# Presentation: 549407

## NATIONAL CENTER FOR HEALTH STATISTICS~ 2006 Data Users Conference ~ July 11, 2006 – Washington, DC 

**NATIONAL CENTER FOR HEALTH STATISTICS****~ 2006 Data Users Conference ~**** July 11, 2006 – Washington, DC **

**The Public Health Data Standards Consortium****Walter G. Suarez, MD**President, PHDSCPresident and CEO, Institute for HIPAA/HIT Education and Research

- _[http://](http://www.phdsc.org/)__[www.phdsc.org](http://www.phdsc.org/)__[/](http://www.phdsc.org/)_

## PHDSC – Outline of Presentation

**Our Members**
**Our Projects and Products**
**How to Get Involved**

## Our Organization

**Nonprofit voluntary confederation ****of federal, state and local health agencies, national and local professional associations and public and private sector organizations interested in public health data and data standards**

## PHDSC  - Organizational Chart

- Normal Font  -  Active Committees
*Italic Font*  -  Proposed Committees
- TBN – to be named

**Sub-Committees**

**BOARD  OF DIRECTORS**

**P R O G R A M      A R E A S **

***CERTIFICATION***

**EXECUTIVE COMMITTEE **
**& EXECUTIVE DIRECTOR**

**Health Care Services Data Reporting Guide**

**PRIVACY, SECURITY & DATA SHARING**

**External Cause of**
** ****Injury Codes**

**COMMUNICATION & OUTREACH**

***Public Health Vocabulary***

**Co-Chairs: Vicki Hohner **
**& Richard Urbano**

**Co-Chairs: David Ross **
**& Anna Orlova**

**Co-Chairs: Arturo Coto & Starla Ledbetter**

**Co-Chairs: Vivian Auld **
**& Michelle Williamson**

**Co-Chairs: Robert Davis **
**& Starla Ledbetter**

**Chair: TBN**

**Payer Typology**

**Co-Chairs: Amy Bernstein **
**& Judy Parlato**

**BUSINESS PLAN**

**DATA STANDARDS**

**NATIONAL HEALTH INFORMATION NETWORK**

**Chair: Robert Davis**

**Co-Chairs: Lawrence Hanrahan **
**& Martin LaVenture**

**Co-Chairs: Noam Arzt **
**& Farzard Mostashari**

**Web-Based Resource Center**

**Co-Chairs: Sally Klein **
**& Michelle Williamson**

**Task Force on **
**Standard Harmonization Contract**

**Task Force on**
**Privacy **
**Contract**

## Slide 5

## Achieving Our Mission

- By promoting the integration of health-related data systems to meet health data needs of public and private organizations, agencies and individuals
- By representing public health with a common voice in the on-going processes of developing and implementing national health care standards
- By identifying priorities for developing and implementing new national standards for population health
- By educating the public health community about health-related data standards and the health data standards community about public health

## Achieving Our Mission

## Members

## Members

## PHDSC – Projects and Products

## PHDSC Products: 1999-04 

**PHDSC**** ****Products: 1999-04 **

_**1999**_
**PHDSC Established**
**as a Voluntary **
**Confederation**

_**04/00**_**PHDSC Members****Join Data Content Committees**

_**06/00**_
**Mother’s Medical Record Number is added on Health Care Claim**

_**07/03**_** PHDSC became a non-profit organization**

_**03/04 **_
**Electronic Health Record- Public Health**
**(EHR-PH) White Paper**

_**10/02**_
**Health Care Services****Reporting Guide**

_**03/02**_
**Health Data Standards Survey**

_**05/03**_
**Web-based Resource Center**

_**05/01**_
**PHDSC Education Strategy on Data Standards**

## PHDSC Products: 2005-06

**PHDSC**** ****Products: 2005-06**

**09/05**
**Privacy & Security Websites**

**07/05**
**Role of Public Health in  Adoption & Use of HIT**

**02/05**
**EHR-PH Prototype**

**02/06**
**Towards a Payer Typology Standard**

**01/05**
**Response to the RFI on the NHIN Development & Adaptation of aNHIN**

**04/06**
**National**
**Standards Harmonization**
**Project**

## PHDSC Products – Website and Web-based Resource Center

- _[http://](http://www.phdsc.org/products/default.asp)__[www.phdsc.org/products/default.asp](http://www.phdsc.org/products/default.asp)_

## PHDSC Products – Web-based Resource Center

- _[http://](http://www.phdsc.org/products/default.asp)__[www.phdsc.org/products/default.asp](http://www.phdsc.org/products/default.asp)_

## PHDSC Products – Web-based Resource Center

- _[http://](http://www.phdsc.org/products/default.asp)__[www.phdsc.org/products/default.asp](http://www.phdsc.org/products/default.asp)_

## PHDSC Products

- The Role of Public Health
- in the Adoption and Use of
- Health Information Technology
- Small Conference Program Grant # 1R13 HS016073-01 from
- the Agency for Healthcare Research and Quality
**Role of Public Health in  Adoption & Use of Health Information Technology. Report. July 2005. URL: **_[http://](http://www.phdsc.org/)__[www.phdsc.org](http://www.phdsc.org/)__[/](http://www.phdsc.org/)_

## PHDSC Products

- The Health Care ServicesData Reporting Guide
**First national standard implementation guide for electronic reporting/collection of information by public health agencies**
**Developed and maintained as part of the ANSI X12N standards committee**
**Type of applications: collection of administrative data, discharge data, encounter data**
**Available from **_[www.wpc-edi.com](http://www.wpc-edi.com/)_

