Provider Reporting from the
Electronic Health Record
Division of Informatics, Information
Technology and Telecommunications
NYC Department of Health and Mental
Hygiene
NYC’s Current Electronic
Reporting
• Currently Providers are mandated to
report via:

Fax, mail or Reporting Central (in-house
developed application)
• Challenges with current provider reporting:


Data currently exists in EHR
Issues with missing, late or incomplete report
• CDC/CSTE/NACCHO exploring
opportunities for EHR provider reporting
Electronic Health Records:
Current Landscape
• How can the Health Department leverage
EHR systems so that providers don’t have
to re-enter data into Reporting Central?


Hundreds of EHR vendors with varying
systems and data fields
Multiple jurisdictions with varying reporting
requirements
• Leverage and align with Meaningful Use
initiatives
Pilot Project Background
Goal: To pull data from the EHR clinical data
architecture (CDA) - continuity of care
document (CCD), and pre-populate case
report forms.
• Patient demographics
• Provider/Reporter demographics
• Disease details
Outcome: 60% of common fields can
be mapped, including required fields
CDA
CCD
Surveillance
Disease
Report
Workflow Summary
Architecture/Data Flow
EPIC
Pertussis EMR Reporting Pilot
Request is
made by
clicking a
URL in the
EMR
Send URL with
prepopulated fields
from CCD and empty
fields from Reporting
Central
NYC DOHMH
CCD
sent
Complete
case
report
stored at
the NYC
DOHMH
Return
Populated
Web Form
Parse the
CCD
Forms Manager
Provider
completes
the case
report
missing fields
Store CCD
Report sent to
Surveillance
System
Most patient
demographics can
be automatically
populated
Provider/ICN selects the
form to fill out
Disease detail to be
entered by the
reporter
Demographic info on
the provider, reporter
and facility can be
pulled from the EHR
Reporter reviews data
before submitting
Reporter receives a
confirmation number
Lessons Learned
• Securing an EHR vendor partner
• Interpreting CCD fields/ translating EHR to
public health
• Partnering with an off-site clinical practice
to test message transmission
Successes
• Using existing logic from current online
provider reporting website
• Integration with an in-house Survey tool to
quickly develop forms
• CDC resources and documentation: CDA,
IHE Specification
• Collaboration with our grantee counterpart
in Wisconsin

One standard web service reports to two
jurisdictions
Next Steps
• Continue enhancements to streamline
workflow for providers in application
• Document reporting workflow in a clinical
setting, get feedback from provider site
• Incorporate resources for the provider in
the application
Healthcare Provider Feedback
• Presented to stakeholders, NYC Assoc.
for Professionals in Infection Control and
Epidemiology and The Institute for Family
Health. They would like the application to:


Prepopulate info from the EHR
Store the case report in the patient’s medical
chart to document submitted version of the
form