public health in health it standardization resource center current experience with implementation of...
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Public Health in Health IT Standardization Resource Center
•Current experience with implementation of public health information systems.
HIT Adoption Stories
•Informational and educational resources regarding HIT Standards, the standardization process and its entities
HIT Standards Resources
•Public health involvement in national HIT standardization : why, where, when how to participate and cost of participation.
Public Health in HIT
Standardization
•Online survey for Gathering functional requirements for information exchange
Public Health Needs for HIT
Standards
MODULE 2: Public Health in
HIT Standardization
• Informational and educational resources regarding HIT Standards, the standardization process and its entities
Standards Category Pages
PROVIDES: Examples of specific standards within the category Domains in which the standards are being used
Example:
Standards Harmonization
HITSP Healthcare and Public Health
IHE Healthcare and Public Health
S&I Framework Healthcare and Public Health
Standards Category Pages
PROVIDES: Detailed
information Standard Standard
Setter URLs to more
information Example:
Data Standards
MODULE 4: HIT Standards
Resources
• Informational and educational resources regarding HIT Standards, the standardization process and its entities
Barriers to Public Health Participation in
Health IT Standardization
Lack of awareness of the benefits of participating in HIT standardization
Difficulty in identifying standardization entities
Limited ability to be involved
Lack of technical knowledge and informatics skills
Lack of funding to support participation
PHDSC Business CaseNational Health IT adoption strategies have created
unprecedented interest in using population-level data. Such data can be available if public health information systems successfully interoperate, i.e., receive and send data between clinical information systems; and across health information systems at all levels of government.
We propose a business strategy that maximizes the impact of those who participate on
behalf of public health in the national Health IT standardization process, and
obtains input from and informs and educates ,other public health stakeholders.
Through this joint public health effort, we could achieve meaningful interoperability across public health information systems as well as between public health and clinical information systems.
Public Health Participation in Health IT Standardization
•Public health needs can only be communicated effectively by public health professionals
Why
•Public health participation is needed along the continuum of the Health IT Standardization process.
Where
•Jurisdictional and program interests should be brought to the Health IT Standardization table.
What
•Senior public health program staff and informaticians should participate in Health IT Htandardization
Who
•Public health needs to speak with a strong, coordinated voice to Health IT standardization entities.
How
•Participation cost has been estimated at $39,500.
How Much
Public Health Participation in Health IT Standardization* * Based on the total number of participating organizations as of December 1, 2009.
Health IT Standardization
Phase
Health IT Standardization
Entity
Public Health ParticipationTotal Number of Organizations
N
Public Health Organizations,
N (%)
Needs Identification & Priorities Setting
HIT Policy Committee**
20 2 (10)
HIT Standards Committee
23 1 (4)
Standards Development & Maintenance
Health Level Seven (HL7)
503 27 (5)
Standards Selection & Harmonization
Health Information Technology Standards Panel (HITSP)
641 30 (5)
Standards Trial Implementation
Integrating the Healthcare Enterprise (IHE)
251 7 (3)
Standardized Health IT Products Certification
Certification Commission for Health Information Technology (CCHIT)
341 3 (1)
Public Health Participation in Health IT Standardization
Based on the total number of participating organizations as of December 1, 2009.
Total Number
of Organizations
Public Health
Organizations,
N (%)
Public Health Setting
Total Number of
Organizations 178070
(4%)
Federal Agencies 18State Public Health 20Local Public Health 9Professional Assoc. 16Academia 7
Public Health Participation in Health IT Standardization
Public Health Participation
0%
20%
40%
60%
80%
100%
Participation (%)
HIT Standardization Phases
Public Health Organizations Non-Public Health Organizations
Estimated Annual Cost for Public Health Agency/Program to Participate in Health IT
Standardization
Based on participation of PHDSC representatives at HL7, ASC X12, HITSP, and IHE, we estimate the following dollar costs:
Active Partici-pation
$30,000
Attend Meetings$8,000
Continuing Education
$1,500
Total$39, 500
25% FTE senior level:•Conference Calls•Document Review
25% FTE senior level:•Conference Calls•Document Review
25% FTE senior level:•Conference Calls•Document Review
• Quarterly• Face to Face• 3 – 5 days
25% FTE senior level:• Conference Calls• Document Review
CME credits average• $20 - $80/credit
Direct Costs