Clinical Decision Support (CDS) services such as HLN’s Immunization Calculation Engine (ICE) are modular, loosely-coupled components of larger systems accessed via web services in a service-oriented architecture (SOA). Under HIPAA, services provided to Covered Entities (CE) which involve protected health information (PHI) as defined in the statute are subject to the regulation. But are CDS services such as ICE subject to this regulation?
HLN Consulting, LLC (HLN), a leading public health software application developer, has been at the forefront of Open Source software development, use, and support for public health. This has encompassed both the deployment and support of third-party Open Source products for our clients, and especially the development of new Open Source solutions. Since the vast majority of HLN’s work is government funded, software development activities conducted under “work for hire” agreements with government agencies often leads to public-private collaboration that results in Open Source products.
HLN attended the 2017 American Immunization Registry Association (AIRA) National Meeting in Chicago, IL from April 11-13 and presented the following talks:
- ICE Update: Product Governance, Roadmap and Use
- Assuring Correctness and Consistency in AFIX-IIS Coverage Implementation
- HL7 Data Quality Tool: Transformation to a General Purpose OpenSource Tool
- Implementing Health Factors (HALO) in Immunization Forecasting
We encourage you to check out all the excellent presentations delivered at this important meeting.
A public health perspective on interoperability
We have written previously about interoperability and its increasing important to public health. Yet public health has some specific challenges to making interoperability effective:
- There are more than 2,500 public health agencies in the U.S. at the federal, state, local, territorial and tribal levels. This not only leads to great diversity, but as a result public health cannot and does not speak with one voice about interoperability issues (or anything else for that matter). This makes it difficult for some stakeholders to engage public health consistently or to implement solutions that can be used more uniformly and therefore more effectively across public health.
See full blog entry
New article by Dr. Noam Arzt published in Medical Research Archives:
Is There a National Strategy Emerging for Patient Matching in the US?
Patient record matching has been a key area of emphasis for healthcare, with several major efforts to identify best practices in the past decade. Because of a lack of a national patient identifier, several distinct approaches to patient matching in both the public and private sectors have emerged, which do not appear to be converging. One major focus of a number of patient matching initiatives is the identification of a core set of data elements found in most patient records, regardless of setting, to facilitate matching. These initiatives have also not yet converged. Some organizations participate in master patient index (MPI) deployments within their agency or jurisdiction. But participation in a shared MPI can also be challenging, and policies and processes for synchronizing record changes, among other issues, must be carefully considered. “Promising practices” should be identified from those jurisdictions that have lived through a migration to an enterprise MPI.