Embed Size (px)
Citation preview
PH Reporting Health IT Standardization Framework
Proposal for Review
S&I PH Reporting Initiative-Call 10/12S&I PH Reporting Initiative-Call 10/12
Acknowledgements:
Public Health Data Standards Consortium (PHDSC)
National Association of City and County Health Officers (NACCHO), USA
Participants of the NACCHO Workshop on Business Process Analysis in Public Health, Salt Lake City, UT, December 2011
Centers for Disease Control and Prevention (CDC), USA
Quality, Research and Public Health Committee, Integrating the Healthcare Enterprise (IHE)
Public Health and Emergency Response Workgroup, Health Level Seven (HL7)
Structured Documents Workgroup, HL7
State Health DepartmentOrganizational Chart
Provider 1
Provider 2
Provider 3
Provider 4
Provider X
Quality Improvement
Public HealthLaboratory
Vital Statistics
Communicable Diseases
Immunization
EnvironmentalHealth
Injury Control
School Health
Chronic Care
Biosurveilance,Preparedness
Genetic Disorders
Women & Children
CDA2
IHE
X12
NCPDP
Quality Improvement
Public HealthLaboratory
Vital Statistics
Communicable Diseases
Immunization
EnvironmentalHealth
Injury Control
School Health
Chronic Care
Biosurveilance,Preparedness
Genetic Disorders
Women & Children
HL7Provider 1
Provider 2
Provider 3
Provider 4
Provider X
From Connectivity to Interoperability
Healthcare Public HealthTODAY
Healthcare Public HealthTOMORROW
Harmonizing Public Health Operation across Various Domains/Programs
Core Public Health Functions
Public Health Business Processes
Patient-level Population level
ASSESSMENT
Event identification Outbreak identification
Event investigation Outbreak investigation
Event management Outbreak management
ASSURANCE Event management evaluation
Outbreak management evaluation
POLICYMitigation Mitigation
Business Processes: Patient & Population Level
Information System Functions
Examples of Related IHE Profiles and Standards
Collect Data RFD, XDS, LAB TF (XD*Lab, Lab message), QRPH content (EHDI, PRPH-CA, MCH, DSC), PCC Content (LDS, XDS-MS, XPHR, IC), RPE, RDA, XD* with HL7 CDA for PH ReportingReporting Requirements (Pending HL7 work)Report Criteria Guideline ManagerPractice ManagerData Source Workflow (XDW)
Manage Data (upload, maintain, delete)
Control Access (XUA, ATNA), records matching, anonymization/ pseudonymization
Analyze Data (Statistical methods, Aberration algorithms (DSUB, MPQ), Retrieve Medical Knowledge QRPH-29
Integrate Data IT Infrastructure Profiles (PIX, PDQ, XDS, XDR, On-Demand Documents, XDW)
Report Data PDF, Maps, Send Distribution QRPH-30
Examples of Interoperability Standards by Information Systems Function
Public Health Business Areas
NACCHO-PHDSC Business Process Analysis for Pubic Health: Project Findings
Public Health Business ProcessesIndividual/Population
Public Health Business Areas
NACCHO-PHDSC Business Process Analysis for Pubic Health: Project Findings
Public Health Business ProcessesIndividual/Population
Information Systems
Functions
Public Health Business Areas
NACCHO-PHDSC Business Process Analysis for Pubic Health: Project Findings
Public Health Business ProcessesIndividual/Population
Information Systems
FunctionsData Content Public Health
Business Areas
NACCHO-PHDSC Business Process Analysis for Pubic Health: Project Findings
Public Health Business ProcessesIndividual/Population
Information Systems
FunctionsData Content
Population
Resources
Environment
Protection
Wellness
Direct Care
Operations
Research
Public Health Business Areas
Event/Outbreak Identification
Event/Outbreak Investigation
Public Health Business ProcessesIndividual/Population
Information Systems
FunctionsData Content
Event/Outbreak Management
Event/Outbreak Management
Evaluation
Mitigation
Population
Resources
Environment
Protection
Wellness
Direct Care
Operations
Research
Public Health Business Areas
Event/Outbreak Identification
Event/Outbreak Investigation
Public Health Business ProcessesIndividual/Population
Information Systems
FunctionsData Content
Event/Outbreak Management
Event/Outbreak Management
Evaluation
Mitigation
Collect Data
Manage Data
Integrate Data
Analyze Data
Report Data
Population
Resources
Environment
Protection
Wellness
Direct Care
Operations
Research
Public Health Business Areas
Event/Outbreak Identification
Event/Outbreak Investigation
