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all work together to give the gift of health to our children and our nation.“ “ “Let's Joseph H. Kanter Public Health Data Standards Consortium http://www.phdsc.org “ PUBLIC HEALTH DATA STANDARDS CONSORTIUM ~ 2012 BUSINESS MEETING OF MEMBERS ~ November 8-9, 2012, Hyattsville, MD 2012 PHDSC Report Anna O. Orlova, PhD [email protected] Executive Director Public Health Data Standards Consortium Baltimore, Maryland, USA 2012 PHDSC Report: Outline Goals Membership Revenues Activities 2012 PHDSC Report Goals PHDSC’s Mission PHDSC is committed to bring a common voice from the public health community to the national efforts of standardization of health and healthcare information Enhanced Enhanced Healthand Health Population and Health Care Health Care Health Improved Improved Improved Health Health Information Information Health Information HealthIT Data Standards Health Data Standards Health Standards 2012 PHDSC Goals Represent public health interests (local, state and federal agencies and research communities) in the standards development, harmonization and maintenance activities by participation in the standard development (SDOs), data content committees (DCCs), standard harmonization entities and other healthcare standardizationrelated efforts Promote interoperability of health-related data systems to meet the health data needs of public and private organizations, agencies and individuals Educate clinical and public health professionals about standards and systems interoperability, and vendors and clinicians about public health Enhance membership services 2012 PHDSC Objective Develop Implementation Strategy for the PHDSC Strategic Plan 2012-2014 We will hear reports from PHDSC Committees on Day 2 Strategic Plan was approved in March 2012 2012 PHDSC Report Membership Our Members Federal Agencies Agencies for Healthcare Research and Quality (AHRQ) Centers for Disease Control and Prevention (CDC) CDC/ National Center for Health Statistics (NCHS) CDC/ National Institute for Occupational Safety & Health (NIOSH) Health Resources and Services Administration (HRSA) National Library of Medicine (NLM) Our Members State and Local Agencies California Office of Statewide Health Planning and Development Denver Public Health El Paso City Department of Public Health, Texas Minnesota Department of Health Ohio State Department of Health Texas Department of State Health Services Wisconsin Department of Health and Family Services Our Members Professional American Membership Organization Immunization Registry Association (AIRA) Association of Public Health Laboratories (APHL) Association of State and Territorial Health Officers (ASTHO) Council of State and Territorial Epidemiologists (CSTE) National Association for Health Data Organization (NAHDO) National Association of City and County Health Officers (NACCHO) North American Association of Central Cancer Registries (NAACCR) Texas Association of Local Health Officials Our Members Other Professional Organizations Illinois Hospital Association Kaiser Permanente Public Health Informatics Institute Our Members Academic Institutions INSERM (France) Johns Hopkins Bloomberg School of Public Health University of Connecticut Vanderbilt University Our Members For-profit Organizations Atlas Public Health Coto Partners Cognosante (former Fox Systems) Greenway Technologies HLN Consulting, LLC OZ Systems Registry Widgets, Inc Scientific Technologies Corporation (STC) Software Partners, LLC Our Members Organizations – Individual Members American Health Information Management Association (AHIMA) Prosocial Applications Research Triangle Institute (RTI) 2012 PHDSC Membership Federal Agencies State & Local Government Agencies Professional Membership Organizations Other Professional Organizations Academia For-Profit Organizations Individual Members 2012 PHDSC Membership Revenues PHDSC Revenues Membership Dues Grants Contracts Annual Meetings Services PHDSC REVENUES: 2004-2012 Year Dues Grants Contracts Ann. Mtgs 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013* 76K 82K 81K 115K 117K 106K 125K 94K 97K 95K 0 19K 6K 63K 101K 162K 277K 456K 1000K 1107K 0 10K 42K 44K 40K 115K 0 0 0 0 2K 12K 3K 3.7K 3.4K 5K 6K 6.2K 4.6K 5K 2013* - Projected Revenues Services Total 0 0 0 0 0 3.7 0 0 0 0 78K 123K 132K 225K 262K 392K 408K 556K 1102K 1207K PHDSC Revenues Comparison: 2004 - 2013 1400000 1200000 1000000 Services Annual Meetings 800000 $$$ Contracts 600000 Grants Dues 400000 200000 0 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Years