EXHIBIT 300

CAPITAL ASSET PLAN AND BUSINESS CASE SUMMARY

Exhibit 300: Capital Asset Plan and Business Case Summary

1. Date of Submission: 2008-09-13 03:10:25 2. Agency: 009 3. Bureau: 90 4. Name of this Investment: OS ONC Nationwide Health Information Network (NHIN) 5. Unique Project (Investment) Identifier: 009-90-03-00-01-0002-00 6. What kind of investment will this be in FY 2011?: Full-Acquisition Planning Full Acquisition Operations and Maintenance Mixed Life Cycle Multi-Agency Collaboration 7. What was the first budget year this investment was submitted to OMB? FY2005 8. Provide a brief summary and justification for this investment, including a brief description of how this closes in part or in whole an identified agency performance gap; this description may include links to relevant information which should include relevant GAO reports, and links to relevant findings of independent audits. The NHIN is the critical portion of the President's health IT agenda intended to facilitate development of a secure, nationwide, interoperable health information infrastructure that will connect providers, consumers, and others involved in supporting health and healthcare. The NHIN would enable health information to follow the consumer, be available for clinical decision making, and support appropriate use of healthcare information beyond direct patient care so as to improve health outcomes. The NHIN investment seeks to achieve these goals by coordinating stakeholders in the development interoperable standards and by engaging industry in the development of prototypes and trials. As a result, this investment will not develop or maintain a network, system, or application in support of a NHIN. Instead, this investment focuses on its role of defining national standards for health information exchange and partnering with communities across the nation to promote the adoption of the NHIN standards. In FY07, 4 consortia designed, evaluated, and demonstrated standards-based prototype architectures for the NHIN. In FY08, NHIN will further the work of the 4 consortia by focusing on trial implementations through state and regional health information exchanges (HIEs). NHIN also will continue to leverage its role of defining national standards for health information exchange and coordinating HIT stakeholders in the pursuit of the national health IT agenda. ONC awarded contracts to 9 HIEs to begin trial implementations of the NHIN on Sept 28, 2007. The NHIN Trial Implementations awardees will participate in a collaborative effort to further specify the common interfaces that NHIN National Health Information Exchanges (NHIEs) need to interoperate. Awardees will test their ability to work together in a cooperative interoperability testing event and will demonstrate real time information exchange based upon the NHIE specifications. ONC has also awarded 6 cooperative agreements ($600K) to bring an integrated delivery system and state, regional and non-geographic HIE entities as participants in the NHIN. Participants will implement and test the NHIN specifications and demonstrate their connectivity to others. a.Provide here the date of any approved rebaselining within the past year, the date for the most recent (or planned)alternatives analysis for this investment, and whether this investment has a risk management plan and risk register. 9. Did the Agencys Executive/Investment Committee approve this request? *

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CAPITAL ASSET PLAN AND BUSINESS CASE SUMMARY

a.If "yes," what was the date of this approval? * 10. Contact information of Program/Project Manager? Name: * Phone Number: * Email: * 11. What project management qualifications does the Project Manager have? (per FAC-P/PM)? * Project manager has been validated according to FAC-PMPM or DAWIA criteria as qualified for this investment. Project manager qualifications according to FAC-P/PM or DAWIA criteria is under review for this investment. Project manager assigned to investment, but does not meet requirements according to FAC-P/OM or DAWIA criteria. Project manager assigned but qualification status review has not yet started. No project manager has yet been assigned to this investment. 12. If this investment is a financial management system, then please fill out the following as reported in the most recent financial systems inventory (FMSI):
Financial management system name(s) * System acronym * Unique Project Identifier (UPI) number *

a. If this investment is a financial management system AND the investment is part of the core financial system then select the primary FFMIA compliance area that this investment addresses (choose only one): * computer system security requirement; internal control system requirement; core financial system requirement according to FSIO standards; Federal accounting standard; U.S. Government Standard General Ledger at the Transaction Level; this is a core financial system, but does not address a FFMIA compliance area; Not a core financial system; does not need to comply with FFMIA

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CAPITAL ASSET PLAN AND BUSINESS CASE SUMMARY

Section B: Summary of Funding (Budget Authority for Capital Assets)

1.
PY1 and earlier Planning: Acquisition: Subtotal Planning & Acquisition: Operations & Maintenanc e: Disposition Costs (optional): SUBTOTAL: * * *

