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HLN Presents ICE at Fall 2018 Centricity Users Group (CHUG) Meeting

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HLN Presents ICE at Fall 2018 Centricity Users Group (CHUG) Meeting

On November 10, 2018 at the Centricity Healthcare User Group (CHUG) Fall meeting HLN partnered with Health One Technologies (Health1) and Allied Physicians Group (Mellville, NY) to ...

On November 10, 2018 at the Centricity Healthcare User Group (CHUG) Fall meeting HLN partnered with Health One Technologies (Health1) and Allied Physicians Group (Mellville, NY) to discuss and demonstrate an implementation of GE Centricity that provides real-time decision support  at the point of care using ICE, HLN’s Open Source immunization evaluation and forecasting system.

Health1 has over fifteen years experience implementing and optimizing EHRs in physician offices, hospitals, and specialty clinics. With HLN’s assistance, Health1 recently completed an integration between GE Centricity and ICE using a “helper service” that accepts a text file input from Centricity, and translates the evaluations back out in a text file output from ICE. A forecast section was then added to the existing immunization form in Centricity to display the additional data.

Allied Physicians Group is a single specialty pediatric group with 35 practices, 150 providers, 150,000 patients, and 600 users. Evaluation and forecasts from ICE are improving their ability to manage immunization administration and planning more effectively.

See presentation slides.

Approaches for IIS-HIE Collaboration

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Approaches for IIS-HIE Collaboration

We have written in a previous policy white paper about collaboration between Immunization Information System (IIS) projects and Health Information Exchange (HIE) networks, and a se ...

We have written in a previous policy white paper about collaboration between Immunization Information System (IIS) projects and Health Information Exchange (HIE) networks, and a second more technical white paper about options for interoperability between IIS and electronic health record (EHR) systems. We described a range of interoperability options for EHR users and IIS and the strengths and challenges of each alternative:

HIE: The New Landscape

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HIE: The New Landscape

In the past several years we have seen a real shift in leadership over Health Information Exchange (HIE) in the US. The phase out of the ONC State HIE Cooperative Agreement Program ...

In the past several years we have seen a real shift in leadership over Health Information Exchange (HIE) in the US. The phase out of the ONC State HIE Cooperative Agreement Program in 2014 marked a real turning point in HIE planning and implementation as ONCs leadership has waned and other more market-driven forces have ascended. Some activities have continued with funding from CMS under the Medicaid Electronic Health Record Incentive Program Health Information Technology (HIT) 90 percent Federal Financial Participation (FFP) program, and to a lesser degree under the Medicaid Management Information System FFP program. State-level HIEs have continued to flourish in some states (including Delaware, New York, Michigan, and others) while they have floundered in others.

HLN Presents at AMIA 2017 on RCKMS

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HLN Presents at AMIA 2017 on RCKMS

On November 8, 2017 Dr. Noam Arzt, President of HLN, participated in a panel discussion titled, "Advancing Electronic Case Reporting (eCR) to Enable Public Health Disease Control a ...

On November 8, 2017 Dr. Noam Arzt, President of HLN, participated in a panel discussion titled, “Advancing Electronic Case Reporting (eCR) to Enable Public Health Disease Control and Emergency Response: Getting Into the Technical Weeds.” Along with his colleagues from the University of Utah, the Association of Public Health Laboratories (APHL), and CGI Federal, this session discussed details of the current national implementation of electronic case reporting (eCR) including its sponsorship by the Digital Bridge project. Specifically, Dr. Arzt presented on various models of deployment for the clinical decision support (CDS) component of eCR, referred to as the Reportable Condition Knowledge Management System (RCKMS).

Dr. Arzt suggested in this talk that while there are strong reasons why a centralized decision support service is recommended at this time (and is in fact being deployed), other more decentralized CDS options are possible, including replication of the centrally-deployed software at a local site or incorporation of the national CDS rules themselves into a local CDS product (for instance, by using CQL). Given the diversity of systems in the US and the varying timetables for implementation, likely all these strategies will be enabled over time. The most important thing is for all these deployment strategies to rely on a single, consistent set of rules developed by public health and compliant with state and local jurisdiction law and policy.

New Article on Cloud Computing and CDS in OpenHealthNews

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New Article on Cloud Computing and CDS in OpenHealthNews

Noam Arzt, president of HLN, has published a new article, "Why Cloud-Based Public Health Solutions are a Good Option for Clinical Decision Support" in OpenHealthNews. Cloud computi ...

Noam Arzt, president of HLN, has published a new article, “Why Cloud-Based Public Health Solutions are a Good Option for Clinical Decision Support” in OpenHealthNews. Cloud computing is one of the most powerful technology deployment strategies in use today. In this article Dr. Arzt examines some of the key reasons to host public health clinical decision support (CDS) solutions in the cloud. The article goes on to explain the difference between cloud computing and traditional computing. It then goes on to define Clinical Decision Support for Immunizations, or CDSi, and HLN’s Open Source Immunization Calculation Engine (ICE) and related tools and utilities. Finally, the article concludes with a discussion of how externally hosted services may provide some distinct advantages for organizations that deploy CDS tools such as these.