Public Health Tiger Team

we will start the meeting 3 min after the hour

DRAFT Project Charter

May 27, 2014

This session is being recorded and can be located on the S&I Public Health Tiger Team Wiki

Agenda

• Announcements (2 min)

– PHRi and PHTT Merger• Close Out Ceremony (PHRi Webinar Wednesday May 28, 4-5 pm EDT)

• Public Health Data Element Mapping to SDC Conformed CDE (15 min)

– Dina Dickerson

• S&I Workgroup Overview (15 min)

– PHTThttp://wiki.siframework.org/Public+Health+Tiger+Team+Meeting+Archives – SDC Wiki http://wiki.siframework.org/Structured+Data+Capture+Initiative – DAF Wiki http://wiki.siframework.org/Data+Access+Framework+Homepage– CQF Wiki http://wiki.siframework.org/Clinical+Quality+Framework+Initiative

• PHTT Charter (25 min)

– Risks– Deliverables

• Wrap Up (1min)

PHRi Closing Webinar

• Please join us on Wednesday May 28th from 4-5pm eastern as we officially close out and honor the accomplishments of the Public Health Reporting Initiative (PHRi).  This initiative is being merged into the newly formed S&I Public Health Tiger Team (PHTT) which is a cross-initiative work group as it relates to public health to cover SDC, DAF, and CQF.

• PHRi Closing CeremonyDate and Time: Wednesday, May 28, 2014 4:00 pm

• URL: https://siframework1.webex.com/siframework1/onstage/g.php?t=a&d=664228710Dial In: +1-650-479-3208Access code: 664228710

•  •  

Index of Data Elements for Early Hearing Detection and Intervention (EHDI) with CDA Mapping

Sample EHDI Data Elements Aligned with PHRI

SDC SWG Template with EHDI Data Elements Inserted

EHDI Value Set Mapping to IHE

• Start of the Charter Document

Public Health Tiger Team– Project Charter

Challenge• - (A statement of how a standards and

interoperability challenge currently limits the achievement of a national health goal)

• Public Health is comprised of multiple technologies and standards to support business activities and faces challenges aligning within the context of clinical partners and local, state, and federal public health.

Public Health Tiger Team– Project Charter

Scope Statement

• (A statement of the overarching issues that the Initiative aims to address. This should include the issues that will be tackled as well as known issues that will not be tackled by this Initiative)

• Challenges with coordinating and aligning S&I Frameworks multiple initiatives

- Policy vs Practice

- Data Quality and sourcing

Draft In Scope

• Leverage existing and newly Standards and Interoperability Initiatives to include SDC/DAF/HeD/CQF/PHRi activities and influence the standard producing organizations.

• Public Health Stakeholders will benefit from efforts to: – Educate and Promote– Incorporate – Harmonize– Shared Data Model

Draft Out of Scope

• (will not be) Creating Standards

Public Health Tiger Team– Project Charter

Value Statement• (provides the high level description of the value and/or benefit of this

activity to the healthcare community)

Be a trusted source to the Public Health community by advocating S&I Framework initiatives to:

– Effectively communicate with stakeholders– Strategically implement best practices to Common

workflow tools– Consolidate Resources – Advocacy – Data Integration

Draft Value StatementContext Statement:

Public Health is comprised of multiple technologies and standards to support business activities and faces challenges aligning within the context of local, state, and federal public health. (include clinical and partners)There are data sharing processes between public health and direct care that includes the capture of data (that may not be standardized in EHRs), sharing data with public health, public health conversion of the data to knowledge, and providing the knowledge as clinical decision support.

End State: Overall goals of promoting healthier communities for example, occupational health, environmental health, etc.

Value Statement:

Ensure standards related to these processes meet public health needs to facilitate information sharing for the benefit of patient care and public health practice.

• (what are the criteria for knowing when the initiative has met its goal(s)

• EHR systems transparently interoperate with public health systems. – Validate and support Public Health Pilots – Resources for Pilots (moving towards adoption)– Leverage Use Cases to support S&I Initiatives – Collaboration- ( S&I, PHCP, JPHIT, HL7, IHE, HIMSS Vendor assoc,

internal CDC)

• Leverage Population and Public Health best practices to share data among public health stakeholders. – Advocacy – Identify issues and find real world solutions – Consumer (Healthcare Professionals, Population,

Public Health Tiger Team– Project Charter

Draft Success Criteria

Public Health Tiger Team– Project Charter

Scope - Draft Scenarios

• SDC- EHDI Pilot– (cost estimate) (Dina)

