Call: Wed, 10/05/11 4-5pm ET

Agenda:4:00 – 4:05 Welcome, Riki Merrick, co-lead[Note: attendance will be taken by livemeeting login]

4:05 – 4:15 Initiative logistics update, Nikolay Lipskiy & Lise Stevens, co-leads4:15 – 4:25 Initiative work plan, Lise Stevens & Riki Merrick, co-leads4:25 – 4:50 Starting discussion on PH reporting definitions based on the HITSP document, Nikolay Lipskiy, Riki Merrick, co-leads4:50 – 4:55 Review of Action Items, Lise Stevens, co-lead4:55 – 5:00 Final Comments

Phase 1 (September-December 2011)

• Charter has been finalized • All participants work together on - assessment of needs for the process - building a consensus on public health reporting definitions - building a consensus on a scope of the Public

Health Reporting HIT Standardization Framework

- development of criteria and selection use cases

- defining a list of WGs• Forming workgroups and starting assessment of

existing artifacts in a scope of the initiative• Development of detailed work plan

August September October November December January February

Initiation

S&I Public Health Reporting Roadmap

2011 2012

Final version of the Charter

Decision on selection of use

cases

Starting working on specific use cases

Phase 2(January-May 2012)

• Harmonization of selected use cases into a single use case• Identification of core data elements• Development of implementation documentation • Working on terminology• Harmonization of vocabulary• Completion of assessment of business process, policy

barriers• Proposing public health objectives for Stage 3 MU• Environmental scan of existing shared utilities for public

health reporting and development of a vision on a public health hub for collection, sharing and maintenance

• Development of a vision on a purpose and scope of testing and certification of systems for public health reporting

• Working on harmonization of FHA and segment enterprise architecture for public health reporting

S&I Public Health Reporting Call Schedule:Wednesdays - 4-5pm ET (October - December 2011 )

Date Call Discussion Topics

10/05/11 Work group logistics, planning and PH Reporting Definitions

10/12/11 PH Reporting Framework presentation / Landscape document data collection / Use case selection criteria formal comment period starts

10/19/11 Finalize use case selection criteria and solicit use casesPH Reporting Definitions – comment period starts

10/26/11 PH Reporting Definitions – comment review

11/2/11 Glossary finalization (start of consensus) / landscape document check point

11/09/11 Call on Scope & Use Cases Selection

11/16/11 Call on Scope, Use Cases and Workgroups

11/23/11 NO CALL – Happy Thanksgiving everyone!

11/30/11 Use case selection

12/07/11 Call on Workgroups & Their Work Plans

12/14/11 Landscape document review

12/21/11 Call on Initiative’s Work Plan 2012-2013

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Discussion on Public Health Reporting Definitions

Nikolay Lipskiy, Riki Merrick

October 5th, 2011

5

HITSP Definitions

HITSP/TN9033.1 Definitions

6

Conceptual Framework for Public Health Reporting

Use of Conceptual Models/Conceptual Frameworks*

• Definition of a common language• Basis for precise formulation of goals, rules, policies, processes and so on

• Basis for definition of spatial (math.) concepts• Basis for design of application schemas

• Explanation of application schemas when applying standards• Basis for dictionaries in application areas

* Adapted from: www.isotc211.org/WorkshopThun/Presentations/Wohed_pres.ppt

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Initial Case Report: Conceptual Framework

“An initial case report is defined as a type of public health reporting that contains initial notification of an occurrence or it may contain specific information about what occurred. A classic example of initial case report is a report about occurrence or suspected case of a "notifiable" disease by a practitioner to local, state or federal public health agencies.[4] In the context of this Initiative, we will use this term to describe initial reporting from clinical electronic health record (EHR)systems to public health agencies on a public health occurrence (event) for all use cases, e.g., maternal and child health, injuries, immunization, chronic diseases and other public health programs (domains). “ Charter, p.4

ScopeSelect 3-5 use cases as examples of public health reporting. At first, we will focus on the initial case report (individual patient-level reporting) from EHR- systems to local/state/federal public health agencies

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Terminology: Initial Case Report (cont.)

Initial Case Report(object, class) is

Reporting(process)

?

Initial Case Report(object, class)

Initial Information(attribute)

Information about what occurred(attribute)

+

is

is From EHR system(source of information)+

Public Health Report(attribute)

is

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PH Case/ PH Report Conceptual Framework

PH event (s)/condition (s)

Public Health Case(s)

Information about event(s)

Public Health Report

EHR information of PH interest (PH case: case criteria, trigger data and events, AE: trigger data and reporting specifications–AHIC)

Information from Public Health Systems (local, state and federal)

Not included for phase 1

Sources of information

From a comparative analysis of definitions:

Input from participants needed

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Initial Public Health Reporting : Conceptual Framework (cont.)

Public health case

Public health report 1 (i.e. preliminary lab results report)

Public health report 2 (i.e. admission data)

Public health report 3 (i.e. Adverse Event

(AE))

PH reporti

ng

proce

ss 1

PH reporting process 2

PH reporting

process 3

Initial Report?

Public health report 4 (i.e. final lab results

report)

Public health report 5 (i.e.

death certificate)

Follow-up

Report?

Trigger event

?

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Public Health Operational Framework* and Potential Scope for Initial Case Reporting

*IHE Quality Public Health and Research (QPHR) Technical Supplement Framework (TSF) Public Health Reporting (PH-rpt)

-candidate for initial case reporting, phase I of the S&I activity

Input from participants needed

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Business Area is

Roles/objectives

Domain is

PH …office

Business Process is

Activities

IS Functions is

Functional Requirements

PH Case is

PH Event (condition)

PH Reporting is

Information exchange

Public Health Reporting: Conceptual Framework (cont.)

*IHE Quality Public Health and Research (QPHR) Technical Supplement Framework (TSF) Public Health Reporting (PH-rpt)

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What to Do:

• Post your comments on the first set of public health reporting terms (“public health case”, “public health report”, “public health reporting” and “initial case reporting”)

• Work on a conceptual framework for public health reporting/presentation’s slides

• Start working on review of a conceptual coordination for public health reporting that was included into the IHE Public Health Reporting (PH-rpt) at: http://www.ihe.net/Technical_Framework/upload/IHE_QRPH_Suppl_PH-rpt_Rev1-0_PC_2011-06-17.pdf

• Post your comments on the next set terms for public health operational framework from a slide (“business area”, “domain”, “business process” and “information system functions” )

• Provide your opinion on a list of terms for further discussion

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