S&I Public Health

*We will start the meeting 3 min after the hour

Aug 12, 2014

This meeting is being recorded and un-paused and will be available via the wiki

*Please mute your phone when not speaking to assist with background noise.

Today’s Agenda

• Administrative Update – Brief Overview and Update of Initiatives

• Review potential audiences– Conferences (started last week)– Teleconference, webinars and educational series

• PHTT Deliverables (including a brief look at our charter) – Shall we further define deliverables and dates?

Perhaps some high-level quarterly plan • SWOT analysis of PHTT (including a brief look at our

charter) • Presentation follow-up/status

S&I: Public Health Tiger Team (PHTT)

4

Standards and Interoperability:

Public Health Tiger Team

Data Access

Framework

Structured Data

Capture

Clinical Quality

Framework

Data Provenance

S&I Initiative Portfolio Snapshot:

In production

* Community led initiatives leverage the S&I framework platform with minimal or no ONC funded contractor support.

Pre-Discovery Use Case Harmonization RI, Test & Pilot Evaluation

Active Initiatives

Structured Data Capture

Blue Button Plus

Data Provenance

EU/US eHealth Cooperation

5

Data Access Framework

Clinical Quality Framework

Community-Led* or Other Agency-Led

Inactive or Closed Initiatives

Laboratory Orders Interface

Longitudinal Coordination of Care

Lab Results Interface

Public Health

esMD

Transitions of Care

Direct Project (S&I Archetype)

Health eDecisions (merged with CQF)

Query Health (merged with DAF)

Data Segmentation for Privacy

PDMP & HIT Integration

EHR PHForm

Sample Types of

Reporting

Quality

Research

Public Health

Case Reporting (Pilot CDA)

EHR and SDC Model

ELR 2.5.1Immunization 2.5.1

Syndromic SurveillanceCancer CDA

Forms Repository

Request Form

(CDISC RFDC)Deliver Form

Deliver data from form{Format Type, TBD}

Example Types of Reporting

CDEsMeta DataBusiness

Logic

Define Forms

6

SDC Update

• Identifying organization to participate in IHE Connectathon Jan 2015 (registration 25 AUG14’- 3 OCT14’)

• IHE Connectathon Webinar Aug 8th • CMS CDS Tipsheet:

http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/ClinicalDecisionSupport_Tipsheet-.pdf

DAF Update

• Decision was unanimous by community to move forward with:– Pursue FHIR for Simple DAF Data Element Queries

using existing DSTU and create profile and IG as needed

– Monitor CQL and how it evolves as a Query syntax for complex queries instead of developing a parallel query syntax

CQF Update

• The clinical quality expression language (CQL) will be submitted for the September HL7 Comment ballot cycle. The updated PSS has been re-approved by CQI, CDS and ITS WGs and was approved by the US Realm task force and Technical Steering Committee (TSC) in July.

• Pilots will begin in August. Pilot sub-teams continue to plan for potential pilots. Each pilot team has begun by identifying the data elements required for the pilot. The required slices(s) of the standards will be created to support the individual pilots.

S&I Public Health Update

• Exploring partnership with Million Hearts • Working with EHDI to track Pilot status• Met with State of Utah about CDA pilots in Wis and

NYC• Developing Technical and Overview Presentations for

S&I Public Health• Seeking conferences and webinars to present on• EHR Project at CDC

Public Health Forums (meeting edits here) Webinars and teleconferences

• JPHIT Monthly Calls• CSTE (Sub, every month) Julie L. • ASTHO

– IPN and eHealth (Marcus R)

• APHL• NACCHO• ISDS• HIMSS

– EHRA

• AMIA – (John Loonsk) PHWG and education series

• PHII and education of fellows, I-TIPP– Professionals who educate others about Health IT– Not a conference but a target audience

• CDC PH Informatics fellows program• University Faculty?

– Through AMIA

• CMS Conference (in DC, regional conferences also, follow-up with Anita?)

• Foundations and donors• Certifying Organizations, authorized testing bodies • NIST• Registries

– NAPHSIS– NEMSIS– NACCR– NCPDP (parent of PDMP)

• APHA Health IT– Need to further explore

• NASCIO– Further explore

• AHIMA• AIRA

– Newsletter (Allison Chi)

• PHVC– Julie

• HL7– Subwork group specific– PHER

• NALBHO• IHE Connectathon (this Jan)• Health Care Executives (and finance)

– Hospital association – Finances (impact, funding)

• Anyone who builds, utilizes, manages, legislates or governs HIE

• ONC’s HealthIT week:http://www.healthit.gov/healthitweek

• IHE Quality Research and Public Health (QRPH) Domain

PHTT Timeline and deliverables(meeting edits here)

• 3rd Quarter 2014 (Jul-Sep)– Documented Leads for each initiative – Clarify the DAF/CQF use cases

• Need to present to the group (to schedule, Catherine)

– Clarify data provenance use cases– Presentation materials– Determine the format for PHTT standards, guidance, approaches, and recommendations for promotion– Establish contacts with Connectathon (Jan), showcase (April)– Flesh out how we touch each of our stakeholders listed on the previous page (13)– Refine charter

• 4th Quarter 2014 (Oct-Dec)– Presentations on implementation model– Deliver our message to a larger audience– Pilot recommendations (begin)– Work with contacts for Connectathon (Jan), showcase (April)

• 1st Quarter 2015 (Jan-Mar)– Deliver our message to a larger audience– Pilot recommendations (begin)

• 2nd Quarter 2015 (Apr-Jun)– Deliver our message to a larger audience– Pilot recommendations (begin)

Weaknesses• Resources (people and time)• We haven’t stated the “great need” well

Strengths• There is a great need

Opportunities• Well stated in our charter? • Others? • Need to define the change/transition

model

Threats• Competing priorities (project)• Challenges from IT in real world

(program)• Legal• Policy• Operational (should be addressed?)• Privacy & Security• As we communicate this will we be able

to communicate the entire package in one presentation

• Failing to ID a PH need• To have the topic in an IT realm, part of a

business solution set• Dan’s other thoughts

(meeting edits here)

Updates, other thoughts

• Data Provenance• Use Cases• Useful for analysis• How would provenance support analysis

S&I Public Health Contact Information

ONC Public Health Lead: Jim (James) Daniel (james.daniel@hhs.gov)

CDC Public Health Lead: John M. Saindon (uzn0@cdc.gov)

PHTT Wiki Page: http://wiki.siframework.org/Public+Health+Tiger+Team

SDC Wiki Page: http://wiki.siframework.org/Structured+Data+Capture+Initiative

DAF Wiki Page: http://wiki.siframework.org/Data+Access+Framework+Homepage

CQF Wiki http://wiki.siframework.org/Clinical+Quality+Framework+Initiative

PHRi Archived Wiki http://wiki.siframework.org/Public+Health+Reporting+Initiative

Weekly PHTT Meeting Info (Tuesdays):• Time: 2:00pm - 3:00pm Eastern• URL: https://siframework1.webex.com/• Dial-In Number: 1-650-479-3208• Access Code: 665 131 907