On August 14-16, 2018 the American Immunization Registry Association (AIRA) held its 2018 National Meeting. This meeting brought together more than 350 informatics professionals, public health officials, EHR vendors, and other stakeholders who all care passionately about Immunization Information Systems (IIS) and their role in the healthcare community. IIS projects leverage interoperability with EHRs, PHRs, and other systems to promote clinical practice at the point of care; enable public health surveillance; and reduce cost by assisting in preventing both under and over immunization.Read More
On August 2, 2018 the Centers for Medicare and Medicaid Services (CMS) released the 2019 Inpatient Prospective Payment System Final Rule to Quality Payment Program. We earlier released thoughts on the Proposed Rule as well as our formal comments.
The Final Rule affirmed most of CMS’ proposed changes, with some notable exceptions:
- Required public health measures were reduced from three (Stage 3 requirement) to just two, but Syndromic Surveillance will not be a requirement for hospitals covered under the rule.
- While CMS continued to be unclear about its plans for the removal of public health measures altogether for CY2022 and beyond, they did express some openness to consider continuing public health measures and to study the issue over the next few years.
It is clear from the comments discussed in the final rule that comments submitted supporting public health requirements were received, noted, and had a positive impact on the final rule. Kudos to public health advocates for their strong voice!
On August 10, 2018, HLN released a new version (v1.14.1) 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.
The release completes support for Earliest Date and Overdue Date for all vaccine series in ICE’s default schedule. 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. Completing support for Earliest Date/Overdue Date is an important milestone for ICE. HLN will be presenting this new version this week at the annual meeting of the American Immunization Registry Association (AIRA) and week of August 20 at the CDC Public Health Informatics Conference.
The latest ICE Implementation Guide (v2r20) describes how implementers should update their installation and software to properly read the Earliest, Recommended, and Overdue dates. The relevant information starts on page 43. Note that a “track changes” version of this same guide is also available. The tracked changes are intended to make it easier for the reader to see what has changed in the Guide since the prior release of the ICE Implementation Guide (v2r18).
The full software release is available for download at https://cdsframework.atlassian.net/wiki/display/ICE/Downloads.
2018 OSEHRA Open Source Summit (July 18-20): HLN will be joining colleagues on the Immunization Working Group for an update of the groups activities, including an update about HLN’s ICE Open Source Immunization Evaluation and Forecasting System (7/18, Afternoon Session II, 2:30pm ET).
American Immunization Registry Association (AIRA) 2018 National Meeting (August 14-16): As a gold sponsor of the meeting, HLN shows its strong commitment to the Immunization Information System (IIS) community. We will deliver several presentations during this conference, including:
- Strategies for Evaluating and Integrating SmartyStreets (Session 1B, 8/14, 1pm MT)
- IIS Platform or Module Migration – Is Your Program Prepared? [with CDC, AIRA & PHII] (Session 2B, 8/14, 2:30pm MT)
- CAIR2 Patient Matching: Solving the 25 Million Piece Puzzle [with CA and DXC] Session 3A, 8/15, 9:15am MT)
- IIS Past, Present, and Future: A Conversation and a Discussion [with PHII] (Session 4E, 8/15, 11am MT)
- Comparative Analysis of AFIX-IIS Tools [with CA] (Session 5D, 8/15, 1pm MT)
- Cloud-Based Solutions: A Good Option for Hosting CDS for Immunizations (Session 5D, 8/15, 1pm MT)
- Vaccines For Children (VFC)-IIS Integration Strategy [with CA] (Session 6E, 8/15, 2pm MT)
- ICE: An Open Source Option for Immunization Forecasting (Session 7D, 8/16, 11am MT)
- Hearing from Everyone: Diverse Perspectives to Improve Oregon School Immunization Reporting [with OR] (Session 8C, 8/16, 9:45am MT)
HLN will also have an exhibitor booth at the meeting.
2018 Public Health Informatics (PHI) Conference (August 19-23): HLN will have an even greater presence at this bi-annual CDC-sponsored conference including delivery of the following presentations:
- Case Study for Cloud Computing Solutions in Public Health: Clinical Decision Support (Session E03, 8/21, 4:15pm ET)
- Reportable Conditions Knowledge Management System (RCKMS): Developing Quality Decision Support in the Data Supply Chain for Public Health Surveillance [with CSTE] Session B01, 8/21, 10:30am ET)
- A Collaborative Approach to Supporting Information System Migration Projects [with CDC, AIRA, & PHII] (Session G01, 8/22, 1:30pm ET)
- Clinical Decision Support for Immunizations as a Community-drive, Standards-based Activity [with CDC & NYC] (Session H04, 8/22, 3pm ET)
- Developing a Data Integration and Management System: Improving New York City’s Population Health Research and Surveillance [with NYC] (Session H07, 8/22, 3pm ET)
- The Changing Face of Interoperability and its Impact on Public Health (Session K11, 8/23, 9:15am ET)
In addition to being an exhibitor at the conference, HLN will demonstrate some of its Open Source software as part of a HIMSS Interoperability Showcase that accompanies this event:
- Immunization Use Case – ICE Immunization Evaluation and Forecasting System
- Electronic Case Reporting Use Case – Reportable Conditions Knowledge Management System (RCKMS)
Health Level 7 (HL7) 32nd Annual Plenary and Working Group Meeting (9/29-10/5): HLN will attend this important gathering, including demonstrating our Open Source products at the FHIR Connectathon that takes place in conjunction with the meeting.
HLN attended the Council of State and Territorial Epidemiologists (CSTE) 2018 Annual Conference in West Palm Beach, FL on June 11-13. Bringing together over 1,750 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 first time, HLN was 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 attended the meeting along with Daryl Chertcoff and Maiko Minami, “This is an energized community, and the opportunity to exchange ideas and insights is beneficial to everyone.”
This year, HLN delivered two talks as part of the program:
- Maiko Minami, HLN Project Manager, delivered a talk titled, “RCKMS: Tools That Shine Through Implementation of Automated Rules for Electronic Case Reporting“
- Noam Arzt, HLN President, delivered a talk titled, “Interoperability and its Impact on Public Health: An Interactive Learning Session“
HLN also participated in this roundtable session with the NYC Department of Health and Mental Hygiene: