0 national center for health statistics ~ 2006 data users conference ~ july 11, 2006 – washington,...
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NATIONAL CENTER FOR HEALTH STATISTICS~ 2006 Data Users Conference ~
July 11, 2006 – Washington, DC
The Public Health Data Standards Consortium
Walter G. Suarez, MDPresident, PHDSC
President and CEO, Institute for HIPAA/HIT Education and Research
http://www.phdsc.org/
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Our Organization and Mission
Our Members
Our Projects and Products
How to Get Involved
PHDSC – Outline of Presentation
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Our Organization
Nonprofit voluntary confederation of federal, state and local health agencies, national and local professional associations and public and private sector organizations interested in public health data and data standards
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PHDSC - Organizational Chart
Normal Font - Active CommitteesItalic Font - Proposed CommitteesTBN – to be named
Sub-Committees
BOARD OF DIRECTORS
P R O G R A M A R E A S
CERTIFICATION
EXECUTIVE COMMITTEE & EXECUTIVE DIRECTOR
Health Care Services Data
Reporting Guide
PRIVACY, SECURITY & DATA SHARING
External Cause of Injury Codes
COMMUNICATION & OUTREACH
Public Health Vocabulary
Co-Chairs: Vicki Hohner
& Richard UrbanoCo-Chairs: David Ross
& Anna Orlova
Co-Chairs: Arturo Coto & Starla
Ledbetter
Co-Chairs: Vivian Auld
& Michelle Williamson
Co-Chairs: Robert Davis
& Starla Ledbetter
Chair: TBN
Payer Typology
Co-Chairs: Amy Bernstein
& Judy Parlato
BUSINESS PLAN
DATA STANDARDS NATIONAL HEALTH INFORMATION
NETWORK
Chair: Robert Davis
Co-Chairs: Lawrence Hanrahan
& Martin LaVenture
Co-Chairs: Noam Arzt & Farzard Mostashari
Web-Based Resource Center
Co-Chairs: Sally Klein & Michelle Williamson
Task Force on Standard
Harmonization Contract
Task Force onPrivacy Contract
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Achieving Our Mission By promoting the integration of health-related data
systems to meet health data needs of public and private organizations, agencies and individuals
By representing public health with a common voice in the on-going processes of developing and implementing national health care standards
By identifying priorities for developing and implementing new national standards for population health
By educating the public health community about health-related data standards and the health data standards community about public health
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Achieving Our Mission
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Members
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Members
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PHDSC – Projects and Products
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PHDSC Products: 1999-04
1999PHDSC
Establishedas a
Voluntary Confederatio
n
04/00PHDSC
MembersJoin Data Content
Committees
06/00Mother’s Medical Record Number is added
on Health Care Claim
07/03 PHDSC
became a non-profit
organization
03/04 Electronic Health Record- Public Health(EHR-PH) White Paper
10/02Health Care ServicesReporting Guide
03/02Health Data Standards Survey
05/03Web-based Resource Center
05/01PHDSC Education Strategy on Data Standards
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PHDSC Products: 2005-06
09/05Privacy & Security Websites
07/05Role of Public Health in Adoption & Use of HIT
02/05EHR-PH Prototyp
e
02/06Towards a Payer Typology Standard
01/05
Response to the RFI on the NHIN Development & Adaptation of aNHIN
04/06NationalStandards HarmonizationProject
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PHDSC Products – Website and Web-based Resource Center
http://www.phdsc.org/products/default.asp
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PHDSC Products – Web-based Resource Center
http://www.phdsc.org/products/default.asp
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PHDSC Products – Web-based Resource Center
http://www.phdsc.org/products/default.asp
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PHDSC Products
The Role of Public Health in the Adoption and Use of
Health Information Technology
Small Conference Program Grant # 1R13 HS016073-01 from the Agency for Healthcare Research and Quality
Role of Public Health in Adoption & Use of Health Information Technology. Report. July 2005. URL: http://www.phdsc.org/
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PHDSC Products
The Health Care ServicesData Reporting Guide
• First national standard implementation guide for electronic reporting/collection of information by public health agencies
• Developed and maintained as part of the ANSI X12N standards committee
• Type of applications: collection of administrative data, discharge data, encounter data
• Available from www.wpc-edi.com
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PHDSC Products
Developing a Prototype for
EHR-PH Interoperability:
Primary Care, Pediatrics and Public Health
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PHDSC Products- EHR-PH Interoperability System Prototype
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PHDSC Products- EHR-PH Interoperability System Prototype
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PHDSC Products- EHR-PH Interoperability System Prototype
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PHDSC Products
Developing Specification Requirements for Electronic Data Exchange between
Clinical and Public Health Settings: Examples of School Health and Syndromic
Surveillance in New York City
Contract from Health Resources and Services AdministrationRequisition/Purchase Request No.: 05-S250-0380
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PHDSC Project on a Vision for EHR-PH Functional Specifications (HRSA)
Project Rationale:
To help facilitate the development of interoperable EHR-Public Health (EHR-PH) system there is a need to describe work processes that support data exchange between clinicians and public health practitioners to formulate functional requirements for electronic communication between clinical and public health settings, so that the EHR-PH data/information exchange deployed at one clinical setting to transmit data to a public health agency can be replicated at other clinical facilities.