PHDSC Revenues Comparison – 2004-2012 100% 90% 80% 70% Services 60% Annual Meetings Contracts 50% Grants 40% Dues 30% 20% 10% 0% 2004 2005 2006 2007 2008 2009 Years 2010 2011 2012 2013 2012 PHDSC Report Activities 2012 PHDSC Goals Represent public health interests (local, state and federal agencies and research communities) in the standards development, harmonization and maintenance activities by participation in the standard development (SDOs), data content committees (DCCs), standard harmonization entities and other healthcare standardizationrelated efforts Promote interoperability of health-related data systems to meet the health data needs of public and private organizations, agencies and individuals Educate clinical and public health professionals about standards and systems interoperability, and vendors and clinicians about public health Enhance membership services 2012 PHDSC Committees Data Standards Co-Chairs: Robert Davis & Starla Ledbetter Health Care Services Data Reporting Guide Chair: Robert Davis Payer Typology Co-Chair: Roxanne Andrews Privacy, Security & Data Sharing Co-Chairs: Vicki Hohner & David Lawton EHR-PH Task Force & Nationwide Co-Chairs: Anna Orlova & David Ross Communication and Outreach Co-Chairs: Noam Arzt & Sally Klein Professional Education Co-Chairs: Anna Bossard & David Lawton Health Information Network 2011 PHDSC Goals Represent public health interests (local, state and federal agencies and research communities) in the standards development, harmonization and maintenance activities by participation in the standard development (SDOs), data content committees (DCCs), standard harmonization entities and other healthcare standardizationrelated efforts Promote interoperability of health-related data systems to meet the health data needs of public and private organizations, agencies and individuals Educate clinical and public health professionals about standards and systems interoperability, and vendors and clinicians about public health Enhance membership services PHDSC Projects on Assuring Health IT Standards for Public Health Business Case: Public Health in HIT Standardization Supported through the CDC Cooperative Agreement. PHDSC Business Case: HIT Standardization Phases, Products and Entities HIT Standardization Phases Needs & Priorities Goals What should be accomplished ? HIT Standards and Interoperability Framework Development Entities Standards Documents Development & Maintenance Selection & Harmonization What are the standards? What standards to use? SDOs (e.g., HL7, SNOMED HIT Standards (IHTSDO), Committee LOINC, ASC X12, (Formerly NUBC, ISO AHIC) TC215) HIT Policy Committee Use Cases (Description of the health information exchanges) On-going Activities ( 2008-now) New Activities (2010-11) Testing/Trial Certification Deployment Implementation Show what can be accomplished IHE HITSP ONC Standards & Interoperability Framework NwHIN IHE Interoperability Specifications Standards Technical Frameworks Integration Profiles Test Reports Certify standardsbased products Deploy standardsbased products Proposed Certification Entities IHE & (CCHIT, PHDSC Drummond Deployment Group, Inc) Workshops Functional Profiles Deployment Reports Certification Criteria Developed methodology for public health participation in HIT standards development & harmonization. Develop methodology for public health participation in HIT product testing and certification Source: Fridsma D. Standards and Interoperability Framework: Principles and Processes. HIT Standards Committee. September 21, 2010. URL: http://healthit.hhs.gov/portal/server.pt?open=512&objID=1817&parentname=CommunityPage&parentid=28&mode=2&in_hi_userid=11673&cached=true 2009 PHDSC HIT Standardization Process is fully aligned with the 2010 ONC S&I Framework Source: Fridsma D. Standards and Interoperability Framework: Principles and Processes. HIT Standards Committee. September 21, 2010. URL: http://healthit.hhs.gov/portal/server.pt?open=512&objID=1817&parentname=CommunityPage&parentid=28&mode=2&in_hi_userid=11673&cached=true HIT Standardization and PHDSC Projects HIT Standardization Phases Goals Needs & Priorities What should be accomplished? AHIC / MU: Biosurveillance Public Health Public Health Domains Domains Undergoing Undergoing HIT HIT StandardizaStandardition zation Development & Maintenance Selection & Harmonization Testing /Trial Implementation Certification Deployment What are the standards? What standards to use? Show what can be accomplished Certify standardsbased