Public Health Data Standards Consortium http://phdatastandards.info

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PUBLIC HEALTH DATA STANDARDS CONSORTIUM~ 2006 BUSINESS MEETING OF MEMBERS ~

March 27, 2006, Hyattsville, MD

PHDSC Activities Report

Anna O. Orlova, PhD

Executive Director

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Membership

Revenues

Projects and Products

PHDSC Activities Report: Outline

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Membership

PHDSC Activities Report

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Our Members

Federal Agencies

Agencies for Healthcare Research and Quality (AHRQ)

Centers for Disease Control and Prevention (CDC)

CDC/ National Center for Health Statistics (NCHS)

National Library of Medicine (NLM)

Substance Abuse and Mental Health Services Administration (SAMSHA)

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Our Members State and Local Agencies

California Office of Stateside Health Planning and Development

Massachusetts Division of Health Care Finance and Policy

Minnesota Department of Health

Nebraska Health and Human Services System

New York City Department of Health and Mental Hygiene

Ohio State Department of Health

Wisconsin Department of Health and Family Services

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Our Members Professional Membership Organization

American Immunization Registry Association (AIRA)

Association of Public Health Laboratories (APHL)

Council of State and territorial Epidemiologists (CSTE)

eHealth Initiative

National Association for Health Data Organization

(NAHDO)

National Association of City and County Health Officers

(NACCHO)

North American Association of Cancer Registries

(NAACCR)

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Our Members

Other Professional Organizations

Delta Dental Plans Association

Illinois Hospital Association

Massachusetts Health Data Consortium

Midwest Center for HIPAA Education

Public Health Informatics Institute

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Our Members

Academic Institutions

Johns Hopkins Bloomberg School of Public Health

University of Connecticut

Vanderbilt University

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Our Members Supporting Members

Electronic Intellect, LLC

Environmental Systems Research Institute (ESRI)

Fox Systems

HLN Consulting, LLC

IBM

INSERM (France)

Oracle Corporation

Oz Systems

Scientific Technologies Corporation (STC)

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PHSDC Membership Structure - 2006

2006Federal Agencies (13%)

State & Local Agencies (18%)

National Professional Organizations(18%)Other Professional Organizations(13%)Academia (7.5%)

Supporting Members (23%)

Individual Members (7.5%)

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PHDSC Membership Structure: 2004-2006

Federal Agencies (22%)

State and Local Agencies(22%)National ProfessionalOrganizations (17%)Other ProfessionalOrganizations (9%)Academia (9%)

Supporting Members (9%)

Individual Members (12%)

Federal Agencies (16%)

State and Local Agencies(19%)National ProfessionalOrganizations (13%)Other ProfessionalOrganizations (16%)Academia (6.5%)

Supporting Members(23%)Individual Members (6.5%)

2004 2005

Federal Agencies (13%)

State & Local Agencies (18%)

National Professional Organizations(18%)Other Professional Organizations(13%)Academia (7.5%)

Supporting Members (23%)

Individual Members (7.5%)

2006

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PHDSC Membership Structure 2004-2006

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2004 2005 2006

Year

Perc

en

tag

e

Federal Agencies

National ProfessionalOrganizations

National ProfessionalOrganizations

Other ProfessionalOrganizations

Academia

Supporting Members

Individual Members

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PHDSC Membership Structure 2004-2006

0

5

10

15

20

25

FederalAgencies

NationalProfessional

Organizations

NationalProfessional

Organizations

OtherProfessional

Organizations

Academia SupportingMembers

IndividualMembers

Membership Class

Per

cen

tag

e

2004

2005

2006

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Revenues

PHDSC Activities Report

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PHSDC Revenues

0.00

20000.00

40000.00

60000.00

80000.00

100000.00

120000.00

140000.00

160000.00

2004 2005 March 15, 2006 Projected FY06

Year

$$$

Annual MeetingRevenues

Contracts

Grants

MembershipDues

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Projects and Products

PHDSC Activities Report

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PHDSC Executive Committee Retreat, October 2005, identified the following program areas:

Privacy, Security and Data Sharing Data Standards

Health Care Services Data Reporting GuideExternal Causes of Injury CodesPayer TypePublic Health VocabularySDO’s and Data Content committees( X12, HL7, NUBC, NUCC)ONC – standards harmonization contract

NHIN/RHIO EHR Certification Communications and Outreach

These Program Areas were reflected at the new PHDSC Organizational Chart.

