Transcript Family Planning Councils of America Performance

Public Health Data Standards Consortium
http://phdatastandards.info
PUBLIC HEALTH DATA STANDARDS CONSORTIUM
~ 2005 BUSINESS MEETING OF MEMBERS ~
May 24, 2005, Washington DC
Report on the Consortium’s Activities
Anna O. Orlova, PhD
Executive Director
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PHDSC – Membership Structure
Federal Agencies (22%)
2004
State and Local Agencies
(22%)
National Professional
Organizations (17%)
Other Professional
Organizations (9%)
Academia (9%)
Supporting Members (9%)
Individual Members (12%)
Federal Agencies (16%)
2005
State and Local Agencies
(19%)
National Professional
Organizations (13%)
Other Professional
Organizations (16%)
Academia (6.5%)
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Supporting Members
(23%)
Individual Members (6.5%)
PHDSC Activates on Electronic
Health Record (EHR)
Dec-March 04
PHDSC Ad Hoc Task Force on
Electronic Health Record-Public
Health (EHR-PH) to validate Health
Level 7(HL7) EHR Functional Model
July-Dec. 04
Pediatric EHR – Public Health
Perspectives. Contract from HRSA
Jan-Feb. 05
Demonstration of Interoperability
Across Clinical and Public Health
Systems via EHR, HIMSS-2005
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PHDSC Ad Hoc Task Force on
Electronic Health Record-Public Health (EHR-PH)
WHITE PAPER on
Electronic Health Record: Public Health Perspectives
(EHR-PH)
March 2004
Purpose:
(1) to communicate to the public health community a
need for broader involvement in the national
effort to standardize clinical and public health
data and information systems, and
(2) to describe public health perspectives on the EHR.
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PHDSC Project on Pediatric Electronic Health
Record-Public Health (PEHR-PH) Funded by HRSA
Goal is to contribute to the definition of and
development of the pediatric EHR from
public health perspectives (PEHR-PH).
The PEHR-PH is seen as a two way clinical and
public health information interchange for
the purpose of providing the best health
care service to children.
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PHDSC Project on Pediatric Electronic Health
Record-Public Health (PEHR-PH) Funded by HRSA
Pediatric EHR-PH Timeline
Healthcare Visit Data
Birthday
-9mo
2w 2mo 6mo
1y
5y
21y
Public Health Data
Newborn
Screening
Children with Special Needs Care
Immunization
Health Report to
Dept. of Education
Growth &
Development
Chronic
Disease Care
Project Timeline
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Cross-mapping of
Clinical and Public Health Data
ROUTINE VISITS OF WELL CHILD CARE; AGE 0-6mos and at 5y


8 CLINICAL FORMS (Hospital of Birth; Outpatient Pediatric
Clinic – Johns Hopkins Hospital)
7 PUBLIC HEALTH FORMS (State Health Department –
Maryland State Department of Health and Mental Hygiene)
1st Newborn Metabolic Screening
Hearing Screening
Immunization
Birth Defect Form
Vital Registration
2nd Newborn Metabolic Screening
Child Health Inventory (5 years of age)
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Cross-mapping of
Clinical and Public Health Pediatric Data



