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Public Health Data Standards Consortium phdatastandards

Public Health Data Standards Consortium http://phdatastandards.info. PUBLIC HEALTH DATA STANDARDS CONSORTIUM ~ 2006 BUSINESS MEETING OF MEMBERS ~ March 27, 2006, Hyattsville, MD. PHDSC Activities Report Anna O. Orlova, PhD Executive Director. PHDSC Activities Report: Outline. Membership

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Public Health Data Standards Consortium phdatastandards

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

  2. PUBLIC HEALTH DATA STANDARDS CONSORTIUM~ 2006 BUSINESS MEETING OF MEMBERS ~ March 27, 2006, Hyattsville, MD PHDSC Activities Report Anna O. Orlova, PhD Executive Director

  3. PHDSC Activities Report: Outline • Membership • Revenues • Projects and Products

  4. PHDSC Activities Report Membership

  5. Our Members • Federal Agencies • Agencies for Healthcare Research and Quality (AHRQ) • Centers for Disease Control and Prevention (CDC) • CDC/ National Center for Health Statistics (NCHS) • National Library of Medicine (NLM) • Substance Abuse and Mental Health Services Administration (SAMSHA)

  6. Our Members • State and Local Agencies • California Office of Stateside Health Planning and Development • Massachusetts Division of Health Care Finance and Policy • Minnesota Department of Health • Nebraska Health and Human Services System • New York City Department of Health and Mental Hygiene • Ohio State Department of Health • Wisconsin Department of Health and Family Services

  7. Our Members • Professional Membership Organization • American Immunization Registry Association (AIRA) • Association of Public Health Laboratories (APHL) • Council of State and territorial Epidemiologists (CSTE) • eHealth Initiative • National Association for Health Data Organization (NAHDO) • National Association of City and County Health Officers (NACCHO) • North American Association of Cancer Registries (NAACCR)

  8. Our Members • Other Professional Organizations • Delta Dental Plans Association • Illinois Hospital Association • Massachusetts Health Data Consortium • Midwest Center for HIPAA Education • Public Health Informatics Institute

  9. Our Members • Academic Institutions • Johns Hopkins Bloomberg School of Public Health • University of Connecticut • Vanderbilt University

  10. Our Members • Supporting Members • Electronic Intellect, LLC • Environmental Systems Research Institute (ESRI) • Fox Systems • HLN Consulting, LLC • IBM • INSERM (France) • Oracle Corporation • Oz Systems • Scientific Technologies Corporation (STC)

  11. PHSDC Membership Structure - 2006

  12. PHDSC Membership Structure: 2004-2006 2004 2005 2006

  13. PHDSC Activities Report Revenues

  14. PHDSC Activities Report Projects and Products

  15. PHDSC Projects and Products PHDSC Executive Committee Retreat, October 2005, identified the following program areas: • Privacy, Security and Data Sharing • Data Standards • Health Care Services Data Reporting Guide • External Causes of Injury Codes • Payer Type • Public Health Vocabulary • SDO’s and Data Content committees( X12, HL7, NUBC, NUCC) • ONC – standards harmonization contract • NHIN/RHIO • EHR Certification • Communications and Outreach These Program Areas were reflected at the new PHDSC Organizational Chart.

  16. PHDSC - Organizational Chart BOARD OF DIRECTORS EXECUTIVE COMMITTEE & EXECUTIVE DIRECTOR BUSINESS PLAN Co-Chairs: Lawrence Hanrahan & Martin LaVenture Task Force on Standard Harmonization Contract Task Force on Privacy Contract P R O G R A M A R E A S DATA STANDARDS PRIVACY, SECURITY & DATA SHARING NATIONAL HEALTH INFORMATION NETWORK Co-Chairs: Robert Davis & Starla Ledbetter Co-Chairs: Vicki Hohner & Richard Urbano Co-Chairs: David Ross & Anna Orlova Sub-Committees CERTIFICATION COMMUNICATION & OUTREACH Health Care Services Data Reporting Guide External Cause of Injury Codes Co-Chairs: Noam Arzt & Farzard Mostashari Co-Chairs: Sally Klein & Michelle Williamson Chair: Robert Davis Co-Chairs: Arturo Coto & Starla Ledbetter Payer Typology Public Health Vocabulary Web-Based Resource Center Co-Chairs: Amy Bernstein & Judy Parlato Chair: TBN Co-Chairs: Vivian Auld & Michelle Williamson Normal Font - Active Committees Italic Font - Proposed Committees TBN – to be named

  17. PHDSC Projects and Products PHDSC activities conducted by the Program Committees will be presented by the Chairs in the session that follows. In summary…

  18. PHDSCProducts: 1999-04 03/04 Electronic Health Record- Public Health (EHR-PH) White Paper 10/02 Health Care ServicesReporting Guide 05/01 PHDSC Education Strategy on Data Standards 07/03 PHDSC became a non-profit organization 1999 PHDSC Established as a Voluntary Confederation 05/03 Web-based Resource Center 06/00 Mother’s Medical Record Number is added on Health Care Claim 03/02 Health Data Standards Survey 2000 PHDSC MembersJoin Data Content Committees

