Public Health Data Standards Consortium phdatastandards

1. Public Health Data Standards Consortium http://phdatastandards.info

2. 2nd Connecting Communities for Better Health Learning ForumMay 25-26, 2005, Washington DCPopulation Health Track Where and How Does Public Health Fit into Regional Health Information Exchanges Anna O. Orlova, PhD Executive Director, PHDSC and Johns Hopkins Bloomberg School of Public Health

3. DHHS’ Framework for Strategic Action: Decade of HIT Delivering Consumer–centric and Information-rich Health Care - July 21, 2004 • Inform Clinical Practice • Interconnect Clinicians • Personalize Care • Improve Population Health • Unify public health surveillance architecture • Streamline quality and health status monitoring • Accelerate research and dissemination of evidence

4. Towards National Health Information Network: Public Health Perspectives RESPONSE TO THE REQUEST FOR INFORMATION (RFI) on the Development and Adoption of a National Health Information Network from the Office of National Coordinator for Health Information Technology (ONCHIT), Department of Health and Human Services; Released on November 15, 2004 Submitted to ONCHIT on January 18, 2005

5. PHDSC RESPONSE TO THE ONCHIT RFI Participants from the Following Organizations (in alphabetical order): American Health Information Management Association (AHIMA) American Immunization Registry Association (AIRA) American Public Health Association (APHA) Association of Public Health Laboratories (APHL) Association of State and Territorial Directors of Nursing (ASTDN) Association of State and Territorial Health Officers (ASTHO) Centers for Disease Control and Prevention (CDC) Council for State and Territorial Epidemiologists (CSTE) National Association of Health Data Organizations (NAHDO) National Assoc. of County and City Health Officials (NACCHO)

6. National Health Information Network (NHIN) Emerging data shows the value that standardized health information exchange will provide to all stakeholders: • Healthcare purchasers and payers • Hospitals and other healthcare providers • Laboratories • Practicing clinicians • Public health Source: John Glaser, Janet Marchibroda, Jim Schuping. CCBH. Washington, D.C. December 6-7, 2004 URL: www.ehealthinitiative.com

7. PHDSC Model: PHDSC Model for Electronic Health Record-based Data Exchange RHIO EHR-PH Info Exchange

8. Examples of Public Health Programs/Systems that Will be Impacted/Aligned by NHIN • Local and State Public Health Programs • CDC Public Health Information Network (PHIN) embracing many CDC programs including: • Health Alert Network (HAN) • National Electronic Disease Surveillance System (NEDSS) • Epidemiology Information Exchange (EPI-X) • Environmental Public Health Tracking Network (EPHTN) • HRSA Maternal & Child Health Programs • HRSA Rural Health Care Programs

9. Examples of Public Health Programs Provided by Local Health Departments Source: Scutchfield, F.D., & Keck, C.W. Principles of public health practice, 2nd ed. 2003. Thomson/Delmar Learning: Clifton Park, NY.

10. PHDSC Leadership in Electronic Health Record (EHR) Dec-March 04 PHDSC Ad Hoc Task Force on Electronic Health Record-Public Health (EHR-PH) to validate Health Level 7(HL7) EHR Functional Model July-Dec. 04 Pediatric EHR – Public Health Perspectives. Contract from HRSA Jan-Feb. 05 Demonstration of Interoperability Across Clinical and Public Health Systems via EHR, HIMSS-2005

11. Cross-mapping of Clinical and Public Health Pediatric Data • Clinical system is a significant source of data for pediatric public health systems • 59% data concepts used in clinical care maps to public health data needs • Significant redundancy can be overcome if EHR systems will populate public health programs

12. PHDSC EHR-PH System Prototype for Interoperability of Clinical and Public Health Systems, HIMSS-2005 Clinical Care Public Health Hospital of Birth State Health Department ADT- Birth Record Newborn Screening Registry HL7 2.4 HL7 3.0 EHR-PH Info Exchange Newborn Screening Test HL7 3.0 HL7 3.0 Hearing Screening Registry HL7 3.0 HL7 2.4 Hearing Screening Test HL7 2.4 Immunization Registry J2EE HL7 2.4 Immunization Administration Communicable Disease Registry External Laboratory Source: Orlova, et al. HIMSS 2005,Dallas TX, February 13-17, 2005

13. PHDSC EHR-PH System Prototype for Interoperability of Clinical and Public Health System Our Prototype • Illustrates how interoperability between clinical and public health systems can be achieved with a standards-based infrastructure • Is built upon existing systems in clinical care and public health programs • Enables electronic data reporting from a clinical setting to multiple public health systems • Enables translation of customized standards into HL7 3.0 messaging standard • Links clinical and public health systems to provide a continues view of the patient record across the systems involved

14. Public Health Challenges for System Integration Barriers • Public health organization: (1) various categorical programs (2) organized by state laws public health settings vary in the ways their funded and managed • Understand commonalities among public health programs and settings in terms of data sources, users, goals and functions • Define business processes for integrating healthcare and public health practices • Involve public health stakeholders in standardization efforts • Develop public health vocabulary Solutions Source: Electronic Health Record: Public Health Perspectives. PHDSC. White Paper. March 2004