Electronic Case Reporting Update

Initial Electronic Case Report Data Elements Task Force

Reportable Conditions Knowledge Management System (RCKMS) Envisioned to be an authoritative, real-time portal to enhance disease surveillance by providing comprehensive information to public health reporters about the “who, what, when, where, and how” about reporting. System will determine routing of messages from provider EHRs based on the rules programmed in RCKMS “Base rules” included: NND Case definitions default Jurisdictions can modify based on reporting rules and author rules for state-reportable diseases not on NND list

Upcoming RCKMS Implementation Activities Content Development Creation of machine-processable reporting specifications for 74 reportable conditions Implementation of Content into RCKMS tool - Pre-population of default content into tool - Creation of Test Cases, testing Training - RCKMS Focus Group at 2016 PHI Conference - Online Training Sessions Initial Onboarding Jurisdictions to Author Criteria Goal: All jurisdictions using RCKMS to author criteria for 5 conditions Refinement of Processes, Continued Implementation Activities Aug - Sept 2016 Rolling Basis through Dec 2016 Rolling Basis Sept – Dec 2016 Rolling Basis Aug 2016 – Feb 2017 Feb 2017 – June 2017

eCR State Adoption Toolkit 2016 AC Sunday Workshop Tabletops: A “think tank” exercise to help in the development of a toolkit to assist jurisdictions in implementing eCR with focus on activities to undertake, questions to ask, resources to consider Table of Contents Review Legal and Policy Considerations Forming Partnerships Adjusting STLT Workflows Understanding and Accommodating Clinical Workflows Identifying Technical Options for Initial Implementation Managing Data Exchange While in Production Optimizing Data Quality and Use

Other Major eCR Activities APHL Maintains AIMS Hub currently being leveraged for eCR pilot projects underway through ASTHO ASTHO Ongoing eCR pilot projects in collaboration with EHR vendors and healthcare stakeholders Evaluating legal considerations around eCR CDC Providing some funding for associations and organizations at federal level Collaboration with healthcare and EHR vendor communities Trigger codes for EHRs PHII Funded to coordinate efforts for Digital Bridge initiative

Greenhouse Meeting June 2016 Organizers: RWJF, Deloitte, PHII Invitees: CDC, ASTHO, CSTE, NACCHO, APHL, EHR vendors, Health systems Build consensus on governing principles for improved information flow between clinical settings and public health agencies. Build on eCR work under development as an initial proof of concept to apply the governing principles agreed to at this meeting. Based on the proof of concept, governing principles and structure will be later expanded to other public health surveillance domains.

Organizational Structure Governance Board Governance Chair (John Lumpkin – Initial) Care Delivery Networks Vendor Public Health Program Management Ex Officio Members Project Director Project Manager Communications Director ONC Rep Co-Principal Investigators Logistics Coordinator Financial Admin Communications Specialist Requirements Workgroup Technical Workgroup Sustainability Workgroup Legal/Policy/ Regulatory Workgroup Requirements Chair Technical Chair Sustainability Chair Legal/Policy/Regulatory Chair Care Delivery Networks Public Health Vendor Care Delivery Networks Public Health Vendor Care Delivery Networks Public Health Vendor Care Delivery Networks Public Health Vendor

Proposed eCR Proof of Concept Timeline Q3 2016 Q4 2016 & Q1 2017 Q2 2017 Q3 & Q4 2017 Assemble existing tech and governance artifacts and establish repository Governance Communications Technical Solution Requirements Sustainability Legal/Policy / Regulatory Proof of Concept Execution Secretariat and neutral convener formed Broad stakeholder engagement across all workstreams Initial Governance body and workgroup defined and recruited PH Informatics Conference 8/24/16 Define communications plan Develop eCR readiness toolkit for PH agencies PH Agencies report readiness Permanent Governance Entity launched Document First trigger codes and eCR business requirements RCKMS platform available POC tech solutions defined Develop Lessons Learned from POCs Measurable metrics for success defined Data use agreement, Privacy & Security Policy developed Report on measurable success metrics Sustainability plan and scalability plan for PH expansion Proof of Concept Site Kickoffs POC sites & participants selected

16-SI-02 Electronic Case Reporting Leadership Financial Resources Workforce Standards Development and harmonization eCR Task Force Policy Coordination and Governance Communication and Engagement Shared services, infrastructure, and harmonization Roadmap to progress Resources for workforce Development

CSTE National Office 2872 Woodcock Boulevard, Suite 250 Atlanta, Georgia 30341 770.458.3811 770.458.8516 www.cste.org