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PHDSC Project on a Vision for EHR-PH Functional Specifications (HRSA)
Functional specifications were developed in the format of the Requirement Analysis Document (RAD) that documented data exchange processes and include the description of:
• Goals of the EHR-PH Data Exchange • Functions that the EHR-PH Data Exchange will support• Actors – stakeholders – participant in data exchange• Actions – stakeholders activities• Data Sources – public health reporting forms• Dataflow and Workflow Models• Proposed System Architecture
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CHC-I EHRS
EHR
Community Health Centers (CHC)
New York CityDepartment of Health &
Mental Hygiene
AutomatedStudent Health
Record (ASHR)System
SchoolForms
School-IISystem
SchoolForms
School-NSystem
SchoolForms
School-ISystem
SchoolForms
New York City Schools
CHC-II EHRS
EHR
CHC-NEHRS
EHR
211SForm
RESForm
MUMForm
Consent
Form
School Health: EHR-PH Data Exchange
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Laboratory
Ambulatory Care
PharmacyResponse Team
State Public HealthSurveillance System
Syndromic Surveillance: Workflow and Dataflow
DHHS
1- Report/retrieve of symptoms, diagnosis & medication prescription data from EMRs
2 – Data mining of EMR notes
3 – Notify on increased number
of cases & recommend to
order pathogen test
4 – Orderpathogen test
5 – Reportpositive
test result electronically & by phone
6 – Report on the positive case electronically & by phone
Media
LocalPublic HealthSurveillance System
HospitalNeighboringJurisdictions
PUBLIC
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PHDSC Products
PHDSC Emerging Initiatives:
Standards Harmonization, Privacy and
Security, RHIOs and the Nationwide Health
Information Network (NHIN)
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HHS Health IT Strategy
StandardsHarmonization
Contractor(HITSP)
ComplianceCertification
(CCHIT)
Privacy/SecuritySolutions(HISPC)
NHINPrototype
Contractors
Office of the National CoordinatorProject Officers
American Health Information Community(Led by HHS Secretary Michael Leavitt)
Continuous Interaction with Multiple Public and Private StakeholdersContinuous Interaction with Multiple Public and Private Stakeholders
Consolidated Health
Informatics(CHI)
Other Federal
HITInitiatives
Private SectorHIT
Initiatives
Regional Health
Information Organizations
(RHIOs)
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Public Health is a critical player in all new Health IT
initiatives
Consortium bringing Public Health expertise and voice to
these initiatives
Standards Harmonization:
Representation at the HISTP Panel and Board of Directors
Facilitating role at the HISTP Biosurveillance Technical Committee
Technical expertise and participation in the Committee
Health IT Initiatives and Public Health
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Privacy and Security
Assisting national project coordinator collect and analyze state reporting of privacy and security laws/regulations affecting health information exchange
Looking at forming a ‘Public Health Privacy and Security Officers Forum’
RHIOs
Public health state agencies taking a leadership role in the formation and implementation of RHIOs
NHIN
Public health participation critical in the development of NHIN prototypes
Consortium’s NHIN Committee to provide input to this process
Health IT Initiatives and Public Health
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