Julia Skapik, MPH, MD is a board-certified Internist and Clinical Informaticist and Chief Health Information Officer at Cognitive Medical Systems. At Cognitive she acts strategic leader and subject matter expert on work across the federal government and private sector in quality measures, clinical decision support, terminology and HL7 standards including FHIR, and care coordination and transformation. She previously served as a Senior Medical Informatics Officer at the Office of the National Coordinator for Health Information Technology (ONC), where she led the ONC-CMS Tacoma contract to harmonize data elements, models and expression language standards across clinical decision support and electronic clinical quality measures (eCQMs), worked on the ONC Interoperability Roadmap and the ONC Interoperability Standards Advisory. Dr. Skapik currently serves as the CMIO for the Health Services Platform Consortium and has an active clinical hospitalist appointment at Inova Mount Vernon Hospital in Virginia.