Public Health Data Standards Consortium
description
Transcript of Public Health Data Standards Consortium
Public Health Data Standards Consortium http://www.phdsc.org
Towards a Functional Standard on Electronic Data Exchange between
Clinical Care and Public Health
<Preliminary Findings>Contract # HHSH250200616198P from
Health Resources and Services Administration (HRSA)
Anna Orlova, PhDExecutive Director
2006 PHDSC-HRSA Project:
PUBLIC HEALTH DATA STANDARDS CONSORTIUM~ 2007 BUSINESS MEETING OF MEMBERS ~
October 2-3, 2007, Hyattsville, MD
This presentation contains preliminary findings that have not been reviewed by
the PHDSC NHIN Committee
2006 PHDSC-HRSA Project
Towards Interoperability of
Clinical & Public Health Information Systems
2006 PHDSC-HRSA ProjectTo integrate the public health information systems into
the emerging electronic health information exchanges there is a need to:
Re-examine the ways the information systems in public health have been built to date
Introduce a ‘disciplined’ informatics approach into the public health information systems design and
Develop a common methodology of structured analysis of information needs at the user level that will guide the HIT projects
Built upon the PHDSC/HRSA Panel discussions we would like to propose a structured approach in developing interoperable electronic health information exchanges between clinical and public health information systems.
2006 PHDSC-HRSA Project
Interoperability is defined as the ability of two or more systems or components to exchange information and to use the information that has been exchanged.
Defining a Problem
Sources: 1. Institute of Electrical and Electronics Engineers. IEEE Standard Computer Dictionary: A Compilation of IEEE Standard Computer Glossaries. New York, NY: 1990.2. Health Level Seven (HL7). EHR Interoperability Work Group. Coming to Terms: Coming to Terms: Scoping Interoperability for Health Care. Draft. January 16, 2007. 35p.
Solving a Problem of Non-Interoperability
DHHS HIT standardization efforts are carried out by:American Health Information Community (AHIC)Office of National Coordinator for HIT (ONC)Health Information Technology Standards Panel (HITSP)Certification Commission for HIT (CCHIT)NHIN Developers
Problem SolutionNon-Interoperable
Health Information
Systems
Interoperable Health
Information Systems
DHHS Framework for Achieving Health Information Systems Interoperability
Step 1 - Identify National Use Cases Step 2 - Develop Use Case Document in a
standardized template Step 3 - Develop and Test Use Case
Interoperability Specification in a standardized specification template
Step 4 - Develop Certification Criteria for Use Case Interoperability Specification for EHRS products
Step 5 - Implement Use Cases
Problem Identified Problem Characterized Problem Managed Problem Evaluated
AHIC
Identify Use Cases
ONC
Develop Use Cases
HITSPDevelop
Interoperability Specification
CCHITDevelop Certification
Criteria
Problem Solution
NHIN DevelopersImplement Use Cases
Non-Interoperable Health
Information Systems
Interoperable Health
Information Systems
DHHS Framework for Achieving Health Information Systems Interoperability
DHHS National Use Cases2006 Biosurveillance Consumer Empowerment (CE) Electronic Health Record (EHR)2007 Quality EHR-Emergency Response CE-Access to Information20086 more Use Cases
DHHS Framework for Achieving Health Information Systems Interoperability
Questions for Consideration: How are National Use Cases selected? Are we creating again stand-alone, Use
Case-specific systems? Will the national Use Case
interoperability specifications meet local/state/regional health information needs?
Is there a process that may prevent us from designing stand-alone system while using the Use Case approach?
DHHS Framework for Achieving Health Information Systems Interoperability
To address these Questions we propose to incorporate Business Process Analysis and Information Systems Functional Requirement Analysis methodologies into the development of the interoperability specifications for HIT applications.
DHHS Framework for Achieving Health Information Systems Interoperability
Business Process Analysis will be used to identify national Use Cases based on the strategic goals for HIT adoption.
