S&I Public Health
*We will start the meeting 3 min after the hour
Aug 12, 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
• Review potential audiences
– Conferences (started last week)
– Teleconference, webinars and educational series
• PHTT Deliverables (including a brief look at our
charter)
– Shall we further define deliverables and dates?
Perhaps some high-level quarterly plan
• SWOT analysis of PHTT (including a brief look at our
charter)
• Presentation follow-up/status
S&I: Public Health Tiger Team (PHTT)
Structured
Data
Capture
Data
Access
Framework
Clinical
Quality
Framework
Standards and
Interoperability:
Public Health
Tiger Team
4
Data
Provenance
S&I Initiative Portfolio Snapshot:
Pre-Discovery
Use Case
Harmonization
Structured Data Capture
Data Access Framework
Active Initiatives
RI, Test & Pilot
Evaluation
In
production
EU/US eHealth Cooperation
Blue Button Plus
PDMP & HIT Integration
Clinical Quality Framework
Data Provenance
Public Health
Community-Led*
or Other AgencyLed
Lab Results Interface
Laboratory Orders Interface
esMD
Longitudinal Coordination of Care
Direct Project (S&I Archetype)
Data Segmentation for Privacy
Inactive or Closed
Initiatives
Transitions of Care
Query Health (merged with DAF)
Health eDecisions (merged with CQF)
* Community led initiatives leverage the S&I framework platform with minimal or no ONC funded contractor support.
5
EHR and SDC Model
Example Types of Reporting
Case Reporting
(Pilot CDA)
ELR 2.5.1
Immunization 2.5.1
Syndromic Surveillance
Cancer CDA
EHR
Sample
Types of
Reporting
Form
PH
Deliver data from form
{Format Type, TBD}
Quality
Research
Public Health
Forms
Repository
6
Define Forms
CDEs
Meta Data
Business
Logic
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-andGuidance/Legislation/EHRIncentivePrograms/Do
wnloads/ClinicalDecisionSupport_Tipsheet-.pdf
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 reapproved 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.
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
Public Health Forums (meeting edits here)
Webinars and teleconferences
•
•
•
JPHIT Monthly Calls
CSTE (Sub, every month) Julie L.
ASTHO
–
•
•
•
•
APHL
NACCHO
ISDS
HIMSS
–
•
EHRA
AMIA
–
•
IPN and eHealth (Marcus R)
Professionals who educate others about Health IT
Not a conference but a target audience
•
•
CDC PH Informatics fellows program
University Faculty?
•
CMS Conference (in DC, regional conferences also,
follow-up with Anita?)
Foundations and donors
Certifying Organizations, authorized testing bodies
NIST
Registries
–
•
•
•
•
–
–
–
–
APHA Health IT
•
NASCIO
–
–
Through AMIA
NAPHSIS
NEMSIS
NACCR
NCPDP (parent of PDMP)
Need to further explore
Further explore
•
•
AHIMA
AIRA
•
PHVC
•
HL7
–
–
–
–
(John Loonsk) PHWG and education series
PHII and education of fellows, I-TIPP
–
–
•
•
•
•
•
•
Julie
Subwork group specific
PHER
NALBHO
IHE Connectathon (this Jan)
Health Care Executives (and finance)
–
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•
Newsletter (Allison Chi)
Hospital association
Finances (impact, funding)
Anyone who builds, utilizes, manages, legislates or
governs HIE
ONC’s HealthIT
week:http://www.healthit.gov/healthitweek
IHE Quality Research and Public Health (QRPH)
Domain
PHTT Timeline and deliverables
(meeting edits here)
•
3rd Quarter 2014 (Jul-Sep)
–
–
Documented Leads for each initiative
Clarify the DAF/CQF use cases
–
–
–
–
–
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Clarify data provenance use cases
Presentation materials
Determine the format for PHTT standards, guidance, approaches, and recommendations for promotion
Establish contacts with Connectathon (Jan), showcase (April)
Flesh out how we touch each of our stakeholders listed on the previous page (13)
Refine charter
•
•
4th Quarter 2014 (Oct-Dec)
–
–
–
–
•
Presentations on implementation model
Deliver our message to a larger audience
Pilot recommendations (begin)
Work with contacts for Connectathon (Jan), showcase (April)
1st Quarter 2015 (Jan-Mar)
–
–
•
Need to present to the group (to schedule, Catherine)
Deliver our message to a larger audience
Pilot recommendations (begin)
2nd Quarter 2015 (Apr-Jun)
–
–
Deliver our message to a larger audience
Pilot recommendations (begin)
(meeting edits here)
Strengths
• There is a great need
Weaknesses
• Resources (people and time)
• We haven’t stated the “great need” well
Opportunities
• Well stated in our charter?
• Others?
• Need to define the change/transition
model
Threats
• Competing priorities (project)
• Challenges from IT in real world
(program)
• Legal
• Policy
• Operational (should be addressed?)
• Privacy & Security
• As we communicate this will we be able
to communicate the entire package in
one presentation
• Failing to ID a PH need
• To have the topic in an IT realm, part of
a business solution set
• Dan’s other thoughts
Updates, other thoughts
•
•
•
•
Data Provenance
Use Cases
Useful for analysis
How would provenance support analysis
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