S&I Public Health

*We will start the meeting 3 min after the hour

July 22, 2014

This meeting is being recorded and un-paused and will be available via the wiki

*Please mute your phone when not speaking to assist with background noise.

Today’s Agenda

• Administrative Update – Brief Overview and Update of Initiatives

• Evaluation of SDC Pilots• Post Pilot Sustainment

S&I: Public Health Tiger Team (PHTT)

4

Standards and Interoperability:

Public Health Tiger Team

Data Access

Framework

Structured Data

Capture

Clinical Quality

Framework

Data Provenance

S&I Initiative Portfolio Snapshot:

In production

* Community led initiatives leverage the S&I framework platform with minimal or no ONC funded contractor support.

Pre-Discovery Use Case Harmonization RI, Test & Pilot Evaluation

Active Initiatives

Structured Data Capture

Blue Button Plus

Data Provenance

EU/US eHealth Cooperation

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Data Access Framework

Clinical Quality Framework

Community-Led* or Other Agency-Led

Inactive or Closed Initiatives

Laboratory Orders Interface

Longitudinal Coordination of Care

Lab Results Interface

Public Health

esMD

Transitions of Care

Direct Project (S&I Archetype)

Health eDecisions (merged with CQF)

Query Health (merged with DAF)

Data Segmentation for Privacy

PDMP & HIT Integration

EHR PHForm

Sample Types of

Reporting

Quality

Research

Public Health

Case Reporting (Pilot CDA)

EHR and SDC Model

ELR 2.5.1Immunization 2.5.1

Syndromic SurveillanceCancer CDA

Forms Repository

Request Form

(CDISC RFDC)Deliver Form

Deliver data from form{Format Type, TBD}

Example Types of Reporting

CDEsMeta DataBusiness

Logic

Define Forms

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SDC Update

• Identifying organization to participate in IHE Connectathon Jan 2015

• Guidance on IHE Profile vs. FHIR Profile and Frequently Asked Questions for community 25JUL14

• Still looking for ownership of CDE and Form Repository/ Registry. (This is out of scope for SDC but remains dependency on outcome of initiative.)

DAF Update

• Review the HITSC Evaluation Criteria to apply to FHIR, HL7 v2, QUICK, QED, and HQMF v2 and begin narrowing down to a standard for data elements

• Discussed the need to agree on the standards evaluation criteria and possible inclusion of HITSC criteria to DAF standards selection process for data elements

CQF Update

• Pilots will begin in August. Pilot sub-teams continue to plan for potential pilots. Each pilot team will begin by identifying the data elements required for the pilot. The required slices(s) of the standards will be created to support the individual pilots.– The Chlamydia Screening Pilot (Chlamydia Screening CDS and eCQM

related to the IHE Family Planning Profile from the US Department of Health and Human Services (HHS) Office of the Assistant Secretary for Health (OASH) Office of Population Affairs (OPA) Title X Family Planning Program (a grant making contraceptive service delivery program)) worked to find interested EHR vendors to participate in the pilot. A planning meeting will be held this Friday to review lessons learned from previous chlamydia screening pilots. Invited stakeholders include a CDC team (including the development team and stewards) that worked on a chlamydia pilot at CDC (ref Michael Wittie, the lead for the eCQM on chlamydia screening), and the QIR team working on measures that look at patients at high risk for STIs proposed for MU3. Participants will discuss their data model approaches.

S&I Public Health Contact Information

ONC Public Health Lead: Jim (James) Daniel (james.daniel@hhs.gov)

CDC Public Health Lead: John M. Saindon (uzn0@cdc.gov)

PHTT Wiki Page: http://wiki.siframework.org/Public+Health+Tiger+Team

SDC Wiki Page: http://wiki.siframework.org/Structured+Data+Capture+Initiative

DAF Wiki Page: http://wiki.siframework.org/Data+Access+Framework+Homepage

CQF Wiki http://wiki.siframework.org/Clinical+Quality+Framework+Initiative

PHRi Archived Wiki http://wiki.siframework.org/Public+Health+Reporting+Initiative

Weekly PHTT Meeting Info (Tuesdays):• Time: 2:00pm - 3:00pm Eastern• URL: https://siframework1.webex.com/• Dial-In Number: 1-650-479-3208• Access Code: 665 131 907

S&I Public Health Update

• Developing evaluation criteria and expectations for S&I Pilots

• Developing post pilot sustainability plans and transition process

• Last week had a public health update from Bob Dieterle

Wednesday S&I Public Health Education Series

Wednesday August 6th at 4pm EST (now on WebEx

• Update on SIM Funding (CMS)• Privacy and Security Standards

R. Merrick, Moderator Presenters (invited): W. Suarez, J. Moerke, R. McCoy

Evaluation of SDC Pilots

• What are Public Health’s Expectations…– Demonstrate utility or lack there of SDC solutions for Public Health problems– Workflow implications: how these solutions might work in the “real world”– Clinical (real data/live) or simulated data/systems (prototype) or a hybrid

(actual systems using simulated data)– Form manager solution approach (gain knowledge: centralized) Are not throw

away solutions– Understanding of level of effort (time/resources/cost); e.g. hospitals, vendor,

PHA, providers– Will not be proprietary (unique to the vendor)

• RFD vs SDC

– Educate stakeholders; vendors, providers, PHA’s, hospitals, consumers of healthcare

– Identify barriers/lessons learned and document

What are success criteria’s

• Model is vetted and move forward into adoption• That the pilots be reproducible (open source)

• Used in a different setting or domain. E.g. occupational, environmental

• Is the pilot reproduced• Gaps are identified • Practices from PH Pilots, shared with SDC Initiative • Identify best practices to improve technology for adoption

• High quality data• Metrics: evaluate the quality of the data, usability, actual source data, de-duplication

Needs Statement

• Showcasing efforts• Partnerships and collaboration

Post Pilot

• Sustainability Plan• Communication • Partnerships and collaboration