1. S&I Public Health * We will start the meeting 3 min after the hour Aug 12, 2014

2. 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.

3. Today’s Agenda Administrative Update –Brief Overview and Update of Initiatives Review potential audiences –Conferences (started last week) –Teleconference, webinars and educational series PHTT Deliverables (including a brief look at our charter) –Shall we further define deliverables and dates? Perhaps some high-level quarterly plan SWOT analysis of PHTT (including a brief look at our charter) Presentation follow-up/status

4. 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

5. 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

6. EHR PH Form Sample Types of Reporting Quality Research Public Health Case Reporting (Pilot CDA) EHR and SDC Model ELR 2.5.1 Immunization 2.5.1 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

7. 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: http://www.cms.gov/Regulations-and- Guidance/Legislation/EHRIncentivePrograms/Do wnloads/ClinicalDecisionSupport_Tipsheet-.pdf http://www.cms.gov/Regulations-and- Guidance/Legislation/EHRIncentivePrograms/Do wnloads/ClinicalDecisionSupport_Tipsheet-.pdf

9. 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

11. 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.

12. 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

13. Public Health Forums (meeting edits here) Webinars and teleconferences JPHIT Monthly Calls CSTE (Sub, every month) Julie L. ASTHO –IPN and eHealth (Marcus R) APHL NACCHO ISDS HIMSS –EHRA AMIA –(John Loonsk) PHWG and education series PHII and education of fellows, I-TIPP –Professionals who educate others about Health IT –Not a conference but a target audience CDC PH Informatics fellows program University Faculty? –Through AMIA CMS Conference (in DC, regional conferences also, follow-up with Anita?) Foundations and donors Certifying Organizations, authorized testing bodies NIST Registries –NAPHSIS –NEMSIS –NACCR –NCPDP (parent of PDMP) APHA Health IT – Need to further explore NASCIO – Further explore AHIMA AIRA – Newsletter (Allison Chi) PHVC – Julie HL7 – Subwork group specific – PHER NALBHO IHE Connectathon (this Jan) Health Care Executives (and finance) – Hospital association – Finances (impact, funding) Anyone who builds, utilizes, manages, legislates or governs HIE ONC’s HealthIT week:http://www.healthit.gov/healthitweekhttp://www.healthit.gov/healthitweek IHE Quality Research and Public Health (QRPH) Domain

14. PHTT Timeline and deliverables (meeting edits here) 3 rd Quarter 2014 (Jul-Sep) –Documented Leads for each initiative –Clarify the DAF/CQF use cases Need to present to the group (to schedule, Catherine) –Clarify data provenance use cases –Presentation materials –Determine the format for PHTT standards, guidance, approaches, and recommendations for promotion –Establish contacts with Connectathon (Jan), showcase (April) –Flesh out how we touch each of our stakeholders listed on the previous page (13) –Refine charter 4 th Quarter 2014 (Oct-Dec) –Presentations on implementation model –Deliver our message to a larger audience –Pilot recommendations (begin) –Work with contacts for Connectathon (Jan), showcase (April) 1 st Quarter 2015 (Jan-Mar) –Deliver our message to a larger audience –Pilot recommendations (begin) 2 nd Quarter 2015 (Apr-Jun) –Deliver our message to a larger audience –Pilot recommendations (begin)

15. Weaknesses Resources (people and time) We haven’t stated the “great need” well Strengths There is a great need Opportunities Well stated in our charter? Others? Need to define the change/transition model Threats Competing priorities (project) Challenges from IT in real world (program) Legal Policy Operational (should be addressed?) Privacy & Security As we communicate this will we be able to communicate the entire package in one presentation Failing to ID a PH need To have the topic in an IT realm, part of a business solution set Dan’s other thoughts (meeting edits here)

16. Updates, other thoughts Data Provenance Use Cases Useful for analysis How would provenance support analysis

17. S&I Public Health Contact Information ONC Public Health Lead: Jim (James) Daniel (james.daniel@hhs.gov)james.daniel@hhs.gov CDC Public Health Lead: John M. Saindon (uzn0@cdc.gov)uzn0@cdc.gov PHTT Wiki Page PHTT Wiki Page: http://wiki.siframework.org/Public+Health+Tiger+Teamhttp://wiki.siframework.org/Public+Health+Tiger+Team SDC Wiki Page: http://wiki.siframework.org/Structured+Data+Capture+Initiativehttp://wiki.siframework.org/Structured+Data+Capture+Initiative DAF Wiki Page: http://wiki.siframework.org/Data+Access+Framework+Homepagehttp://wiki.siframework.org/Data+Access+Framework+Homepage CQF Wiki http://wiki.siframework.org/Clinical+Quality+Framework+Initiativehttp://wiki.siframework.org/Clinical+Quality+Framework+Initiative PHRi Archived Wiki http://wiki.siframework.org/Public+Health+Reporting+Initiativehttp://wiki.siframework.org/Public+Health+Reporting+Initiative Weekly PHTT Meeting Info (Tuesdays): Time: 2:00pm - 3:00pm Eastern URL: https://siframework1.webex.com/https://siframework1.webex.com/ Dial-In Number: 1-650-479-3208 Access Code: 665 131 907