1. Public Health Data Standards Consortium http://phdatastandards.info http://phdatastandards.info

2. 1 PUBLIC HEALTH DATA STANDARDS CONSORTIUM ~ 2005 BUSINESS MEETING OF MEMBERS ~ May 24, 2005, Washington DC PHDSC Committee on a National Health Information Network

3. 2 Chair: Anna Orlova, PHDSC & Johns Hopkins University Members (in alphabetical order): Noam Arzt, President, HLN Consulting, LLC Kathleen Cook, NACCHO Michael Davisson, Washington State Department of Health Constantine Domashnev, Electronic Intellect, LLC Terese Finitzo, OZ Systems Marjorie Greenberg, National Center for Health Statistics, CDC Laurence Hanrahan, Wisconsin Division of Public Health David Hollar, University of Tennessee Glenda Kelly, Association of State & Territorial Directors of Nursing, Denise Love, National Association of Health Data Organizations Carol Quinsey, American Health Information Management Association Robert Rej, New York State Dept. of Health & APHL Susan Salkowitz, American Immunization Registry Association Mary Shaffran, Association of State and Territorial Health Officials Perry Smith, New York State Department of Health & CSTE Steven Steindel, Centers for Disease Control & Prevention Walter Suarez, MidWest Center for HIPAA Education Walter Tsou, American Public Health Association PHDSC Committee on a National Health Information Network

4. 3 RESPONSE TO THE REQUEST FOR INFORMATION on the Development and Adoption of a National Health Information Network from the Office of National Coordinator for Health Information Technology (ONCHIT), Department of Health and Human Services; Released on November 15, 2004 PHDSC Committee on a National Health Information Network Submitted to ONCHIT on January 18, 2005

5. 4 u The PHDSC defines the NHIN as the policy framework and technical linkages between disparate health and health care information systems that allow patients, physicians, hospitals, public health agencies and other authorized users across the nation to share timely clinical information under stringent security, privacy and other protections. u In the view of the PHDSC, the goal of the NHIN is to effectively use information technology to improve the quality, efficiency, and safety of healthcare for all Americans through the widespread adoption of interoperable electronic health record systems (EHRS) within ten years and to enhance the health of the population. PHDSC Committee on a National Health Information Network - Response to RFI

6. 5 Clinical Care ADT- Birth Record Newborn Screening Test Hearing Screening Test Immunization Administration External Laboratory Hospital of Birth HL7 2.4 HL7 3.0 HL7 2.4 Public Health EHR-PH Info Exchange Newborn Screening Registry Hearing Screening Registry Immunization Registry Communicable Disease Registry State Health Department HL7 3.0 HL7 2.4 J2EE PHDSC EHR-PH System Prototype for Interoperability of Clinical and Public Health Systems, HIMSS-2005 Source: Orlova, et al. HIMSS 2005,Dallas TX, February 13-17, 2005

7. 6 PHDSC Model: RHIO EHR-PH Info Exchange PHDSC Model for Electronic Health Record-based Data Exchange

8. 7 To the Following Organizations (in alphabetical order): American Health Information Management Association (AHIMA) American Immunization Registry Association (AIRA) American Public Health Association (APHA) Association of Public Health Laboratories (APHL) Association of State and Territorial Directors of Nursing (ASTDN) Association of State and Territorial Health Officers (ASTHO) Centers for Disease Control and Prevention (CDC) Council for State and Territorial Epidemiologists (CSTE) National Association of Health Data Organizations (NAHDO) National Assoc. of County and City Health Officials (NACCHO) PHDSC RESPONSE TO THE ONCHIT RFI: Acknowledgements

9. 8 Proposed Next Steps Participation in HL7 EHR Standard Development Process EHR Technical Committee, Pediatric EHR Special Interest Group (SIG) Public Health & Emergency Response SIG Participation in EHR System Certification Process u Certification Commission in Health Information Technology (CCHIT)

10. 9 Proposed Next Steps 2005 HRSA Contract (under development): Goal: u To develop a vision for EHRS public health reporting requirements to inform the development of the EHRS conformance standards for public health Partner/Site: u New York City Health Department – will become PHDSC member in FY06 Organizations to be involved: u HL7 and u Certification Commission in Health Information Technology (CCHIT)