Public Health Business ProcessesIndividual/Population
Information Systems
FunctionsData Content
Event/Outbreak Management
Event/Outbreak Management
Evaluation
Mitigation
Collect Data
Manage Data
Integrate Data
Analyze Data
Report Data
Guidelines
Event/Case/Outbreak Reports
Alert & Notification
Quality Reports
Educational Materials
Lab Reports
Care Plans
Population
Resources
Environment
Protection
Wellness
Direct Care
Operations
Research
Public Health Business Areas
Public Health Program Examples:
Early Hearing Detection & Intervention (EHDI) and
Public Health Laboratory (PH-Lab)
Public Health Business ProcessesIndividual/Population
Information Systems
FunctionsData Content Public Health
Business Areas
Workflow Standards Health IT Standards
Content StandardsUse Cases
Guiding the HIT Standardization for Public Health
Business Areas: Early Hearing Detection & Intervention
Business Areas: Public Health Laboratory
Business Areas: Early Hearing Detection & Intervention
Initial PH report: Hearing Screening
report
Business Areas: Public Health Laboratory
Initial PH report: Lab Test Report
Event/Outbreak Identification
Event/Outbreak Investigation
Public Health Business ProcessesIndividual/Population
Information Systems
FunctionsData Content
Event/Outbreak Management
Event/Outbreak Management
Evaluation
Mitigation
Collect Data
Manage Data
Integrate Data
Analyze Data
Report Data
Guidelines
Case/Outbreak Reports
Alert & Notification
Quality Reports
Educational Materials
Lab Reports
Care Plans
Population
Resources
Environment
Protection
Wellness
Direct Care
Operations
Research
Public Health Business Areas
Newborn Hearing ScreeningWorkflow
Short-Term Care Follow-up Workflow
Event Identification
Event Investigation
Event Management
Labor & Delivery Summary
Hearing Screening Order/Results
MS: Hearing Risk Factors
Labor & Delivery Workflow
Early Hearing Care Plan
Updated Hearing Care Plan
Newborn Care Workflow
Hearing Screening Quality Measures
Early Hearing Detection and Intervention (EHDI) Program
Workflow Standards Health IT Standards
Content StandardsUse Cases
Population
Resources
Environment
Protection
Wellness
Direct Care
Operations
Research
Initial PH Report
LaboratoryWorkflow
Case Management Workflow
Event Identification
Event Investigation
Event Management
Chief ComplaintMedical Summary
Lab order/ Results
Risk Factors
Visit to Provider
Case ManagementPlan
UpdatedPlan
Case InvestigationWorkflow
PH Questionnaire
Communicable Diseases Programs (Lab Data)
Workflow Standards Health IT Standards
Content StandardsUse Cases
Population
Resources
Environment
Protection
Wellness
Direct Care
Operations
Research
Initial PH Report
Business Processes /
Activities
Information Exchange Content by DomainExamples of
IHE Interoperability Standards
EHDI
PH-LabPreparedness (Anthrax)
Surveillance (Influenza)
CASE IDENTIFICATIONTrigger: Due for screening / Present with symptoms
Input:Notification of birthOutput: Standing order
Input: Medical SummaryOutput: Test Order
Input: Medical Summary Output: Test Order
XDS-MS/XPHR/C32 XDS/XDR/Lab-Technical Framework (TF)PIX/PDQ/QRPH29 – Retrieve medical knowledge/PCC Care Management TF
Trigger: Order test/Standing order for the test
Input: Consent (or by statute)Output:Test order
Input: Consent (or by statute)Output:Test order
Input: Consent (or by statute)Output:Test order
BPPCLAB TF
Trigger: Conduct test
Input: Test orderOutput:Test results
Input: Test orderOutput:Test results
Input: Test orderOutput:Test results
PCD-01/LAB TF/ RFD/XDR/DSUB/NAV
Business Processes, Data Content, Standards: Early Hearing Detection & Intervention & PH Labs
Information Systems (Technical Actors)
Business Actors by Domain
EHDI PH-Lab
Hospital EHR-S Birthing Facility ER, Inpatient
Ambulatory EHR-S Pediatrician Outpatient
Medical Device Hearing Screening Device
N/A
LIMS N/A Public Health Laboratory,Clinical Laboratory,Reference Laboratory
Public Health Information Systems (IS)
EHDI IS Disease-Specific IS
Actors and Information Systems: Early Hearing Detection & Intervention (EHDI) & PH Labs
N/A – Not applicable
Interoperability Standards Schema: Early Hearing Detection & Intervention & PH Labs
PH Reporting Health IT Standardization Framework
Request for Comments by October 21, 2011
S&I PH Reporting InitiativeS&I PH Reporting Initiative
