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ELR Technical Assistance Experience in Kansas

ELR Technical Assistance Experience in Kansas. Virginia Barnes, MPH Director, Surveillance Systems Kansas Department of Health & Environment. KS Report Laboratory Volume (2011). ELR in Kansas. A long time coming: 2004: Attempt between EDSS (HAWK) & state laboratory unsuccessful

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ELR Technical Assistance Experience in Kansas

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  1. ELR Technical Assistance Experience in Kansas Virginia Barnes, MPH Director, Surveillance Systems Kansas Department of Health & Environment Healthy Kansans Living in Safe and Sustainable Environments

  2. KS Report Laboratory Volume (2011) Healthy Kansans Living in Safe and Sustainable Environments

  3. ELR in Kansas • A long time coming: • 2004: Attempt between EDSS (HAWK) & state laboratory unsuccessful • 2007: Implemented new EDSS (KS-EDSS) • ELR capability built into system proved unusable • 2011: Built ELR infrastructure using Rhapsody • Implemented TriSano in March 2012 • 2.5.1 ready • Will be used for CD, TB, STD, & Lead Healthy Kansans Living in Safe and Sustainable Environments

  4. Gaps & Challenges • Switched EDSS while building ELR infrastructure • Limited staff knowledge • Developer inexperienced with Rhapsody, HL7, TriSano API • Program staff knowledge of LOINC, SNOMED limited • Meaningful Use • Messages must route to multiple systems/formats Healthy Kansans Living in Safe and Sustainable Environments

  5. ELRTA Projects Healthy Kansans Living in Safe and Sustainable Environments

  6. LabCorp ELR 231 Assistance by ELR TA team Healthy Kansans Living in Safe and Sustainable Environments

  7. Timeline of Progress Approach: Remote assistance Dedicated time windows for joint work and plan for the week ahead Analyze the context and application of tools and skills for specific outcomes Healthy Kansans Living in Safe and Sustainable Environments

  8. Accomplishments • Rhapsody and PHINMS integration • Successfully send 2.5.1 message through infrastructure & consume in TriSano • Up-convert 2.3.1 to 2.5.1 message & consume in TriSano • Address Trisano API constraints e.g.: Break down messages with multiple OBRs • Facilitate on-boarding of LabCorp • Testing messages • Begin Fax/ELR in production June 11th Healthy Kansans Living in Safe and Sustainable Environments

  9. Summary • ELR capability is becoming a stable platform • ELR-TA: • Has been a critical resource in building ELR capability • Hands-on assistance addresses skill and resource gaps • Brings the tools and processes resulting in faster implementation • Ensures standards based implementations that promote interoperability • Provided critical knowledge and resources to advance ELR implementation and adoption

  10. Questions Contact Information: Virginia Barnes, MPHDirector, Surveillance SystemsKansas Department of Health & Environment Bureau of Epidemiology & Public Health Informatics vbarnes@kdheks.gov (785) 296-6543 Healthy Kansans Living in Safe and Sustainable Environments

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