Public Health Laboratory Data (PH-Lab) Exchange Project: Overview Public Health Laboratory Data (PH-Lab) Exchange Project Project Team Call April, 19 2011 Public Health Laboratory Data (PH-Lab) Exchange Project: Overview Anna O. Orlova, PhD aorlova@jhsph.edu Executive Director Public Health Data Standards Consortium Baltimore, Maryland, USA

PHDSC Business Case: Role of Public health in HIT Standardization Public Health Laboratory Data (PH-Lab) Exchange Project Project Team Call April, 19 2011 Introduction to PHDSC PHDSC Business Case: Role of Public health in HIT Standardization PH-Lab Project in the Context of the Business Case Framework PH-Lab Project and other PHDSC Projects

PHDSC Business Case: Role of Public health in HIT Standardization Public Health Laboratory Data (PH-Lab) Exchange Project Project Team Call April, 19 2011 Introduction to PHDSC PHDSC Business Case: Role of Public health in HIT Standardization PH-Lab Project in the Context of the Business Case Framework PH-Lab Project and other PHDSC Projects

PHDSC History The Consortium was established in response to the 1996 Health Insurance Portability and Accountability Act (HIPAA) at a 1998 Workshop that explored the implications of HIPAA for the practice of public health and health services research. In 2003, the Consortium became a not-for profit organization

PHDSC’s Mission PHDSC is committed to bring a common voice from the public health community to the national efforts of standardization of health and healthcare information Enhanced Population Health Enhanced Enhanced Enhanced Enhanced Enhanced Enhanced Enhanced Health and Health and Health and Health and Health Health Health and Health Care and Health Care and Health Care Health Care Health Care Health Care Health Care Improved Health Information Improved Improved Improved Improved Improved Improved Improved Health Information Health Information Health Information Health Information Health Information Health Information Health Information Health IT Standards Health Data Standards Health Data Standards Health Data Standards Health Data Standards Health Data Standards Health Data Standards Health Data Standards

PHDSC Strategic Priorities Represent public health interests (local, state and federal agencies and research communities) in the standards development, harmonization and maintenance activities by participation in the standard development (SDOs), data content committees (DCCs), standard harmonization entities and other healthcare standardization-related efforts Promote interoperability of health-related data systems to meet the health data needs of public and private organizations, agencies and individuals Educate clinical and public health professionals about standards and systems interoperability, and vendors and clinicians about public health

PHDSC Business Case: Role of Public health in HIT Standardization Public Health Laboratory Data (PH-Lab) Exchange Project Project Team Call April, 19 2011 Introduction to PHDSC PHDSC Business Case: Role of Public health in HIT Standardization PH-Lab Project in the Context of the Business Case Framework PH-Lab Project and other PHDSC Projects

Business Case: Public Health in HIT Standardization Supported through the CDC Cooperative Agreement.

Business Case: Public Health in HIT Standardization National HIT standardization process requires collective input from public health on what public health issues need to be addressed in national interoperable HIT standards. This input needs to be collaboratively developed, put through the national HIT standardization process and uniformly implemented. Public Health’s “Organized Voice on HIT Standards” will have to take on a character reflective of this reality. URL: http://www.phdsc.org/standards/pdfs/PHDSC_Business_Case_Public_Health_HIT-Standardization.pdf

Business Case: Public Health in HIT Standardization We define Public Health’s Organized Voice on HIT Standards as an open, transparent, participatory process of harmonizing program-specific and jurisdictional needs with national HIT interoperability standards by working with public health stakeholders and HIT standardization entities on various phases of HIT standardization URL: http://www.phdsc.org/standards/pdfs/PHDSC_Business_Case_Public_Health_HIT-Standardization.pdf

Business Case: Public Health in HIT Standardization Health IT Standards Types Data Standards Information Content Standards Information Exchange Standards Identifiers Standards Privacy and Security Standards Functional Standards Other This classification of HIT standards types has been developed by the Health Information Technology Standards Panel (HITSP, www.hitsp.org) in 2006

HIT Standardization Phases Needs & Priority Setting Standard Development and Maintenance Standards Harmonization and Testing Standards Certification Standards Adoption

