S&I Public Health * We will start the meeting 3 min after the hour Aug 5, 2014

This meeting is being recorded and un-paused and will be available via the wiki *Please mute your phone when not speaking to assist with background noise.

Today’s Agenda Administrative Update –Brief Overview and Update of Initiatives Public Health Education Series Reminder Request for Public Health Organizations webinars/teleconferences to present about Standards and Interoperability

S&I: Public Health Tiger Team (PHTT) 4 Standards and Interoperability: Public Health Tiger Team Data Access Framework Structured Data Capture Clinical Quality Framework Data Provenance

S&I Initiative Portfolio Snapshot: In production * Community led initiatives leverage the S&I framework platform with minimal or no ONC funded contractor support. Pre-DiscoveryUse CaseHarmonizationRI, Test & PilotEvaluation Active Initiatives Structured Data Capture Blue Button Plus Data Provenance EU/US eHealth Cooperation 5 Data Access Framework Clinical Quality Framework Community-Led* or Other Agency- Led Inactive or Closed Initiatives Laboratory Orders Interface Longitudinal Coordination of Care Lab Results Interface Public Health esMD Transitions of Care Direct Project (S&I Archetype) Health eDecisions (merged with CQF) Query Health (merged with DAF) Data Segmentation for Privacy PDMP & HIT Integration

EHR PH Form Sample Types of Reporting Quality Research Public Health Case Reporting (Pilot CDA) EHR and SDC Model ELR Immunization Syndromic Surveillance Cancer CDA Forms Repository Request Form (CDISC RFDC) Deliver Form Deliver data from form {Format Type, TBD} Example Types of Reporting CDEs Meta Data Business Logic Define Forms 6

SDC Update Identifying organization to participate in IHE Connectathon Jan 2015 (registration 25 AUG14’- 3 OCT14’) IHE Connectathon Webinar Aug 8 th CMS CDS Tipsheet: Guidance/Legislation/EHRIncentivePrograms/Do wnloads/ClinicalDecisionSupport_Tipsheet-.pdf Guidance/Legislation/EHRIncentivePrograms/Do wnloads/ClinicalDecisionSupport_Tipsheet-.pdf

IHE Quality, Research & Public Health (QRPH) Domain Update 2014 Webinar Friday, August 8, 2014, 11:00am - 1:00pm eastern Scroll down the page to “IHE Quality, Research and Public Health (QRPH) Domain Update 2014” and click on the Register link to register for the webinar. Tentative agenda for the webinar – both SDC and FP profiles will be discussed early on. TimeQRPH ProfilePresenters 10:00–10:05IntroductionMichelle Williamson 10:05-10:15Structured Data CaptureFarrah Darbouze/Vijay Shah 10:15-10:20SDC Q&A Public Health (PH) Profiles 10:20-10:30Family Planning Johanna Goderre Jones 10:30-10:45Vital Events ReportingMichelle Williamson/Lori Fourquet 10:45-11:00Early Hearing Detection and InterventionJohn Eichwald/Lisa Nelson 11:00-11:10Healthy WeightBrittani Harmon/Lori Fourquet 11:10-11:15Cancer ReportingWendy Blumenthal 11:15-11:35PH Profile Q&A 11:35-11:50Research Profiles and White PapersLanden Bain/Alana St. Clair 11:50-11:55Research Profiles and White Papers Q&A 11:55-12:00Timeline and Next StepsMichelle Williamson

DAF Update Decision was unanimous by community to move forward with: –Pursue FHIR for Simple DAF Data Element Queries using existing DSTU and create profile and IG as needed –Monitor CQL and how it evolves as a Query syntax for complex queries instead of developing a parallel query syntax

CQF Update The clinical quality expression language (CQL) will be submitted for the September HL7 Comment ballot cycle. The updated PSS has been re- approved by CQI, CDS and ITS WGs and was approved by the US Realm task force and Technical Steering Committee (TSC) in July. Pilots will begin in August. Pilot sub-teams continue to plan for potential pilots. Each pilot team has begun by identifying the data elements required for the pilot. The required slices(s) of the standards will be created to support the individual pilots.

PHTT Wiki Update Julie Lipstein

S&I Public Health Contact Information ONC Public Health Lead: Jim (James) Daniel CDC Public Health Lead: John M. Saindon PHTT Wiki Page PHTT Wiki Page: SDC Wiki Page: DAF Wiki Page: CQF Wiki PHRi Archived Wiki Weekly PHTT Meeting Info (Tuesdays): Time: 2:00pm - 3:00pm Eastern URL: Dial-In Number: Access Code:

S&I Public Health Update Exploring partnership with Million Hearts Working with EHDI to track Pilot status Met with State of Utah about CDA pilots in Wis and NYC Developing Technical and Overview Presentations for S&I Public Health Seeking conferences and webinars to present on EHR Project at CDC

Wednesday S&I Public Health Education Series Wednesday August 6 th at 4pm EST (now on WebEx Update on SIM Funding (CMS) Clinical Quality Framework Update

Public Health Forums Webinars and teleconferences JPHIT Monthly Calls CSTE (Sub, every month) Julie L. ASTHO –IPN and eHealth (Marcus R) APHL NACCHO ISDS HIMSS AMIA –(John Loonsk) PHWG and education series APHA Health IT – Need to further explore NASCIO – Further explore AHIMA AIRA – Newsletter (Allison Chi) PHVC – Julie

Dan Chaput from ONC Subgroup to develop streamlined slide deck –High level –Technical/Use cases

Evaluation of SDC Pilots What are Public Health’s Expectations… –Demonstrate utility or lack there of SDC solutions for Public Health problems –Workflow implications: how these solutions might work in the “real world” –Clinical (real data/live) or simulated data/systems (prototype) or a hybrid (actual systems using simulated data) –Form manager solution approach (gain knowledge: centralized) Are not throw away solutions –Understanding of level of effort (time/resources/cost); e.g. hospitals, vendor, PHA, providers –Will not be proprietary (unique to the vendor) RFD vs SDC –Educate stakeholders; vendors, providers, PHA’s, hospitals, consumers of healthcare –Identify barriers/lessons learned and document

What are success criteria’s Model is vetted and move forward into adoption That the pilots be reproducible (open source) Used in a different setting or domain. E.g. occupational, environmental Is the pilot reproduced Gaps are identified Practices from PH Pilots, shared with SDC Initiative Identify best practices to improve technology for adoption High quality data Metrics: evaluate the quality of the data, usability, actual source data, de-duplication

S&I Public Health Education Series Clinical Quality Measures –QRDA, HQMF, Organizational issues HL7 Expressions –Implications for Public health and S&I Descriptions of workflows in PH Practice –Ex. Family Planning –WIC –IIS IHE Connectathon and PH-Quality Health: IHE, SDC

Showcasing efforts Partnerships and collaboration

Post Pilot Sustainability Plan Communication Partnerships and collaboration