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

MODULE 2: Public Health in

HIT Standardization

• Informational and educational resources regarding HIT Standards, the standardization process and its entities

Health Information Technology Standards

Example: Data Standards

Standards Category Pages PROVIDES: Definition of Terms Example: Standards Harmonization

Standards Category Pages PROVIDES: Definition of Terms

Example: Data Standards

Standards Category Pages

PROVIDES: Examples of specific standards within the category Domains in which the standards are being used

Example:

Standards Harmonization

HITSP Healthcare and Public Health

IHE Healthcare and Public Health

S&I Framework Healthcare and Public Health

Standards Category Pages

Example: Data Standards

Standards Category Pages

PROVIDES: Detailed

information Standard Standard

Setter URLs to more

information Example:

Data Standards

MODULE 4: HIT Standards

Resources

• Informational and educational resources regarding HIT Standards, the standardization process and its entities

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

PHDSC Business CaseNational 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.

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

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 ParticipationTotal Number of Organizations

N

Public Health Organizations,

N (%)

Needs Identification & Priorities Setting

HIT Policy Committee**

20 2 (10)

HIT Standards Committee

23 1 (4)

Standards Development & Maintenance

Health Level Seven (HL7)

503 27 (5)

Standards Selection & Harmonization

Health Information Technology Standards Panel (HITSP)

641 30 (5)

Standards Trial Implementation

Integrating the Healthcare Enterprise (IHE)

251 7 (3)

Standardized Health IT Products Certification

Certification Commission for Health Information Technology (CCHIT)

341 3 (1)

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

Organizations,

N (%)

Public Health Setting

Total Number of

Organizations 178070

(4%)

Federal Agencies 18State Public Health 20Local Public Health 9Professional Assoc. 16Academia 7

Public Health Participation in Health IT Standardization

Public Health Participation

0%

20%

40%

60%

80%

100%

Participation (%)

HIT Standardization Phases

Public Health Organizations Non-Public Health Organizations

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