What is the problem being solved?

Direct Address users are looking for addresses to send to outside their organization.

DirectTrust is focused on DirectExchange

Interoperable Information Exchange is starting to take off.

DirectTrust

40 HISPs, 17 RA/CAs
300+ Direct-enabled ONC Certified EHRs and PHRs
-52,000 Health care organizations
50+ HIEs in 20 States
1.1M direct addresses
45M Transactions in 2015
Est. 200M in 2016
Replacing Fax, courier, mail for PHI data exchange.
DirectTrust doesn’t handle any data.
Provides the security and trust framework for exchange of data.
Federated Trust model

Directory Aggregation Project

Voluntary Participation
Single Directory Data Sharing Agreement
Pilot – keep it simple.
Member consensus for policy and Governance
About 14 Data points
— 345K ID Proofed Direct Addresses in Directory
— 9 HISPs participating
— White pages data model
—Each HISP is responsible for curation

Lessons Learned

– SIMPLE WORKS!
– Organizations worry about release of Direct Addresses to third parties (eg. Junk, spam, unrequested messages)
– Use of Direct drives demand for directory services. Federal agencies bring new challenges.
– No one wants to pay for Directory Services
– Will there be demand for additional data model elements.

HISPs are doing LOA3 identity proofing

Jeff Livesay Q: Is there any plan to standardize naming conventions for Direct Addresses

A: Convention is name

Fred Trotter: Are Organizations resisting publishing to avoid interoperability since direct addreses are known entities, unlike email where hidden addresses can be used.

Presenter: David Kibbe, President/CEO – DirectTrust

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