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NATIONAL CENTER FOR HEALTH STATISTICS ~ 2006 Data Users Conference ~ July 11, 2006 – Washington, DC . http://www.phdsc.org/. The Public Health Data Standards Consortium Walter G. Suarez, MD President, PHDSC President and CEO, Institute for HIPAA/HIT Education and Research.

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  1. NATIONAL CENTER FOR HEALTH STATISTICS~ 2006 Data Users Conference ~ July 11, 2006 – Washington, DC http://www.phdsc.org/ The Public Health Data Standards ConsortiumWalter G. Suarez, MDPresident, PHDSCPresident and CEO, Institute for HIPAA/HIT Education and Research

  2. PHDSC – Outline of Presentation • Our Organization and Mission • Our Members • Our Projects and Products • How to Get Involved

  3. 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

  4. PHDSC - Organizational Chart BOARD OF DIRECTORS EXECUTIVE COMMITTEE & EXECUTIVE DIRECTOR BUSINESS PLAN Co-Chairs: Lawrence Hanrahan & Martin LaVenture Task Force on Standard Harmonization Contract Task Force on Privacy Contract P R O G R A M A R E A S DATA STANDARDS PRIVACY, SECURITY & DATA SHARING NATIONAL HEALTH INFORMATION NETWORK Co-Chairs: Robert Davis & Starla Ledbetter Co-Chairs: Vicki Hohner & Richard Urbano Co-Chairs: David Ross & Anna Orlova Sub-Committees CERTIFICATION COMMUNICATION & OUTREACH Health Care Services Data Reporting Guide External Cause of Injury Codes Co-Chairs: Noam Arzt & Farzard Mostashari Co-Chairs: Sally Klein & Michelle Williamson Chair: Robert Davis Co-Chairs: Arturo Coto & Starla Ledbetter Payer Typology Public Health Vocabulary Web-Based Resource Center Co-Chairs: Amy Bernstein & Judy Parlato Chair: TBN Co-Chairs: Vivian Auld & Michelle Williamson Normal Font - Active Committees Italic Font - Proposed Committees TBN – to be named

  5. 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

  6. Achieving Our Mission

  7. Members

  8. Members

  9. PHDSC – Projects and Products

  10. PHDSCProducts: 1999-04 03/04 Electronic Health Record- Public Health (EHR-PH) White Paper 10/02 Health Care ServicesReporting Guide 05/01 PHDSC Education Strategy on Data Standards 1999 PHDSC Established as a Voluntary Confederation 07/03 PHDSC became a non-profit organization 05/03 Web-based Resource Center 06/00 Mother’s Medical Record Number is added on Health Care Claim 03/02 Health Data Standards Survey 04/00PHDSC MembersJoin Data Content Committees

  11. PHDSCProducts: 2005-06 01/05 Response to the RFI on the NHIN Development & Adaptation of aNHIN 07/05 Role of Public Health in Adoption & Use of HIT 02/06 Towards a Payer Typology Standard 09/05 Privacy & Security Websites 04/06 National Standards Harmonization Project 02/05 EHR-PH Prototype

  12. PHDSC Products – Website and Web-based Resource Center http://www.phdsc.org/products/default.asp

  13. PHDSC Products – Web-based Resource Center http://www.phdsc.org/products/default.asp

  14. PHDSC Products – Web-based Resource Center http://www.phdsc.org/products/default.asp

  15. 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/

  16. 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

  17. PHDSC Products • Developing a Prototype for • EHR-PH Interoperability: • Primary Care, Pediatrics and Public Health

  18. PHDSC Products- EHR-PH Interoperability System Prototype

  19. PHDSC Products- EHR-PH Interoperability System Prototype

  20. PHDSC Products- EHR-PH Interoperability System Prototype

  21. 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 Administration • Requisition/Purchase Request No.: 05-S250-0380

  22. 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.

  23. 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

  24. School Health: EHR-PH Data Exchange Community Health Centers (CHC) New York City Schools New York City Department of Health & Mental Hygiene EHR School Forms CHC-I EHRS School-I System School Forms EHR 211S Form Consent Form School Forms CHC-II EHRS RES Form MUM Form School-II System Automated Student Health Record (ASHR) System EHR School Forms CHC-N EHRS School-N System

  25. Syndromic Surveillance: Workflow and Dataflow Laboratory NeighboringJurisdictions Hospital State Public HealthSurveillance System 1- Report/retrieve of symptoms, diagnosis & medication prescription data from EMRs 6 – Report on the positive case electronically & by phone 2 – Data mining of EMR notes Ambulatory Care 3 – Notify on increased number of cases & recommend to order pathogen test 4 – Order pathogen test DHHS LocalPublic HealthSurveillance System P U B L I C 5 – Report positive test result electronically & by phone Media Response Team Pharmacy

  26. PHDSC Products PHDSC Emerging Initiatives: Standards Harmonization, Privacy and Security, RHIOs and the Nationwide Health Information Network (NHIN)

  27. HHS Health IT Strategy American Health Information Community(Led by HHS Secretary Michael Leavitt) Office of the National CoordinatorProject Officers StandardsHarmonizationContractor (HITSP) ComplianceCertification(CCHIT) NHINPrototypeContractors Privacy/SecuritySolutions(HISPC) Continuous Interaction with Multiple Public and Private Stakeholders Regional Health Information Organizations (RHIOs) Consolidated Health Informatics (CHI) Other Federal HITInitiatives Private Sector HIT Initiatives

  28. Health IT Initiatives and Public Health • 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

  29. Health IT Initiatives and Public Health • 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

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