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Public Health R eporting Initiative Stage 3 Sprint: Implementation Guide Development

Public Health R eporting Initiative Stage 3 Sprint: Implementation Guide Development. 1. Agenda. Introductions Objectives Benefits Proposed Report Structure C ommon Core Data Elements Report Type Specific Data Elements Implementation Specific Data Elements Tiers Scope Approach

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Public Health R eporting Initiative Stage 3 Sprint: Implementation Guide Development

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  1. Public Health Reporting InitiativeStage 3 Sprint: Implementation Guide Development 1

  2. Agenda • Introductions • Objectives • Benefits • Proposed Report Structure • Common Core Data Elements • Report Type Specific Data Elements • Implementation Specific Data Elements • Tiers • Scope • Approach • Proposed Ground Rules • Timeline • Questions

  3. Introductions • Workgroup Lead: Seth Foldy • User Story Representation • Other Membership • Support Team • Reportable Conditions • HAI • Cancer Registry • Early Hearing • Adverse Event (Drug, Medical, Vaccine, Biologic) • Vital Statistics – Birth & Fetal Death • National Hospital Care Survey • Immunization Registry • Tobacco Quit Lines • Cancer Genetics

  4. Stage 3 Sprint Objective • Develop a harmonized implementation specification for public health reporting that can be tested and implemented in time for MU Stage 3 • Testing by late fall-early winter 2012 • Implementation by Oct 2015 • Compatible with needs of multiple report types across multiple public health domains • Specification can serve multiple report types through shared “core” data elements • Also includes harmonized data elements for specific report types

  5. Benefit of the Stage 3 Sprint • The Stage 3 Sprint will produce a harmonized specification for consideration for Stage 3 MU incentives & EHR certification • Full specification of some report types ready to have pilot-tested specification by winter 2012/national implementation by 2015 • Defined as “Tier 1” for the Stage 3 Sprint • Produce compatible, reusable elements for those less likely to be ready in 2015 • Defined as “Tier 2” for the Stage 3 Sprint • Serves multiple reporting programs • Development of a set of common core data elements and a consensus on format to streamline reporting programs and enable interoperability

  6. Public Health Report Structure Public Health Report = Common Core Data Elements + Report-type Specific Data Elements + Implementation Specific Data Elements

  7. Tiers of Report Type Participation • In order to achieve the goal for a pilot-tested implementation specification by winter 2012, user stories for particular report types were assessed for “readiness” and classified into tiers • Entire group participates in the development of the common core set of data elements • Group also develop Tier 1 report-type specific elements for first release of the PHRI Implementation Guide • Tier 2 may develop report type specific elements for subsequent releases • Seek full consensus on implementation guidance, but if Tier 2 issues impede consensus may place their issues in “parking lot” for future releases

  8. PHRI Implementation Specification • The PHRI Implementation Specification Release 1 • Core Specification • Common core Data Elements • Exchange format(s) selected by Sprint group • Tier 1 Report-Type Specifications, potentially including: • Reportable condition case reports (communicable and environmental) • HAI reports • Cancer Registry reports • Early Hearing Detection reports • Birth and Fetal Death report • Adverse Event reports (drug, device, biologic) 8

  9. PHRI Implementation Specification Development Approach • Select core set of data elements/terminologies/value sets as foundation for many public health report types • Align to PHRI Data Harmonization Profile for both common core data elements & report-type specific data elements • Analyze and select format standard(s) • Choose standard based on use cases, functional requirements, and capacity to adopt • Standards Harmonization • For implementation of both common core selected report-type specific data elements • To accomplish use case and functional requirements • To support more uniform public health reporting infrastructure: sending + receiving 9

  10. Establish Set of Common Core Data Elements • Set of common core data elements used widely across different public health reporting domains and report types • Aligned to the Data Harmonization Profile • Intended to serve a wide variety of report types • These common core data elements will be mapped into S&I Clinical Element Data Dictionary (CEDD) and other tools to achieve • Reusable collection of public health data elements for Electronic Health Records • Guide coding of public health data elements in EHR • Identification of areas of need for standards development

  11. Format Standards Analysis • Depending on use case/functional requirement needs and adoption-readiness, specification based on either or both of: • HL7 v2.x messaging • HL7 CDA (likely “consolidated CDA”) documents • Key Considerations • Modularity • Extensibility • Capability of EHR and PH systems to adopt • Gaps identified during the analysis will be addressed through standards harmonization

  12. Standards Harmonization • The harmonization process seeks to align standards in order to meet the functional and business requirements of public health domains • The harmonized core specification needs to take all Tier 1 and as many Tier 2 requirements into consideration as possible • The resulting harmonized core specification will level the playing field to increase HIT adoption and electronic information exchange capabilities across all public health domains • The harmonization process: • Builds a consistent representation of required information • Addresses gaps in standards & specifications • Enhances currently-employed standards & specifications • Establishes a uniform specification with broader applicability

  13. Suggested Ground Rules • Everyone may speak • ID your name & user story (report type) • Listen carefully • Read assigned work and minutes before each meeting • Limit “back-pedalling” to critical issues • Yield when it is “good enough”- do not let perfection threaten good • Seek consensus quickly; let moderator test consensus • If consensus fails, Tier 2 steps back to see if consensus can procede for this first version of the specification • Concerns about process? Immediately bring to Foldy’s attention • 678-733-4289 • skf6@cdc.gov

  14. Stage 3 Sprint- Activity Timeline • Kick-off Meeting • Consensus • Consensus

  15. Next Steps / Questions • Work Group Meeting • PHRI Stage 3 IG Development: Thursdays 2 – 4 PM EST • Wiki Page • http://wiki.siframework.org/PHRI+Implementation+Guide • Or click “Implementation Guide” button from any PHRI wiki page • Will post presentations, meeting minutes, “homework”, and documents for review • Homework • Expect an email later this week including a proposed set of common core data elements • Review and come prepared to our next meeting as we move towards consensus on this set (note: questions/comments highly encouraged through email prior to our next meeting) • For questions, contact Lindsay Brown (lrbrown@cdc.gov) 15

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