The Office of the National Coordinator for Health IT – “This draft Roadmap proposes critical actions that the public and private sector need to take to advance the country towards an interoperable health IT ecosystem over the next 10 years. Achieving such an interoperable system is an essential element towards HHS Secretary Sylvia Burwell’s vision of better care through smarter spending, leading to healthier people. Achieving that better care system and better health for all will, through health IT interoperability, require work in 3 critical pathways: 1) Requiring standards; 2) Motivating the use of those standards through appropriate incentives; and 3) Creating a trusted environment for the collecting, sharing and using of electronic health information. It will require us to agree to a set of rules of engagement that will bring trust to the system for consumers and others, it will allow us to see that the privacy expectations of consumers are respected, that states are aligned in policy, that we are aligning payment and other levers to advance and sustain a durable interoperable ecosystem, to make data more portable and liquid with tools like APIs, and to have a set of standards that allow more seamless, yet appropriate, sharing of electronic health information for “small” (individual patient), “big” (population level and beyond) and “long” data (wrapping around the individual and telling their health story over time..This Roadmap is intended to be a living document owned and guided in its evolution by all health IT stakeholders. Because the Office of the National Coordinator for Health IT (ONC) is charged with supporting the adoption of health IT and promoting nationwide health information exchange to improve health and care, it has played a major role in coordinating with a broad array of stakeholders to develop this initial draft. ONC will continue to support stakeholders by coordinating input and publishing future versions of the Roadmap. ONC is accepting public comment on this draft version of the Roadmap until 5 p.m. ET on April 3, 2015 on www.healthit.gov/interoperability. After carefully reviewing and integrating the public’s feedback, ONC will release an updated Roadmap later in 2015.”