PHDSC Projects and Products

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PHDSC - Organizational Chart

Normal Font - Active CommitteesItalic Font - Proposed CommitteesTBN – to be named

Sub-Committees

BOARD OF DIRECTORS

P R O G R A M A R E A S

CERTIFICATION

EXECUTIVE COMMITTEE & EXECUTIVE DIRECTOR

Health Care Services Data

Reporting Guide

PRIVACY, SECURITY & DATA SHARING

External Cause of Injury Codes

COMMUNICATION & OUTREACH

Public Health Vocabulary

Co-Chairs: Vicki Hohner

& Richard UrbanoCo-Chairs: David Ross

& Anna Orlova

Co-Chairs: Arturo Coto & Starla

Ledbetter

Co-Chairs: Vivian Auld

& Michelle Williamson

Co-Chairs: Robert Davis

& Starla Ledbetter

Chair: TBN

Payer Typology

Co-Chairs: Amy Bernstein

& Judy Parlato

BUSINESS PLAN

DATA STANDARDS NATIONAL HEALTH INFORMATION

NETWORK

Chair: Robert Davis

Co-Chairs: Lawrence Hanrahan

& Martin LaVenture

Co-Chairs: Noam Arzt & Farzard Mostashari

Web-Based Resource Center

Co-Chairs: Sally Klein & Michelle Williamson

Task Force on Standard

Harmonization Contract

Task Force onPrivacy Contract

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PHDSC activities conducted by the Program Committees will

be presented by the Chairs in the session that follows.

In summary…

PHDSC Projects and Products

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PHDSC Products: 1999-04

1999PHDSC

Establishedas a

Voluntary Confederatio

n

2000PHDSC

MembersJoin Data Content

Committees

06/00Mother’s Medical Record Number is added

on Health Care Claim

07/03 PHDSC

became a non-profit

organization

03/04 Electronic Health Record- Public Health(EHR-PH) White Paper

10/02Health Care ServicesReporting Guide

03/02Health Data Standards Survey

05/03Web-based Resource Center

05/01PHDSC Education Strategy on Data Standards

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PHDSC Products: 2005-06

09/05Privacy & Security Websites

07/05Role of Public Health in Adoption & Use of HIT

02/05EHR-PH Prototyp

e

02/06Towards a Payer Typology Standard

01/05

Response to the PFI on the NHIN Development & Adaptation of aNHIN

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PHDSC Grant and Contract Projects:

Small Conference Program Grant # 1R13 HS016073-01 from the Agency for Healthcare Research and Quality

Contract from Health Resources and Services Administration. Requisition/Purchase Request No.: 05-S250-0380

PHDSC Projects and Products

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PHDSC Projects and Products

The Role of Public Health in the Adoption and Use of

Health Information Technology

Small Conference Program Grant # 1R13 HS016073-01 from the Agency for Healthcare Research and Quality

Role of Public Health in Adoption & Use of Health Information Technology. Report. July 2005. URL: http://phdatastandards.org

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PHDSC Projects and Products

Developing a Vision for Functional Specification Requirements for Electronic Data Exchange between

Clinical and Public Health Settings: Examples of School Health and Syndromic

Surveillance in New York City

Contract from Health Resources and Services AdministrationRequisition/Purchase Request No.: 05-S250-0380

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PHDSC Project on a Vision for EHR-PH Functional Specifications Standard (HRSA)

Project Rationale:

To help facilitate the development of interoperable EHR-Public Health (EHR-PH) system there is a need to describe work processes that support data exchange between clinicians and public health practitioners to formulate functional requirements for electronic communication between clinical and public health settings, so that the EHR-PH data/information exchange deployed at one clinical setting to transmit data to a public health agency can be replicated at other clinical facilities.

