Clinical Decision Support – HLN Consulting, LLC

HLN to Attend AIRA 2019 Annual Meeting and Anniversary Celebration!

by Noam Arzton July 1, 2019

Join HLN at the upcoming American Immunization Registry Association National Meeting on August 13-15, 2019 in Indianapolis, IN. Visit our booth (as a Gold Sponsor) and attend one of the many presentation we will be delivering with our colleagues and on our own! This year AIRA will be celebrating its twentieth anniversary and HLN is proud to be among its founding members.

Presentations will include:

CT Onboarding: Starting All Over Again After a Migration (Tuesday, August 13)
Improving IIS HL7 Web Service Performance in New York City (Tuesday, August 13)
Open Source for Immunization Information Systems (Tuesday, August 13)
IIS of the Future: Where Might All This Be Going (Wednesday, August 14)
Using Business Intelligence to Improve HPV Up-to-Date Rates [Denver Public Health] (Wednesday, August 14)
Methodology for Implementing Health Factors with Immunization Forecasting (Wednesday, August 14)
Procurement Projects: Yes, they really are projects! [CDC IIS Technical Assistance Collaborative] (Wednesday, August 14)
Transitioning and Expanding Rhode Island’s Childhood Algorithm to ICE (Wednesday, August 14)
CT’s IIS Migration Project: The Real Untold Story (Thursday, August 15)

Come join us for all the fun!

HLN Attends CSTE 2019 Annual Conference

by Noam Arzton June 5, 2019

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:

“Cloud Computing Tutorial: Driving Solutions in Public Health“

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

“Reportable Conditions Knowledge Management System (RCKMS): Real-Life Implementation Progress and Our Future“

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

by Noam Arzton May 31, 2019

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 DTP, HPV, 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

by Noam Arzton May 5, 2019

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.

HLN Releases Update to its Award Winning Open Source Immunization Forecaster

by Noam Arzton March 11, 2019

On March 7, 2019, HLN released a new version (v1.16.1) 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:

DTP Vaccine Group: Added an update to the “Six by Seven” rule to explicitly state that duplicate shots on the same day do not count towards this rule. The intention of this change is to prevent potentially “bad data” that may be passed into the ICE service from affecting the forecast result.
Hib Vaccine Group: Improved handling of duplicate shots administered on the same day. For details, please refer to the Two Shots, Same Vaccine Group, Same Day Exception Rules page.
Minor logic changes to the Meningococcal B, Polio, Rotavirus and Pneumococcal vaccine groups.

HLN recently demonstrated ICE integrated into two EHRs at the HIMSS19 Interoperability Showcase starting in February in Orlando, FL.

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.