From: DeSalvo, Karen (OS/ONC)

Sent: Friday, May 30, 2014 4:44 PM

To: OS - ONC ALL (HHS/OS)
Subject: Pivoting for the future

Dear ONC Team,

For the past several months, we have been talking about moving into the next chapter of ONC. Last month, we marked 10 years of
service to this country and have much to celebrate about the advancement of a health IT infrastructure that can help improve care,
lower cost, and improve the health of everyone. It is your work, passion, and dedication that bring the promise and power of health IT
to reality.

As we have discussed in prior meetings, the HITECH Acts health IT infrastructure and program investments are ending and it is our
responsibility to take this opportunity to reshape our agency to be as efficient and effective as possible, never losing sight of our
primary accountability - the people of America.

At the All-Staff Meeting on Wednesday, May 28, we had the opportunity to talk with you about our agencys next functional
realignment. To inform this evolution, we have spent the last few months seeking input from the senior team, from prior leaders of
ONC, and reviewing prior organizational structures and efforts. We have sought input from our stakeholders within and outside of
HHS. I have also had the opportunity to learn from many of you firsthand about our work on the front lines and how we might realign
ourselves to be ready to meet the expectations of the nation in our next chapter of work. All of this input has helped to shape this
realignment and I thank everyone for that. This new structure will help us expand our role as convener to further advance new and
innovative uses of health IT across the federal government and with the private sector.

Now as we pivot to a new decade, these few strategic, organizational changes allow us to better align the agency to meet the needs of
the future. This functional realignment will improve the overall effectiveness and efficiency of ONC by combining similar functions,
elevating critical priority functions, and providing a flatter and more accountable reporting structure. In addition, this realignment will
support our focus on developing and implementing an interoperability roadmap, supporting care transformation, and establishing a
framework to support appropriate use of health data to further meaningful consumer engagement, system-level quality and safety of
care, improvements in the publics health, and advancements in science.

As discussed at our All-Staff Meeting, ONCs leadership team will include:

Office of Care Transformation: Kelly Cronin
Office of the Chief Privacy Officer: J oy Pritts
Office of the Chief Operating Officer: Lisa Lewis
Office of the Chief Scientist: Doug Fridsma, MD, PhD
Office of Clinical Quality and Safety: Judy Murphy, RN
Office of Planning, Evaluation, and Analysis: Seth Pazinski
Office of Policy: J odi Daniel
Office of Programs: Kim Lynch
Office of Public Affairs and Communications: Nora Super
Office of Standards and Technology: Steve Posnack

Each of these leaders will report directly to the Immediate Office of the National Coordinator, which includes Deputy National
Coordinator J acob Reider, MD, and me.

You and your predecessors have built a strong foundation here at ONC and for health IT across the nation. Now it is time to begin the
next chapter to promote interoperable health IT solutions that support the ultimate goal of better health for all. Thank you for your
passion and contributions to our critical mission.

Regards,

kd