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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 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

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  1. 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 

  2. 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

  3. S&I Public Health Reporting Call Schedule: • Wednesdays - 4-5pm ET (October - December 2011)

  4. Discussion on Public Health Reporting Definitions Nikolay Lipskiy, Riki Merrick October 5th, 2011

  5. HITSP Definitions HITSP/TN903 3.1 Definitions

  6. 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

  7. 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

  8. 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)

  9. 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

  10. 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

  11. 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)

  12. 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)

  13. 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

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