Provider Reporting from the Provider Reporting from the Electronic Health RecordElectronic Health Record

Division of Informatics, Information Technology and Telecommunications

NYC Department of Health and Mental Hygiene

NYC’s Current Electronic NYC’s Current Electronic ReportingReporting

• Currently Providers are mandated to report via: Fax, mail or Reporting Central (in-house

developed application)

• Challenges with current provider reporting: Data currently exists in EHR Issues with missing, late or incomplete report

• CDC/CSTE/NACCHO exploring opportunities for EHR provider reporting

Electronic Health Records: Electronic Health Records: Current LandscapeCurrent Landscape

• How can the Health Department leverage EHR systems so that providers don’t have to re-enter data into Reporting Central? Hundreds of EHR vendors with varying

systems and data fields Multiple jurisdictions with varying reporting

requirements

• Leverage and align with Meaningful Use initiatives

Pilot Project BackgroundPilot Project Background

Goal: To pull data from the EHR clinical data architecture (CDA) - continuity of care document (CCD), and pre-populate case report forms.

•Patient demographics

•Provider/Reporter demographics

•Disease details

Outcome: 60% of common fields can

be mapped, including required fields

Workflow SummaryWorkflow Summary

Architecture/Data FlowArchitecture/Data FlowPertussis EMR Reporting Pilot

NYC

DOHM

HEP

IC

Forms Manager

Request is made by clicking a

URL in the EMR

Parse the CCD

Provider completes the case report

missing fields

Complete case

report stored at the NYC DOHMH

Store CCD Report sent to Surveillance

System

CCD sent

Send URL with prepopulated fields

from CCD and empty fields from Reporting

Central

Return Populated Web Form

Most patient demographics can be automatically populated

Provider/ICN selects the form to fill out

Disease detail to be entered by the reporter

Demographic info on the provider, reporter and facility can be pulled from the EHR

Reporter reviews data before submitting

Reporter receives a confirmation number

Lessons LearnedLessons Learned

• Securing an EHR vendor partner

• Interpreting CCD fields/ translating EHR to public health

• Partnering with an off-site clinical practice to test message transmission

SuccessesSuccesses

• Using existing logic from current online provider reporting website

• Integration with an in-house Survey tool to quickly develop forms

• CDC resources and documentation: CDA, IHE Specification

• Collaboration with our grantee counterpart in Wisconsin One standard web service reports to two

jurisdictions

Next StepsNext Steps

• Continue enhancements to streamline workflow for providers in application

• Document reporting workflow in a clinical setting, get feedback from provider site

• Incorporate resources for the provider in the application

Healthcare Provider Feedback Healthcare Provider Feedback

• Presented to stakeholders, NYC Assoc. for Professionals in Infection Control and Epidemiology and The Institute for Family Health. They would like the application to: Prepopulate info from the EHR Store the case report in the patient’s medical

chart to document submitted version of the form