HIT Standardization Phases & Entities Past: AHIC Now: HIT Policy Committee & HIT Standards Committee Need & Priority Setting Standard Development and Maintenance Standards Harmonization and Testing Standards Certification Standards Adoption Standards Development Organizations, eg, HL7, LOINC, X12, NUBC, NUCC, etc. Past: Health Information Technology Standards Panel (HITSP) Now: Integrating healthcare Enterprise (IHE) Certification Commission for Health Information Technology (CCHIT) US

PHDSC Business Case: HIT Standardization Phases, Products and Entities Needs & Priorities Development & Maintenance Selection Harmonization Testing/Trial Implementation Certification Deployment Goals What should be accomplished? What are the standards? What standards to use? Show what can be accomplished Certify standards-based products Deploy standards-based products HIT Standards and Interoperability Framework Development Entities HIT Policy Committee HIT Standards Committee S&I Harmonization Framework Initiatives SDOs (e.g., HL7, SNOMED (IHTSDO), LOINC, ASC X12, NUBC, ISO TC215) IHE (Formerly HITSP) Certification Entities (CCHIT, Drummond Group, Inc) IHE & PHDSC Deployment Workshops Standards Documents Use Cases (Description of the health information exchanges) Standards Interoperability Specifications Technical Frameworks Integration Profiles Test Reports Functional Profiles Certification Criteria Deployment Reports On-going Activities ( 2008-now) Developed methodology for public health participation in HIT standards development & harmonization. New Activities (2010-11) Develop methodology for public health participation in HIT product testing and certification Future Activities Develop methodology for evaluation of standard-based HIT products (standards-based HIT products deployment)

Source: Fridsma D. Standards and Interoperability Framework: Principles and Processes. HIT Standards Committee. September 21, 2010. URL: http://healthit.hhs.gov/portal/server.pt?open=512&objID=1817&parentname=CommunityPage&parentid=28&mode=2&in_hi_userid=11673&cached=true

PHDSC Business Case: Role of Public health in HIT Standardization Public Health Laboratory Data (PH-Lab) Exchange Project Project Team Call April, 19 2011 Introduction to PHDSC PHDSC Business Case: Role of Public health in HIT Standardization PHDSC Projects on PH in HIT Standardization PH-Lab Project in the Context of the Business Case Framework

Assuring Health IT Standards for Public Health Implementing the Business Case through Developing a methodology for Public Health Participation in HIT Standardization Efforts Educating Public Health Community about Health Informatics and HIT Standards

Ongoing PHDSC Projects Assuring Health IT Standards for Public Health Implementing the Business Case through Ongoing PHDSC Projects Early Hearing Detection and Intervention Vital Records Administrative Data Exchanges

Assuring Health IT Standards for Public Health On-going Projects Participate in standards development activities:

PHDSC Business Case: HIT Standardization Phases, Products and Entities Needs & Priorities Development & Maintenance Selection Harmonization Testing/Trial Implementation Certification Deployment Goals What should be accomplished? What are the standards? What standards to use? Show what can be accomplished Certify standards-based products Deploy standards-based products HIT Standards and Interoperability Framework Development Entities HIT Policy Committee HIT Standards Committee S&I Harmonization Framework Initiatives SDOs (e.g., HL7, SNOMED (IHTSDO), LOINC, ASC X12, NUBC, ISO TC215) IHE (Formerly HITSP, to be superseded pending ONC decisions) Certification Entities (CCHIT, Drummond Group, Inc) IHE & PHDSC Deployment Workshops Standards Documents Use Cases (Description of the health information exchanges) Standards Interoperability Specifications Technical Frameworks Integration Profiles Test Reports Functional Profiles Certification Criteria Deployment Reports On-going Activities ( 2008-now) Developed methodology for public health participation in HIT standards development & harmonization. New Activities (2010-11) Develop methodology for public health participation in HIT product testing and certification Future Activities Develop methodology for evaluation of standard-based HIT products (standards-based HIT products deployment)

Source: Fridsma D. Standards and Interoperability Framework: Principles and Processes. HIT Standards Committee. September 21, 2010. URL: http://healthit.hhs.gov/portal/server.pt?open=512&objID=1817&parentname=CommunityPage&parentid=28&mode=2&in_hi_userid=11673&cached=true

