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Noam Arzt

ONC’s 3rd Interoperability Forum: Not Much to Report

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ONC’s 3rd Interoperability Forum: Not Much to Report

On August 21 and 22, 2019 the Office of the National Coordinator for Health Information Technology (ONC) held its third Interoperability Forum in Washington, DC. More than 600 indi ...

On August 21 and 22, 2019 the Office of the National Coordinator for Health Information Technology (ONC) held its third Interoperability Forum in Washington, DC. More than 600 individuals participated in person with many others viewing the general sessions via webinar. The conference began and ended with half-day plenary sessions while providing five tracks with smaller sessions in between. I attended the Health Information Exchange (HIE)/Community-based Information Exchange (CIE) breakout session on both days.

The plenaries (aside from the usual welcome and farewell messages) focused on the current state and the future state of interoperability. Lots of talk about TEFCA, FHIR, and patient-centered control of health records, but I really did not hear anything new or terribly interesting. There was a fascinating presentation by Dr. Simon Eccles, head off Great Britain’s NHSX project, but this is their third attempt at an integrated health information system and it seemed more aspirational than actual.

In the track I attended on Tuesday there was a very good session on public health and health IT, very well attended with varying presentations from CDC, AIRA, APHL, and others. The second set of presentations was on improving coordination between acute and post-acute facilities using FHIR. On Wednesday, the same track had presentations on advancing social determinants of health using FHIR (including the HL7 Gravity Project), and a second set of presentations on health IT and behavioral health. It was nice, frankly, to finally hear some presentations on this topic that were not completely dominated by the opioid crisis.

To be honest, my expectations were fairly low for this conference. FHIR was all the rage. but its limited deployment still has it fairly early in the hype cycle. Until an RCE is named and begins its work, TEFCA is still a distant idea. The major market-driven HIE activities (Commonwell, Carequality, SHIEC) did not seem to have a terribly visible presence at this meeting. In fact, the more established HIEs seemed to spend the whole conference wondering out loud why no one was recognizing their role in interoperability. Likely we will have to wait until the publication of the final rule on Information Blocking before we really know what the HIE landscape will look like for the next few years.

HLN Attends AIRA 2019 Annual Meeting and Anniversary Celebration!

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HLN Attends AIRA 2019 Annual Meeting and Anniversary Celebration!

HLN attended the American Immunization Registry Association National Meeting on August 13-15, 2019 in Indianapolis, IN. Over 400 individuals from a wide variety of organizations at ...

HLN attended the American Immunization Registry Association National Meeting on August 13-15, 2019 in Indianapolis, IN. Over 400 individuals from a wide variety of organizations attended, visited our booth (as a Gold Sponsor), and attend one of the many presentations delivered. This year AIRA celebrating its twentieth anniversary and HLN is proud to be among its founding members.

Presentations included:

HLN Attends CSTE 2019 Annual Conference

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HLN Attends CSTE 2019 Annual Conference

HLN attended the Council of State and Territorial Epidemiologists (CSTE) 2019 Annual Conference in Raleigh, NC on June 2-5. Bringing together over 1,600 epidemiologists, public hea ...

HLN attended the Council of State and Territorial Epidemiologists (CSTE) 2019 Annual Conference in Raleigh, NC on June 2-5. Bringing together over 1,600 epidemiologists, public health professionals, and associated non-profits and vendors, the conference provided sessions, roundtables, and engagement in a number of areas important to its members. For the second year HLN is a Bronze sponsor of the conference. “Given our work on Electronic Case Reporting (eCR) we feel it’s critically important to support this event,” commented Dr. Noam Arzt, president of HLN who will attend the meeting along with Janet Hui, “This is an energized community, and the opportunity to exchange ideas and insights is beneficial to everyone.”

This year, Dr. Arzt delivered a talk as part of the program:

In addition, HLN participated in the presentation of this talk on RCKMS:

In preparation for the meeting, Open Health News has published a feature article written by HLN, Clinical Decision Support Strategies for Electronic Case Reporting and its Open Source Connection.

HLN Releases Update to its Award Winning Open Source Immunization Forecaster

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HLN Releases Update to its Award Winning Open Source Immunization Forecaster

On May 31, 2019, HLN released a new version (v1.17.1) of the Immunization Calculation Engine (ICE). ICE is a state-of-the-art open-source software system that provides clinical dec ...

On May 31, 2019, HLN released a new version (v1.17.1) of the Immunization Calculation Engine (ICE). ICE is a state-of-the-art open-source software system that provides clinical decision support for immunizations for use in Immunization Information Systems (IIS), Electronic Health Record (EHR) and Personal Health Record (PHR) Systems.

This version includes:

  • Improvements to handling of duplicate shots. Duplicate shots typically represent “bad data” that has been passed into the ICE service. For two or more duplicate shots on the same day, ICE will select the vaccine that makes the most sense for the circumstance. See Two Shots, Same Vaccine Group, Same Day Exception Rules for the specifics on how this is handled for each vaccine group.
  • Logic updates to DTPHPV, and Zoster vaccine groups. See Release Notes for details.
  • Pneumococcal interval fix in the Adult Series where (under certain circumstances) the PPSV to PPSV 5 year recommended interval is not being applied when there is a valid PCV shot in between the PPSV shots.

The full software release is available for download at https://cdsframework.atlassian.net/wiki/display/ICE/Downloads. A revised ICE Implementation Guide is also available.

See the feature article about ICE in Open Health News.

Ready or Not: New Report on Protecting the Public’s Health

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Ready or Not: New Report on Protecting the Public’s Health

The Trust for America’s Health (TFAH) released its 2019 edition of what it hopes will be an annual report, Ready or Not: Protecting the Public’s Health from Diseases, Disasters and ...

The Trust for America’s Health (TFAH) released its 2019 edition of what it hopes will be an annual report, Ready or Not: Protecting the Public’s Health from Diseases, Disasters and Bioterrorism last February. The ground-breaking report warns about key global challenges ahead, like the risk of a flu pandemic; the impact of weather pattern changes due to climate change; the dangers of antimicrobial resistance, and others, and tries to offer advice on how to prepare for them.

In Section 1 of the report, titled Health Threats: A Review of 2018, the authors review a litany of disease outbreaks, and severe weather and natural disaster events. They note the incidents, actions, and corresponding research findings, meetings, and events related to each. On the policy front, they note the September 2018 release by the White House of its National Biodefense Strategy (see earlier article on this topic). The Centers for Disease Control and Prevention (CDC) released another report,  Public Health Emergency Preparedness and Response Capabilities, in October 2018 (updated in January 2019). This section of the TFAH report also reviews the various activities of the Blue Ribbon Study Panel on Biodefense.