1. Public Health in Health IT Standardization Resource Center Current experience with implementation of public health information systems. HIT Adoption Stories Informational and educational resources regarding HIT Standards, the standardization process and its entities HIT Standards Resources Public health involvement in national HIT standardization : why, where, when how to participate and cost of participation. Public Health in HIT Standardization Online survey for Gathering functional requirements for information exchange Public Health Needs for HIT Standards

2. MODULE 2: Public Health in HIT Standardization Informational and educational resources regarding HIT Standards, the standardization process and its entities

3. Health Information Technology Standards  Example: Data Standards

4. Standards Category Pages  PROVIDES:  Definition of Terms  Example: Standards Harmonization

5. Standards Category Pages  PROVIDES:  Definition of Terms  Example: Data Standards

6. Standards Category Pages  PROVIDES:  Examples of specific standards within the category  Domains in which the standards are being used  Example: Standards Harmonization HITSPHealthcare and Public Health IHEHealthcare and Public Health S&I FrameworkHealthcare and Public Health

7. Standards Category Pages  Example: Data Standards

8. Standards Category Pages  PROVIDES:  Detailed information  Standard  Standard Setter  URLs to more information  Example: Data Standards

9. MODULE 4: HIT Standards Resources Informational and educational resources regarding HIT Standards, the standardization process and its entities

10. Barriers to Public Health Participation in Health IT Standardization Lack of awareness of the benefits of participating in HIT standardization Difficulty in identifying standardization entities Limited ability to be involved Lack of technical knowledge and informatics skills Lack of funding to support participation

11. PHDSC Business Case 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 and informs and educates,other public health stakeholders.  Through this joint public health effort, we could achieve meaningful interoperability across public health information systems as well as between public health and clinical information systems.

12. Public Health Participation in Health IT Standardization Public health needs can only be communicated effectively by public health professionals Why Public health participation is needed along the continuum of the Health IT Standardization process. Where Jurisdictional and program interests should be brought to the Health IT Standardization table. What Senior public health program staff and informaticians should participate in Health IT Htandardization Who Public health needs to speak with a strong, coordinated voice to Health IT standardization entities. How Participation cost has been estimated at $39,500. How Much

13. Public Health Participation in Health IT Standardization* * Based on the total number of participating organizations as of December 1, 2009. Health IT Standardization Phase Health IT Standardization Entity Public Health Participation Total Number of Organizations N Public Health Organizations, N (%) Needs Identification & Priorities Setting HIT Policy Committee** 202 (10) HIT Standards Committee 231 (4) Standards Development & Maintenance Health Level Seven (HL7) 50327 (5) Standards Selection & Harmonization Health Information Technology Standards Panel (HITSP) 64130 (5) Standards Trial Implementation Integrating the Healthcare Enterprise (IHE) 2517 (3) Standardized Health IT Products Certification Certification Commission for Health Information Technology (CCHIT) 3413 (1)

14. Public Health Participation in Health IT Standardization Based on the total number of participating organizations as of December 1, 2009. Total Number of Organizations Public Health Organization s, N (%) Public Health Setting Total Number of Organizations 1780 70 (4%) Federal Agencies 18 State Public Health 20 Local Public Health 9 Professional Assoc. 16 Academia 7 Public Health Participation in Health IT Standardization

15. Public Health Participation

16. Estimated Annual Cost for Public Health Agency/Program to Participate in Health IT Standardization  Based on participation of PHDSC representatives at HL7, ASC X12, HITSP, and IHE, we estimate the following dollar costs: Active Partici- pation $30,000 Attend Meetings $8,000 Continuing Education $1,500 Total $39, 500 25% FTE senior level: Conference Calls Document Review 25% FTE senior level: Conference Calls Document Review 25% FTE senior level: Conference Calls Document Review Quarterly Face to Face 3 – 5 days 25% FTE senior level: Conference Calls Document Review CME credits average $20 - $80/credit Direct Costs