products Deploy standards -based products HITSP Projects Biosurveillance Biosurveillance Immunization Immunization Immunization ELR PH-Lab PH-Lab Public Health Reporting Public Health Reporting Public Health Reporting Newborn Screening Newborn Screening Newborn Screening Vital Records Vital Records Vital Records Admin Data Occupation Data ONC Standards and Interoperability Framework PHDSC Projects PH-Lab PH-Lab Public Health Public Health Reporting Reporting Hearing Hearing Vital Records Vital Records PH-Lab Case Report Hearing Assuring Health IT Standards for Public Health 2008-2010: Implementing the Business Case through Developing a methodology for Public Health Participation in HIT Standardization Efforts Educating Public Health Community about Health Informatics and HIT Standards Supported through the CDC Cooperative Agreement, 2008-now Assuring Health IT Standards for Public Health 2011-2012: Implementing the Business Case through Implementing PHDSC methodology: Public Health Participation in HIT Standardization Efforts Educating Public Health Community about Health Informatics and HIT Standards Supported through the CDC Cooperative Agreement, 2008-now Assuring Health IT Standards for Public Health PHDSC Projects on HIT Standardization HIT Policy Committee & HIT Standards Committee PHDSC Projects: 2011-2012 Assuring Health IT Standards for Public Health Project 1: Assure HIT Standards for Public Health (Business Case: Role of Public Health in National HIT Standardization) Project 2: PHDSC Participation in Health Data Standards Development for Administrative Data Exchanges Project 3: Public Health Functional Requirements Project Project 4: Standards for Early Hearing Detection and Intervention (EHDI) Program Project 5: Standards for Public Health Laboratory (PH-Lab) Data Exchange Project 6: Clinical Document Architecture (CDA) for Public Health Project 7: Knowledgebase for ONC S&I Public Health Reporting Initiative Project 8: Business Process Analysis for Local Health Departments Project 9: University-based Public Health Informatics Training PHDSC Projects: 2012-2013 Assuring Health IT Standards for Public Health Project 1: Assure HIT Standards for Public Health (Business Case: Role of Public Health in National HIT Standardization) Project 2: PHDSC Participation in Health Data Standards Development for Administrative Data Exchanges Project 3: Public Health Functional Requirements Project Project 4: Standards for Early Hearing Detection and Intervention (EHDI) Program Project 5: Standards for Public Health Laboratory (PH-Lab) Data Exchange and Case Reporting Project 6: University-based Public Health Informatics Training Business Case: Public Health in HIT Standardization Supported through the CDC Cooperative Agreement. Assuring Health IT Standards for Public Health Implementing PHDSC Methodology on HIT Standardization for Public Health Phase 1: Defining Needs and Priorities for HIT Standards for Public Health PHDSC and National & International Initiatives: Assuring Health IT Standards for Public Health United States ONC S&I Public Health Reporting Initiative – Community-based Initiative Started in July 2011 International WHO Initiative of Health Data Standardization Assuring Health IT Standards for Public Health Implementing PHDSC Methodology on HIT Standardization for Public Health Phase 2: Developing HIT Standards for Public Health Assuring Health IT Standards for Public Health On-going Projects - Data Standards Committee Participate in standards development activities: Maintain the Health Care Service: Data Reporting Guide. Collaborate with AHRQ and ANSI X12 to populate USHIK with All Payer Claims Database metadata Develop data standards harmonization GAP ASSIST on-line tool Assure the inclusion of more clinical content in the standards to accommodate changes in billing practices to pay for quality rather than just for procedures performed – IHE White Paper on Populating Admin Datasets from EHR Assuring Health IT Standards for Public Health On-going Projects - EHR-PH Task Force & NHIN Committee Public Health Functional Profile of the HL7 EHR-S Functional Model Release 2 that includes Vital Record Early Hearing Detection & Intervention (EHDI) Cancer Public Health Laboratory Birth Defects Occupational Health Adverse Event Reporting HL7 Public Health Reporting Requirements Standard Assuring Health IT Standards for Public Health Implementing PHDSC Methodology on HIT Standardization for Public Health Phase 3: Harmonizing HIT Standards for Public Health Assuring