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ONC Releases New NPRM on Interoperability: How Might it Affect Public Health? [Updated]

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ONC Releases New NPRM on Interoperability: How Might it Affect Public Health? [Updated]

On February 11, 2019 the Office of the National Coordinator for Health Information Technology (ONC) released its latest Notice of Proposed Rulemaking (NPRM) to Improve the Interope ...

On February 11, 2019 the Office of the National Coordinator for Health Information Technology (ONC) released its latest Notice of Proposed Rulemaking (NPRM) to Improve the Interoperability of Health Information. Referred to by some people as the “Information Blocking NPRM,” since this was the primary topic anticipated, the document actually covers a host of other topics related to interoperability driven primarily by requirements of the 21st Century Cures Act. Besides the initial text of the NPRM, ONC also released a set of summary slides and fact sheets to help explain the document.

Given the relatively minimal mention of core public health reporting certification criteria in this NPRM, there is still a fairly large potential impact on public health. Topics, descriptions, issues, impacts, and potential opportunities discussed in this article and associated documents are based on our careful read of the NPRM and related material. But please note that this information is voluminous and at times confusing. Ongoing discussion and review will attempt to clarify (and if necessary correct) initial ideas presented here.

In order to help focus the reader, I have prepared a detailed table of Public Health Issues, Impacts, and Opportunities (currently at Version 8) which will be updated periodically.

HHS Releases Landmark Report: Reforming America’s Healthcare System

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HHS Releases Landmark Report: Reforming America’s Healthcare System

On December 3, 2018, the Department of Health and Human Services (HHS) released an extensive, 120-page report on the administration’s proposals to reform the healthcare system. The ...

On December 3, 2018, the Department of Health and Human Services (HHS) released an extensive, 120-page report on the administration’s proposals to reform the healthcare system. The report, titled Reforming America’s Healthcare System Through Choice and Competition, is divided into four major sections. The report  that government policy of the last few years has suppressed competition, increased prices for healthcare, and limited choices for consumers. Though rich in detail as it tries to prove each of these points, the more than fifty recommendations are often broad and aspirational rather than practical.

Since I am not a health economist, I will leave the market issues to others to discuss (many of the ideas in this report have been vetted and discussed by others previously). But there are two sections of the report which make direct mention of Health IT.

HLN Sponsors ISDS 2019 Annual Conference

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HLN Sponsors ISDS 2019 Annual Conference

HLN is pleased to be a Patron-level sponsor of the 18th Annual International Society for Disease Surveillance (ISDS) Annual Meeting being held in San Diego, CA from January 30 - Fe ...

HLN is pleased to be a Patron-level sponsor of the 18th Annual International Society for Disease Surveillance (ISDS) Annual Meeting being held in San Diego, CA from January 30 – February 1, 2019. This conference expects to bring together more than 400 participants with over 220 presentations and ten workshops dedicated to the advancement of the science and practice of biosurveillance.

HLN will be attending the meeting with a table in the exhibit area as well as two presentations:

Strategies for Clinical Decision Support for Electronic Case ReportingJanuary 30, 10am PT

Automated Immunization Surveillance: Using Business Intelligence to Improve Up-to-Date Rateswith our colleagues from Denver Public Health, January 31, 2019 at 1pm PT

We look forward to see you all there in San Diego!

HLN Attends AIM 2018 Leadership in Action Conference

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HLN Attends AIM 2018 Leadership in Action Conference

HLN attended the Association of Immunization Managers (AIM) 2018 Leadership in Action Conference in San Diego, CA on June 4-6. Bringing together over 200 Immunization Program Manag ...

HLN attended the Association of Immunization Managers (AIM) 2018 Leadership in Action Conference in San Diego, CA on June 4-6. Bringing together over 200 Immunization Program Managers, staff, and associated non-profits and vendors, the conference provided leadership training to attendees in a number of areas as well as regional sessions to discuss issues important to Immunization Program activities. For the first time, HLN was a Bronze sponsor of the conference. “We feel it’s critically important to support events such as these,” commented Dr. Noam Arzt, president of HLN who attended the meeting, “Budgets are tight, and it’s essential that public health officials have the opportunity to discuss issues in common, and to learn from each other.”

HLN Presents at 2018 National Immunization Conference in Atlanta

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HLN Presents at 2018 National Immunization Conference in Atlanta

At the 2018 National Immunization Conference (NIC) held in Atlanta May 15-17, HLN co-presented Diverse Stakeholder Perspectives to Improve Oregon's School Immunization Reporting Pr ...

At the 2018 National Immunization Conference (NIC) held in Atlanta May 15-17, HLN co-presented Diverse Stakeholder Perspectives to Improve Oregon’s School Immunization Reporting Process in collaboration with the Oregon Immunization Program (OIP). Aaron Dunn, Oregon’s Immunization Program Manager, and Marcey Propp, HLN Project Manager, presented the project context, approach and outcomes as part of the segment for Improving measurement and reporting to foster clear vaccine communication. The project context included antiquated technology, the growing complexity of vaccine requirements, and excessive, redundant and unnecessary workload that culminated in making the current school immunization reporting process unsustainable. While OIP knew their own requirements, they identified the need for an external contractor to assess the needs and obstacles of key stakeholder groups, identify feasible options to the current process, and evaluate the alternatives based on state-defined criteria.