Proposed S&I Public Health Reporting Initiative
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Proposed S&I Public Health Reporting Initiative 1 Challenge There is a lack of harmonized activities to enable data exchange between clinical and population care. There is no consistent practice on reporting public health (PH) events, which negatively affect transition of care (i.e., in a case when public health lab serves as a reference lab), public health preparedness, surveillance and response. Further standardization efforts may become redundant or deficient without a clear business approach on harmonization of core public health functions and clinical care Scope Statement -Define Public Health priorities for using HIT standards at the local, state and federal level for following levels of reporting -Define timeline and/or milestones for each priority including any relevant dependencies or sequencing Biz specs for harmonization of electronic data flow between EMR, EHR, PH Records for improvement of ToC, PH-Report Target Outcomes Population health, Business process/architecture, data elements, standards, HIT systems -Define business processes for public health reporting at provider, local, state and federal public health levels -Define requirements, specification and standards in a scope of the ONC S&I TOC and LRI activities that enable electronic public health reporting within and beyond Meaningful Use Stages 1-3 Meaningful Use Alignment Public Health Case Reporting is in alignment with ONC HIT strategic plan and goals (2011-2015) Goal 2: Improve Care, Improve Population Health, and Reduce Health Care Costs through the Use of Health IT Goal 5: Achieve Rapid Learning and Technological Advancement (Lead the creation of a learning health system to support quality, research, and public and population health) Potential Use Cases & Scenarios Use Cases and Scenarios 1. Individual/Patient level reporting 2. Population (Aggregate) level reporting Two use cases include the following scenarios: • Reporting from EHR to local, state, fed agencies • Reporting from state to federal agencies User Stories (Business Cases) 1. Reportable and notifiable communicable diseases 2. Chronic Diseases eg Cancer 3. Syndromic Surveillance 4. Early Hearing Detection and Intervention (EHDI) 5. Adverse event reporting (devices, drugs, tobacco, foods) 6. Immunization, vaccines
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Proposed S&I Public Health Reporting Initiative. - PowerPoint PPT Presentation
Transcript of Proposed S&I Public Health Reporting Initiative
Proposed S&I Public Health Reporting Initiative
1
Challenge
There is a lack of harmonized activities to enable data exchange between clinical and population care. There is no consistent practice on reporting public health (PH) events, which negatively affect transition of care (i.e., in a case when public health lab serves as a reference lab), public health preparedness, surveillance and response. Further standardization efforts may become redundant or deficient without a clear business approach on harmonization of core public health functions and clinical care
Scope Statement-Define Public Health priorities for using HIT standards at the local, state and federal level for following levels of reporting -Define timeline and/or milestones for each priority including any relevant dependencies or sequencingBiz specs for harmonization of electronic data flow between EMR, EHR, PH Records for improvement of ToC, PH-Report
Target Outcomes
Population health, Business process/architecture, data elements, standards, HIT systems-Define business processes for public health reporting at provider, local, state and federal public health levels-Define requirements, specification and standards in a scope of the ONC S&I TOC and LRI activities that enable electronic public
health reporting within and beyond Meaningful Use Stages 1-3
Meaningful Use Alignment
Public Health Case Reporting is in alignment with ONC HIT strategic plan and goals (2011-2015)Goal 2: Improve Care, Improve Population Health, and Reduce Health Care Costs through the Use of Health ITGoal 5: Achieve Rapid Learning and Technological Advancement (Lead the creation of a learning health system to support quality, research, and public and population health)
Potential Use Cases &
Scenarios
Use Cases and Scenarios
1. Individual/Patient level reporting2. Population (Aggregate) level reporting
Two use cases include the following scenarios:• Reporting from EHR to local, state, fed agencies• Reporting from state to federal agencies• Fed-Fed, state-state (lower priority?)
User Stories (Business Cases)1. Reportable and notifiable communicable diseases2. Chronic Diseases eg Cancer3. Syndromic Surveillance4. Early Hearing Detection and Intervention (EHDI)5. Adverse event reporting (devices, drugs, tobacco, foods)6. Immunization, vaccines
Standards and Stakeholders
StandardsHL7 (messages, CDA)LOINCSNOMED, UCUM
StakeholdersCDC, PHDSC, PHII, JPHIT, FDA, states, EPA, DHHS, FHA/FHIMS,
ONC S&I, VA/VHA, APHL, CSTE, ASTHO, NACCHO, NAHDO, NAPHSIS
Riki Merrick
take out the i.e., becasue to me this short note does not illustrate why this would be an issue for transition of care and making it explicit, wopuld make it too long
Riki Merrick
rather than using JPHIT here amy be better to list JPHIT staekholders separately - JPHIT is operating more at the policy level, this may need more SME level involvement, though JPHOT buy-in would also be desirable
