NHIN Timeline: Documenting the history and development of the National Health Information Network
This is an annotated timeline documenting the activities of the National Health Information Network. Related documents, when available, are linked. Additional source documents follow the timeline.
February 17, 2009: ARRA, otherwise known as the Obama Stimulus Bill, is signed into law. The bill contains numerous provisions relating to healthcare IT, the Office of the National Coordinator, and other NHIN-related issues. The text of the legislation is here. CalOHI has posted a helpful summary of the provisions of ARRA here.
December 15-16, 2008: The 5th NHIN forum will be held in Washington DC. The forum will present progress reports from the NHIN trial implementation projects. HHS NHIN page.
Fall 2008: The new private "non-representational" AHIC board is in place. The new board includes representatives from Eli Lilly and Wal Mart, among others. Several articles are available about the transition:
September 23, 2008: The NHIN trial implementation projects are set to be demonstrated in September in Washington D.C. at the planned AHIC meeting. Meeting details: AHIC.
September 23, 2008: Stakeholders left behind....... AHIC successor names board: press release. The new AHIC notes that the "Board of AHIC successor did not recommend that the Board be representational." The AHIC board is decidedly not representational, in particular, privacy interests are not represented on this board. This is something the World Privacy Forum warned expressly about in terms of credibility of the new AHIC. See the WPF comments urging AHIC to be constructed fairly.
April 30-May 2, Joint forum, NHIN - HISPC- SLHIE. This joint forum was held in Dallas Texas. The powerpoints are by and large online as of Aug. 2008. See the NHIN forum web site for the links to the slides and other conference information.
March 12: The Centers for Disease Control (CDC) awards three contracts for NHIN development. The focus is on biosurveillance. (Article)
March: The "DURSA" (Data Use and Reciprocal Support Agreement) Workgroup slated to complete data use of reciprocal support agreement for NHIN test data. The only public information is available on a slide located here. The DURSA workgroup is one of the NHIN cooperative workgroups.
February 26: 20 Federal agencies to build a mini-NHIN for government, the NHIC-Connect Gateway. (article)
January - March: HHS establishes its NHIN "Cooperative workgroups" meetings and activities. No official information beyond the names of the workgroups is publicly available, and meeting announcements are not made to the public. A brief presentation incorporating the DURSA cooperative workgroup is available here. One member of the DURSA group has been made public by the member's organization. (Press release).
September 28: Press release announcing trial implementations of the NHIN (Press release)
Trial implementations of the NHIN will be taking place in 2008 in these settings:
August 13: AHIC successor Notice of Funding Availability published.
August 6: AHIC successor white paper published (AHIC white paper, PDF)
July 2007: CCHIT Certified Ambulatory EHRs: most recent list of certified Ambulatory EHR products (CCHIT)
May 31: HHS publishes its analysis of the NHIN prototypes. The 113-page analysis was prepared by Gartner (Read the Analysis). In the 113 pages, privacy was not clearly defined, and received little substantive discussion.
March: CCHIT Certified Ambulatory EHR criteria is final for 2007 (CCHIT standards)
March 5, 6 HISPC National Meeting for Office of National Coordinator’s States Privacy & Security Contract. See meeting materials (RTI)
January 26 State Alliance for eHealth has first meeting (HHS, NGA)
January 25, 26: NHIN prototypes demonstrated live in Washington D.C. The powerpoint presentations that accompanied some of the demonstrations are now available online: NHIN live demos and prototypes.
January 23 RHIO extension report, available here
Planned: Certification process for the hospital-based electronic health records systems in place. Some certifications are in place as of 2007. See http://www.hhs.gov/healthit/product/ for certifications. See also http://www.globalhealth.gov/EhealthITRemarksInteroperabilityMalagaSpain4-10-06.pdf for comments about this initiative. (Source: remarks of Alex M. Azar II Deputy Secretary, U.S. Department of Health and Human Services Address to European Union Health Ministers eHealth 2006 High-Level Conference and Exhibition Málaga, Spain April 10 2006)
October 16, 17 NHIN conference #2, presentations available (HHS)
September RHIO report issued; "best practices" state level health information exchange report and website for project
Summer Creation of AHIC workgroup on Confidentiality, Privacy and Security (HHS).
June 28, 29 Scheduled: First nationwide health information network forum. Identification of NHIN functions.
First Nationwide Health Information Network Forum; National Institute of Health's Natcher Conference Center in Bethesda, MD
May 23 Multiple NHIN-related contracts awarded
"The U.S. Department of Health and Human Services (HHS announced today that 22 states and territories have entered subcontracts with RTI International, Inc. "
May 17 American Health Information Community Approves First Set of Recommendations
NHIN page: what is the NHIN? Background info
WPF Documents and Public Comments about the NHIN:
Comments to HHS regarding maintaining patient choice and privacy in light of the coming NHIN and in light of the problems with medical identity theft.
Report about Medical Identity Theft and implications for NHIN.
World Privacy Forum Testimony on the importance of patient choice, privacy, security and confidentiality in electronic medical records and the NHIN before the National Committee on Vital and Health Statistics, August 16, 2005.
World Privacy Forum Comments to HHS November 1, 2005 on the importance of protecting patient choice and privacy in any regulatory reform, including in the NHIN.
Joint Comments on the NHIN by the Electronic Frontier Foundation and World Privacy Forum. (Submitted to Health and Human Services January, 2005).
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