APHA’s 139th Annual Meeting Washington, DC October 31, 2011

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Presentation transcript:

APHA’s 139th Annual Meeting Washington, DC October 31, 2011 Towards Health IT Standards Adoption: A Web-based Resource of Health IT Applications and Projects in Public Health Noam H. Arzt, PhD , FHIMSS, HLN Consulting, LLC Anna Orlova, PhD, Public Health Data Standards Consortium Harold Lehmann, MD, PhD, Johns Hopkins University Daryl Chertcoff, BSE, HLN Consulting, LLC Vicki Hohner, Cognosante, LLC Wendy Scharber, RHIT, CTR , Registry Widgets

Presenter Disclosures Noam H. Arzt (1) The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: Consultant, Public Health Data Standards Consortium, Health IT

Outline Context for this project: Business Case Implementing the Business Case Web Resource Center HIT Standards Resources Public Health Participation in HIT Standardization HIT Adoption Stories Public Health Needs for HIT Standardization Summary and Conclusions

Business Case: Public Health in HIT Standardization URL: http://www.phdsc.org/standards/pdfs/PHDSC_Business_Case_Public_Health_HIT-Standardization.pdf Supported through a CDC Cooperative Agreement.

Business Case: Public Health in HIT Standardization National HIT standardization process requires collective input from public health on what public health issues need to be addressed in national interoperable HIT standards. This input needs to be collaboratively developed, put through the national HIT standardization process and uniformly implemented. Public Health’s “Organized Voice on HIT Standards” will have to take on a character reflective of this reality. We define Public Health’s Organized Voice on HIT Standards as an open, transparent, participatory process of harmonizing program-specific and jurisdictional needs with national HIT interoperability standards by working with public health stakeholders and HIT standardization entities on various phases of HIT standardization.

What do we want to achieve? National Health IT adoption strategies have created unprecedented interest in using population-level data. Such data can be available if public health information systems successfully interoperate, i.e., receive and send data between clinical information systems; and across health information systems at all levels of government.   We propose a business strategy that Maximizes the impact of those who participate on behalf of public health in the national Health IT standardization process, and Obtains input from, informs, and educates other public health stakeholders. Through this collaborative public health effort, we could achieve meaningful interoperability across public health information systems as well as between public health and clinical information systems.

How will we want to achieve? Implementing the Business Case through Developing a methodology for Public Health Participation in HIT Standardization Efforts Educating Public Health Community about Health Informatics and HIT Standards

Developing a methodology… PHDSC Business Case: HIT Standardization Phases, Products and Entities HIT Standardization Phases Needs & Priorities Development & Maintenance Selection Harmonization Testing/Trial Implementation Certification Deployment Goals What should be accomplished? What are the standards? What standards to use? Show what can be accomplished Certify standards-based products Deploy standards-based products HIT Standards and Interoperability Framework Development Entities HIT Policy Committee HIT Standards Committee (Formerly AHIC) SDOs (e.g., HL7, SNOMED (IHTSDO), LOINC, ASC X12, NUBC, ISO TC215) IHE HITSP ONC Standards & Interoperability Framework NwHIN Certification Entities (CCHIT, Drummond Group, Inc) Proposed IHE & PHDSC Deployment Workshops Standards Documents Use Cases (Description of the health information exchanges) Standards Interoperability Specifications Technical Frameworks Integration Profiles Test Reports Functional Profiles Certification Criteria Deployment Reports

…and working on projects HIT Standardization and PHDSC Projects HIT Standardiza- tion Phases Needs & Priorities Development & Maintenance Selection Harmonization Testing /Trial Implemen- tation Certification Deploy- ment Goals What should be accomplished? What are the standards? What standards to use? Show what can be accomplished Certify standards-based products Deploy standards-based products Public Health Domains Undergoing HIT Standardiza- tion AHIC / MU: Biosurveillance Immunization ELR Public Health Reporting Newborn Screening Vital Records PH-Lab Hearing HITSP Projects PHDSC Projects

Educate Public Health and Clinical Professionals about HIT Standards PHDSC Webinars: Series of Webinars on Meaningful Use of Health IT for Public Health in partnership with JPHIT HIT Standards for Early Hearing Detection and Intervention Re-evaluation of HL7 EHR-S Functional Model from Public Health Perspectives HL7 Ambassador Presentation on Syndromic Surveillance and Meaningful Use of Health IT University-based Health Informatics Training in partnership with Johns Hopkins University Health Information Technology Standards Web-Resource (http://www.phdsc.org/standards/health-information-tech-standards.asp)

Public Health IT Standardization Resource Center Four module website:

Public Health IT Standardization Resource Center Four module website:

Public Health IT Standardization Resource Center Four module website:

Public Health IT Standardization Resource Center Four module website:

CDC Domains 15 Public Health Essential Function x 17 Informatics function x 6 Standardization phase x 6 Standardization Activities x 12 = a lot!

Public Health IT Standardization Resource Center Four module website:

Summary and Conclusions Public health needs to “find its voice” We need to engage and education public health on HIT standardization issues We need to encourage public health to participate and show them how We need your stories!