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Ready or Not: New Report on Protecting the Public’s Health

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Ready or Not: New Report on Protecting the Public’s Health

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 ...

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.

ONC Gets It Mostly Right with TEFCA 2.0 [Updated]

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ONC Gets It Mostly Right with TEFCA 2.0 [Updated]

See our final comments on the TEFCA v2 Draft On April 17, 2019 the Office of the National Coordinator for Health Information Technology (ONC) released the second draft ...

See our final comments on the TEFCA v2 Draft

On April 17, 2019 the Office of the National Coordinator for Health Information Technology (ONC) released the second draft of its Trusted Exchange Framework and Common Agreement (TEFCA) for comment. The initial version was released more than a year ago in January 2018 (see my original blog). As before, this is in response to a requirement imposed by Congress in the 21st Century Cures Act. After a somewhat lengthy (but well written) introduction, the document contains three parts (compared to just two parts the first time around):

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]

See our final comments on the ONC NPRM and the CMS NPRM Patient Matching RFI On February 11, 2019 the Office of the National Coordinator for Health Information Technol ...

See our final comments on the ONC NPRM and the CMS NPRM Patient Matching RFI

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 15) which will be updated periodically, as well as a separate detailed response to the ONC Patient Matching RFI and CMS Patient Matching RFI.

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!