S&I PUBLIC HEALTH REPORTING INITIATIVE: DEVELOPING OF A TEAMING APPROACH

1. S&I PUBLIC HEALTH REPORTING INITIATIVE: DEVELOPING OF A TEAMING APPROACH S&I Public Health Reporting Initiative Nikolay Lipskiy, MD, DrPH, Co-Lead September, 21st, 2011

2. Background Goal of the initiative The goal of the S&I Public Health Reporting Initiative is to harmonize HIT standards and implementation guides for bi-directional interoperable communication between clinical care and public health entities for selected use cases. Approach I. Approach the creation of the implementation guide(s) so as to minimize unnecessary modification of EHRs and their certification by harmonizing with other ONC-certification criteria and other S&I Framework activities like the Transfer of Care (TOC) Initiative and others. II. Approach the creation of the implementation guide(s) in a way to maximize its future extensibility and re-usability to other public health reporting use cases. III. Minimize unnecessary impact on established MU Stage 1 public health reporting objectives while potentially simplifying such reporting in the future. IV. Enable bi-directional communication as needed for public health reporting use cases. V. Approach the creation of the implementation guide(s) so as to account for the needs of subsequent inter-jurisdictional communication (e.g. transfer of cases between jurisdictions and national notification requirements) and population-level reporting. VI. Facilitate future certification of public health information systems that are interoperable with ONC-certified EHRs.

3. Background. Examples of S&I Framework Teaming and Descriptions of Workgroups at Wiki

4. Background. Examples of S&I Framework Teaming and Descriptions of Workgroups at Wiki • Purpose • The LRI Pilots Workgroup will support the LIS and EHR community in integrating and demonstrating the toolset provided by the LRI Validation Suite to (1) validate the ability of LIS and EHR systems to send and receive LRI-compliant lab test messages and (2) to determine the extent of EHR compliance with the CLIA requirements. • Scope • The scope of the LRI Pilots will be to demonstrate at a production level the transport of LRI-compliant laboratory results from LISs to ambulatory EHRs. • Objectives • Short-Term 1. Pilot testing of the LISs and EHRs that have agreed to implement the LRI IG specifications. • 2. Pilot LIS and EHR systems may use the LRI Validation Suite • 3. Build a list of potential Pilot participants • 4. Capture best practices from existing Lab Pilots • Long-Term 1. Support ONC NHIN as they draft the MU Stage 2 requirements

5. S&I Public Health Reporting Activity: Team Engagement Concept* Public Health Reporting The diagram above depicts the inter-relationships of the S&I Framework functions, from a teaming perspective. This diagram is developed based on the results of harmonization of standards across all steps in the S&I Framework, in parallel with the development of the implementation specifications. * Adapted from the ONC S&I Standards Development Support page at: http://wiki.siframework.org/Standards+Development+Support

6. The Information Exchange Package Documentation (IEPD) Artifacts* IEPDs contain both required and recommended artifacts Required : Bold Recommended : Italic Note: Best practices for most organizations include many of the optional artifacts listed here Scenario Planning • Business Process • Use Cases • Sequence Diagrams Analyze Requirements • Business Rules • Business Requirements Map & Model • Exchange Content Model • Mapping Document Build & Validate • Subset Schema • Exchange Schema • XML Wantlist • Constraint Schema • Extension Schema • Main Document • IEPD Catalog • IEPD Metadata • Sample XML Instances • XML Stylesheets Assemble & Document No required artifacts. Publish the IEPD to a repository and implement the exchange Publish & Implement *Source: Doug Fridsma, at: http://www.google.com/url?sa=t&source=web&cd=1&sqi=2&ved=0CB8QFjAA&url=http%3A%2F%2Fhealthit.hhs.gov%2Fportal%2Fserver.pt%2Fdocument%2F947907%2Fapplication_vnd_ms-powerpoint&rct=j&q=S%26I%20Governance&ei=oN94Tsf5C5TogQfI05nXDQ&usg=AFQjCNH-cviEuaqg4-bzMgPBD2r8mb02CQ&sig2=nQmnYGZ-Qf3jI8TqwmQNag

7. S&I Process for Documenting Workflow and Artifact Development (Artifacts, Roles and Controls)* Core artifacts are versioned and controlled Artifacts are “packaged” and released Each artifacts has a responsible role Artifacts and releases have prioritization and approval points, or “controls” * Source: Doug Fridsma, 09-28-10, at: http://www.google.com/url?sa=t&source=web&cd=3&sqi=2&ved=0CCoQFjAC&url=http%3A%2F%2Fhealthit.hhs.gov%2Fportal%2Fserver.pt%2Fgateway%2FPTARGS_0_0_7660_3080_20704_43%2Fhttp%253B%2Fwci-pubcontent%2Fpublish%2Fonc%2Fpublic_communities%2F_content%2Ffiles%2Ffridsmapresentation_092810.ppt&rct=j&q=S%26I%20governance&ei=StZ4Tt2IO8nOgAfuvpHkDQ&usg=AFQjCNFCpiT1b5mo5V_x9JzPLtOYey-iZQ&sig2=WDmEgWGygzCWlKNW3CKAng

8. Data Drill-Down Process* Public Health Reporting Activity PH Reporting Use Cases * Adopted from the ONC S&I Case Simplification Supplement at: http://wiki.siframework.org/file/view/ONC-SI-UC-Simplification-V1-Cover-20110715-Consensus.pdf

9. Action Drill-Down Process* Public Health Reporting Activity PH Reporting Use Cases * Adopted from the ONC S&I Case Simplification Supplement at: http://wiki.siframework.org/file/view/ONC-SI-UC-Simplification-V1-Cover-20110715-Consensus.pdf

10. Recent Public Health Reporting Documents (Examples)

11. Potential S&I Public Health Reporting Activity Workgroups Governance Body Public Health Reporting Activity Public Health reporting WGs Standards Development and Support Pilot Demonstration Projects 1. Use cases and functional requirements harmonization (UCR) Implementation Specifications Certification and Testing Use Case Development& Functional Requirements Harmonization ofCore Concepts Reference Implementation 2. Vocabulary and Terminology harmonization (VT)  3. Reference Implementation /Architecture (RI&A) Tools and Services(Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc.) 4. Certification Architecture Refinement and Management 5.   S&I Knowledgebase (S&I KB) / S&I KB Portal  6. Policy/ Deployment (P&D)

12. Matrix of Potential Deliverables/Workgroups

13. Workgroups: Purpose, Scope and Objectives

14. Call for Participation Please, submit your participation information through the S&I Public Health Reporting activity website at: http://wiki.siframework.org/Public+Health+Reporting+Initiative