Health IT Standards for Public Health On-going Projects - NHIN Committee Public Health Reporting Integration Profile Content Profiles: Early Hearing Detection and Intervention (EHDI) Public Health Laboratories Early Hearing Care Plan (EHCP) Quality Measure Execution (QME) – EHDI Cross Document Workflow - EHDI Cross Document Sharing – Lab Reports (XD-Lab) Occupational Data for Health (ODH) Harmonization for data standards for ODH Assuring Health IT Standards for Public Health Implementing PHDSC Methodology on HIT Standardization for Public Health Phase 4: Testing HIT Standards for Public Health Assuring Health IT Standards for Public Health On-going Projects - NHIN Committee Develop HIT Testing Methods and Tools for Public Health Vital Records Early Hearing Detection & Intervention (EHDI) Public Health Laboratory Assuring Health IT Standards for Public Health Interoperability Showcase™ EHR-Public Health Interoperability Showcase Vital Record Early Hearing Detection & Intervention (EHDI) Public Health Case Reporting/Alerting Lab Reports Case Reports Assuring Health IT Standards for Public Health Implementing PHDSC Methodology on HIT Standardization for Public Health Phase 5: Certifying Standards-based HIT Solutions for Public Health Assuring Health IT Standards for Public Health On-going Projects - NHIN Committee Establish HIT Certification process for EHR data exchanges with Public Health using HL7 Public Health Functional Profile for Early Hearing Detection & Intervention (EHDI) Public Health Laboratory Assuring Health IT Standards for Public Health Implementing PHDSC Methodology on HIT Standardization for Public Health Phase 6: Deploying Standards-based HIT Solutions in Public Health Assuring Health IT Standards for Public Health On-going Projects - NHIN Committee Conduct pilot projects on using Clinical Document Architecture (CDA) standards for public health reporting Public Health Case Reporting Early Hearing Detection & Intervention (EHDI) HL7 Standards in Meaningful Use of HIT Stage I – Use HL7 CDA documents Clinical EHRs Stage I – Use HL7 v2.3.1 or v2.5.1 messages to electronically record, modify, retrieve, submit public health data Syndromic Surveillance – use v2.3.1 or v2.5.1 Laboratory Results Reporting to Public Health – use v2.5.1 Reporting to Immunization Registries - use v2.3.1 or v2.5.1 Stage II – Use HL7 CDA documents Reporting to State Cancer Registries Reporting of Early Hearing Detection and Intervention (EHDI) Quality Measures to Public Health CDA for PH Project: History of HL7 CDA R2 2005 Source: Renly S, Krueger J. What’s Next? Why HL7 Messages and HL7 CDA Documents are in our Future. Presentation at the CDC PHIN Vocabulary and Messaging Community of Practice, February 21, 2012 HL7 Document-based Standards: CCD/CDA URL: http://www.ringholm.de/docs/04200_en.htm They are the Continuity Care Record (CCD) standard and Clinical Document Architecture (CDA) standards They represent information in documents (i.e., forms) Used “post occurrence”, i.e. once the actual process is done to provide "snapshots" at a particular time Contain data “as it was” when the document was originally created Capture information and allow it to be shared Can be superseded and corrected, but are "static documents" rather than dynamic objects The more passive and loosely coupled your communication process is, the more the use of documents is applicable. Source: Renly S, Krueger J. What’s Next? Why HL7 Messages and HL7 CDA Documents are in our Future. Presentation at the CDC PHIN Vocabulary and Messaging Community of Practice, February 21, 2012 HL7 CDA Standard CDA Test Result Report XML Schema … <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.31"/> <id root="8b3fa370-67a5-11db-bd130800200c9a66"/> <code code="33765-9" codeSystem="2.16.840.1.113883.6.1" displayName="WBC"/> <statusCode code="completed"/> <effectiveTime value="200003231430"/> <value xsi:type="PQ" value="6.7" unit="10+3/ul"/> <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/> </observation> </component> CDA Test Result Report Human Readable CDA for Public Health Reporting CDA for Public Health Reporting Pilot Projects Communicable Diseases (November 2011 - May 2012) Early Hearing Detection and Intervention (August 2012 – January 2013) CDA for PH Pilot Project: Case Reporting Goal Demonstrate ability to receive a CDA-based Public Health Case Report by a Public Health Information Systems in two jurisdictions HL7 CDA Standards for Public Health Case Report Header Social History Section Clinical Information