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PH Reporting Health IT Standardization Framework Proposal for Review

S&I PH Reporting Initiative-Call 10/12. PH Reporting Health IT Standardization Framework Proposal for Review. Acknowledgements: Public Health Data Standards Consortium (PHDSC) National Association of City and County Health Officers (NACCHO), USA

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PH Reporting Health IT Standardization Framework Proposal for Review

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  1. S&I PH Reporting Initiative-Call 10/12 PH Reporting Health IT Standardization FrameworkProposal for Review

  2. Acknowledgements: Public Health Data Standards Consortium (PHDSC) National Association of City and County Health Officers (NACCHO), USA Participants of the NACCHO Workshop on Business Process Analysis in Public Health, Salt Lake City, UT, December 2011 Centers for Disease Control and Prevention (CDC), USA Quality, Research and Public Health Committee, Integrating the Healthcare Enterprise (IHE) Public Health and Emergency Response Workgroup, Health Level Seven (HL7) Structured Documents Workgroup, HL7

  3. State Health DepartmentOrganizational Chart

  4. From Connectivity to Interoperability TODAY TOMORROW Healthcare Public Health Healthcare Public Health

  5. Harmonizing Public Health Operation across Various Domains/Programs • The operation of local, state and federal public health agencies under the core public health functions (assessment, policy and assurance) is focused on enabling resources and services for the public’s health protection. The public health operates under the following business areas: • Population – Know population that is served • ResourcesStakeholders – Know healthcare capacities and other resources available to the population • Environment – Know the environment in the jurisdiction to prevent and control possible unhealthy exposures • Protection –Protect the public in the jurisdiction from infectious diseases and exposure to disease risk factors, environmental and injury hazards and natural disasters • Healthy Development & Wellness – Promote healthy pregnancy, child development, and ongoing wellness for the served population through interventions and mitigation of risk factors • Direct Care – Enable access to care for underserved population and people with special needs • Agency Operation – Enable program operation to provide services to the population in need • Research & Policy Development – Conduct research to evaluate public health interventions and to develop new interventions

  6. Business Processes: Patient & Population Level

  7. Examples of Interoperability Standards by Information Systems Function

  8. NACCHO-PHDSC Business Process Analysis for Pubic Health: Project Findings Public Health Business Areas

  9. NACCHO-PHDSC Business Process Analysis for Pubic Health: Project Findings Public Health Business Areas Public Health Business Processes Individual/Population

  10. NACCHO-PHDSC Business Process Analysis for Pubic Health: Project Findings Public Health Business Areas Public Health Business Processes Individual/Population Information Systems Functions

  11. NACCHO-PHDSC Business Process Analysis for Pubic Health: Project Findings Public Health Business Areas Public Health Business Processes Individual/Population Information Systems Functions Data Content

  12. Public Health Business Areas Public Health Business Processes Individual/Population Information Systems Functions Data Content Population Resources Environment Protection Wellness Direct Care Operations Research

  13. Public Health Business Areas Public Health Business Processes Individual/Population Information Systems Functions Data Content Population Event/Outbreak Identification Resources Event/Outbreak Investigation Environment Protection Event/Outbreak Management Wellness Event/Outbreak Management Evaluation Direct Care Operations Mitigation Research

  14. Public Health Business Areas Public Health Business Processes Individual/Population Information Systems Functions Data Content Population Event/Outbreak Identification Collect Data Resources Event/Outbreak Investigation Manage Data Environment Integrate Data Protection Event/Outbreak Management Wellness Analyze Data Event/Outbreak Management Evaluation Direct Care Report Data Operations Mitigation Research

  15. Public Health Business Areas Public Health Business Processes Individual/Population Information Systems Functions Data Content Population Event/Outbreak Identification Guidelines Collect Data Resources Event/Case/Outbreak Reports Event/Outbreak Investigation Manage Data Environment Lab Reports Integrate Data Protection Event/Outbreak Management Care Plans Wellness Alert & Notification Analyze Data Event/Outbreak Management Evaluation Quality Reports Direct Care Report Data Educational Materials Operations Mitigation Research

  16. Public Health Program Examples: Early Hearing Detection & Intervention (EHDI) and Public Health Laboratory (PH-Lab)

  17. Guiding the HIT Standardization for Public Health Public Health Business Areas Public Health Business Processes Individual/Population Information Systems Functions Data Content Use Cases Workflow Standards Health IT Standards Content Standards

  18. Business Areas: Early Hearing Detection & Intervention

  19. Business Areas: Public Health Laboratory

  20. Business Areas: Early Hearing Detection & Intervention Initial PH report: Hearing Screening report

  21. Business Areas: Public Health Laboratory Initial PH report: Lab Test Report

  22. Public Health Business Areas Public Health Business Processes Individual/Population Information Systems Functions Data Content Population Event/Outbreak Identification Guidelines Collect Data Resources Case/Outbreak Reports Event/Outbreak Investigation Manage Data Environment Lab Reports Integrate Data Protection Event/Outbreak Management Care Plans Wellness Alert & Notification Analyze Data Event/Outbreak Management Evaluation Quality Reports Direct Care Report Data Educational Materials Operations Mitigation Research

  23. Early Hearing Detection and Intervention (EHDI) Program Use Cases Workflow Standards Health IT Standards Content Standards Population Event Identification Initial PH Report Labor & Delivery Summary Labor & Delivery Workflow Resources Environment Newborn Hearing Screening Workflow Hearing Screening Order/Results Protection Wellness Hearing Screening Quality Measures Event Investigation Direct Care Newborn Care Workflow MS: Hearing Risk Factors Operations Event Management Early Hearing Care Plan Research Short-Term Care Follow-up Workflow Updated Hearing Care Plan

  24. Communicable Diseases Programs (Lab Data) Use Cases Workflow Standards Health IT Standards Content Standards Population Event Identification Initial PH Report Chief Complaint Medical Summary Visit to Provider Resources Environment Laboratory Workflow Lab order/ Results Protection Wellness PH Questionnaire Event Investigation Direct Care Case Investigation Workflow Risk Factors Operations Event Management Case Management Plan Research Case Management Workflow Updated Plan

  25. Business Processes, Data Content, Standards: Early Hearing Detection & Intervention & PH Labs

  26. Actors and Information Systems: Early Hearing Detection & Intervention (EHDI) & PH Labs N/A – Not applicable

  27. Interoperability Standards Schema: Early Hearing Detection & Intervention & PH Labs

  28. S&I PH Reporting Initiative PH Reporting Health IT Standardization FrameworkRequest for Comments by October 21, 2011

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