Section D. HIT Standardization Phases and Entities (Continued)

Transcription

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2 Section D HIT Standardization Phases and Entities (Continued)

3 Standardization Phases Needs and priorities What should be accomplished? 3

4 Setting Priorities in Standards for Public Health 4

5 Setting Priorities in Standards for Public Health Future CMS rule Future CMS rule Current CMS NPRM Source: W. Suarez, et.al. Review of CMS Meaningful Use NPRM and ONC Standards and Certification IFR: Implications for Public Health. Presentation at JPHIT-PHDSC Webinar, February 4, Public Domain. 5

6 Setting Priorities in Standards for Public Health The following pubic health programs are included in the Meaningful Use of Health IT Stage 1 (2011): Laboratory data reporting to public health agencies Immunization data reporting to public health agencies Syndromic surveillance data reporting to public health agencies IF Public health agencies can electronically receive them Source: W. Suarez, et.al. Review of CMS Meaningful Use NPRM and ONC Standards and Certification IFR: Implications for Public Health. Presentation at JPHIT-PHDSC Webinar, February 4,

7 Standardization Phases Standards development and maintenance What are the standards? 7

8 Standard Development and Maintenance Standard Development Organizations (SDOs) SNOMED (clinical terminology) LOINC (laboratory standards) NCPDP (drugs standards) DICOM (images standards) HL7 (messaging and structured document standards) Data Content Committees (DCCs) National Uniform Billing Committee (NUBC) National Uniform Claims Committee (NUCC) CDISC (clinical trial data reporting to FDA) 8

9 Standardization Phases Standards harmonization What standards to use? 9

10 Standard Harmonization Standard Harmonization Organizations (SHOs) Health Information Technology Standards Panel (HITSP), Integrating the Healthcare Enterprise (IHE), 10

11 HITSP, Discussion Document Standards Harmonization Technical Committees Update Report to the Healthcare Information Technology Standards Panel Contract HHSP EC Health Information Technology Standardization Panel (HITSP) includes 206 member organizations: 17 SDOs (8%) 161 non-sdos (79%) 18 governmental bodies (8%) 10 consumer groups (5%) URL: 11

12 HITSP Framework for Interoperability Specification (Standards harmonization document) From: use case (scenarios, business actors, and business and functional/interoperability requirements) To: interoperability specification supporting the use cases (technical actors, transactions, standards) 12

13 Setting Priorities in Standards for Public Health 13

14 National Biosurveillance Use Case Charge: transmit essential data from electronically enabled healthcare to authorized public health agencies in real-time 14

15 Biosurveillance Use Case: Workflow 15

16 Biosurveillance 16

17 Biosurveillance 17

18 Biosurveillance 18

19 Biosurveillance Interoperability Specification Source: HITSP and American National Standards Institute (ANSI). All Rights Reserved. 19

20 Standard Harmonization Standard Harmonization Organizations (SHOs) Health Information Technology Standards Panel (HITSP), Integrating the Healthcare Enterprise (IHE), 20

21 Standardization Phases Trial implementation and testing Show what can be accomplished 21

22 Standards Trial Implementation 22

23 IHE Providers, PUBLIC HEALTH and Software Developers Working Together to Deliver Interoperable Health Information Systems in the Enterprise and Across Care Settings PHDSC was invited to form a public health domain at IHE 23

24 Integrating the Healthcare Enterprise (IHE) White papers Content profiles Technical frameworks Testing tools Integration profiles 24

25 Health IT Vendors Involved in IHE 25

26 Standards Testing IHE Connectathon 300+ participants, 120+ systems 60+ systems developers Four domains Cardiology IT infrastructure Patient care coordination Radiology monitored test cases Photo source: IHE.net. Permission pending. 26

27 Public Health Testing at IHE Develop HIT testing methods and tools for public health Early hearing detection and intervention Vital records Cancer registries 27

28 Standardization Phases Certification of standards-based products Certify standards-based IT products 28

29 Standard Certification Certification Commission for Health Information Technology (CCHIT) 29

30 Public Health Systems Certification Develop HIT certification for public health through public health functional profile Early hearing detection and intervention Vital records Cancer Communicable diseases 30

31 PHDSC Business Case HIT standardization phases PHDSC Business Case: HIT Standardization Phases, Products and Entities Needs and priorities Development and maintenance Selection and 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 standardsbased products Deploy standardsbased products HIT standards and interoperability framework development entities Standards documents HIT policy committee HIT standards committee (former AHIC) to be superseded pending ONC decisions Use cases (description of the health information exchanges) On-going activities ( 2008-now) New activities ( ) SDOs for example, HL7, SNOME (IHTSDO), LOINC, ASC X12, NUBC, ISO TC215) Standards IHE formerly HITSP, to be superseded pending ONC decisions Interoperability specifications Technical frameworks Integration profiles NHIN IHE Test reports Certification entities (CCHIT, Drummond Group, Inc) Functional profiles Certification criteria Proposed IHE and PHDSC deployment workshops Deployment reports Developed methodology for public health participation in HIT standards development and harmonization Develop methodology for public health participation in HIT product testing and certification Future activities Develop methodology for evaluation of standard-based HIT products (HIT adoption) 31

32 ONC Standards and Interoperability Framework Source: Fridsma D. (September 21, 2010). Standards and Interoperability Framework: Principles and Processes. HIT Standards Committee. HHS. 32

33 PHDSC Business Case HIT standardization phases PHDSC Business Case: HIT Standardization Phases, Products and Entities Needs and priorities Development and maintenance Selection and 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 standardsbased products Deploy standardsbased products HIT standards and interoperability framework development entities HIT policy committee HIT standards committee formerly AHIC, to be superseded pending ONC decisions SDOs for example, HL7, SNOME (IHTSDO), LOINC, ASC X12, NUBC, ISO TC215) IHE formerly HITSP, to be superseded pending ONC decisions NHIN IHE Certification entities (CCHIT, Drummond Group, Inc) Proposed IHE and 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 33

34 Standardization Phases Deployment of standards-based products Deploy standards-based IT products 34

35 Standard Deployment US 35