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S&I Public Health * We will start the meeting 3 min after the hour

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

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S&I Public Health * We will start the meeting 3 min after the hour

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  1. S&I Public Health*We will start the meeting 3 min after the hour Aug 12, 2014

  2. This meeting is being recorded and un-pausedand will be available via the wiki *Please mute your phone when not speaking to assist with background noise.

  3. 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

  4. S&I: Public Health Tiger Team (PHTT)

  5. S&I Initiative Portfolio Snapshot: Transitions of Care Structured Data Capture In production • Data Access Framework EU/US eHealth Cooperation Active Initiatives • Blue Button Plus PDMP & HIT Integration ClinicalQualityFramework Data Provenance Public Health Lab Results Interface Community-Led* or Other Agency-Led Laboratory Orders Interface esMD Longitudinal Coordination of Care Direct Project (S&I Archetype) Data Segmentation for Privacy Inactive or Closed Initiatives Query Health (merged with DAF) HealtheDecisions (merged with CQF) * Community led initiatives leverage the S&I framework platform with minimal or no ONC funded contractor support. 5

  6. EHR and SDC Model Example Types of Reporting Case Reporting (Pilot CDA) ELR 2.5.1 Immunization 2.5.1 Syndromic Surveillance EHR PH Cancer CDA Sample Types of Reporting Deliver data from form {FormatType, TBD} Form Request Form (CDISC RFDC) Quality Forms Repository Deliver Form Define Forms CDEs Meta Data Business Logic Research Public Health

  7. 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

  8. 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

  9. 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.

  10. 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

  11. Public Health Forums (meeting edits here)Webinars and teleconferences • JPHIT Monthly Calls • CSTE (Sub, every month) Julie L. • ASTHO • IPN and eHealth (Marcus R) • APHL • NACCHO • ISDS • HIMSS • EHRA • AMIA • (John Loonsk) PHWG and education series • PHII and education of fellows, I-TIPP • Professionals who educate others about Health IT • Not a conference but a target audience • CDC PH Informatics fellows program • University Faculty? • Through AMIA • CMS Conference (in DC, regional conferences also, follow-up with Anita?) • Foundations and donors • Certifying Organizations, authorized testing bodies • NIST • Registries • NAPHSIS • NEMSIS • NACCR • NCPDP (parent of PDMP) • APHA Health IT • Need to further explore • NASCIO • Further explore • AHIMA • AIRA • Newsletter (Allison Chi) • PHVC • Julie • HL7 • Subwork group specific • PHER • NALBHO • IHE Connectathon (this Jan) • Health Care Executives (and finance) • Hospital association • Finances (impact, funding) • Anyone who builds, utilizes, manages, legislates or governs HIE • ONC’s HealthITweek:http://www.healthit.gov/healthitweek • IHE Quality Research and Public Health (QRPH) Domain

  12. PHTT Timeline and deliverables(meeting edits here) • 3rd Quarter 2014 (Jul-Sep) • Documented Leads for each initiative • Clarify the DAF/CQF use cases • Need to present to the group (to schedule, Catherine) • 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) • 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)

  13. (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

  14. Updates, other thoughts • Data Provenance • Use Cases • Useful for analysis • How would provenance support analysis

  15. 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

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