Functional Requirement Analysis will be used to refine the national interoperability specifications to address local/state/regional needs for health information exchanges.
DHHS Framework for Achieving Health Information Systems Interoperability
Business Process Analysis (BPA) Components Enterprise analysis - strategic direction and goals;
solutions that will allow to meet those strategic goals Requirements planning and management -
planning the requirements development process and managing change
Requirements elicitation - techniques for collecting requirements from stakeholders
Requirements analysis - techniques for specifying requirements
Requirements communication - techniques for ensuring shared understanding of the requirements
Solution assessment and validation – verification of correctness of a proposed solution
Business Process Analysis (BPA) Outcomes
An improvement of information management may be identified via BPA among other solutions to meet organization’s strategic goals.
For this solution, there may be a need to develop (or improve) an information system. The description of this solution can be done in a format of a Use Case.
Functional Requirement Analysis for Information System Design
In the information system design, Functional Requirement Elicitation and Analysis (FRA) are used to specify end user work processes and data exchange needs that the information system will support.
The Functional Requirement Analysis Document (FRAD) is a product of FRA, i.e., functional standard.
Functional Requirements Analysis Document (FRAD) Components
Problem/Domain (Use Case) Description for which Information System is needed
Information System (IS) Goals Actors – end users in information exchange that IS will support Functional Requirements – list of end user functions that IS
will support Storyboard – examples of life-situations in end user work that
IS will support Diagrams of end user interactions with the IS High Level System Architecture – graphic representation of
end user view of IS operation Non-functional Requirements - list of IS features, e.g.,
privacy & security IS Development Timeline and Deliverables
We propose to incorporate Business Process Analysis and Information Systems Functional Requirement Analysis methodologies into the development of the interoperability specifications for HIT applications.
DHHS Framework for Achieving Health Information Systems Interoperability
AHIC
•Biosurveillance•Consumer Empowerm:
•Pt registration•Meds History
•EHR-Lab•EMS•Quality
ONC
Develop Use CasesDevelop & TestInteroperability
Specification
CCHITDevelop
Certification Criteria
•Biosurveillance•Consumer Empowerm:
•Pt registration•Meds History
•EHR-Lab•EMS•Quality
HITSP
•Biosurveillance•Consumer Empowerm:
•Pt registration•Meds History
•EHR-Lab•EMS•Quality
Identify Use Cases
NHIN Developers
Implement Use Cases
Step 1Step 3Step 2 Step 4
Step 5
DHHS Framework for Achieving Health Information Systems Interoperability
BPA / AHICBusiness Process
Analysis ofDomains/Programs
•Biosurveillance•Consumer Empowerm.:
•Pt registration•Meds History
•EHR-Lab•EMS•Quality
ONC
Develop Use Cases Develop & TestInteroperability
Specification
CCHITDevelop
Certification Criteria•Biosurveillance
•Consumer Empowerm. •Pt registration•Meds History
•EHR-Lab•EMS•Quality
HITSP
•Biosurveillance•Consumer Empowerm:
•Pt registration•Meds History
•EHR-Lab•EMS•Quality
Identify Use Cases
NHIN Developers
Implement Use Cases
FRADDevelop Functional Requirements Analysis Document (FRAD)•Biosurveillance•School Health
Inform Certification Criteria Development
Step 1Step 3Step 2 Step 4
Step 5Step 7 Step 8
Step 6Pilot Test
Enhancing DHHS Framework for Achieving Health Information Systems Interoperability
Recommendations1. Work with the Public Health Informatics Institute
to refine the proposed approach of integrating BPA and information systems FRA into the national interoperability specification development efforts; and
2. Present the proposed approach to the successor of the American Health Information Community as a methodology for
selecting national Use Cases, and refining the national Use Case interoperability
specifications to address local, state and regional needs of health information exchanges
2006 PHDSC-HRSA Project