Public Health Tiger Team

we will start the meeting 3 min after the hour

DRAFT Project Charter

May 13, 2014

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

Agenda• Announcements

– PHRi and PHTT Merger• Close Out Ceremony (PHRi Webinar)• The Road Ahead (Initiative Name, Pilots, education series,

leveraging support of members)

• PHTT Charter– Standards– Stakeholders

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 local, state, and federal public health. (include clinical and partners)

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

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

Messaging and document standards

HL7 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 Standards

IETF TLS/SSLDirect protocolSOAP-based Web ServicesHTTP POSTREST

Security StandardsBPPCXACMLSAML

Relevant Semantic and Terminology Standards, includingCVX/MVXICD-9/ICD-10 (CM and PCS)SNOMED-CTCPTLOINCRxNormNDC

Omaha (standards that nurses use)

EHR Functional System Standards (9)

Quality Standards

QRDA (3 levels)

- PHI level 3

HQMF

Implementation Guidance

eHealth exchange specification

IHE Profiles

Architecture Guidance

UML

Federal Health Architecture (FHA)

PHIN

NIEM

FHIMS

MITA

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, • Public Health Programs

Health Information Exchanges (HIE) HospitalsPayersMedicaidIndian Health Centers/ClinicsVA/DoD HealthcareState/County/City Health OfficialsHealth Care ProvidersK-12 Schools & CollegesPatients/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

PHI Conference

Evaluation