Table 1: SUMMARY OF FUNDING FOR PROJECT PHASES (REPORTED IN MILLIONS)

PY 2009 $0.0 $19.0 $19.0

CY 2010 $0.0 $18.8 $18.8

BY 2011 $0.0 $19.0 $19.0

BY+1 2012 * * *

BY+2 2013 * * *

BY+3 2014 * * *

BY+4 and beyond * * *

Total * * *

$0.0

$0.0

$0.0

$0.0

$0.0

$0.0

$19.0

$18.8

$19.0

Government FTE Costs should not be included in the amounts provided above. Government FTE Costs Number of FTE represented by Costs: TOTAL(incl uding FTE costs) * * $0.3 $2.0 $0.3 $2.0 $0.3 $2.0 * * * * * * * * * *

$21.3

$21.1

$21.3

2. If the summary of funding has changed from the FY 2010 Presidents Budget request, briefly explain those changes: *

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CAPITAL ASSET PLAN AND BUSINESS CASE SUMMARY

Section C: Acquisition/Contract Strategy (All Capital Assets)

1.

Table 1: Contracts/Task Orders Table Contract Type of Has the If so Start End date Total or Task Contract/ contract what is date of of Value of Order Task been the date Contract/ Contract/ Contract/ Number Order (In awarded of the Task Task Task accordan (Y/N) award? If Order Order Order (M) ce with not, what FAR Part is the 16) planned award date? Is this an Is it Competit What, if Is EVM in Interagen performa ively any, the cy nce awarded alternativ contract? Acquisiti based? ? (Y/N) e (Y/N) on? (Y/N) (Y/N) financing option is being used? (ESPC, UESC, EUL, N/A) N Y Y * *

HHSP233 CPIF: 20074101 Cost Plus EC Incentive Fee HHSP233 CPIF: 20074102 Cost Plus EC Incentive Fee HHSP233 CPIF: 20074103 Cost Plus EC Incentive Fee HHSP233 CPIF: 20074104 Cost Plus EC Incentive Fee HHSP233 CPIF: 20074105 Cost Plus EC Incentive Fee HHSP233 CPIF: 20074106 Cost Plus EC Incentive Fee HHSP233 CPIF: 20074107 Cost Plus EC Incentive Fee HHSP233 CPIF: 20074101 Cost Plus 8EC Incentive Fee HHSP233 CPIF: 20074109 Cost Plus EC Incentive Fee TBD FFP: Firm Fixed Price

2007-09-3 2007-09-3 2010-09-3 0 0 0

$3.6

2007-09-3 2007-09-3 2010-09-3 0 0 0

$3.3

2007-09-3 2007-09-3 2010-09-3 0 0 0

$3.5

2007-09-3 2007-09-3 2010-09-3 0 0 0

$3.2

2007-09-3 2007-09-3 2010-09-3 0 0 0

$3.7

2007-09-3 2007-09-3 2010-09-3 0 0 0

$1.5

2007-09-3 2007-09-3 2010-09-3 0 0 0

$2.2

2007-09-3 2007-09-3 2010-09-3 0 0 0

$3.6

2007-09-3 2007-09-3 2010-09-3 0 0 0

$4.0

2009-01-0 2009-01-0 2010-09-3 2 2 0 2005-11-1 2005-11-1 2007-01-3 0 0 1 2005-11-1 2005-11-1 2007-01-3 0 0 1 2005-11-1 2005-11-1 2007-01-3 0 0 1

$28.6

HHSP233 FFP: Firm 20064103 Fixed EC Price HHSP233 FFP: Firm 20064101 Fixed EC Price HHSP233 FFP: Firm 20064100 Fixed EC Price

$7.2

$4.7

$7.4

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CAPITAL ASSET PLAN AND BUSINESS CASE SUMMARY

Contract Type of Has the If so what Start date End date Total Is this an Is it Competiti What, if Is EVM in or Task Contract/ contract is the of of Value of Interagen performa vely any, the Order Task been date of Contract/ Contract/ Contract/ cy nce awarded? alternativ contract? Number Order (In awarded the Task Task Task Acquisiti based? (Y/N) e (Y/N) accordan (Y/N) award? If Order Order Order (M) on? (Y/N) (Y/N) financing ce with not, what option is FAR Part is the being 16) planned used? award (ESPC, date? UESC, EUL, N/A) HHSP233 FFP: Firm 20064102 Fixed EC Price Y 2005-11-1 2005-11-1 2007-01-3 0 0 1 $3.7 N Y Y * *

