1. 2008© COPYRIGHT Moving From Lab Tracker to the Web ATHN Data Summit 2008 August 1, 2008 Presenters: Crystal Watson & Lewis Parker

2. 2008© COPYRIGHT 2 Lab Tracker Web Development Committee Co-chairs: Brenda Riske - Denver, CO Crystal Watson – ATHN Members: Pam Bryant – Atlanta, GA Karmen Enge - Madison, WI Ann Forsberg - Worcester, MA Rebecca Hauke - Ann Arbor, MI Stuart Holcombe - GZS Lew Parker – Denver, CO Steve Pipe – Ann Arbor, MI Angie Riedel - Peoria, IL CDC Liaisons: Thomas Savel - NCPHI Cindy Su – NCBDDD

3. 2008© COPYRIGHT 3 Lab Tracker Web - 30,000 Foot View Hosting – Policy Approval from CDC Office of General Council – Vetted with HHS – Undergoing security certification review – Hardware infrastructure being architected Application – Preparing for first phase of testing

4. 2008© COPYRIGHT 4 Key Differences Lab TrackerLab Tracker Web Locally housed at individual HTCs Centrally hosted at Mid Tier Data Center (MTCD) with separate Disaster Recovery location HTCs responsible for installing updates and performing backups MTDC responsible for installing updates and performing backups HIV based with Hemophilia Module Hemostasis Centric Limited use of standardsStandards based Logic based on free text entryLogic based on controlled pick lists Limited query based exports and reporting Report writer functionality

5. 2008© COPYRIGHT 5 Key Enhancements HTC Network Unique ID Generator Standardized pick-lists with access to full SNOMED database Redesigned Tabs Medications and Insurance Contacts and Visits Consents Tab tied to clinical trial enrollment New Tabs Surgeries Infusions/Bleeds

6. 2008© COPYRIGHT 6 Pick-List Standardization

7. 2008© COPYRIGHT 7 SNOMED Search

8. 2008© COPYRIGHT 8 Patient / Patient List

9. 2008© COPYRIGHT 9 UDC Mortality Wizard

10. 2008© COPYRIGHT 10 UDC Mortality Wizard

11. 2008© COPYRIGHT 11 Patient / Contacts

12. 2008© COPYRIGHT 12 Patient / Consents

13. 2008© COPYRIGHT 13 Consents / Add Consent

14. 2008© COPYRIGHT 14 Patient / Insurance

15. 2008© COPYRIGHT 15 Medications

16. 2008© COPYRIGHT 16 Medications / Start Treatment

17. 2008© COPYRIGHT 17 Visits

18. 2008© COPYRIGHT 18 Lab Tracker Web Testing & Release Schedule Web Committee Test Schedule Time - frame Concurrent Efforts – Web Committee/GZS/CDC Concurrent Efforts – HTCs Alpha Testing Atlanta, Denver, Peoria August 08 – October 08 Data mapping exception report written and tested Develop evaluation and staging process for roll-out to HTCs Beta Testing Pre-MTDC Atlanta, Denver, Peoria, Madison, Worcester, Ann Arbor, Indianapolis November 08 – December 08 PHIN Directory Tree built for beta sites CDC to complete security certification review in preparation for MTDC installation Provide assistance to HTCs to prepare for staged roll out: 1)Data mapping exception report 2)Establish directory and user roles for HTC staff 3)Obtain certificates 4)Training ------------------------------------- These efforts will be supported by: Web Committee, GZS, ATHN, and CDC Installation in MTDCJanuary 09PHIN Directory Tree submitted and digital certificates obtained for beta sites Integration Testing Post-MTDC Atlanta, Denver, Peoria, Madison, Worcester, Ann Arbor, INdianapolis February 09- March 09 Staged Roll-Out to HTCsApril 09Technical assistance and training

19. 2008© COPYRIGHT 19 The Data Migration Process Existing Database Mapping Exercise utilizing an Exception Report Freeze database Transfer to GZS Map and migrate database Lab Tracker Web Database Enabled

20. 2008© COPYRIGHT 20 What Your IT Department Needs to Know Your clinic will be migrating to a web-based version of Lab Tracker All information sent via standard web protocols Requirements: – Latest version of Internet Explorer – Access to the internet Specifically the Lab Tracker Web launch point Easier to manage – No client to install, no database to backup, no unusual firewall configuration

21. 2008© COPYRIGHT 21 What Can You do Now to Prepare for Web? Get ready for data cleaning and mapping – Do an internal quality review of your data – Ensure that every person receiving care in your clinic has a record created and the correct diagnosis assigned – Generate your HDS report for 2008 Compile a preliminary list of all staff that will be logging in to the web version Designate a primary administrator – Good working knowledge of the database – Will have full access to your database – Ensure that digital certificates are active

22. 2008© COPYRIGHT 22 Web Committee Contact Information Crystal Watson – cwatson@athn.org Lew Parker – parker@earthvectors.com