Effective Technical RFP Development: A Guide for Jurisdictions and Other Organizations, December 2016.

Many organizations – public and private – use formal competitive bidding instruments to procure technical products and services. This may be done by law, policy or practice. The driving reasons are to help ensure both clear understanding of the organization’s requirements and expectations, as well as fairness in the marketplace to all potential respondents who wish to do business with the organization. This white paper offers some practical advice for organizations issuing competitive solicitations.

IIS and EHR Feature Overlap, July 2014.

Immunization Information Systems (IIS) have been around for nearly twenty years. Their functionality, completeness, and usefulness have all increased over this time. IIS and electronic health record systems (EHR-S) have always had unique features, as well as some overlapping features, and the deployment of electronic health record systems (EHR-S) has enhanced the local immunization capabilities of clinician practices. Several critical clinical features that are considered to be core functions of IIS are beginning to be supported by EHR-S. This paper reviews and discusses five such critical features. The paper offers insight into the likelihood and implications of their migration from IIS to EHR-S, and offers recommendations to both the IIS and EHR communities for how to thoughtfully guide this migration.

Decision Support for Data Segmentation (DS2): Technical and Architectural Considerations, May 2014.

This paper presents the results of a research-oriented project to demonstrate that certain Data Segmentation for Privacy, orDS4P tasks can be enhanced through the use of clinical decision support (CDS) technology.  It advances a novel use of CDS tools to 1) identify and sequester certain types of information from electronic medical records and to 2) help mitigate the potential risks of exchanging records from which data have been sequestered. The approach is called Decision Support for Data Segmentation, or DS2, builds upon standards-based open source CDS technology to create a familiar CDS-based platform for the development and testing of functions to identify and redact selected conditions from clinical summary documents in various contexts including Health Information Exchange (HIE) between healthcare providers. The DS2 prototype demonstrates how deterministic clinical rules and machine learning-based classifiers can work together to detect clinical facts that may imply a condition even if they are not directly related to the condition and how CDS at the point-of-care can potentially make use of clinical information even after it has been sequestered.

IIS and HIE: Web Services Strategies, February 2014.

The purpose of this paper is to describe the options that are available to immunization information system (IIS) projects in collaborating with health information exchanges (HIE) or other service providers to facilitate the exchange of immunization information between electronic health record systems and IIS. In many jurisdictions HIEs can play an active role in providing part of the technical infrastructure to make EHR-IIS interoperability work, especially through the use of SOAP-based web services, the current interoperability transport standard for these transactions. Various options are available for deployment of these web services with differing operational and security implications for both the HIE and IIS projects.

IIS and HIE: Is there a Future Together?, November 2013.

This purpose of this paper is to describe the developing health information exchange (HIE) landscape, including current HIE collaboration with IIS, and to provide some insight about the future of IIS-HIE collaboration. After briefly defining and discussing IIS development with a focus on interoperability, the paper defines HIE functionality, including the benefits to public health and the contributions public health can make to HIE efforts. The paper continues with a description of some current research on IIS-HIE collaboration before concluding with a discussion of the key question: Do IIS and HIEs have a future together?

Towards a National IIS Strategy: Options for Developing a National Immunization Information System Architecture, November 2013.

Immunization Information Systems (IIS) have been under development for over twenty years in the US with systems deployed in nearly every state and territory. Yet no national IIS exists, and no serious discussion is underway for a national strategy for IIS data access. This white paper describes the enablers and barriers for creating a national IIS strategy, as well as various potential models for its development, including the attributes, strengths, and challenges for each proposed option. Finally, suggestions are made for informing US policy in this area moving forward.

Future Information Capabilities for Public Health, (in conjunction with JPHIT, September 2013)

Architectures and Transport Mechanisms for Health Information Interchange of Clinical EHR Data for Syndromic Surveillance, November 2012.

This report developed for the International Society for Disease Surveillance clarifies electronic health information interchange requirements for public health syndromic surveillance by providing:an assessment of various health information interchange architectures for their ability to meet syndromic surveillance business requirements; a  comparison of potential data transport mechanisms; and recommendations for data transport to support Meaningful Use implementation.

IIS Interoperability Model, June 2008.

There is a growing phenomenon in the United States towards deployment of electronic data systems of many kinds to improve effectiveness and efficiency. The near ubiquity of the Internet has fueled even stronger desires to promote electronic information over paper-based records and has enabled system-to-system sharing of data more easily than ever before. This paper shows potential system interactions with IIS by placing the IIS at the “center of the world” and explaining related systems interoperability both within and outside of public health.

Evolution of Public Health Information Systems: Enterprise-wide Approaches, July 2007.

Public health agencies go through changes in political and organizational leadership, reorganization and realignment of public health functions and their relationship to Medicaid, changing budgetary resources and governmental priorities. It is therefore important to view agency health integration efforts with an understanding of how they may develop and adapt their strategies to these changing realities and how the perception of success or failure may be defined by the value that they can create under a changed set of realities. This paperreviews the evolution of public health systems, models for integration, and key concepts related to integration strategies and deployments. Examples are provided from a number of leading public health agencies around the country and indicate how their strategies have managed and/or survived change.

Response to Request for Information, Development and Adoption of a National Health Information Network, Department of Health and Human Services, Office of the National Coordinator for Health Information Technology, January, 2005.

Collaborating White Papers and Reports

HIMSS Patient Identity Integrity Workgroup, Patient Identity Integrity in Health Information Organizations (HIOs), August 2016.

HIMSS  Identity Management Task Force, Patient Portal Identity Proofing and Authentication, June 2016.

ONC State Health Policy Consortium Project: Health Information Exchange in Disaster Preparedness and Response, Southeast Regional HIT-HIE Collaboration (SERCH): Final Report, July 2012.

HIMSS HIE Guide Workgroup, A HIMSS Guide to Participating in a Health Information Exchange, November 2009.

Public Health Data Standards Consortium, Business Case on the Role of Public Health in the National Health IT Standardization Process, 2009.

Public Health Task Force, Building a Roadmap for Health Information Systems Interoperability for Public Health, Public Health Data Standards Consortium and IHE, July 2008.

with Patricia Gibbons, et al, Coming to Terms: Scoping Interoperability for Health Care, Health Level 7 Electronic Health Record Interoperability Work Group, February 2007.

with Connections Community of Practice, Unique Records Portfolio, 2006.