Section Treatment Information Section Encounters Section Relevant Diagnostics and Laboratory Section Immunizations Section CDA for PH Pilot Project: Case Reporting Public Health Reporting Schema: DELAWARE Provider EHR (Core CX360) CDA TB Case Report Delaware PH Communication Server/Router (Orion Rhapsody) CDA TB Case Report CDA-based Actor Diagram Delaware Electronic Reporting Surveillance System (DERSS) CDA for Public Health Reporting Pilot Project Communicable Diseases Early Hearing Detection & Intervention States Participants DE, NYS, San-Diego Co MD, MI, ND, OR, RI State Observers CT, MA, MI, OK, SC, WA, OH FL, MA, MO,OH, PA, SC, TX Reports TB, Pertussis Newborn Hearing Screening Vendors AllScript (test harness) Atlas Public Health CoreSolutions Oz Systems DE PH Communication Router NYS UPHN To be determined Timeline Nov 2011 – May 2012 Aug 2012 – January 2013 PHDSC CDA for Public Health Pilot Project CDA Pilot Project Documentation: 1. PHDSC. Clinical Document Architecture (CDA) for Public Health. CDA Pilot Project: Communicable Diseases. Report. October 2012. URL: https://wiki.phdsc.org/images/f/f1/PHDSC-CDA-for-PH-Pilot-ReportFINAL-10-12-12.pdf 2. CDA for Public Health Pilot Project: Communicable Diseases PHDSC-IBM CDC Press Release. URL: http://www03.ibm.com/press/us/en/pressrelease/38602.wss 3. CDA for Public Health Pilot Project: Communicable Diseases Forbes on NYS Pilot. URL: http://www.forbes.com/sites/amywestervelt/2012/08/27/could-technologyhelp-stem-the-spread-of-whooping-cough/ 4. CDA for Public Health Pilot Project: Communicable Diseases wiki pages – URL: https://wiki.phdsc.org/index.php/CDA 5. CDA EHDI Pilot Project wiki pages. URL:https://wiki.phdsc.org/index.php/EHDI Assuring Health IT Standards for Public Health Implementing PHDSC Methodology on HIT Standardization for Public Health Tools for Standards-based HIT Solutions in Public Health Source: Fridsma D. Standards and Interoperability Framework: Principles and Processes. HIT Standards Committee. September 21, 2010. URL: http://healthit.hhs.gov/portal/server.pt?open=512&objID=1817&parentname=CommunityPage&parentid=28&mode=2&in_hi_userid=11673&cached=true Building CDA Public Health Reports (Templates) Open Source Model Driven Health Tool - MDHT URL: https://www.projects.openhealthtools.org/sf/projects/mdht Building CDA Public Health Reports in MDHT Model Driven Health Tool - MDHT The MDHT automatically generates the CDA templates, validation is built-in. MDHT Library of Public Health Reports Building CDA Public Health Reports in MDHT CDA PH Case Report Templates for Selected Conditions 1. Anthrax 2. Chlamydia trachomatis genital infection (& Gonorrhea, Syphilis) 3. Coccidioidomycosis 4. Haemophilus Influenzae, invasive disease, all ages, serotypes 5. Hepatitis B, Acute (& Hepatitis C) 6. Influenza 7. Meningococcal disease, all serogroups 8. Pertussis 9. Silicosis 10. Salmonellosis (& Shigella) 11. Streptococcus pneumoniae, invasive disease 12. Toxic-shock syndrome 13. Tuberculosis 14. Tularemia 15. West Nile virus (& Lyme) CDA for PH Pilot Project: Case Reporting CDA Public Health Case Reports https://wiki.phdsc.org/index.php/PH-Lab Header Social History Section Clinical Information Section Treatment Information Section Encounters Section Relevant Diagnostics and Laboratory Section Immunizations Section Example: Case Report Documentation: Pertussis Case Reports Pertussis - Data Definitions xls Pertussis - Implementation Guide pdf Pertussis - Case Report 1 (XML File) (JPG Image) 12-05/10 Pertussis - Case Report 2 w/Labs (XML File) (JPG Image) 12-05/10 PHDSC Business Case: HIT Standardization Phases, Products and Entities HIT Standardization Phases Needs & Priorities Goals What should be accomplished ? HIT Standards and Interoperability Framework Development Entities Standards Documents Development & Maintenance Selection & Harmonization What are the standards? What standards to use? SDOs (e.g., HL7, SNOMED HIT Standards (IHTSDO), Committee LOINC, ASC X12, (Formerly NUBC, ISO AHIC) TC215) HIT Policy Committee Use Cases (Description of the health information exchanges) On-going Activities ( 2008-now) New Activities (2010-11) Testing/Trial Certification Deployment Implementation Show what can be accomplished IHE HITSP ONC Standards & Interoperability Framework NwHIN IHE Interoperability Specifications Standards Technical Frameworks Integration Profiles Test Reports Certify standardsbased products Deploy standardsbased products Proposed Certification Entities IHE & (CCHIT, PHDSC Drummond Deployment