Nikolay Lipskiy, MD, DrPH , MBA

1. The Health IT Meaningful Use and Public Health Informatics’ Standards, Interoperability and Certification Nikolay Lipskiy, MD, DrPH, MBA Standards and Interoperability Lead Public Health Informatics and Technology Program Office Office of Surveillance, Epidemiology and Laboratory Services Public Health Informatics and Technology and Program Office Office of Surveillance, Epidemiology and Laboratory Services

2. Why Health IT? * Adapted from the ONC Website (http://healthit.hhs.gov/portal/server.pt?open=512&objID=1204&parentname=CommunityPage&parentid=12&mode=2&in_hi_userid=10741&cached=true

3. Scope of IT Standardization • The International Organization for Standardization (ISO) has identified a scope of standardization tasks as follows: • Develop, maintain, promote and facilitate IT standards required by global markets meeting business and user requirements concerning: • design and development of IT systems and tools, • performance and quality of IT products and systems, • security of IT systems and information, • portability of application programs, • interoperability of IT products and systems, • unified tools and environments, • harmonized IT vocabulary, • user friendly and ergonomically designed user interfaces.

4. Meaningful Use (MU) of EHR and Standardization • The Final Rule, Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology describes: • Definition of standardization-related terminology • MU Standards • Requirements for collection of information • Certification process • Regulatory Impact Analysis

5. Meaningful Use and Certification Eligible professionals and eligible hospitals who seek to qualify for incentive payments under the Medicare and Medicaid EHR Incentive MU Programs are required by statute to use Certified EHR Technology.  Once certified, Complete EHRs and EHR Modules would be able to be used by eligible professionals and eligible hospitals, or be combined to meet the statutory requirement for Certified EHR Technology* • ONC certification programs at: • http://healthit.hhs.gov/portal/server.pt?open=512&objID=2884&parentname=CommunityPage&parentid=357&mode=2&in_hi_userid=12059&cached=true

6. Classification of MU Standards The Final Rule defines the following four categories of standards:

7. Privacy and Security Standards

8. MU Public Health Objectives • and Supporting Standards

9. Stage 1 Public Health Objectives: Syndromic Surveillance * http://edocket.access.gpo.gov/2010/pdf/2010-17210.pdf

10. Stage 1 Public Health Objectives: Submission Immunization Data 2. Submission of immunization data to immunization registries

11. Stage 1 Public Health Objectives: Reporting Lab Results

12. Scope of CDC PHITPO* MU Standardization Tasks

13. CDC Meaningful Use Standardization Tasks: Continuous Improvement Cycle

14. The Health IT Meaningful Use and Public Health Informatics’ Standards, Interoperability and Certification Thank You • The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Office of Surveillance, Epidemiology and Laboratory Services Public Health Informatics and Technology Program Office