Clinical system is a significant source of data
for pediatric public health systems
59% data concepts used in clinical care maps
to public health data needs
Significant redundancy can be overcome if
EHR systems will populate public health
programs
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Current Workflow for Data Interchange between
Primary Care and Public Health
Patient
Health Care Provider
Public Health Agency
Hearing Registry
Patient Record
Create the form
Record data on the form
Verify data on the form
Enter data to PH DB
Verify data entry
Manage data in HCP DB
Newborn Screening
Registry
Create the form
Receive the form
Verify data on the form
Enter data to PH DB
Verify data entry
Manage data in PH DB
Analyze data
Generate reports
Generate reports
Immunization Registry
Create the form
- Actions related to services
- Actions related to data management
Receive the form
Verify data on the form
Enter data to PH DB
Verify data entry
Manage data in PH DB
Analyze data
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Generate reports
Create the form
Receive the form
Verify data on the form
Enter data to PH DB
Verify data entry
Manage data in PH DB
Analyze data
Generate reports
Communicable Disease
Registry
Create the form
Receive the form
Verify data on the form
Enter data to PH DB
Verify data entry
Manage data in PH DB
Analyze data
Generate reports
EHR-based Workflow for Data Interchange between
Primary Care and Public Health
Patient
Health Care Provider
Public Health Agency
Hearing Registry
EHR System
Create the form
Record data on the form
Verify data on the form
Enter data to HCP DB
Verify data entry
Manage data in HCP DB
Generate reports
Newborn Screening
Registry
Create the form
Retrieve Data from EHR DB
Communicable Disease
Analyze data
Registry
Generate reports
Create the form
Retrieve Data from EHR DB
Analyze data
Generate reports
Immunization Registry
Create the form
- Actions related to services
- Actions related to data management
Create the form
Retrieve Data from EHR DB
Analyze data
Generate reports
Retrieve Data from EHR DB
Analyze data
Generate reports
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Public Health Vision for Interoperability across
Different Systems:
Building EHR-PH System Prototype
Clinical Care
Patient
Public Health
Personal
Health
Record
Health Care
Provider 1
Newborn Screening
Registry
Health Care
Provider 2
Health Care
Provider 3
Hearing Screening
Registry
EHR-PH
DATA
EXCHANGE
Immunization
Registry
Laboratory
Communicable
Disease Registry
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Newborn Screening
Program
Hearing Screening
Program
Immunization
Program
Communicable
Disease
Reporting
Program
PHDSC EHR-PH System Prototype for Interoperability
of Clinical and Public Health Systems, HIMSS-2005
Clinical Care
Public Health
Hospital of Birth
ADTBirth Record
Newborn
Screening
Test
Hearing
Screening
State Health Department
HL7 2.4
HL7 3.0
HL7 3.0
HL7 3.0
EHR-PH
Info
Exchange
HL7 2.4
Hearing
Screening
Registry
HL7 2.4
Test
Immunization
Administration
HL7 3.0
Newborn
Screening
Registry
J2EE
HL7 2.4
External
Laboratory
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Source: Orlova, et al. HIMSS 2005,Dallas TX, February 13-17, 2005
Immunization
Registry
Communicable
Disease
Registry
EHR-PH System Prototype for Interoperability
in 21st Century Health Care System
Our Prototype
illustrates how interoperability between
healthcare systems can be achieved with a
standards-based infrastructure
Is built upon existing systems in clinical care and
public health programs
Enables electronic data reporting from a clinical
setting to multiple public health systems
Enables translation of customized standards into
HL7 3.0 messaging standard
Links clinical and public health systems to provide
a continues view of the patient record across the
systems involved
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EHR-PH Demonstration: Partners
DESIGN
M
D
LOGIX
TM
¤ NEWBORN
SCREENING
Medical Decision Logic, Inc.
www.mdlogix.com
¤ HEARING
SCREENING
DEPLOYMENT
¤IMMUNIZATION
¤COMMUNICABLE
DISEASE
REPORTING
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Slide 14
EHR-PH Demonstration:
Design Development
CDC

Laboratory

NEDSS Comparability
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Slide 15
Acknowledgements

Dr. David Ross, Director, Public Health Informatics Institute

Health Resources and Services Administration (HRSA)
Ms.Jessica Townsend and Dr. Michael Millman, Office of Planning and
Evaluation &

Dr. Marie Mann, Genetic Services Branch, Maternal and Child Health Bureau
Technical Panel
Dr. David Hollar, University of Tennessee Graduate School of Medicine
Dr. Harold Lehmann, Dept. of Pediatrics, Johns Hopkins Medical Institutions
Dr. Christoph Lehmann, Dept. of Neonatology, Johns Hopkins Medical

Dr. Susan Panny, Director, Office of Genetics and Children with Special

Dr. Phillip Gioia, President, Children Health Specialists, Inc., and Cayuga

Dr. Paul Biondich, Regenstrief Institute, Inc. and Department of Children’s



Institutions
Needs, Maryland State Department of Health and Mental Hygiene
County Health Department
Health Services
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Acknowledgements
EHR-PH Demonstration





Ms. Michelle Williamson, National Center for Health Statistics
Dr. Michael Higgins and Mark Dunnagan, Oracle
Dr. Allen Tien and Steven Beales, Medical Decision Logic, Inc.
Drs. Terese Finitzo and Ken Pool, OZ Systems
Mr. Todd Watkins, Science Technologies Corporation
Special Thanks to

Dr. Steven Steindel, Centers for Disease Control and Prevention

Dr. Eillen Koski, QuestDiagnostics, Inc.
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PHDSC Committee on
a National Health Information Network
RESPONSE TO THE REQUEST FOR INFORMATION
on the Development and Adoption of a National Health
Information Network
from the Office of National Coordinator for Health Information
Technology (ONCHIT),
Department of Health and Human Services;
Released on November 15, 2004
Submitted to ONCHIT on January 18, 2005
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