Group, Inc) Workshops Functional Profiles Deployment Reports Certification Criteria Developed methodology for public health participation in HIT standards development & harmonization. Develop methodology for public health participation in HIT product testing and certification HIT Standardization and PHDSC Projects HIT Standardization Phases Goals Needs & Priorities What should be accomplished? AHIC / MU: Biosurveillance Public Health Public Health Domains Domains Undergoing Undergoing HIT HIT StandardizaStandardition zation Development & Maintenance Selection & Harmonization Testing /Trial Implementation Certification Deployment What are the standards? What standards to use? Show what can be accomplished Certify standardsbased products Deploy standards -based products HITSP Projects Biosurveillance Biosurveillance Immunization Immunization Immunization ELR PH-Lab PH-Lab Public Health Reporting Public Health Reporting Public Health Reporting Newborn Screening Newborn Screening Newborn Screening Vital Records Vital Records Vital Records Admin Data Occupation Data ONC Standards and Interoperability Framework PHDSC Projects PH-Lab PH-Lab Public Health Public Health Reporting Reporting Hearing Hearing Vital Records Vital Records PH-Lab Case Report Hearing Assuring Health IT Standards for Public Health 2011-2012: Implementing the Business Case through Implementing PHDSC methodology: Public Health Participation in HIT Standardization Efforts Educating Public Health Community about Health Informatics and HIT Standards Supported through the CDC Cooperative Agreement, 2008-now Educate Public Health and Clinical Professionals about HIT Standards Health Information Technology Standards Web-Resource Center (http://www.phdsc.org/standards/resource-center.asp) PHDSC Webinars: HIT Standards for Early Hearing Detection and Intervention Re-evaluation of HL7 EHR-S Functional Model from Public Health Perspectives University-based Health Informatics Training in partnership with Johns Hopkins University PHDSC Health Information Technology Standards Web-Resource Center (http://www.phdsc.org/standards /resource-center.asp) Assuring Health IT Standards for Public Health Assuring Health IT Standards for Public Health Assuring Health IT Standards for Public Health Building Public Health Informatics at Hopkins PHDSC works with Johns Hopkins to develop and deliver the following training: Clinical Informatics Certificate Public Health Informatics Certificate Applied Health Informatics Certificate Applied Master Degree in Health Informatics Master of Health Sciences Informatics – Research URL: http://dhsi.med.jhmi.edu/node/64 Assuring Health IT Standards for Public Health Assuring Health IT Standards for Public Health 2012 PHDSC Goals Represent public health interests (local, state and federal agencies and research communities) in the standards development, harmonization and maintenance activities by participation in the standard development (SDOs), data content committees (DCCs), standard harmonization entities and other healthcare standardizationrelated efforts Promote interoperability of health-related data systems to meet the health data needs of public and private organizations, agencies and individuals Educate clinical and public health professionals about standards and systems interoperability, and vendors and clinicians about public health Enhance membership services Enhancing Membership Services Strengthening partnerships with member organizations Participate in Joint Public Health Informatics Task Force (JPHIT) Collaborate with PHDSC members in HIT Standardization Projects: Agency for Healthcare Research and Quality Association of Public Health Laboratories (APHL) Atlas Public Health Centers for Disease Control & Prevention (NCHS, NCBDDD, OSELS, NIOSH) Council for State and Territorial Epidemiologists (CSTE) HLN Consulting National Association of City and County Health Officials (NACCHO) OZ Systems Registry Widgets Enhancing Membership Services PHDSC Web-based Resources PHDSC Quarterly Standard e-Newsletter (http://www.phdsc.org/about/communicationsoutreach_products.asp) Projects Wiki Pages Updates on Key Initiatives on HIT Standards via e-mail broadcast Develop new marketing strategies via social media outlets (blogs, twitter, facebook and others) PHDSC in the News Get Involved! Anna Orlova, PhD, Executive Director, [email protected] Alla Fridman, Project Manager, [email protected] 111 South Calvert Street Suite 2700 Baltimore MD 21202 Phone: 410-385-5272 Fax: 866-637-6526 URL: www.phdsc.org