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Public Health Data Standards Consortium http://www.phdsc.org. PUBLIC HEALTH DATA STANDARDS CONSORTIUM ~ 2007 BUSINESS MEETING OF MEMBERS ~ October 2-3, 2007, Hyattsville, MD. PHDSC Nationwide Health Information Network Committee Activities. PHDSC NHIN Committee. Purpose: - PowerPoint PPT Presentation
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Public Health Data Standards Consortium http://www.phdsc.org
PHDSC
Nationwide Health Information Network
Committee Activities
PUBLIC HEALTH DATA STANDARDS CONSORTIUM~ 2007 BUSINESS MEETING OF MEMBERS ~
October 2-3, 2007, Hyattsville, MD
Purpose: To foster awareness, partnerships and
collaboration at the local, state and national levels in the development of the regional health information exchanges.
PHDSC NHIN Committee
The Nationwide Health Information Network (NHIN) is a health information technology strategy that will provide the foundation for an interoperable, standards-based network for the secure exchange of health care information.
PHDSC NHIN Committee
US Health Information Network - 2014
Source: Dr. Peter Elkin, Mayo Clinic, MN
DHHS’ Framework for Health Information Technology: Building a NHIN
NHIN will be based on:
Electronic Health Record Systems (EHRS) that will enableRegional Health Information Exchanges (RHIEs)
Thompson TG and Brailer DJ. The Decade of Heath Information Technology to Deliver Consumer-centric and Information-rich Health Care. Framework for Strategic Action. US DHHS, July 21, 2004.
RHIEs as NHIN ComponentsSource: Dr. Peter Elkin, Mayo Clinic, MN, 2006
Health IT Standards
In February 2006 the Health Information
Technology Standards Panel (HITSP)
developed the classification of health
information technology standards
HITSP URL:http://www.ansi.org/standards_activities/standards_boards_panels/hisb/hitsp.aspx?menuid=3
HITSP Standards Categories
1. Data Standards (vocabularies and terminologies)2. Information Content Standards (Reference
Information Models (RIMs))3. Information Exchange Standards, e.g.,
messaging standards4. Identifiers Standards, e.g. National Provider
Identifier (NPI)) 5. Privacy and Security Standards6. Functional Standards, e.g. processes/workflow 7. Other, e.g. IT standards
1. Data Standards (vocabularies and terminologies)2. Information Context Standards (Reference
Information Models (RIMs))3. Information Exchange Standards, e.g. messaging
standards4. Identifiers Standards, e.g. National Provider
Identifier (NPI)) 5. Privacy and Security Standards6. Functional Standards, e.g. processes/workflow 7. Other, e.g. IT standards
HITSP Standards Categories – New Stds Types
To date, the main focus of standard development activities has been on data standards information context standards messaging standards and infrastructure standards
HITSP Standards Categories
National Biosurveillance Use Case
Transmit essential ambulatory care and emergency department visit, resource utilization, and lab result data from electronically enabled health care delivery and public health systems in standardized and anonymized format to authorized Public Health Agencies with less than one day lag time.
HITSP URL: www.hitsp.org
HITSP Interoperability Specification, 2006:
Number of standards by category:(1) Terminology 28 (2) Context Information Model 17 (3) Information Exchange 46 (4) Identifier (Individual and Organization) 5 (5) Privacy and Security 11 (6) Functionality and Process (Workflow) 0 (7) Other 0
National Biosurveillance Use Case
Ambulatory Care
PharmacyResponse Team
State Public HealthSurveillance System
Biosurveillance Use Case Workflow
DHHS
1- Report/retrieve symptoms, diagnosis & medication prescription data from EMRs
2 – Data mining of EMR notes
3 – Notify on increased number
of cases & recommend to
order pathogen test
6 – Reportpositive
test result electronically & by phone
7 – Report on the positive case electronically & by phone
Media
Public HealthBiosurveillance
System
Hospital
NeighboringJurisdictions
PUBLIC
Laboratory
4 – Orderpathogen
test
5 – Reporttest results
EHRS
To date, there is no consensus on the format, content, and approach for how to specify functional standards.
