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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

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call wed 10 05 11 4 5pm et
Call: Wed, 10/05/11 4-5pm ET

Agenda:

4:00 – 4:05 Welcome, Riki Merrick, co-lead

[Note: attendance will be taken by livemeetinglogin]

4:05 – 4:15 Initiative logistics update, NikolayLipskiy & 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, NikolayLipskiy, Riki Merrick, co-leads

4:50 – 4:55 Review of Action Items, Lise Stevens, co-lead

4:55 – 5:00 Final Comments 

slide2

S&I Public Health Reporting Roadmap

Decision on selection of use cases

Starting working on specific use cases

Final version of the Charter

Initiation

2011

2012

  • 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
  • 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
slide3

S&I Public Health Reporting Call Schedule:

  • Wednesdays - 4-5pm ET (October - December 2011)
discussion on public health reporting definitions
Discussion on Public Health Reporting Definitions

Nikolay Lipskiy, Riki Merrick

October 5th, 2011

hitsp definitions
HITSP Definitions

HITSP/TN903

3.1 Definitions

conceptual framework for public health reporting
Conceptual Framework for Public Health Reporting
  • 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/WorkshopThun/Presentations/Wohed_pres.ppt

initial case report conceptual framework
Initial Case Report: Conceptual Framework

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

“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

terminology initial case report cont
Terminology: Initial Case Report (cont.)

Initial Case Report

(object, class)

?

is

Reporting

(process)

is

Initial Information

(attribute)

Initial Case Report

(object, class)

+

From EHR system

(source of information)

Information about what occurred

(attribute)

is

+

is

Public Health Report

(attribute)

ph case ph report conceptual framework
PH Case/ PH Report Conceptual Framework

From a comparative analysis of definitions:

Public Health Case(s)

Public Health Report

PH event (s)/condition (s)

Information about event(s)

EHR information of PH interest (PH case: case criteria, trigger data and events, AE: trigger data and reporting specifications–AHIC)

Sources of information

Input from participants needed

Information from Public Health Systems (local, state and federal)

Not included for phase 1

initial public health reporting conceptual framework cont
Initial Public Health Reporting : Conceptual Framework (cont.)

Initial Report?

Follow-up Report?

Public health report 1 (i.e. preliminary lab results report)

Public health report 4 (i.e. final lab results report)

?

PH reporting process 1

Public health case

PH reporting process 2

Public health report 2 (i.e. admission data)

Public health report 5 (i.e. death certificate)

PH reporting process 3

Public health report 3 (i.e. Adverse Event (AE))

Trigger event

public health operational framework and potential scope for initial case reporting
Public Health Operational Framework* and Potential Scope for Initial Case Reporting

Input from participants needed

-candidate for initial case reporting, phase I of the S&I activity

*IHE Quality Public Health and Research (QPHR) Technical Supplement Framework (TSF) Public Health Reporting (PH-rpt)

slide12

Public Health Reporting: Conceptual Framework (cont.)

is

is

is

is

is

is

Domain

Business Process

IS Functions

PH Case

PH Reporting

Business Area

Functional Requirements

PH …office

PH Event (condition)

Roles/objectives

Information exchange

Activities

*IHE Quality Public Health and Research (QPHR) Technical Supplement Framework (TSF) Public Health Reporting (PH-rpt)

what to do
What to Do:
  • 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
  • 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