Public Health Data Standards Consortium phdsc

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


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


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


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


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


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?


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.


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)


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