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HITAC USCDI Task Force Delivers its Recommendations

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HITAC USCDI Task Force Delivers its Recommendations

On April 18, 2018 the HHS Health Information Technology Advisory Committee (HITAC) US Core Data for Interoperability Task Force delivered its recommendations on the draft US Core D ...

On April 18, 2018 the HHS Health Information Technology Advisory Committee (HITAC) US Core Data for Interoperability Task Force delivered its recommendations on the draft US Core Data for Interoperability (USCDI) and Proposed Expansion Process which had been published for public comment back in January 2018. HITAC promptly accepted the Task Force’s recommendations.

The Task Force focused almost exclusively on the process for identifying the USCDI rather than the proposed USCDI data itself. I especially appreciated their introduction of some key concepts related to how USCDI should be organized and understood. It has always bothered me that the current Common Clinical Data Set (CCDS) upon which the current draft USCDI is based contains a variety of types of data at different levels of analysis: for instance, a single discreet data element (like date of birth or sex) sits alongside more complex data constructs (like address, which contains many discreet data elements within it) which sit alongside even more complex data types (like immunizations or procedures). The Task Force introduces a notion of hierarchy to make this more sensible: data classes (high level topic like “demographics”), data objects (a single item within a class, like “address” within the class “demographics”), and data object attributes (a specific data element within a data object, like “zip code” within “address”).

From a process standpoint, the Task Force recommended an expanded set of steps which has an emphasis on more stakeholder participation and less ONC pronouncement. This includes a recommendation for patient input as well. These are welcomed additions and I certainly hope they will be operationalized by ONC.

HLN Adds Additional Support for Earliest/Overdue Date in Latest Release of Open Source Immunization Forecaster

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HLN Adds Additional Support for Earliest/Overdue Date in Latest Release of Open Source Immunization Forecaster

A new release (v 1.12.1) of the Immunization Calculation Engine (ICE) is now available (download ICE version 1.12.1). ICE is a state-of-the-art open-source software system that pro ...

A new release (v 1.12.1) of the Immunization Calculation Engine (ICE) is now available (download ICE version 1.12.1). ICE is a state-of-the-art open-source software system that provides clinical decision support (CDS) for immunizations for use in Immunization Information Systems (IIS), Electronic Health Record (EHR) and Personal Health Record (PHR) Systems.

The release includes support Earliest Date and Overdue Date for additional vaccines: Hep A, MMR and Zoster. If enabled, ICE will output two additional forecast dates along with the Recommendation Date: the Earliest Date and Overdue Date. The Earliest Date is the soonest date that the vaccine can be given and still be considered valid. The Overdue Date is the date after which an immunization administered would be considered late. With this release, ICE returns the earliest and overdue dates for seven vaccine groups, and the remaining three vaccine groups will be completely supported in future releases of ICE in Spring 2018.

In addition, this release includes several other changes with are documented in the release notes. The latest ICE Implementation Guide (v2r20) describes how implementers should update their installation and software to properly read the Earliest, Recommended, and Overdue dates.

Feel free to e-mail us at ice@hln.com if you have any questions.

HLN Updates White Paper on IIS/EHR Feature Overlap

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HLN Updates White Paper on IIS/EHR Feature Overlap

Immunization Information Systems (IIS) have been around for more than twenty years. Their functionality, completeness, and usefulness have all increased over this time. IIS and ele ...

Immunization Information Systems (IIS) have been around for more than twenty years. Their functionality, completeness, and usefulness have all increased over this time. IIS and electronic health record (EHR) systems have always had unique features, as well as some overlapping features, and the deployment of EHRs has enhanced the local immunization capabilities of clinician practices. Several critical clinical features that are considered to be core functions of IIS are beginning to be supported by EHRs.

IIS and EHR Feature Overlap, originally published in 2014, reviews and discusses five such critical features. The paper offers insight into the likelihood and implications of their migration from IIS to EHR, and offers recommendations to both the IIS and EHR communities for how to thoughtfully guide this migration. The proliferation of EHR with funding from the CMS EHR Incentive Programs has in some cases exacerbated the feature overlap. Both IIS and EHR projects should consider wisely investments in these functional areas, considering the potential for overlap as well as the on-hand expertise to develop, support these feature.

HLN-authored White Paper published by NYeC: The Case for Payer Participation in Health Information Exchange

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HLN-authored White Paper published by NYeC: The Case for Payer Participation in Health Information Exchange

The New York eHealth Collaborative (NYeC) recently published a new white paper authored by Dr. Noam Arzt, President of HLN, titled The Case for Payer Participation in Health Inform ...

The New York eHealth Collaborative (NYeC) recently published a new white paper authored by Dr. Noam Arzt, President of HLN, titled The Case for Payer Participation in Health Information Exchange.

Health information exchanges (HIEs) are collaborative efforts that focus on health data exchange on a community, regional, or statewide basis. HIEs are quite diverse; their services have yet to be fully leveraged by the payer community. HIE is an important tool in improving the quality of patient care and outcomes, increasing accuracy and speed of diagnosis, eliminating unnecessary or duplicative tests and procedures, and reducing healthcare expenditures. Payers who participate in HIEs can experience greater oversight and can be better equipped to manage and coordinate patient care.

HLN Participates in Stewards of Change Regional Symposium

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HLN Participates in Stewards of Change Regional Symposium

On March 27-28, 2018, Dr. Noam Arzt, President of HLN, participated by invitation in the Stewards of Change National Interoperability Collaborative Symposium on Advancing Informati ...

On March 27-28, 2018, Dr. Noam Arzt, President of HLN, participated by invitation in the Stewards of Change National Interoperability Collaborative Symposium on Advancing Information Sharing in California and Beyond on behalf of the Healthcare Information and Management Systems Society (HIMSS). In attendance was a small, but diverse set of stakeholders across the health, human services, education, and criminal justice with an interest in improving data interoperability between systems with these diverse domains, with a special emphasis on efforts in California. Sponsored by the National Interoperability Collaborative (NIC) this symposium represents a continuing expansion of the Stewards of Change focus from human services into the health domain. This expanded conversation will allow public health to participate more fully as the shift to our collective concern about wellness requires a more holistic view of people, their requirements, and their circumstances. We look forward to continuing engagement with this community and an opportunity to bring what we have learned in public health about interoperability into this new forum.