HLN ConsultingSoftware and Services for Public Health

Category Archives

9 Articles

New PHII Blog: A public health perspective on interoperability

Share

New PHII Blog: A public health perspective on interoperability

The Public Health Informatics Institute (PHII) recently published a blog entry written by Dr. Noam Arzt, president of HLN: A public health perspective on interoperability We have ...

The Public Health Informatics Institute (PHII) recently published a blog entry written by Dr. Noam Arzt, president of HLN:

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 Published: Is There a National Strategy Emerging for Patient Matching in the US?

Share

New Article Published: Is There a National Strategy Emerging for Patient Matching in the US?

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 ...

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.

http://journals.ke-i.org/index.php/mra/article/view/1150

Preparing for 2017: Four Important Reports

Share

Preparing for 2017: Four Important Reports

With so much transition ahead of us at the Federal, state, and local levels in 2017, it is important to begin to plan for what the Health IT landscapes will look like for the comin ...

With so much transition ahead of us at the Federal, state, and local levels in 2017, it is important to begin to plan for what the Health IT landscapes will look like for the coming year (and beyond). Several key reports have come out – mostly from government sources – which are worth serious consideration for any Health IT planner:

HHS Public Health 3.0 White Paper: This seminal paper sets the stage for ongoing maturation of the public health infrastructure and capability at all levels of government to continue to assure the public’s health.

ONC 2017 Interoperability Standards Advisory: Now in its third year, this material gets longer and longer, and more and more complex each time. The current incarnation is a navigable website chock full of standards, though you can still download a PDF by clicking on the “2017 ISA Reference Edition” or “ISA 2017” links.

ONC 2016 Report to Congress on Health IT Progress: This HITECH-required report updates Congress about progress during the past year. While it is a really good summary of recent and current activities and initiatives, it only deals with what is really going on (or not going on) on the ground in a cursory way.

National Governors Association Road Map for States to Improve Health Information Flow Between Providers: A very detailed report aimed at State policy makers with clear guidance – and lots of examples – to try to move interoperability forward at the State level.

There are no easy answers here, and it’s easy to get overwhelmed by the information presented in these reports. But they cannot be ignored and can help form the basis of a solid organizational or governmental strategy.

Discussion Paper: Address Geocoding Options

Share

Discussion Paper: Address Geocoding Options

Some organizations have the need for a web application that can translate street addresses into latitude/longitude coordinates. Ideally, the web application could process addresses ...

Some organizations have the need for a web application that can translate street addresses into latitude/longitude coordinates. Ideally, the web application could process addresses in bulk, either supplied from an Excel spreadsheet or from an enterprise data source such as a relational database; and output would be either in spreadsheet format or inserted back into a database. This brief discussion paper provides some potential solutions and strategies.

The Reduction of State-coordinated HIE: How Should Public Health React?

Share

The Reduction of State-coordinated HIE: How Should Public Health React?

A recent article in HealthAffairs describes a significant decline in the number of both operational HIEs and HIEs in the planning stage from several years earlier. The authors note ...

A recent article in HealthAffairs describes a significant decline in the number of both operational HIEs and HIEs in the planning stage from several years earlier. The authors note continuing barriers to broad-based HIE and a shift to vendor-driven exchange which diminishes the effectiveness of community-based networks. In effect, this translates to a shift away from geographic-based/dominated HIEs to product-dominated HIEs. We have already noted (see The Interoperability of Things) the lack of a national strategy on HIE, and ONC’s Nationwide Interoperability Roadmap barely mentions the concept.