HLN ConsultingSoftware and Services for Public Health

HLN Participates in PCORS CDS Learning Network National Webinar

Share

HLN Participates in PCORS CDS Learning Network National Webinar

HLN organized and participated in a national webinar titled CDS for Immunizations (CDSi): A Community and Standards-based Approach on January 18, 2018. Speakers included: Dr. ...

HLN organized and participated in a national webinar titled CDS for Immunizations (CDSi): A Community and Standards-based Approach on January 18, 2018. Speakers included:

  • Dr. Noam Arzt, President of HLN, who spoke about the business case for clinical decision support for immunizations, and about HLN’s Open Source ICE vaccine evaluation and forecasting product
  • Stuart Myerburg from CDC who spoke about the CDC CDSi project
  • Angel Aponte from the NYC Department of Health and Mental Hygiene who spoke about real-work implementations in the Citywide Immunization Registry (CIR)

Over 50 individuals participated in the webinar which was sponsored by the Patient-Centered Clinical Decision Support (CDS) Learning Network (PCORCDS).

TEFCA: A Public Health Perspective (revised)

Share

TEFCA: A Public Health Perspective (revised)

In January 2018 the Office of the National Coordinator for Health Information Technology (ONC) issued a draft Trusted Exchange Framework and Common Agreement (TEFCA), and related s ...

In January 2018 the Office of the National Coordinator for Health Information Technology (ONC) issued a draft Trusted Exchange Framework and Common Agreement (TEFCA), and related supporting documents, in response to a requirement imposed by Congress in the 21st Century Cures Act. The primary document is in two parts: Part 1 is a set of principles that set the foundation for Part 2 which is a set if minimum terms and conditions for trusted exchange. While the principles seem overall quite reasonable, the terms and conditions have many, many technical specifications and standards embedded within them and lay the groundwork for a very specific nationwide implementation. Though the phrase “network of networks” appears nowhere in these documents, Part 2 seems to describe a technical implementation not too unlike the original NwHIN/eHealth Exchange model that was implemented with limited success a number of years ago. It does not appear that this model fits all that well with any of the major market-based strategies that have emerged in the past several years, notably the Commonwell Health Alliance, Carequality, or the Strategic Health Information Exchange Collaborative (SHIEC).

Approaches for IIS-HIE Collaboration

Share

Approaches for IIS-HIE Collaboration

We have written in a previous policy white paper about collaboration between Immunization Information System (IIS) projects and Health Information Exchange (HIE) networks, and a se ...

We have written in a previous policy white paper about collaboration between Immunization Information System (IIS) projects and Health Information Exchange (HIE) networks, and a second more technical white paper about options for interoperability between IIS and electronic health record (EHR) systems. We described a range of interoperability options for EHR users and IIS and the strengths and challenges of each alternative:

HIE: The New Landscape

Share

HIE: The New Landscape

In the past several years we have seen a real shift in leadership over Health Information Exchange (HIE) in the US. The phase out of the ONC State HIE Cooperative Agreement Program ...

In the past several years we have seen a real shift in leadership over Health Information Exchange (HIE) in the US. The phase out of the ONC State HIE Cooperative Agreement Program in 2014 marked a real turning point in HIE planning and implementation as ONCs leadership has waned and other more market-driven forces have ascended. Some activities have continued with funding from CMS under the Medicaid Electronic Health Record Incentive Program Health Information Technology (HIT) 90 percent Federal Financial Participation (FFP) program, and to a lesser degree under the Medicaid Management Information System FFP program. State-level HIEs have continued to flourish in some states (including Delaware, New York, Michigan, and others) while they have floundered in others.

Update on Patient Matching Activities

Share

Update on Patient Matching Activities

I have written several times about patient matching in the US, both in a blog entry and a published article. On December 11, 2017 the Office of the National Coordinator for Health ...

I have written several times about patient matching in the US, both in a blog entry and a published article. On December 11, 2017 the Office of the National Coordinator for Health Information Technology (ONC) sponsored a half-day “Interoperability in Action” webinar focused on Patient Matching Milestones at ONC (see agenda and slides). The webinar focused on four ONC projects from the past year. Here’s a quick run-down on what they covered.