1. Call: Wed, 10/05/11 4-5pm ET Agenda: 4:00 – 4:05 Welcome, Riki Merrick, co-lead [Note: attendance will be taken by livemeeting login] 4:05 – 4:15 Initiative logistics update, Nikolay Lipskiy & Lise Stevens, co-leads 4:15 – 4:25 Initiative work plan, Lise Stevens & Riki Merrick, co-leads 4:25 – 4:50 Starting discussion on PH reporting definitions based on the HITSP document, Nikolay Lipskiy, Riki Merrick, co-leads 4:50 – 4:55 Review of Action Items, Lise Stevens, co-lead 4:55 – 5:00 Final Comments

2. Phase 1 (September-December 2011) Charter has been finalized All participants work together on - assessment of needs for the process - building a consensus on public health reporting definitions - building a consensus on a scope of the Public Health Reporting HIT Standardization Framework - development of criteria and selection use cases - defining a list of WGs Forming workgroups and starting assessment of existing artifacts in a scope of the initiative Development of detailed work plan August September OctoberNovemberDecemberJanuaryFebruary Initiation S&I Public Health Reporting Roadmap Final version of the Charter Decision on selection of use cases Starting working on specific use cases Phase 2 (January-May 2012) Harmonization of selected use cases into a single use case Identification of core data elements Development of implementation documentation Working on terminology Harmonization of vocabulary Completion of assessment of business process, policy barriers Proposing public health objectives for Stage 3 MU Environmental scan of existing shared utilities for public health reporting and development of a vision on a public health hub for collection, sharing and maintenance Development of a vision on a purpose and scope of testing and certification of systems for public health reporting Working on harmonization of FHA and segment enterprise architecture for public health reporting

3. S&I Public Health Reporting Call Schedule: Wednesdays - 4-5pm ET (October - December 2011 ) DateCall Discussion Topics 10/05/11 Work group logistics, planning and PH Reporting Definitions 10/12/11 PH Reporting Framework presentation / Landscape document data collection / Use case selection criteria formal comment period starts 10/19/11 Finalize use case selection criteria and solicit use cases PH Reporting Definitions – comment period starts 10/26/11 PH Reporting Definitions – comment review 11/2/11 Glossary finalization (start of consensus) / landscape document check point 11/09/11 Call on Scope & Use Cases Selection 11/16/11 Call on Scope, Use Cases and Workgroups 11/23/11 NO CALL – Happy Thanksgiving everyone! 11/30/11 Use case selection 12/07/11 Call on Workgroups & Their Work Plans 12/14/11 Landscape document review 12/21/11 Call on Initiative’s Work Plan 2012-2013

4. Discussion on Public Health Reporting Definitions 4 Nikolay Lipskiy, Riki Merrick October 5 th, 2011

5. HITSP Definitions HITSP/TN903 3.1 Definitions 5

6. Conceptual Framework for Public Health Reporting 6 Use of Conceptual Models/Conceptual Frameworks* Definition of a common language Basis for precise formulation of goals, rules, policies, processes and so on Basis for definition of spatial (math.) concepts Basis for design of application schemas Explanation of application schemas when applying standards Basis for dictionaries in application areas * Adapted from: www.isotc211.org/WorkshopThu n/Presentations/Wohed_pres.ppt

7. Initial Case Report: Conceptual Framework “An initial case report is defined as a type of public health reporting that contains initial notification of an occurrence or it may contain specific information about what occurred. A classic example of initial case report is a report about occurrence or suspected case of a "notifiable" disease by a practitioner to local, state or federal public health agencies.[4] In the context of this Initiative, we will use this term to describe initial reporting from clinical electronic health record (EHR)systems to public health agencies on a public health occurrence (event) for all use cases, e.g., maternal and child health, injuries, immunization, chronic diseases and other public health programs (domains). “ Charter, p.4 Scope Select 3-5 use cases as examples of public health reporting. At first, we will focus on the initial case report (individual patient-level reporting) from EHR- systems to local/state/federal public health agencies 7

8. Terminology: Initial Case Report (cont.) Initial Case Report (object, class) is Reporting (process) ? Initial Case Report (object, class) Initial Information (attribute) Information about what occurred (attribute) + is From EHR system (source of information) + Public Health Report (attribute) is 8

9. PH Case/ PH Report Conceptual Framework 9 PH event (s)/condition (s) Public Health Case(s) Information about event(s) Public Health Report EHR information of PH interest (PH case: case criteria, trigger data and events, AE: trigger data and reporting specifications–AHIC) Information from Public Health Systems (local, state and federal) Sources of information From a comparative analysis of definitions:

10. Initial Public Health Reporting : Conceptual Framework (cont.) Public health case Public health report 1 (i.e. preliminary lab results report) Public health report 2 (i.e. admission data) Public health report 3 (i.e. Adverse Event (AE)) PH reporting process 1 PH reporting process 2 PH reporting process 3 Initial Report? Public health report 4 (i.e. final lab results report) Public health report 5 (i.e. death certificate) Follow- up Report? Trigger event 10 ?

11. Public Health Operational Framework* and Potential Scope for Initial Case Reporting *IHE Quality Public Health and Research (QPHR) Technical Supplement Framework (TSF) Public Health Reporting (PH-rpt) 11 -candidate for initial case reporting, phase I of the S&I activity

12. Business Area is Roles/objectives Domain is PH …office Business Process is Activities IS Functions is Functional Requirements PH Case is PH Event (condition) PH Reporting is Information exchange Public Health Reporting: Conceptual Framework (cont.) *IHE Quality Public Health and Research (QPHR) Technical Supplement Framework (TSF) Public Health Reporting (PH-rpt) 12

13. What to Do: 13 Post your comments on the first set of public health reporting terms (“public health case”, “public health report”, “public health reporting” and “initial case reporting”) Work on a conceptual framework for public health reporting/presentation’s slides Start working on review of a conceptual coordination for public health reporting that was included into the IHE Public Health Reporting (PH- rpt) at: http://www.ihe.net/Technical_Framework/upload/IHE_QRPH_Suppl_PH-rpt_Rev1-0_PC_2011-06- 17.pdf http://www.ihe.net/Technical_Framework/upload/IHE_QRPH_Suppl_PH-rpt_Rev1-0_PC_2011-06- 17.pdf Post your comments on the next set terms for public health operational framework from a slide (“business area”, “domain”, “business process” and “information system functions” ) Provide your opinion on a list of terms for further discussion

14. 14