Functional Standards
Developing a Vision for Functional Standard for Electronic Data Exchange Between Clinical and
Public Health Settings – NYC Examples: Examples of School Health
Syndromic Surveillance
Contract # 05-S250-0380 from
Health Resources and Services Administration
2005 PHDSC-HRSA Project
Study Methodology: Requirement Elicitation: interviews with
clinicians and public health practitioners on the work processes and data exchanges
Study Outcome: Functional Requirement Analysis Documents
(FRADs) for NYC School Health and Syndromic Surveillance Programs
2005 PHDSC-HRSA Project
Functional Requirements Analysis Document (FRAD): Outline
1. Introduction (Problem Overview)1.1 Purpose of the Proposed System1.2 Actors and Scope of the Proposed System1.3 Objectives and Success Criteria of the Project
2. System Requirements2.1 Functional requirements2.3 Non-functional requirements
3. System Models3.1 Use Case Description 3.2 Use Case Models
3.2.1 Use Case Diagram 3.2.2 Work Flow and Data Flow Model
3.3 High-Level System Architecture4. Project Development Timeline5. Testing / Evaluation Plan
PHDSC/HRSA EXPERT PANEL
IN ELECTRONIC DATA EXCHANGES
December 5-6, 2006,
Washington DC
Contract # HHSH250200616198P from
Health Resources and Services Administration
2006 PHDSC-HRSA Project
GoalThe goal of the Panel is to build consensus
among leaders in public health and clinical electronic health information exchanges towards formalizing a vision for a standard representation of public health work processes for the electronic health information exchanges with clinical care, i.e. functional standard.
PHDSC / HRSA EXPERT PANEL IN ELECTRONIC DATA EXCHANGES
HRSA Project Officers:
Ms. Jessica Townsend
Dr. Michael Millman
PHDSC / HRSA EXPERT PANEL IN ELECTRONIC DATA EXCHANGES
PANELISTS:
Dr. Oxiris Barbot, NYC Department of Health and Mental Hygiene, NYDr. Neil Calman, Institute for Urban Family Health, NYC, NY Ms. Kathleen Cook, Lincoln-Lancaster County Health Deptment (City of
Lincoln, County of Lancaster), NEDr. Art Davisson, Denver Public Health, CODr. Peter Elkin, Mayo Clinic, Rochester, MN Dr. Martin LaVenture, Minnesota Health Department, MNDr. David Lawton, Nebraska Health and Human Services System, NEDr. Farzad Mostashari, NYC Dept. of Health & Mental Hygiene, NYCDr. Anna Orlova, Public Health Data Standards ConsortiumDr. David Ross, Public Health Informatics InstituteDr. Tom Savel, Centers for Disease Control & Preventions (CDC)Dr. Walter Suarez, Public Health Data Standards Consortium
PHDSC / HRSA EXPERT PANEL IN ELECTRONIC DATA EXCHANGES
Meeting Objectives:
Share experiences in building health information exchanges in panelists’ jurisdictions to date
Discuss national initiatives on the development of functional standards in health information exchanges
Discuss the Functional Requirements Analysis Documents for health information exchanges on School Health and Syndromic Surveillance in New York City as prototypes of functional requirements specifications, i.e., functional standards
Develop recommendations for the roadmap on developing functional standards on health information exchanges between clinical care and public health
PHDSC / HRSA EXPERT PANEL IN ELECTRONIC DATA EXCHANGES
QUESTIONS FOR DISCUSSION
Does the NYC documents adequately describe user needs in terms of system goal, actor, function, workflow and dataflow?
Does it include necessary elements needed to build the user requirements? What is missing?
Is it reusable for other public health domains/programs/jurisdictions?
What is the right name for this document – Functional Requirements Specification? Use Case Description? Functional Standard? Functional Requirement Analysis Document (FRAD)? Other?
PHDSC / HRSA EXPERT PANEL IN ELECTRONIC DATA EXCHANGES
Recommendations Use the NYC Functional Requirement Analysis Documents
(FRADs) for School Health and Syndromic Surveillance as working documents towards the development of the functional standard document
Expand the NYC specifications by describing other public health domains/programs in the FRAD format to facilitate the development of the software applications in the EHR systems to transmit/report/exchange data across clinical and public health information systems
Form public and private partnerships with clinical and vendor communities to develop interoperable clinical-public health information systems and
Educate public health and clinical communities about their roles in the development of the functional standards and overall standards development and harmonization processes.
PHDSC / HRSA EXPERT PANEL IN ELECTRONIC DATA EXCHANGES
Towards a Functional Standard on Electronic Data Exchange between
Clinical Care and Public Health
Draft Final Report will be Presented for Committee Review in October
Contract # HHSH250200616198P from
Health Resources and Services Administration (HRSA)
2006 PHDSC-HRSA Project
NHIN Committee Members
Members:Noam ArztKathleen CookMichael DavissonTerese FinitzoMarjorie GreenbergLawrence HanrahanDavid HollarHetty KhanGlenda Kelly
Christopher Kinabrew Denise LoveCarol QuinseyRobert RejSusan SalkowitzPerry SmithSteven SteindelWalter SuarezWalter Tsou
Co-Chairs:Anna OrlovaDavid Ross
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