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Update on ELR in the U.S. 2012 CSTE Annual Conference Omaha, Nebraska

Update on ELR in the U.S. 2012 CSTE Annual Conference Omaha, Nebraska. Robert W. Pinner, M.D. June 4, 2012. Update on ELR in the U.S. CSTE – APHL – CDC ELR Task Force Prevention and Public Health Fund (PPHF) of the Affordable Care Act (ACA) has provided resources and focused attention.

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Update on ELR in the U.S. 2012 CSTE Annual Conference Omaha, Nebraska

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  1. Update on ELR in the U.S. 2012 CSTE Annual ConferenceOmaha, Nebraska Robert W. Pinner, M.D. June 4, 2012

  2. Update on ELR in the U.S. • CSTE – APHL – CDC ELR Task Force • Prevention and Public Health Fund (PPHF) of the Affordable Care Act (ACA) has provided resources and focused attention. • ELC ACA funding (approximately $15 M for ELR and related work) • Communications, Implementation Support & Monitoring • ELR Technical Assistance

  3. ELR Implementation Support and Monitoring Purpose 3

  4. ELR Monitoring Process Current Step 4

  5. ELR* in ELC Jurisdictions NH AK WA VT ME MT ND MN MA OR NY WI RI ID SD MI CT CHI WY NYC PA NJ IA OH PHIL CA NE DE NV IN HI IL WV UT VA DC MD CO KS MO KY NC TN SC OK AR AZ NM LAC MS AL GA LA TX FL HOU N=57 PR Receiving ELR any format =51 (45 states, 6cities) *Production ELR for 1 or more conditions for 1 or more labs via any messaging format or direct web entry; MS is testing ELR; Not Receiving ELR =6 (5 states, 1 territory)

  6. % of Lab Report Volume Sent via ELR NH AK WA VT ME MT ND MN MA OR NY WI RI ID SD MI CT CHI WY NYC PA NJ IA OH PHIL CA NE DE NV IN HI IL WV UT VA DC MD CO KS MO KY NC TN SC OK AR AZ NM LAC MS AL GA LA TX FL HOU < 25% Total of 15 (11 states, 1 territory, 3 cities) 25 – 49% Total of 10 (9 states, 1 city) 50 – 75% Total of 13 (12 states, 1 city) PR > 75% Total of 7 (6states, 1 city) Unknown Total of 7 (7 states) (vol was reported but incomplete) No Data Total of 5

  7. Estimated National Status of ELR

  8. Step 3: Volume of Lab Reports and % via ELR, by Disease Category N=42 # of Lab Reports for 12 month period 8

  9. Steps 1 & 3: ELR Volume and Total Labs By Lab Type 9

  10. Step 2: ELR Production Formats Supported • N=57 # of Jurisdictions 10

  11. ELR Technical Assistance • CDC made ELR Technical Assistance (ELR TA) available • Began receiving requests in Winter 2011 • Delivered by Skilled Personnel (through APHL) • Project (request) requirements: • Advances ELR Implementation • Well-defined • Relatively short in duration (1-4 weeks) • Evaluation Criteria: • ELR from PH lab to PH agency • New, high volume ELR into the PH agency • Enables consumption by a surveillance system • Enables broader adoption of ELR in jurisdiction • Leverages work already done for otherjurisdictions

  12. “Current” ELR Technical Assistance Activities • Technical Assistance Metrics • Received 45 Request • Representing 22 Jurisdictions • Status: • 1 - Completed • 8 - Work Underway • 10 - Detailed Scoping Began • 18 - In Queue • 8 - Out of Scope/Closed

  13. ELR TA – Current Examples • PH Lab to Arkansas Department of Health • Working with Arkansas PH lab to map LOINC and SNOMED codes for the reportable conditions ELRs. • Regional Lab to Virginia Department of Health • Assisting Solstas, a regional lab that provides reports to parts of Virginia, North Carolina, Georgia, Alabama and Florida, with mapping of LOINC and SNOMED codes as well as the implementation of Rhapsody Connect. • Large Lab to Kansas Department of Health • Kansas will be implementing their 1st ELR feed from any lab with LabCorp. Assisting them with the receipt, routing and validation of the messages using Rhapsody.

  14. CSTE/CDC ELR Task Force Website Task Force overview Organization and membership Products and Activities

  15. Update on ELR in the U.S. 2012 CSTE Annual ConferenceOmaha, Nebraska Robert W. Pinner, M.D. June 4, 2012

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