Public Health Reporting Initiative

1. Public Health Reporting Initiative January 11, 2012

2. Agenda

3. Definitions WG Update

4. Consolidated User Story: Child Health, Birthing Facility Information Exchange Artifacts Use Case Name: Vital Records, Hearing, Immunization, Birth Defects, Metabolic Screening Newborn, Caregiver, Clinician, Hospital staff, Public health program staff Actors: Flow of Events: • Child is delivered. If live birth follows steps 3-9, • Clinician conducts initial physical exam • Newborn is due for <immunization, hearing test, metabolic test, birth defect assessment, birth registration, etc.> • Clinician orders an <immunization, hearing test, metabolic test, additional birth defect testing, etc.> • Hospital staff administers <immunization> and conducts <hearing test> and collects <blood specimen> and conducts <birth defect testing> • Hospital staff enter data on the <immunization, hearing test, birth defects, lab order> in the EHR database • EHR pre-populate information to the Birth/Fetal Death Facility Worksheet • Hospital staff and clinician review the Birth/Fetal Death Facility Worksheet • Information is electronically sent on <immunization, hearing test, metabolic test order, birth defect, birth registration/fetal death registration, etc.> to the PH IS directly or via HIE • PH program IS <IIS, EHDI IS, Metabolic IS (LAB), Birth Defect IS, Vital Records> receives notification of report availability • PH programs’ staff reviews the report and create PH IS record on a child in <IIS, EHDI IS, Genetic IS, Birth defect IS, Vital records> • PH IS sends Acknowledgement of Receipt of the Report to EHR directly or via HIE. 1&2 Demographics, Antepartum Record, Prenatal record, Labor & Delivery Record, Postpartum record, Newborn EHR 3. Consent (not for birth registration) 4. Test Order or Standing Order 5. Immun. Record, Test Results, Birth Defect Record 6. Immun. Record, Hearing Test Results, Birth Defect Record, Birth Record, Heelstick Lab Order 7&8. Birth/Fetal Death Facility Worksheet 9. Initial PH Report 10. Notification of Report Availability 11. Updated PH Record 12. Acknowledgement of receipt Pre-Conditions: EHR System, Health Information Exchange (HIE) Post-Conditions: Public Health Information System <IIS, EHDI IS, Birth Defect, Vital Records, Metabolic Screening, etc.> Preferred Timing Daily updates

5. Use Case Document Review

6. Use Case Schedule/Development Check out the “User Stories” page on the wiki for more information about the consolidated use case

7. S&I Public Health Reporting Roadmap User Story Validation / Consolidation Use Case Documentation Initiation Final version of the Charter FR / Modeling Stds Harm Spec Development / Pilot Planning 2011 2012 • Phase 2 • (January-May 2012) • Harmonization of selected use cases into a single use case • Identification of core data elements and data classes • Working on harmonization of FHA and segment enterprise architecture for public health reporting • Working on terminology • Identification and Harmonization of vocabulary / content exchange Standards • Development of implementation documentation • 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 • 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

8. Potential Artifacts for Phase 2