2. If earned value is not required or will not be a contract requirement for any of the contracts or task orders above, explain why: * 3. Is there an acquisition plan which reflects the requirements of FAR Subpart 7.1 and has been approved in accordance with agency requirements? * a.If "yes," what is the date? *

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Section D: Performance Information (All Capital Assets)

CAPITAL ASSET PLAN AND BUSINESS CASE SUMMARY

Table 1: Performance Information Table Fiscal Year Strategic Goal(s) Supported Measurement Area Measurement Grouping Innovation and Improvement Measurement Indicator # of approved deployment plans (one per prototype) as seen through documented acceptance by the NHIN Project Manager. # of approved operational plans for a NHIN (one per prototype) as seen through documented acceptance by the NHIN Project Manager. # of approved revenue and cost models for the NHIN prototypes (one per prototype) as seen through documented acceptance by the NHIN Project Manager. # of updates of the strategy, goals, and progress of the NHIN prototype project by delivering regular updates to the deliberations of the AHIC. # of public meetings (NHIN Forums) with broad stakeholder representation to share ideas, provide information, establish awareness, and gain stakeholder buy-in, accelerating secure and seamless exchange of 2 Baseline Target Actual Results

2007

Effective Processes and Management of Activities Human Capital/Informati on Technology/Res ources

2007

Effective Processes and Management of Activities Human Capital/Informati on Technology/Res ources

Innovation and Improvement

2007

Effective Processes and Management of Activities Human Capital/Informati on Technology/Res ources

Planning

2007

Effective Management of Human Capital/Informati on Technology/Res ources

Customer Results

Customer Impact or Burden

2007

S.O. 1.3 Improve health care quality, safety, cost and value

Technology

User Requirements

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CAPITAL ASSET PLAN AND BUSINESS CASE SUMMARY

Fiscal Year

Strategic Goal(s) Supported

Measurement Area

Measurement Grouping

Measurement Indicator health information across the nation.

Baseline

Target

Actual Results

2007

S.O. 1.3 Improve health care quality, safety, cost and value

Technology

Data # of Standardization consensus-base or Tagging d sets of interoperability standards supporting three use-cases Health Care Delivery Services # of Prototype NHIN architectures that meet specified criteria of:- Deployed within & across 3 or more distinct health care markets Increase nationwide consensus and utilization of common security and privacy standards in health information exchange. # of NHIN Trial Implementation that successfully demonstrate the interoperability of their networks using standard interfaces. % HIEs executing data use and reciprocal support agreements Harmonize a third set of standards for priorities identified by AHIC. The NHIN Trial Implementation s provide secure data delivery to EHRs, PHRs, other systems and networks.

2007

S.O. 1.3 Improve health care quality, safety, cost and value

Mission and Business Results

2007

S.O. 1.3 Improve health care quality, safety, cost and value

Processes and Activities

Security

No nationwide security standards for health information exchange

Complete first consensus-base d definition of security requirements for nationwide health information exchange

Completed

2008

S.O. 1.3 Improve health care quality, safety, cost and value

Customer Results

Service Availability

None

Six of the nine NHIN Trial Implementation s successfully demonstrate the implementation of standard interfaces in their HIE. 80% fully executed agreements in place.

TBD

2008

S.O. 1.3 Improve health care quality, safety, cost and value S.O. 1.3 Improve health care quality, safety, cost and value S.O. 1.3 Improve health care quality, safety, cost and value

Processes and Activities

Compliance

None

TBD

2008

Technology

Data Standardization or Tagging

Three Interoperability Specifications Accepted

At least four additional Interoperability Specifications are accepted.

