HLN ConsultingInnovators in Public Health Informatics

Noam Arzt

So I Survived HIMSS19…

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So I Survived HIMSS19…

This was perhaps more of a fete than it initially seems. The conference was massive, with over 40,000 attendees. It centered around a trade show exhibit hall that spanned multiple ...

This was perhaps more of a fete than it initially seems. The conference was massive, with over 40,000 attendees. It centered around a trade show exhibit hall that spanned multiple football fields in length. In some ways it was so big that I felt somewhat discouraged from attending some educational sessions because they were located so far from where I was hanging out that I could get back and forth in time.

So I spent most of my time at the Interoperability Showcase since HLN was participating in two of the use cases: Immunization Integration & CDS, featuring our ICE open source immunization evaluation and forecasting system; and Opioid Crisis, the Person & the Population, featuring our open source Reportable Conditions Knowledge Management System (RCKMS) as a component of electronic case reporting (eCR). We spent three days repeating every hour the presentation of a multi-step/multi-vendor scenario demonstrating standards-based interoperability between different systems. We had lots of folks come through with varying levels of interest, but this was a great opportunity to talk about open source and the solutions we make available.

But I did have a chance to attend a few sessions relevant to public health, the space I tend to monitor. On Tuesday of the conference, the Office of the National Coordinator for Health Information Technology (ONC) sponsored a town hall meeting in a huge auditorium. They introduced their senior staff, reviewed their mandate, and answered questions from the audience. Their main focus was on the Notice of Proposed Rulemaking to Improve the Interoperability of Health Information that was released just before the conference (more on that in my blog on this topic). I also had the opportunity to attend several events sponsored by the HIMSS State Advisory Roundtable which is a policy advisory group made up of influential state and national leaders. Interoperability continued to be the hot topic with a mixture of lament for our seeming lack of progress and hope for the future.

GAO Report on Patient Matching: Nothing New Under the Sun

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GAO Report on Patient Matching: Nothing New Under the Sun

On January 15, 2019 the US Government Accountability Office (GAO) released a new report to Congress, Health Information Technology: Approaches and Challenges to Electronically Matc ...

On January 15, 2019 the US Government Accountability Office (GAO) released a new report to Congress, Health Information Technology: Approaches and Challenges to Electronically Matching Patients’ Records across Providers. This report is in response to mandate in the 21st Century Cures Act for the GAO to study patient matching. To develop this report, GAO reviewed available literature and interviewed more than thirty-five stakeholders (who are not identified) over the course of a year.

I have written several blogs and a feature article on patient matching developments in the US. Similarly, this new GAO report is an excellent retrospective on industry efforts over the past several years. It includes a clear statement of the problem, good discussion on both barriers and progress to date, insights from the stakeholders interviewed on their practical issues, and a review of various initiatives by the Office of the National Coordinator for Health Information Technology (ONC) over the past several years. The footnotes alone are worth the read as they contain excellent sources and side comments.

HLN Releases New Version of its Award Winning Open Source Immunization Forecaster

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HLN Releases New Version of its Award Winning Open Source Immunization Forecaster

On February 1, 2019, HLN released a new version (v1.15.1) of the Immunization Calculation Engine (ICE). ICE is a state-of-the-art open-source software system that provides clinical ...

On February 1, 2019, HLN released a new version (v1.15.1) 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 a new 2-dose Adult Series in the Hep B vaccine group with support for the HEPLISAV-B vaccine and logic updates and fixes to the Meningococcal BHPVInfluenzaPolio and DTP vaccine groups. A revised ICE Implementation Guide (v3r1; and v3r1 with changes highlighted since version 1.14.1) includes a new evaluation reason: SELECT_ADJUVANT_PRODUCT_INTERVAL.

HLN will be demonstrating ICE integrated into two EHRs at the HIMSS19 Interoperability Showcase starting on February 12 in Orlando, FL.

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

See Press Release.

See the feature article about ICE in Open Health News.

AHRQ Releases Draft Guide for Registry Interoperability: Does Public Health Have a Role?

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AHRQ Releases Draft Guide for Registry Interoperability: Does Public Health Have a Role?

On January 11, 2019 the Agency for Healthcare Research and Quality (AHRQ) released a draft Addendum to the Third Edition of Registries for Evaluating Patient Outcomes: A User’s Gui ...

On January 11, 2019 the Agency for Healthcare Research and Quality (AHRQ) released a draft Addendum to the Third Edition of Registries for Evaluating Patient Outcomes: A User’s Guide called Tool and Technologies for Registry Interoperability. AHRQ has long written about registries – largely from a research standpoint – and I have been following this from afar for some time. This new guide is focused on helping those who both create and use registries understand the issue surrounding leveraging external data to improve registry completeness, accuracy, and usefulness.

This report covers lots of ground and does a good job of summarizing important subtopics. Each chapter is overflowing with footnotes and sources. In Chapter 1, AHRQ reviews the context for registries today within the notion of a learning health system, and then quickly jumps into a useful discussion of interoperability barriers and problems. Many research-oriented registries are narrowly focused on a specific issue or problem; AHRQ envisions a more interoperable set of registries that can create a more integrated “national research infrastructure.”

HLN to Participate in HIMSS19 Interoperability Showcase

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HLN to Participate in HIMSS19 Interoperability Showcase

For the third straight year, HLN Consulting will participate in the Interoperability Showcase at this year’s HIMSS19 Global Conference and Exhibition which is being held in Orlando ...

For the third straight year, HLN Consulting will participate in the Interoperability Showcase at this year’s HIMSS19 Global Conference and Exhibition which is being held in Orlando, FL from February 11-15, 2019. The Showcase itself runs on February 12-14. This year HLN will participate in two use cases:

Immunization Integration & CDS: HLN’s award-winning ICE Immunization Evaluation and Forecasting System will be featured supporting two different EHRs as a sample patient moves through a scenario of lifelong immunizations.

Opioid Crisis, the Person & the Population: HLN’s Reportable Conditions Knowledge Management System (RCKMS) will be featured as the decision support component of electronic case reporting (eCR) in this scenario about drug overdose.

Come see us in Hall F, Booth 9100 at the Orange County Convention Center.

See full press release and the feature article about ICE in Open Health News