• NIOSH (CDS) CQF/SDC/DAF (Genny)• HeD/CQF/CDS: Chlamydia (Shu Magarey)• I2B2e Profile UT DOH: (Shu/Bryant Karras,

Catherine, Jon Reid) • Environmental Health (Gonza)

Public Health Tiger Team– Project Charter

Draft ScenariosScenario Scenario Description Existing

Standards Implementation Profiles

EHDI Pilot Dina (more detailed description) • list of existing standards that may apply

NIOSH (CDS) Genny

HeD/CQF/CDS Shu

UT DOH: (Shu/Bryant Karras, Catherine, Jon Reid)

Public Health Tiger Team– Project Charter

Draft ScenariosScenario Scenario Description Existing

Standards Implementation Profiles

Environmental Health (Gonza)

(more detailed description) • list of existing standards that may apply

Public Health Tiger Team– Project Charter

Stakeholders• S&I, PHCP, JPHIT, HL7, IHE, HIMSS Vendor assoc, internal CDC• APHL, CSTE, ASTHO, NACCHO, JPHIT, PHII, PHDSC, AMIA• Public Health Programs

Health Information Exchanges (HIE) HospitalsPayersMedicaidIndian Health Centers/ClinicsVA/DoD HealthcareState/County/City Health OfficialsHealth Care Providers

• Early Education (Pre-K)K-12 Schools & Colleges

• University (R&D)Patients/ClientsRetail PharmaciesPharmaceutical ManufacturersElectronic Health Record VendorsPublic health software vendorsHHS: CDC, but also AHRQ, CMS, NLM, NIH, OPA, FDA, USDA, HRSA, etc.WIC Programs

• Informatics Education Programs• NASCIO• WHO

Public Health Tiger Team – Project Charter

Expected Deliverables• Identify Public health related use cases that span multiple S&I initiatives • Develop pilot(s) that demonstrate the use of multiple S&I Initiatives to

satisfy a public health related use case(s).

• Identify dependencies between S&I Initiatives and communicate these back to the Initiative leads

• Incorporate and shape use cases to develop public health related models

• Identify key policy, practice and technical level leads to support each S&I initiative from a public health perspective

• Incorporate emerging technologies e.g. FHIR as a standards become developed and available

• Develop and maintain a PHTT standards document: promote, standards, guidance, and approaches

• Successfully complete at least one pilot for each initiative

Public Health Tiger Team– Project Charter

Potential Risks• (list of risks and mitigations - Addressing these items up front will

help prompt discussion amongst workgroup members who may suspect that these risks will be a hindrance to the Initiative)

• Resources – not only having the workforce to complete the pilots but also to include the technical expertise needed

• Funding in order to complete pilots• Timeframe – small window of opportunity to complete pilots before

relevant initiatives end• Dependencies on other initiatives to complete work

Propose to place the following in a living document (outside of charter)

• Public Health Standards, Guidance, and Approaches

• Proposed Use Cases• Pilots• PHTT Workgroup Leads/ Liaisons

– Policy – Technical

Public Health Tiger Team– Project Charter

Public Health Standards, Guidance, and ApproachesStandards that we may consider for our use cases and pilots:

Messaging and document standardsHL7 v2HL7 FHIR (currently draft, first version will be published in January 2015 includes message-based and document, transport standard. possibly a Wednesday education series)HL7 CDAHL7 CCDHITSP C-32 CCSHL7 C-CDA

Transport StandardsIETF TLS/SSLDirect protocolSOAP-based Web ServicesHTTP POSTREST

Security StandardsBPPCXACMLSAML

Relevant Semantic and Terminology Standards, includingCVX/MVXICD-9/ICD-10 (CM and PCS)SNOMED-CTCPTLOINCRxNormNDCOmaha (standards that nurses use)

EHR Functional System Standards (9)The HL7 Electronic Health Records System Functional Model Release 2 (HL7 EHR-S FM R2)

The HL7 EHR-S Public Health Functional Profile Release 2 (HL7 EHR-S PHFP R2)

Usability and Design

Quality StandardsQRDA (3 levels)

- PHI level 3HQMF

Implementation GuidanceeHealth exchange specificationIHE Profiles

Architecture GuidanceUMLFederal Health Architecture (FHA)PHINNIEMFHIMSMITA

AdditionalNursing (from Marcus)NANDA International (NANDA-I)/Nursing Interventions Classification (NIC)/Nursing Outcomes Classification (NOC)                                                              Clinical Care Classification System (CCC)Perioperative Nursing Data Set (PNDS)International Classification for Nursing Practice (ICNP) X12 Transactions