S&I Public Health

*We will start the meeting 3 min after the hour

Aug 5, 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

• Public Health Education Series Reminder• Request for Public Health Organizations

webinars/teleconferences to present about Standards and Interoperability

S&I: Public Health Tiger Team (PHTT)

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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

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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

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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

IHE Quality, Research & Public Health (QRPH) Domain Update 2014 Webinar

• Friday, August 8, 2014, 11:00am - 1:00pm eastern

• http://www.ihe.net/Webinars/• Scroll down the page to “IHE Quality, Research and Public Health

(QRPH) Domain Update 2014” and click on the Register link to register for the webinar. 

• Tentative agenda for the webinar – both SDC and FP profiles will be discussed early on.Time QRPH Profile Presenters

10:00–10:05 Introduction Michelle Williamson10:05-10:15 Structured Data Capture Farrah Darbouze/Vijay Shah10:15-10:20 SDC Q&A Public Health (PH) Profiles 10:20-10:30 Family Planning Johanna Goderre Jones

10:30-10:45 Vital Events Reporting Michelle Williamson/Lori Fourquet10:45-11:00 Early Hearing Detection and Intervention John Eichwald/Lisa Nelson11:00-11:10 Healthy Weight Brittani Harmon/Lori Fourquet11:10-11:15 Cancer Reporting Wendy Blumenthal11:15-11:35 PH Profile Q&A 11:35-11:50 Research Profiles and White Papers Landen Bain/Alana St. Clair11:50-11:55 Research Profiles and White Papers Q&A 11:55-12:00 Timeline and Next Steps Michelle Williamson

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.

PHTT Wiki UpdateJulie Lipstein

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

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

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

Wednesday S&I Public Health Education Series

Wednesday August 6th at 4pm EST (now on WebEx

• Update on SIM Funding (CMS)• Clinical Quality Framework Update

Public Health Forums Webinars and teleconferences

• JPHIT Monthly Calls• CSTE (Sub, every month)

Julie L. • ASTHO

– IPN and eHealth (Marcus R)

• APHL• NACCHO• ISDS• HIMSS• AMIA

– (John Loonsk) PHWG and education series

• APHA Health IT– Need to further explore

• NASCIO– Further explore

• AHIMA

• AIRA– Newsletter (Allison Chi)

• PHVC– Julie

Dan Chaput from ONC

• Subgroup to develop streamlined slide deck – High level– Technical/Use cases

Evaluation of SDC Pilots

• What are Public Health’s Expectations…– Demonstrate utility or lack there of SDC solutions for Public Health problems– Workflow implications: how these solutions might work in the “real world”– Clinical (real data/live) or simulated data/systems (prototype) or a hybrid

(actual systems using simulated data)– Form manager solution approach (gain knowledge: centralized) Are not throw

away solutions– Understanding of level of effort (time/resources/cost); e.g. hospitals, vendor,

PHA, providers– Will not be proprietary (unique to the vendor)

• RFD vs SDC

– Educate stakeholders; vendors, providers, PHA’s, hospitals, consumers of healthcare

– Identify barriers/lessons learned and document

What are success criteria’s

• Model is vetted and move forward into adoption• That the pilots be reproducible (open source)

• Used in a different setting or domain. E.g. occupational, environmental

• Is the pilot reproduced• Gaps are identified • Practices from PH Pilots, shared with SDC Initiative • Identify best practices to improve technology for adoption

• High quality data• Metrics: evaluate the quality of the data, usability, actual source data, de-duplication

S&I Public Health Education Series

• Clinical Quality Measures– QRDA, HQMF, Organizational issues HL7 Expressions– Implications for Public health and S&I

• Descriptions of workflows in PH Practice– Ex. Family Planning– WIC– IIS

• IHE Connectathon and PH-Quality Health: IHE, SDC

• Showcasing efforts• Partnerships and collaboration

Post Pilot

• Sustainability Plan• Communication • Partnerships and collaboration