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PHDSC Project on a Vision for EHR-PH Functional Specifications (HRSA)

Project Summary:

Collaboration with New York City’s Department of Health and Mental Hygiene (DOHMH) - our member.

Two DOHMH Public Health Programs are included:• School Health• Syndromic Surveillance

Clinical setting – NYC Community Health Center equipped with the EHR system.

Draft report was submitted to HRSA for review on 2/19/06.

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PHDSC Project on a Vision for EHR-PH Functional Specifications (HRSA)

Functional specifications were developed in the format of the Requirement Analysis Document (RAD) that documented data exchange processes and include the description of:

• Goals of the EHR-PH Data Exchange • Functions that the EHR-PH Data Exchange will support• Actors – stakeholders – participant in data exchange• Actions – stakeholders activities• Data Sources – public health reporting forms• Dataflow and Workflow Models• Proposed System Architecture

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School Health: Current Work Flow and Data Flow Model

CHC EHRS Reports

ReportsChild with parent visits

provider

Provider completes

211S

Parent deliver 211S

to school

Patient Record

School DB

School nurse enter 211S data

into ASHR

ASHR

211SForm

DOHMHmaintains

ASHR

211SForm

211SForm

211SForm

EHR

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CHC-I EHRS

EHR

Community Health Centers (CHC)

New York CityDepartment of Health &

Mental Hygiene

AutomatedStudent Health

Record (ASHR)System

SchoolForms

School-IISystem

SchoolForms

School-NSystem

SchoolForms

School-ISystem

SchoolForms

New York City Schools

CHC-II EHRS

EHR

CHC-NEHRS

EHR

211SForm

RESForm

MUMForm

Consent

Form

School Health: EHR-PH Data Exchange

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Laboratory

Ambulatory Care

PharmacyResponse Team

State Public HealthSurveillance System

Syndromic Surveillance: Workflow and Dataflow

DHHS

1- Report/retrieve of 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

4 – Orderpathogen test

5 – Reportpositive

test result electronically & by phone

6 – Report on the positive case electronically & by phone

Media

LocalPublic HealthSurveillance System

HospitalNeighboringJurisdictions

PUBLIC

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PHDSC Project on a Vision for EHR-PH Functional Specifications Standards (HRSA)

Proposed Recommendations:• Conduct validation of the functional specifications across

relevant public health agencies programs to build a consensus on the format and content of the requirements specification for the selected domains and develop a consensus-based functional specification requirements for the EHR-based data exchange in school health and syndromic surveillance.

• Work with interested public health agencies (local, state and federal) to develop functional specification standards for other public health programs (domains).

• Communicate to the health IT community the need for the development of EHR-PH functional standards and inclusion of these standards in the EHR certification process.

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Acknowledgements

NYC Dept. of Health and Mental Hygiene

Dr. Farzad Mostashari, Assistant Commissioner

Dr. Oxiris Barbot, Medical Director, Bureua of Dchool Health

Dr. Neil Calman, Director, The Institute for Urban Family Health,

New York City

Health Resources and Services Administration (HRSA)

Ms. Jessica Townsend and Dr. Michael Millman, Office of

Planning and Evaluation

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Standards Harmonization Contract, Office of National Coordinator for Health Information Technology (ONCHIT), Department of Health and Human Services; Start Date: October 19, 2006

Privacy Contract, Agency for Healthcare Research and Quality; Start Date: October 1, 2006

Presentations on these projects are scheduled on March 28

PHDSC Projects and Products