## PHDSC Products

- Developing a Prototype for
- EHR-PH Interoperability:
- Primary Care, Pediatrics and Public Health

## PHDSC Products- EHR-PH Interoperability System Prototype

## PHDSC Products- EHR-PH Interoperability System Prototype

## PHDSC Products- EHR-PH Interoperability System Prototype

## PHDSC Products

- Developing Specification Requirements
- for Electronic Data Exchange between Clinical and Public Health Settings:
- Examples of School Health and Syndromic Surveillance in New York City
- Contract from Health Resources and Services Administration
- Requisition/Purchase Request No.: 05-S250-0380

## PHDSC Project on a Vision for EHR-PH Functional Specifications (HRSA)

- _Project Rationale:_
- _To help facilitate the development of interoperable EHR-Public Health (EHR-PH) system there is a need to describe work processes that support data exchange between clinicians and public health practitioners to formulate __***functional requirements***__ for electronic communication between clinical and public health settings, so that the EHR-PH data/information exchange deployed at one clinical setting to transmit data to a public health agency can be replicated at other clinical facilities._

## PHDSC Project on a Vision for EHR-PH Functional Specifications (HRSA)

- Functional specifications were developed in the format of the Requirement Analysis Document (RAD) that documented data exchange processes and include the description of:
*  **Goals of the EHR-PH Data Exchange *
*  **Functions that the EHR-PH Data Exchange will support*
*  **Actors – stakeholders – participant in data exchange*
*  **Actions – stakeholders activities*
*  **Data Sources – public health reporting forms*
*  **Dataflow and Workflow Models*
*  **Proposed System Architecture*

## School Health: EHR-PH Data Exchange 

-  EHRS

- EHR

- Community Health Centers (CHC)

- New York City
- Department of Health &
- Mental Hygiene

- Automated
- Student Health
- Record
- (ASHR)
- System

- School
- Forms

- School-II
- System

- School
- Forms

- School-N
- System

- School
- Forms

- School-I
- System

- School
- Forms

- New York City Schools

- CHC-II
-  EHRS

- EHR

- CHC-N
- EHRS

- EHR

- 211S
- Form

- RES
- Form

- MUM
- Form

- Consent
- Form

**School Health: ****EHR-PH Data Exchange**

## Laboratory

**Ambulatory Care**

**Pharmacy**

**Response Team**

**State Public Health****Surveillance System**

**Syndromic Surveillance: Workflow and Dataflow**

**DHHS**

**1**- Report/retrieve of symptoms, diagnosis & medication prescription data from EMRs

**2** – Data mining of EMR notes

**3** – Notify on increased number of cases & recommend to order pathogen test

**4** – Order
- pathogen test

**5 **– Report
- positive
- test result electronically & by phone

**6** – Report on the positive case electronically & by phone

**Media**

**Local****Public Health****Surveillance System**

**Hospital**

**Neighboring****Jurisdictions**

- P
- U
- B
- L
- I
- C

## PHDSC Products

- PHDSC Emerging Initiatives:
- Standards Harmonization, Privacy and Security, RHIOs and the Nationwide Health Information Network (NHIN)

## Slide 28

## HHS Health IT Strategy

**HHS Health IT Strategy**

**Standards****Harmonization****Contractor**
**(HITSP)**

**Compliance****Certification****(CCHIT)**

**Privacy/Security****Solutions****(HISPC)**

**NHIN****Prototype****Contractors**

**Office of the National Coordinator****Project Officers**

**American Health Information Community*****(Led by HHS Secretary Michael Leavitt)***

**Continuous Interaction with Multiple Public and Private Stakeholders**

**Consolidated **
**Health **
**Informatics**
**(CHI)**

**Other ****Federal**
**HIT****Initiatives**

**Private Sector**
**HIT**
**Initiatives**

**Regional ****Health ****Information ****Organizations**
**(RHIOs)**

## Public Health is a critical player in all new Health IT initiatives
Consortium bringing Public Health expertise and voice to these initiatives
Standards Harmonization:
Representation at the HISTP Panel and Board of Directors
Facilitating role at the HISTP Biosurveillance Technical Committee
Technical expertise and participation in the Committee

- Consortium bringing Public Health expertise and voice to these initiatives
- Standards Harmonization:
- Representation at the HISTP Panel and Board of Directors
- Facilitating role at the HISTP Biosurveillance Technical Committee
- Technical expertise and participation in the Committee

**Health IT Initiatives and Public Health**

## Privacy and Security
Assisting national project coordinator collect and analyze state reporting of privacy and security laws/regulations affecting health information exchange
Looking at forming a ‘Public Health Privacy and Security Officers Forum’
RHIOs
Public health state agencies taking a leadership role in the formation and implementation of RHIOs
NHIN
Public health participation critical in the development of NHIN prototypes
Consortium’s NHIN Committee to provide input to this process

- Assisting national project coordinator collect and analyze state reporting of privacy and security laws/regulations affecting health information exchange
- Looking at forming a ‘Public Health Privacy and Security Officers Forum’
- RHIOs
- Public health state agencies taking a leadership role in the formation and implementation of RHIOs
- NHIN
- Public health participation critical in the development of NHIN prototypes
- Consortium’s NHIN Committee to provide input to this process

**Health IT Initiatives and Public Health**

## Slide 32