1. Public Health Data Standards Consortium http://www.phdsc.org http://www.phdsc.org

2. The Consortium is a unique entity made up of federal, state and local agencies, professional associations, academia, health IT vendors and individuals that collectively represent the interests of public health in the health IT standardization.

3. PHDSC Ad Hoc Task Force on Electronic Health Record-Public Health (EHR-PH) http://www.phdsc.org/health_info/ehr-task-force.asp

4. WHITE PAPER “Electronic Health Record: Public Health Perspectives” http://www.phdsc.org/health_info/pdfs/PHDSC_EHRPH_WhitePaper2004.pdf Purpose: ■ To communicate to the public health community a need for broader involvement in the national effort to standardize clinical and public health data and information systems ■ To describe public health perspectives on the EHR 2004 PHDSC EHR-PH Task Force

5. Re-evaluation of HL7 EHR-S FM V1.1 from Public Health Perspectives Supported by the National Center for Health Statistics (NCHS) Centers for Disease Control and Prevention (CDC) Grant No. 5U38HM000455-02 Project information can be found at https://wiki.phdsc.org/index.php/EHR-PH_Project https://wiki.phdsc.org/index.php/EHR-PH_Project 2010 PHDSC EHR-PH Task Force

6. Public Health Functional Profile Project Supported by the National Center for Health Statistics (NCHS) Centers for Disease Control and Prevention (CDC) Grant No. 5U38HM000455-03 Project wiki pages: https://wiki.phdsc.org/index.php/EHR-PH_Project_Year3 2011 PHDSC EHR-PH Task Force

7. Project Objectives:  Develop an approach for identifying public health criteria for certification of standards-based HIT products based on the Health Level Seven (HL7) Public Health Functional Profile  Work with state and local public health agencies and professional associations to solicit their input in developing Public Health Functional Profile and defining certification criteria for interoperable clinical and public health information systems  Participate with national certification entities representing public health interests 2011 PHDSC EHR-PH Task Force

8. 131 Participants:  39 new members joined the Task Force since 2010  115% increase in comparison with 2004 EHR-S FM evaluation with 63 members  44% increase in comparison with 2010 Task Force membership of 92 members 2011 PHDSC EHR-PH Task Force

9. Participants Affiliation* StakeholdersNumber of Participants (2011 / 2010) Local Public Health15 / 12 State Public Health44 / 25 Federal Agencies36 / 25 CDC=38, VA=1, NIST=1, FDA=2, HRSA=1, USDA=1 Professional Associations8 / 4 (PHDSC=3, NAPHIT=1, AHIMA=1, APHL=1, NAACCR=1, CAP=1) Other Professional Organizations3 Academia/Research Organizations13 / 2 Payor1 / 2 Clinicians1 / 1 IT vendors17 / 19 Total131 / 92 * We were unable to specify stakeholder category for 2 / 1 participant. 2011 PHDSC EHR-PH Task Force

10. Public Health Participant Jurisdictions:  Public health participants range from local and state health departments in 20 states as follows: 2011 PHDSC EHR-PH Task Force AKCACODEGAIL KYMAMIMNNCNE NYOHORPASDTN TXWA

11. Domain / Stakeholder Representation*, ** * Participants may have expertise in several domains. **Several participants did not specify their area of expertise. 2011 PHDSC EHR-PH Task Force Public Health Domain/ProgramNumber of Participants, (2010+2011) Early Hearing Detection and Intervention5 (0+5) Vital Records9 Communicable Diseases15(13+2) Chronic Diseases (including Cancer)13 (11+2) Immunization8 (9-1) Environmental Health6 (1+5) Public Health Informatics16 (24-8) IT, HIT Standards, HIM, EMR, EHR41 (38+3) Law (including HIPAA)4 (2+20) Primary Care1 (3-2) Behavioral & Occupational Health1 (2-1) Birth Defects4 (1+3) Occupational & Occupational Health2 (0+2)

12. 2011 PHDSC EHR-PH Task Force TimelineMethodology 09/01/10Recruit participants for the Public Health Functional Profile Project 09/29/101 st Call of EHR-PH Participants 10/27/102 nd Call of EHR-PH Participants 11/17/103 rd Call of EHR-PH Participants 12/22/104 th Call of EHR-PH Participants 01/26/115 th Call of EHR-PH Participants 02/10/116 th Call of EHR-PH Participants 02/16/117 th Call of EHR-PH Participants 02/25/118 th Call of EHR-PH Participants 03/16/119 th Call of EHR-PH Participants 03/27/11Public Health Functional Profile Ballot 04/25/11Webinar on the Public Health Functional Functional Profile Ballot 5/15-20/11Present project findings at the HL7 Working Group Meeting 5/25/10Draft Certification Criteria Document for EHDI Program

13. 2011 PHDSC EHR-PH Task Force Call for Participation to form PH Domain Teams Formed PH Domain Teams to review sections of the EHR-S Each PH Domain Team submitted proposed functions and criteria for their domain via email to the Project Team using Excel spreadsheet Received spreadsheet with proposed functions prior calls Reviewed proposed functions during the calls Developed Public Health Functional Profile Identify certification criteria for Early Hearing Detection and Intervention (EHDI) Information Systems Work with health IT Certification Entities to enable certification of EHR-S and public health interoperability solutions Participation Process

14. The HL7 Public Health Functional Profile (PHFP) conforms to the HL7 Electronic Health Record System Functional Model (EHR-S FM) Release 1.1 and identifies functional requirements and conformance criteria for public health - clinical information collection, management and exchanges as they apply to the following public health programs (domains):  Early Hearing Detection and Intervention (EHDI)  Vital Records (VR)  Cancer By  Direct Care, Supportive and Infrastructure Functions 2011 PHDSC EHR-PH Task Force

16. HL7 Public Health Functional Profile: Direct Care Functions

17. HL7 Public Health Functional Profile: Supportive Functions

18. HL7 Public Health Functional Profile: Infrastructure Functions

19. The HL7 Public Health Functional Profile serves as the overarching profile for public health functions relevant to an EHR-S from which other PH profiles may be derived. For example, we envision that this profile will be expanded in the future to include additional public health domains, e.g., birth defects, electronic laboratory reporting, occupational health, immunization, communicable diseases, biosurveillance / syndromic surveillance, behavioral health, environmental health, and others. 2011 PHDSC EHR-PH Task Force

20. The HL7 Public Health Functional Profile will be used as a reference for certification of EHR systems that include functionality to support public health domains (programs). Specifically, we expect using this profile for developing certification criteria for EHR-S to support information exchanges for the EHDI domain. 2011 PHDSC EHR-PH Task Force

21. Project Information and Documentation: Project wiki pages: https://wiki.phdsc.org/index.php/EHR-PH_Project_Year3 2011 PHDSC EHR-PH Task Force