
Applicability Statement for Secure Health
Transport

version 1.1




Exchange specifications (Patient Discovery, Query for Documents,
and
Retrieve Documents) in
compliance with
specificati
ons published by Healthēway


In phase two,
my organization

will participate in the following activities

(check all that apply):




(1) M
a
nagement of trust anchors for Direct exchange using the new
Implementation Guide for
Direct Project Trust
Bundle Distribution




(2) D
isc
overy of individual and/or organization Direct addresses using
Healthcare Provider
Directory (HPD)

specifications as modified by Change Proposal CP
-
ITI
-
601
-
04 to incorporate the
HPD+ structure proposed by the EHR |

HIE Interoperability Workgroup




(3) M
an
agement of certificates for gateways implementing Exchange specifications for
Patient
Discovery, Query for Documents,
and
Retrieve Documents



[List of activities is continued on next page]


Street Address:

City, State:


Zip Code:





Street Address:

City, State:


Zip Code:






CHeQ: California Trust Framework Pilot Request for
Participation


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5



(4) D
iscovery
of s
ervice endpoints for Exchange services using a California
-
specific instance of
the Exchange specification for Web Services D
irectory




(5) D
iscovery
of service endpoints for Exchange services using

HPD

specifications as modified by
CP
-
ITI
-
601
-
04



Please read and attest to the following statements:



This

project will be in

compliance with all state and federal laws related to the privacy and




security of health information
.




I have attached

the
CAHIE
Pilot Application

and required sup
porting documents
.





I
understand that the data collected through the CAHIE Pilot Application may be used for CHeQ


progress reporting to the Office of the National Coordinator (ONC).