1. The Nationwide Health Information Network (NHIN) Architecture Prototype Project Health Care Markets – Participants Tasks April 2006 DRAFT

2. The NHIN Project will run through the end of the year and consists of 4 phases 11/24/06 5/15/06 140 days Fostering NHIN Adoption 12/29/06 12/19/06 9 days Prototype Demonstration Phase 12/18/06 6/20/06 130 days Implementation Phase 6/19/06 4/17/06 40 days Requirements & Design Phase 12/29/06 4/17/06 185 days NHIN Architecture Prototype Project

3. NHIN Prototype Project Deliverables The ONC Milestones dates are currently as planned but are subject to change 12/29/06 MILESTONE: Prototype Demonstration Complete 12/29/06 MILESTONE: Final deployment and operational plan deliverables to ONC 11/30/06 MILESTONE: Detailed design and architecture deliverable to ONC 10/27/06 MILESTONE: Cost and revenue model deliverable to ONC 9/8/06 MILESTONE: Security model deliverable to ONC 8/25/06 MILESTONE: Draft deployment and operational plan deliverables to ONC 6/19/06 MILESTONE: Communications and interface requirements deliverable to ONC 4/28/06 MILESTONE: Functional and performance requirements to ONC

4. Requirements & Design Phase 4/17/06- 6/19/06 The task dates are currently as planned but are subject to change 6/7/06 6/6/06 2 days Provide input into communications and interface requirements deliverable 6/2/06 5/15/06 15 days Assist in determining assets, communication and interface requirements for organization participation 5/17/06 5/16/06 2 days Supply information regarding security, privacy, data sharing policies and procedures 5/17/06 5/16/06 2 days Supply information to IBM regarding technical environment 5/16/06 5/16/06 1 day Attend Kick off meeting 5/12/06 5/12/06 0 days MILESTONE: Sign agreements/contracts with IBM 5/1/06 5/1/06 1 day Determine communicate to IBM extent to which organization will participate in each use case 5/1/06 5/1/06 1 day Communicate to IBM any gaps between use case requirements and organization's current capabilities 4/28/06 4/21/06 6 days Review use case documents and document gaps between use case requirements and organization's current capabilities 4/25/06 4/21/06 3 days Provide input into functional requirements deliverable 4/20/06 4/19/06 2 days Review use case documents 4/18/06 4/18/06 1 day Provide contact information to IBM for software vendors if applicable for systems involved in implementing the use cases 6/19/06 4/18/06 38 days Champion project throughout organization 4/18/06 4/18/06 1 day Identify and Recruit Resources for Project 4/17/06 4/17/06 1 day Appoint and provide contact information to IBM for organization's liaison/leader for project 4/17/06 4/17/06 0 days MILESTONE: Communicate to IBM commitment to participate in project

5. Implementation Phase 6/20/06- 12/18/06 The task dates are currently as planned but are subject to change 12/18/06 6/20/06 26 wks Champion project throughout organization 11/23/06 11/17/06 5 days Provide input into detailed design and architecture deliverable 9/5/06 8/30/06 5 days Provide input into security model deliverable 12/18/06 6/20/06 26 wks Assist with testing of prototype 12/18/06 6/20/06 26 wks Attend user training 12/18/06 6/20/06 26 wks Facilitate IBM access to system vendors and organizational resources 12/18/06 6/20/06 26 wks Assist with installation and configuration of hardware, software & interfaces 12/18/06 6/20/06 26 wks Supply information regarding technical environment

6. Prototype Demonstration Phase 6/20/06- 12/18/06 The dates and details of the demonstration are still to be determined 12/29/06 12/19/06 9 days Champion project throughout organization 12/29/06 12/19/06 9 days Contribute to evaluation of prototype 12/29/06 12/19/06 9 days Participate in demonstration: - maintain performance and availability of systems, - assure accuracy of any real data shared, - assure appropriate consent is secured for any real data shared, - perform end user functions

7. Hospital Participant Resources and Tasks for NHIN Project x Assure contracts and data use agreements are signed X X X X X X x Contribute to evaluation of prototype x x x x x Assist with testing and demonstration of prototype x Assist with installation and configuration of hardware, software & interfaces x x x x Supply information to IBM regarding technical and business environment x x x x x x x Provide input into deliverables documents x x Determine extent to which organization will participate in each use case x x x Champion project throughout organization x x Facilitate IBM access to organizational resources and system vendors x x x x x x x Participate in planning meetings and workshops 12 hrs 32 hrs 70 hrs 100 hrs 130 hrs 108 hrs 40- 80 hrs TASKS Medical Records Security Officer Clinician Application Data Technical Project Liaison CIO or Designee RESOURCES

8. Ambulatory Practice Participant with EHR Resources and Tasks for NHIN Project x Assure contracts and data use agreements are signed x x Contribute to evaluation of prototype x x Assist with testing and demonstration of prototype x x Assist with or facilitate installation and configuration of hardware, software & interfaces x x Supply information to IBM regarding technical and business environment x x Provide input into deliverables documents x Determine extent to which organization will participate in each use case x x Champion project throughout organization x x Facilitate IBM access to organizational resources and system vendors x x x Participate in planning meetings and workshops 80 hrs 40 hrs 20 hrs TASKS Technical (Practice or Vendor) Clinical or Practice Administrator Project Sponsor RESOURCES

9. Ambulatory Practice Participant without EHR Resources and Tasks for NHIN Project x Assure contracts and data use agreements are signed x Contribute to evaluation of prototype x Assist with testing and demonstration of prototype x Assist with or facilitate installation and configuration of hardware, software & interfaces x Supply information to IBM regarding technical and business environment x Provide input into deliverables documents x Determine extent to which organization will participate in each use case x x Champion project throughout organization x x Facilitate IBM access to organizational resources and system vendors x x Participate in planning meetings and workshops 40 hrs 20 hrs TASKS Clinical or Practice Administrator Project Sponsor RESOURCES