  19. PHDSCProducts: 2005-06 01/05 Response to the PFI on the NHIN Development & Adaptation of aNHIN 07/05 Role of Public Health in Adoption & Use of HIT 02/06 Towards a Payer Typology Standard 09/05 Privacy & Security Websites 02/05 EHR-PH Prototype

  20. PHDSC Projects and Products PHDSC Grant and Contract Projects: • Small Conference Program Grant # 1R13 HS016073-01 from the Agency for Healthcare Research and Quality • Contract from Health Resources and Services Administration. Requisition/Purchase Request No.: 05-S250-0380

  21. PHDSC Projects and Products The Role of Public Health in the Adoption and Use of Health Information Technology Small Conference Program Grant # 1R13 HS016073-01 from the Agency for Healthcare Research and Quality Role of Public Health in Adoption & Use of Health Information Technology. Report. July 2005. URL: http://phdatastandards.org

  22. PHDSC Projects and Products • Developing a Vision for • Functional Specification Requirements • for Electronic Data Exchange between Clinical and Public Health Settings: • Examples of School Health and Syndromic Surveillance in New York City • Contract from Health Resources and Services Administration • Requisition/Purchase Request No.: 05-S250-0380

  23. PHDSC Project on a Vision for EHR-PH Functional Specifications Standard (HRSA) Project Rationale: To help facilitate the development of interoperable EHR-Public Health (EHR-PH) system there is a need to describe work processes that support data exchange between clinicians and public health practitioners to formulate functional requirements for electronic communication between clinical and public health settings, so that the EHR-PH data/information exchange deployed at one clinical setting to transmit data to a public health agency can be replicated at other clinical facilities.

  24. PHDSC Project on a Vision for EHR-PH Functional Specifications (HRSA) • Project Summary: • Collaboration with New York City’s Department of Health • and Mental Hygiene (DOHMH) - our member. • Two DOHMH Public Health Programs are included: • School Health • Syndromic Surveillance • Clinical setting – NYC Community Health Center equipped • with the EHR system. • Draft report was submitted to HRSA for review on 2/19/06.

  25. PHDSC Project on a Vision for EHR-PH Functional Specifications (HRSA) • Functional specifications were developed in the format of the Requirement Analysis Document (RAD) that documented data exchange processes and include the description of: • Goals of the EHR-PH Data Exchange • Functions that the EHR-PH Data Exchange will support • Actors – stakeholders – participant in data exchange • Actions – stakeholders activities • Data Sources – public health reporting forms • Dataflow and Workflow Models • Proposed System Architecture

  26. School Health: Current Work Flow and Data Flow Model Child with parent visits provider Provider completes 211S Parent deliver 211S to school School nurse enter 211S data into ASHR DOHMH maintains ASHR Reports Patient Record 211S Form 211S Form 211S Form 211S Form ASHR School DB EHR Reports CHC EHRS

  27. School Health: EHR-PH Data Exchange Community Health Centers (CHC) New York City Schools New York City Department of Health & Mental Hygiene EHR School Forms CHC-I EHRS School-I System School Forms EHR 211S Form Consent Form School Forms CHC-II EHRS RES Form MUM Form School-II System Automated Student Health Record (ASHR) System EHR School Forms CHC-N EHRS School-N System

  28. Syndromic Surveillance: Workflow and Dataflow Laboratory NeighboringJurisdictions Hospital State Public HealthSurveillance System 1- Report/retrieve of symptoms, diagnosis & medication prescription data from EMRs 6 – Report on the positive case electronically & by phone 2 – Data mining of EMR notes Ambulatory Care 3 – Notify on increased number of cases & recommend to order pathogen test 4 – Order pathogen test DHHS LocalPublic HealthSurveillance System P U B L I C 5 – Report positive test result electronically & by phone Media Response Team Pharmacy

  29. PHDSC Project on a Vision for EHR-PH Functional SpecificationsStandards (HRSA) • Proposed Recommendations: • Conduct validation of the functional specifications across relevant public health agencies programs to build a consensus on the format and content of the requirements specification for the selected domains and develop a consensus-based functional specification requirements for the EHR-based data exchange in school health and syndromic surveillance. • Work with interested public health agencies (local, state and federal) to develop functional specification standards for other public health programs (domains). • Communicate to the health IT community the need for the development of EHR-PH functional standards and inclusion of these standards in the EHR certification process.

  30. Acknowledgements NYC Dept. of Health and Mental Hygiene • Dr. Farzad Mostashari, Assistant Commissioner • Dr. Oxiris Barbot, Medical Director, Bureua of Dchool Health • Dr. Neil Calman, Director, The Institute for Urban Family Health, New York City Health Resources and Services Administration (HRSA) • Ms. Jessica Townsend and Dr. Michael Millman, Office of Planning and Evaluation

  31. PHDSC Projects and Products Standards Harmonization Contract, Office of National Coordinator for Health Information Technology (ONCHIT), Department of Health and Human Services; Start Date: October 19, 2006 Privacy Contract, Agency for Healthcare Research and Quality; Start Date: October 1, 2006 Presentations on these projects are scheduled on March 28

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