HITSP Projects PHDSC Projects HIT Standardization and PHDSC Projects HIT Standardiza- tion Phases Needs & Priorities Development & Maintenance Selection Harmonization Testing /Trial Implemen- tation Certification Deploy- ment Goals What should be accomplished? What are the standards? What standards to use? Show what can be accomplished Certify standards-based products Deploy standards-based products Public Health Domains Undergoing HIT Standardiza- tion AHIC / MU: Biosurveillance Immunization ELR Public Health Reporting Newborn Screening Vital Records Hearing HITSP Projects PHDSC Projects Admin Data ONC Standards and Interopera-bility Framework

PHDSC Business Case: Role of Public health in HIT Standardization Public Health Laboratory Data (PH-Lab) Exchange Project Project Team Call April, 19 2011 Introduction to PHDSC PHDSC Business Case: Role of Public health in HIT Standardization PHDSC Projects on PH in HIT Standardization PH-Lab Project in the Context of the Business Case Framework

Ongoing PHDSC Projects Assuring Health IT Standards for Public Health Implementing the Business Case through Ongoing PHDSC Projects Early Hearing Detection and Intervention Vital Records Administrative Data Exchanges PH-Lab Data Exchanges

HITSP Projects PHDSC Projects HIT Standardization and PHDSC Projects HIT Standardiza- tion Phases Needs & Priorities Development & Maintenance Selection Harmonization Testing /Trial Implemen- tation Certification Deploy- ment Goals What should be accomplished? What are the standards? What standards to use? Show what can be accomplished Certify standards-based products Deploy standards-based products Public Health Domains Undergoing HIT Standardiza- tion AHIC / MU: Biosurveillance Immunization ELR Public Health Reporting Newborn Screening Vital Records PH-Lab Hearing HITSP Projects PHDSC Projects Admin Data ONC Standards and Interopera-bility Framework

Assuring Health IT Standards for Public Health PH-Lab Project: Activities and Deliverables White Paper: Roadmap HIT Interoperability Standards for Public Health Laboratory Data Exchanges

Assuring Health IT Standards for Public Health PH-Lab Project: Activities and Deliverables IHE PH Reporting Integration Profile PH Systems Certification HL7 PH Functional Profile HL7 PH Reporting Requirements Standard

PH-Lab Standards Roadmap PHDSC PH-Lab Project by HIT Standardization Phases, Products and Entities HIT Standardization Phases Needs & Priorities Development & Maintenance Selection Harmonization Testing/Trial Implementation Certification Deployment Goals What should be accomplished? What are the standards? What standards to use? Show what can be accomplished Certify standards-based products Deploy standards-based products HIT Standards and Interoperability Framework Development Entities HIT Policy Committee HIT Standards Committee S&I Harmonization Framework Initiatives SDOs (e.g., HL7, SNOMED (IHTSDO), LOINC, ASC X12, NUBC, ISO TC215) IHE (Formerly HITSP, to be superseded pending ONC decisions) Certification Entities (CCHIT, Drummond Group, Inc) PHIN IHE & PHDSC Deployment Workshops Standards Documents Use Cases, CDC ELR Projects PHII-APHL PHLIP PHLISSA, RCMT, PHIN Preparedness Report, etc. Standards HL7 2.x Implementa- tion Guides Interoperability Specifications Technical Frameworks Integration Profiles Test Reports Functional Profiles Certification Criteria Deployment Reports On-going Activities ( 2008-now) Developed methodology for public health participation in HIT standards development & harmonization. New Activities (2010-11) Develop methodology for public health participation in HIT product testing and certification Future Activities Develop methodology for evaluation of standard-based HIT products (standards-based HIT products deployment) White Paper PH-Lab Standards Roadmap Year 1 Year 2 Year 3 PHDSC-APHL-CDC PH-Lab Project

Call Tasks: Assuring Health IT Standards for Public Health PH-Lab Project: Team Call – April 19, 2011 Call Tasks: Review Statement of Work Define Project Scope Define Use Cases Project Wiki Pages URL: https://wiki.phdsc.org/index.php/PH-Lab