Public%20Health%20Data%20Standards%20Consortium

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Public Health Data Standards Consortium
http//phdatastandards.info/
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PHDSCs Mission
PHDSC is committed to bring a common voice from
the public health community to the national
efforts of standardization of Information for
health and healthcare
Enhanced
Enhanced
Enhanced
Enhanced
Enhanced
Enhanced
Enhanced
EnhancedHealthand Health Care
Health and
Health
Health and
Health
Health and
Health
Health and
and Health Care
and Health Care
Health Care
Health Care
and Health Care
Health Care
Health Care
Improved
Improved
Improved
ImprovedHealth Information
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Health Information
Health Information
Health Information
Health Information
Health Information
Health Information
Health Information
Health Data Standards
Health Data Standards
Health Data Standards
Health Data Standards
Health Data Standards
Health Data Standards
Health Data Standards
Health Data Standards
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Public Health Data Standards Consortium http//phd
atastandards.info/

• Bridging Clinical Care and Public Health via IT
  PHDSC Ad Hoc Task Force on Electronic Health
  Record-Public Health (EHR-PH)

Anna O. Orlova, Ph.D. PHDSC and Johns Hopkins
School of Public Health 1st Annual Connecting
Communities for Better Health Learning Forum June
24-25, 2004 Washington DC
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PHDSC Ad Hoc Task Force on Electronic Health
Record-Public Health (EHR-PH)

• Participants

Developers Caesar, Craig Claudio, Yvonne
Connor, Kathleen Cortes, Leslie Coto, Arturo
Davis, Robert Eisenberg, Floyd Gioia, Phillip
Greenberg, Marjorie Grinsteinner, Alan Hollar,
David Jackson, Brian Jenkins, Melinda
Kitchelt, Maureen Kukafka, Rita Lafferty,
Particia Manderscheid, Ron Merryweather,
Patricia Murphy, Gretchen Orlova, Anna
Peeples, Malinda Saba, Virginia Spivack,
Richard Suarez, Walter Timpka, Toomas Van
Duyne, Ron Williamson, Michelle.
Validators Arzt, Noam Berkowitz, Murray
Brandes, Wayne Brown, Kevin Buckeridge, David
Cernoch, Jennifer DAttore, Terry Edmunds,
Margo Elee, Olivia Forslund, David Gordon,
Barry Hanken, Mary Alice Hanrahan, Lawrence
Hall, John Keelaghan, Eithne Kim, George
LaVenture, Martin Ledbetter, Starla Len,
Christie Lober, Bill Marchbroda, Janet Mittal,
Vikrant Richesson, Rachel Ryan, Deborah
Sappington Rodney Singer, Steve Sullivan,
Janet Wangia, Victoria.
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PHDSC Ad Hoc Task Force on Electronic Health
Record-Public Health (EHR-PH)

• Goal To provide a public health perspective to
  the evaluation of the HL7 EHR functional model
• Objectives
• bring the state and local public health agencies
  and public health research communitys
  perspective into the on-going efforts to develop
  the HL7 functional model for the EHR,
• and
• to demonstrate the benefits of an organized
  interaction between the public health and
  clinical health care.

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PHDSC Ad Hoc Task Force on Electronic Health
Record-Public Health (EHR-PH)

• The Task Force activities show a need for a
  better understanding of informatics perspectives
  of public health by the various stakeholders as
  follows
• public health organization (domain/programs and
  hierarchical fragmentations) and stakeholders,
• commonalities among public health
  domains/programs and public health settings in
  term of data sources, users, public health goals
  and functions,
• role of the EHR in integrating primary care and
  public health practices,
• the processes for involving the various public
  health stakeholders in the national effort for
  the standardization of health care data via the
  EHR, and
• need for public health vocabulary and data
  standards

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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
• Outcomes
• EHR is critical to bridge clinical care and
  public health
• Cross-mapping of the HL7 EHR functional model to
  core public health functions (assessment, policy
  and assurance) demonstrates that at this high
  level of abstraction, these core public health
  functions are well represented in the HL7 EHR
  functional model.
• More granular level of cross-mapping is needed to
  assure the ability of the model to support public
  health work flow and data flow.
• (4) Examples of Use Cases were developed for
  more granular cross-mapping of the HL7 EHR
  functions and EHR.
• EHR expands traditional public health to
  population health by allowing for integration
  environmental, social, economic and other data
  types critical to protection of health of the US
  population
• Need for public health vocabulary and data
  standards

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PHDSC Ad Hoc Task Force on Electronic Health
Record-Public Health (EHR-PH)

• Feedback from the HL7 EHR Collaborative
• To the PHDSC EHR-PH Participants
• Your process was the most thorough of any
  validation conducted to date, producing the most
  comprehensive and in depth report of any
  validation requested by HL7 and the EHR
  Collaborative.
• Your commitment and strong desire to assess the
  link between public health and the EHR was
  demonstrated not only by the sheer number of
  people who developed the tools and validated the
  model, but also the quality of the report as
  well.
• As you may have seen in the media lately, the
  EHR standard is gaining visibility as we get
  closer to the release of the ballot (March 18).
  Based on the excellence of this report, I will
  make every attempt to draw attention to the work
  youve done and the results youve found.
• To the PHDSC EHR-PH Participants
• You are simply not going to believe how awesome
  this report from public health is. It is the most
  comprehensive validation report filed to date
  with the EHR Collaborative.
• Youll find more than a few testimonial
  statements in the ltPHDSCgt letter HL7. It would be
  really terrific to highlight public healths
  linkage to the EHR.
• Based on this report, there are now some more
  definitive statements that can be made to the
  media
• ltWe need to discuss with PHDSCgt plans to
  highlight these results to the media and the rest
  of the industry..to publish in journals of the
  HER Collaborative ( e.g., JAHIMA, JAMA, JAMIA,
  JHIM)

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PHDSC Ad Hoc Task Force on Electronic Health
Record-Public Health (EHR-PH)
EHR-PH Toward Implementation

• Use Case-I Immunization
• Use Case-II Infectious Disease Inhalation
  Anthrax
• Use Case-III Chronic Disease Screening
  Hypertension
• Use Case-IV Chronic Disease Diabetes and
  Retinopathy Screening
• Use Case-V Injured Patient Care

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EHR Toward Implementation Use Case Injured
Patient Care
MODEL OF WORK FLOW DATA FLOW

• Data classes needed
• Patient demographics
• Provider information
• Care provided
• Injury cause
• Care cost

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Public Health Data Standards Consortium http//phd
atastandards.info

• From the EHR Use Case(s) Implementation
  Demonstration to
• National Population Health Data Model to
• Public Health Vocabulary and Data Standards to
• Public Health Information Network to
• SO, UNITED WE STAND