introduction motivation federal policy and others see interoperability as central interoperability...
TRANSCRIPT
INTRODUCTION
Motivation
Federal policy and others see interoperability as central
Interoperability is key to public health Public health has a low level of representation in the
national discourse Public health is at risk at not getting its unique and
important needs met Doing work better Achieving better population health in jurisdiction
Only public health professionals can advocate adequately for public health
Can we increase the participation of public health in this national discouse?
Outline
Present our conception of the business case for public health participation in national standardization efforts
Outline our plan for increasing participation Present the development of a resource we
are making publicly available Demonstrate the use and updating of the
resource
MAKING THE BUSINESS CASE
PHDSC PLAN FOR INCREASING PARTICIPATION
BUILDING THE “STORIES” RESOURCE
Interactive Model Module 1 (M1): HIT Adoption’s Stories
Identifying and documenting best practices in HIT adoption in public health
Module 2 (M2): HIT Standards Resource Center Educating the public health workforce on public health
informatics and HIT standards Module 3 (M3): Public Health Needs for HIT Projects
Identifying and documenting business processes and functional requirements for interoperable EHR-PH systems
Module 4 (M4): Public Health Participation in HIT Standardization Process Developing on-line tools to enable local and state public health
participation in the national HIT standardization process, including participating in on-line surveys, tracking participation, the experience with participation, and lessons learnt
Functional Requirements Analysis Specification Document (FRAD)
Goal Participants
Actors, i.e., users - public health practitioners, clinicians, vendors
Functions Actions, i.e., rolebased
Activities in relation to each module e.g., Story submitter,
reviewer, reader, etc.
Nonfunctional requirements e.g., Content update
schedule, role-based access to the web-site content revisions/updates
Software and hardware requirements
Evaluation plan Timeline
Bruegge B. and Dutoit A.H. Object-Oriented Software Engineering. Pearson Prentice Hall. Upper Saddle River,NJ. 2nd Edition. 1-172.
Method
1. Design of repository2. Search by public-health knowledgeable
searchers3. Categorization by team members4. Redesign5. Publication
Method
1. Design of repository2. Search by public-health knowledgeable
searchers3. Categorization by team members4. Redesign5. Publication
1. Design: Entity-Relationship Diagram for Resource Database
PHDSC
Identifying and documenting best practices in HIT adoption in public health
Entity-Relationship Diagram for Resource Database
PHDSC
Identifying and documenting best practices in HIT adoption in public health
Educating the public health workforce on public health informatics and HIT standards
Identifying and documenting business processes and functional requirements for interoperable EHR-PH systems
Developing on-line tools to enable local and state public health participation in the national HIT standardization process
Entity-Relationship Diagram for Resource Database: PHDSC
Method
1. Design of repository2. Search by public-health knowledgeable
searchers3. Categorization by team members4. Redesign5. Publication
2. Search by Searchers
Students at Johns Hopkins Staff at HLN Wide range of domains Wide range of functions Mostly domestic Active Web site Some documents
Method
1. Design of repository2. Search by public-health knowledgeable
searchers3. Categorization by team members4. Redesign5. Publication
3. Categorization
CDC Domain Public Health Essential Function Informatics function Standardization phase Standardization Activities
Domains: CDC +
Bioterrorism Chronic Disease Communicable
Disease Dental Health Emergency
Response Environmental
Health Epidemiology Global Health
Immunization Injury Maternal and Child
Health Mental Health Occupational Health Public Health
Informatics Vital Statistics Zoonotic, Vector-
Borne, and Enteric
Business Processes: Public Health Essential Functions
Assess Assure Connect Develop Diagnose Educate Empower Enforce
Evaluate Exchange Identify Inform Investigate Manage Mobilize Monitor Research
Informatics Functions
Analyze Data Collect Data Code Data Generate Reports
Reminders, Notifications, Alerts, Summaries
Integrate Data Manage Data
Store, Verify
Standardization Phases
Needs and Priorities Standards Development Standards Harmonization Standards Trial Implementation (Testing) Standardized HIT Products Certification Standardized HIT Products Adoption
Standardization Activities
Identify domain need
Establish functional requirement
Develop spec Identify overlap/gap Resolve overlap/gap
Select standard Implement standard Test standard spec Deploy standard Establish
compliance Establish
conformance Certify HIT product
Entity-Relationship Diagram for Resource Database
PHDSC
Identifying and documenting best practices in HIT adoption in public health
Educating the public health workforce on public health informatics and HIT standards
Identifying and documenting business processes and functional requirements for interoperable EHR-PH systems
Developing on-line tools to enable local and state public health participation in the national HIT standardization process
3. Categorization
CDC Domains 15 Public Health Essential Function x 17 Informatics function x 6 Standardization phase x 6 Standardization Activities x 12 = a lot!
Method
1. Design of repository2. Search by public-health knowledgeable
searchers3. Categorization by team members4. Redesign5. Publication
4. Redesign
All systems, as well as those dependent on standards
While not exhaustive, accept multiple examples
Must be active (updated) Must be interactive (not just a report) Must be current Must be accessible (not subscription) Must have substantive information (not just
“brochures”)
Method
1. Design of repository2. Search by public-health knowledgeable
searchers3. Categorization by team members4. Redesign5. Publication
THE “STORIES” RESOURCE
For more information please contact Centers for Disease Control and Prevention1600 Clifton Road NE, Atlanta, GA 30333Telephone, 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: [email protected] Web: www.atsdr.cdc.gov