TBD

2008

Processes and Activities

Security

None

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CAPITAL ASSET PLAN AND BUSINESS CASE SUMMARY

Fiscal Year

Strategic Goal(s) Supported

Measurement Area

Measurement Grouping

Measurement Indicator

Baseline

Target

Actual Results

Part II: Planning, Acquisition And Performance Information

1. Comparison of Actual Work Completed and Actual Costs to Current Approved Baseline Description Planned Cost Actual Cost of Milestones ($M) ($M) Formally establish ONC Finalize contracts and obtain updated project plans and contract costs from contractors Three recommended use cases Detailed technical designs, architectures, required data, information, other technical data, and security policies for prototype NHINs A recommended set of required data, information, and other technical standards Development, testing, and evaluation of a functional prototpe Live Demonstratio n of NHIN Prototype Final Deployment Plan Final Operational Plan Integrate initial HITSP $0.3 $2.4 $0.3 $3.6 Planned Start Actual Start Date Date 2005-05-01 2005-11-04 2005-05-01 2005-06-06 Planned Completion Date 2005-08-31 2005-11-28 Actual Completion Date 2005-08-31 2005-11-28 Planned Percent Complete 100.00% 100.00% Actual Percent Complete 100.00% 100.00%

$1.6

$0.4

2005-11-04

2005-11-28

2005-12-15

2006-02-06

100.00%

100.00%

$4.0

$4.7

2005-11-04

2005-11-28

2006-02-06

2006-02-06

100.00%

100.00%

$5.1

$1.2

2005-11-04

2006-02-06

2006-02-06

2006-07-06

100.00%

100.00%

$7.7

$9.9

2005-11-04

2006-04-01

2006-11-06

2007-01-12

100.00%

100.00%

$0.7

$1.1

2005-11-04

2006-05-06

2006-11-06

2007-01-16

100.00%

100.00%

$0.6

$0.4

2005-11-04

2006-05-27

2006-11-06

2006-12-31

100.00%

100.00%

$0.7

$0.4

2005-11-04

2006-06-03

2006-11-06

2006-12-31

100.00%

100.00%

$2.5

$3.1

2007-05-31

2008-01-15

0029-02-28

2008-09-30

100.00%

100.00%

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CAPITAL ASSET PLAN AND BUSINESS CASE SUMMARY

Description Planned Cost Actual Cost of Milestones ($M) ($M) Interoperabilty

Planned Start Actual Start Date Date

Planned Completion Date

Actual Completion Date

Planned Percent Complete

Actual Percent Complete

NHIN Trial Implementatio ns Data exchange between health information network service providers will move from prototyping to detailed operations testing Integrate 2nd round of HITSP Interoperabilty Specifications (Emergency Responder EHR and others) into trial implementatio ns Draft Deployment Plan Draft operational plan Revenue and Cost Models Development, testing, and evaluation of a functional prototpe Live Demonstratio n of NHIN Prototype Final Deployment Plan Final Operational Plan Framework for connecting private sector network systems

$13.5

$13.9

2007-11-30

2008-01-15

2008-05-30

2009-02-28

100.00%

100.00%

$3.3

$3.3

2009-10-01

2008-10-01

2010-09-30

2009-02-28

100.00%

100.00%

$4.5

$5.2

2008-03-03

2008-06-15

2009-02-06

2009-02-28

100.00%

100.00%

$0.6

$0.4

2005-11-04

2006-02-06

2006-07-06

2006-08-14

0.00%

100.00%

$0.4

$0.4

2005-11-04

2006-02-06

2006-07-06

2006-08-14

0.00%

100.00%

$0.8 $7.7

$0.9 $9.9

2005-11-04 2005-11-04

2006-03-04 2006-04-01

2006-08-06 2006-11-06

2006-12-03 2007-01-12

0.00% 0.00%

100.00% 100.00%

$0.7

$1.1

2005-11-04

2006-05-06

2006-11-06

2007-01-16

0.00%

100.00%

$0.6

$0.4

2005-11-04

2006-05-27

2006-11-06

2006-12-31

0.00%

100.00%

$0.7

$0.4

2005-11-04

2006-06-03

2006-11-06

2006-12-31

0.00%

100.00%

$7.5

$7.2

2007-10-01

2008-01-15

2008-09-30

2008-09-30

0.00%

100.00%

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CAPITAL ASSET PLAN AND BUSINESS CASE SUMMARY

Description Planned Cost Actual Cost of Milestones ($M) ($M) Integrate 2nd round of HITSP $5.4 $5.2

