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###### Department of Health and Human Services

# 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:                         *judy.sparrow@hhs.gov*. 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                         *judy.sparrow@hhs.gov,*                         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?       ( print 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