DHHS Office Issues 10-Year Framework for Achieving Interoperable Health IT

On June 5, 2014, the US Department of Health and Human Services (DHHS) Office of the National Coordinator for Health Information Technology (ONC) released a multi-year plan for achieving an interoperable information technology (IT) infrastructure.

The plan, entitled “Connecting Health and Care for the Nation: A 10-Year Vision to Achieve an Interoperable Health IT Infrastructure,” sets out agenda items over a three, five, and ten-year time span and includes a set of nine guiding principles for those efforts:


  • Building on the existing health IT infrastructure;
  • Establishing baseline interoperability while recognizing “one size does not fit all”;
  • Empowering individuals to become more active partners in their health;
  • Leveraging market forces;
  • Implementing simpler solutions first;
  • Maintaining modularity to allow for innovation and the adoption of more efficient approaches over time without having to overhaul entire systems;
  • Taking into account the range of capabilities among providers and users;
  • Focusing on achieving the greatest value; and
  • Ensuring privacy and security of the data.