1. Break out Session 3:
Promising Practices for Implementing Blue Button
National Association For Trusted Exchange (NATE)
PHR Ignite Pilot
HHS Auditorium
Sept 16th 1:45 – 4pm
Aaron Seib
CEO, NATE;
Contractor to the
California Office of Health Information Integrity

2. Agenda
• Overview of NATE and SHPC
• PHR Ignite Pilot
• RFA in California
• Pilot Use Cases

3. NationalAssociationFor Trusted Exchange
(NATE)
NATE is a consortium of states which focuses on finding
common solutions to optimizing national exchange of
health information.
• NATE is executing PHR Pilot with support from the
ONC’s State Health Policy Consortium (SHPC).
• Please visit our website to learn more
www.nate-trust.org

4. PHR Ignite Pilot
• Pilot Goal - Identify and overcome policy,
governance and technical challenges of
transporting patient data bi-directionally
between untethered PHRs (patients) and
providers.
• California, Oregon and Alaska are leading pilot
projects under this program
• Other member states contributing to Policy
Development of this program include Nevada,
Utah, Hawaii, North Dakota, Michigan and Florida
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5. PHR Ignite Pilot
• Pilot Deliverables
– Identify and establish minimum technical, security and privacy
requirements for PHRs participating in the pilot
– Develop a trust mechanism known as a “trust bundle” to facilitate the
determination of trust on the part of NATE participants interested in
either sending and/or receiving information to/from a PHR source
– Identify and support PHR vendors and providers as they provide
consumers with access to their data via Direct-enabled exchange
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6. Pilot Use Cases
• Use Case 1: Recruited providers will send structured data
to a patient-subscribed NATE qualified PHR using Direct
secure messaging/BlueButton+ specifications.
• Use Case 2: Patient data will be sent by the test patient
from their PHR to a second provider using Direct secure
messaging/BlueButton+ specifications.
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7. Pilot Use Case
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8. CaliforniaRFA
• The California Office of Health Information Integrity
(CalOHII) RFA
– In partnership with NATE, CalOHII is piloting the exchange of patients’
personal health records to providers using real world patients and
providers.
– The goal of the pilot is to inform a roadmap for proceeding to a scalable
deployment of a trusted mechanism that will enable the use of PHRs
across multiple states.
– A total of $400,00.00 will be awarded to qualified entities.
– Proposals due September 13th.
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9. Getting involved
• NATE will be reaching out to other interested
parties to contribute to the policy
development that we will be tackling between
now and the end of 2013.
• If you are interested in learning more please
contact me at:
aaron.seib@nate-trust.org
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