S&I Public Health Reporting Initiative: Improving Standardization of Surveillance

S&I Public Health Reporting Initiative: Improving Standardization of Surveillance
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DOI:
10.5210/ojphi.v5i1.4451
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发表时间:
2013
影响因子:
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通讯作者:
J. Abellera
J. Abellera
中科院分区:
--
文献类型:
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作者:
M. Coletta;N. Lipskiy;D. Birnbaum;J. Abellera

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该小组的目标是向ISDS社区通报标准和互操作性(S&I)框架公共卫生报告倡议(PHRI)的进展情况。此外,它还将提供一些背景信息,说明该倡议可能如何影响有意义使用阶段3的生物监测报告以及未来公共卫生报告数据标准要求的统一。S&I框架是国家协调员办公室(ONC)的一项倡议,旨在支持专注于特定互操作性挑战的各个工作组。S&I框架内的这些工作组之一是PHRI,它正在使用S&I框架作为社区主导项目的平台,该项目专注于简化公共卫生报告并确保EHR与公共卫生信息系统的互操作性。PHRI希望为有意义使用第三阶段创建一个新的公共卫生报告目标,该目标比当前的计划具体目标更广泛,并将为未来所有公共卫生报告奠定基础。迄今为止,该倡议收到了30多份关于不同类型公共卫生报告的说明,然后将其分为5个领域类别。每个领域类别被分解成组成元素和共同点被确定。公共卫生研究所目前正在努力通过协商一致的进程重建一个单一的公共卫生报告模式,不久将对最现成的报告类型进行试点示范。该小组将概述该倡议的进展、挑战和今后的步骤,并描述该倡议如何影响生物监测报告的标准语言。方法Michael Coletta将提供S&I PHRI的介绍和背景。他将描述PHRI打算如何影响报告的方式,是普遍的,有助于双方的HIT供应商和公共卫生计划。Nikolay Lipskiy将提供对公共卫生项目中正在发生的协作和协调的突破性性质的理解。他将描述数据协调过程,结果,并希望这项工作的未来。大卫伯恩鲍姆一直是PHRI的一个非常活跃的成员,并一直主张将医疗相关感染(HAI)报告纳入有意义的使用作为一个模式。大卫一直代表着最大的用户社区之一,其中沿着的是向公共卫生机构自动上传数据。他将从代表已经高度发展的报告系统(CDC的国家医疗安全网络系统)的参与者的角度描述这一举措的机遇和挑战。John Abellera一直是PHRI的传染病报告用户故事的管理者。他将描述目前报告面临的挑战,以及PHRI提出的改革如何改善传染病报告工作。随后将与听众进行公开讨论,旨在引起对最终将个别报告特定规范文件合并为一个跨公共卫生报告项目的核心报告规范的反应,然后补充项目特定规范和有限数量的实施特定规范。计划吸引观众:准备一份问题清单,向观众提出反应和讨论(如果参与率低,则提供)。
Objective The objective of this panel is to inform the ISDS community of the progress made in the Standards & Interoperability (S&I) Framework Public Health Reporting Initiative (PHRI). Also, it will provide some context of how the initiative will likely affect biosurveillance reporting in Meaningful Use Stage 3 and future harmonization of data standards requirements for public health reporting. Introduction The S&I Framework is an Office of National Coordinator (ONC) initiative designed to support individual working groups who focus on a specific interoperability challenge. One of these working groups within the S&I Framework is the PHRI, which is using the S&I Framework as a platform for a community-led project focused on simplifying public health reporting and ensuring EHR interoperability with public health information systems. PHRI hopes to create a new public health reporting objective for Meaningful Use Stage 3 that is broader than the current program-specific objectives and will lay the ground work for all public health reporting in the future. To date, the initiative received over 30 descriptions of different types of public health reporting that were then grouped into 5 domain categories. Each domain category was decomposed into component elements and commonalities were identified. The PHRI is now working to reconstruct a single model of public health reporting through a consensus process that will soon lead to a pilot demonstration of the most ready reporting types. This panel will outline progress, challenges, and next steps of the initiative as well as describe how the initiative may affect a standard language for biosurveillance reporting. Methods Michael Coletta will provide an introduction and background of the S&I PHRI. He will describe how the PHRI intends to impact reporting in a way that is universal and helpful to both HIT vendors and public health programs. Nikolay Lipskiy will provide an understanding of the ground breaking nature of collaboration and harmonization that is occurring across public health programs. He will describe the data harmonization process, outcomes, and hopes for the future of this work. David Birnbaum has been a very active member of PHRI and has consistently advocated for the inclusion of Healthcare Associated Infections (HAI) reporting in Meaningful Use as a model. David has been representing one of the largest user communities among those farthest along toward automated uploading of data to public health agencies. He will describe the opportunities and challenges of this initiative from the perspective of a participant representing an already highly evolved reporting system (CDC’s National Healthcare Safety Network system). John Abellera has been the steward of the communicable disease reporting user story for the PHRI. He will describe the current challenges to reporting and how the PHRI proposed changes could improve communicable disease reporting efforts. This will be followed by an open discussion with the audience intended to elicit reactions regarding an eventual consolidation from individual report specific specification documents to one core report specification across public health reporting programs which is then supplemented with both program specific specifications and a limited number of implementation specific specifications. Results Plan to engage audience: Have a prepared list of questions to pose to the audience for reactions and discussion (to be supplied if participation is low).