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New PHII Blog: A public health perspective on interoperability

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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?

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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

HLN Participates in Important National Healthcare Meetings

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HLN Participates in Important National Healthcare Meetings

Over the past few months HLN has participated in several important national healthcare meetings: In February, HLN participated in the annual in-person meeting of  the Joint Pu ...

Over the past few months HLN has participated in several important national healthcare meetings:

  • In February, HLN participated in the annual in-person meeting of  the Joint Public Health Informatics Task Force (JPHIT) in Washington, DC as part of a team representing the Health Information and Management Systems Society (HIMSS).
  • Also in February, HLN participated in the HIMSS17 Interoperability Showcase as part of team demonstrating technology to implement electronic case reporting (eCR). HLN provided a key software component for this demonstration – the Reportable Condition Knowledge Management System (RCKMS).
  • In early March HLN participated in a regional meeting sponsored by the American Immunization Registry Association (AIRA) in Oklahoma City, OK. This meeting brought together Immunization Information Systems projects from the central part of the country.

HLN Responds to CDC CDS RFI

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HLN Responds to CDC CDS RFI

In December 2016 CDC issued a Request for Information related to clinical decision support (CDS). Specifically, CDC was, "...seeking input on the most important areas of focus, the ...

In December 2016 CDC issued a Request for Information related to clinical decision support (CDS). Specifically, CDC was, “…seeking input on the most important areas of focus, the stakeholders who are or should be part of the effort, and depictions of the current state of CDS development and implementation, including detailed descriptions of the individual components that impact effectiveness and the process of CDS development, particularly in those areas where the responder to this RFI has specific expertise.”

In HLN’s response we answered CDC’s questions largely based on our experience with ICE and RCKMS. These projects involve significant engagement between public health and the clinical and vendor communities and represent significant experience to leverage open source solutions more broadly.

Preparing for 2017: Four Important Reports

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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.