Planned Start Actual Start Date Date 2008-03-03 2008-06-15

Planned Completion Date 2009-02-06

Actual Completion Date 2009-02-28

Planned Percent Complete 0.00%

Actual Percent Complete 100.00%

Instantiate DURSA and Operating Policies & Procedures and NHIN Interim Governance. Coordinate with Standards and Policy Committees. Deploy the Operational NHIN Infrastructure Release Package 1 of NHIN Service Specifications which baselines the CORE Services NHIN Outreach, Adoption and Conferences FY2010 Obtain stakeholder input and Develop NPRM Develop and Publish Draft Rule for NHIN Governance Release Package 2 of NHIN Service Specifications Update DURSA and Operating Policies & Procedures, and NHIN Interim Governance based on feedback from operations. Coordinate with Standards

$8.8

$2.6

2009-04-01

2009-04-01

2010-04-01

28.00%

30.00%

$4.1

$2.6

2009-04-01

2009-04-01

2010-04-01

64.00%

65.00%

$4.7

$3.8

2009-04-01

2009-04-01

2010-04-01

78.00%

80.00%

$2.2

$0.3

2009-04-01

2009-04-01

2010-04-01

15.00%

16.00%

$0.2

$0.0

2009-10-01

2009-10-01

2010-12-31

15.00%

16.00%

2010-01-01

2011-06-01

0.00%

0.00%

2010-04-01

2010-10-01

0.00%

0.00%

2010-04-01

2011-04-01

0.00%

0.00%

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CAPITAL ASSET PLAN AND BUSINESS CASE SUMMARY

Description Planned Cost Actual Cost of Milestones ($M) ($M) and Policy Committees. Maintain and update Operational NHIN Infrastructure Release Package 3 of NHIN Service Specifications NHIN Outreach, Adoption and Conferences FY2011 Develop and Publish Final Rule for NHIN Governance Release Package 4 of NHIN Service Specifications Coordinate updates and the maturation of the NHIN policies and operating procedures. Maintain and update Operational NHIN Infrastructure Release Package 5 of NHIN Service Specifications NHIN Outreach, Adoption and Conferences FY2012 Transition NHIN Governance Release Package 6 of NHIN Service Specifications Coordinate updates and the maturation of the NHIN policies and operating procedures. Maintain and update * *

Planned Start Actual Start Date Date

Planned Completion Date

Actual Completion Date

Planned Percent Complete

Actual Percent Complete

2010-04-01

2011-04-01

0.00%

0.00%

2010-10-02

2011-04-01

0.00%

0.00%

2010-04-01

2011-04-01

0.00%

0.00%

2011-06-02

2011-11-01

0.00%

0.00%

2011-04-02

2011-10-01

0.00%

0.00%

2011-04-01

2012-01-03

0.00%

0.00%

2011-04-01

2012-04-01

0.00%

0.00%

2011-10-02

2012-04-01

0.00%

0.00%

2011-04-01

2012-04-01

0.00%

0.00%

2011-06-01

2012-11-01

0.00%

0.00%

2012-04-02

2012-10-01

0.00%

0.00%

2012-04-01

2013-01-03

0.00%

0.00%

2012-04-01

2013-04-01

0.00%

0.00%

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CAPITAL ASSET PLAN AND BUSINESS CASE SUMMARY

Description Planned Cost Actual Cost of Milestones ($M) ($M) Operational NHIN Infrastructure Release Package 7 of NHIN Service Specifications NHIN Outreach, Adoption and Conferences FY2013 Transition NHIN Governance Release Package 8 of NHIN Service Specifications Coordinate updates and the maturation of the NHIN policies and operating procedures. Maintain and update Operational NHIN Infrastructure Release Package 9 of NHIN Service Specifications NHIN Outreach, Adoption and Conferences FY2014 Transition NHIN Governance Release Package 10 of NHIN Service Specifications * *

Planned Start Actual Start Date Date

Planned Completion Date

Actual Completion Date

Planned Percent Complete

Actual Percent Complete

2012-10-02

2013-04-01

0.00%

0.00%

2012-04-01

2013-04-01

0.00%

0.00%

2012-04-01

2013-04-01

0.00%

0.00%

2013-04-02

2013-10-01

0.00%

0.00%

2013-04-01

2014-01-03

0.00%

0.00%

2013-04-01

2014-04-01

0.00%

0.00%

2013-10-02

2014-04-01

0.00%

0.00%

2013-04-01

2014-04-01

0.00%

0.00%

2013-04-01

2014-04-01

0.00%

0.00%

2014-04-02

2014-10-01

0.00%

0.00%

* - Indicates data is redacted.

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