Nationwide Health Information
Network (NHIN) Committee
Founded in 2004
Purpose |
Activities
Purpose
To foster awareness, partnerships and
collaboration at the local, state and national levels in the
development of the regional health information exchanges.
The Nationwide Health Information Network is a
health information technology strategy that will provide the
foundation for an interoperable, standards-based network for the
secure exchange of health care information.
Specific actions
toward improving population health include:
• Unifying public
health surveillance architecture
• Streamlining quality and health status monitoring
• Accelerating research and dissemination of evidence
On July 21, 2004 the Department of Health and Human Services (DHHS)
announced the decade of health information technology (HIT) for
“Delivering Consumer–centric and Information-rich health care.”
The vision is to build a Nationwide Health Information Network (NHIN)
of regional health information organizations (RHIO) to enable
regional health information exchanges (RHIEs). The RHIO and RHIE
would in turn be formed of health care providers integrated via
electronic health record systems (EHRS) to improve patient
safety and deliver quality care. The EHRS is a pivotal
instrument in integrating clinical and public health data
systems - EHR-Public Health (EHR-PH), so public health
authorities will have reliable, real-time data to support health
policy decisions for better and safer care.
(PHDSC, 2005)
Activities
2007
PHDSC/HRSA Expert Panel in Electronic Data Exchanges
December 5-6, 2006, Fairmont Hotel, Washington DC
Description
Funded by the Contract from the Health Resources and
Services Administration (HRSA) #06-5250-0559
Goal is to build consensus among leaders in public health
towards formalizing a vision for a standard representation
of public health work processes for the electronic health
information exchanges with clinical care, i.e. functional
requirements specifications.
Meeting Objectives
1. Share experiences in building health information
exchanges in panelists’ jurisdictions to date
2. Discuss national initiatives on the development of
functional standards in health information exchanges
3. Discuss the functional specifications for health
information exchanges on school health and on syndromic
surveillance in New York City as prototypes of functional
requirements specifications
4. Develop recommendations for the roadmap on developing
functional requirements on health information exchanges
between clinical care and public health
Panelists and Presentations
Dr. Oxiris Barbot, Department of Health and Mental Hygiene,
NYC, NY
NYC Health Automated Student Health Record Presentation
Dr. Neil Calman, Institute for Urban Family Health, NYC, NY
Ms. Kathleen Cook, Lincoln-Lancaster County Health
Department, NE
Dr. Art Davisson, Denver Public Health, CO
eHealth Data Exchanges Presentation
Dr. Peter Elkin, Mayo Clinic, Rochester, MN
Dr. Martin LaVenture, Minnesota Health Department, MN
Building Public Health/Clinical Health Information
Exchanges: The Minnesota Experience Presentation
Dr. David Lawton, Nebraska Health and Human Services System,
NE
Dr. Farzad Mostashari, Department of Health & Mental
Hygiene; NYC, NY
A Briefing for the American Health Information Community on
Biosurveillance Presentation
Dr. Anna Orlova, Public Health Data Standards Consortium &
Johns Hopkins University
Public Health Data Standards Consortium Presentation
Dr. David Ross, Public Health Informatics Institute
Requirement Presentation
Dr. Walter Suarez, Public Health Data Standards Consortium
Download
Panelists' Presentations
Building Public Health/Clinical Health Information Exchanges: The Minnesota Experience Presentation – Dr. Martin LaVenture
eHealth Data Exchanges: The Colorado Experience – Dr. Arthur Davidson
HIT: Replacing the Missing Link Between Community Health Care and Public Health – Dr. Neil Calman
New York City School Health Automated Student Health Record System – Dr. Oxiris Barbot
New York City Syndromic Surveillance System – A Briefing for the American Health Information Community on Biosurveillance Presentation – Dr. Farzad Mostashari
Defining User Requirements for a Public Health Information System - Dr. David Ross
Toward Functional Standard in Public Health Information Systems Design – Dr. Anna Orlova
Towards a Functional Standards on Electronic Data Exchange between Clinical Care and Public Health – Final Report
2006
Developing a Vision for Functional Requirements
Specification for Electronic Data Exchange between Clinical
and Public Health Settings: Examples of School Health and
Syndromic Surveillance in New York City
Description
Funded by the Contract from the Health Resources and
Services Administration (HRSA) #06-5250-0380
This project represents the first attempt to develop a
vision for a functional standard for Electronic Health
Record-Public Health (EHR-PH) data exchange - a Functional
Requirements Specification document - to inform the
development of the functional standards for the electronic
data interchange between clinical care and public health.
The two public health application domains - School Health
and Syndromic Surveillance in New York City Department of
Health and Mental Hygiene were selected as examples of
public health programs involved in the EHR-PH data exchange.
The developed specifications represent the end user
perspectives (clinical and public health staff) for the
electronic communications based on the EHR systems installed
in a clinical setting. The domain-specific information for
the specification has been obtained via the requirement
elicitation process, i.e., informal interviews with clinical
and public health staff on their work processes and data
management activities. The specifications were developed in
the format of the Requirement Analysis Document (RAD).
Click
here to download the Report.
2005
PHDSC Response to the Request for Information (RFI) from the
DHHS Office of the National Coordinator for Health
Information Technology on the Development and Adoption of a
National Health Information Network January 2005.
Description
The PHDSC facilitated collaboration of representatives
from the following public health professional associations and
organization to develop the Response:
• American Health Information Management Association (AHIMA)
• American Immunization Registry Association (AIRA)
• American Public Health Association (APHA)
• Association of Public Health Laboratories (APHL)
• Association of State and Territorial Directors of Nursing (ASTDN)
• Association of State and Territorial Health Officers (ASTHO)
• Centers for Disease Control and Prevention (CDC)
• Council for State and Territorial Epidemiologists (CSTE)
• National Association of Health Data Organizations (NAHDO)
• National Association of County and City Health Officials (NACCHO)
Click
here to download the PHDSC Response document
Click
here to download the Cover Letter
Click here to download a Summary of the Responses to the NHIN
RFI
An
Electronic Health Record - Public Health (EHR-PH) System
Prototype for Interoperability in 21st Century Healthcare
Systems
AO Orlova, M Dunnagan, T Finitzo, M Higgins, T Watkins, A Tien,
S Beales. AMIA Annu Symp Proc. 2005: 575-9.
Description
Information exchange, enabled by computable
interoperability, is the key to many of the initiatives underway
including the development of Regional Health Information
Exchanges, Regional Health Information Organizations, and the
National Health Information Network. These initiatives must
include public health as a full partner in the emerging
transformation of our nation’s healthcare system through the
adoption and use of information technology.
An electronic health record - public health (EHR-PH) system
prototype was developed to demonstrate the feasibility of
electronic data transfer from a health care provider, i.e.
hospital or ambulatory care settings, to multiple customized
public health systems which include a Newborn Metabolic
Screening Registry, a Newborn Hearing Screening Registry, an
Immunization Registry and a Communicable Disease Registry, using
HL7 messaging standards. Our EHR-PH system prototype can be
considered a distributed EHR-based RHIE/RHIO model - a principal
element for a potential technical architecture for a NHIN.
Click here
to download the Manuscript
2004
Pediatric Electronic Health Record: Public Health Perspectives
Description
Funded by the Contract from the Health Resources and Services
Administration (HRSA) No.: 04-S250-0115
The goal of this project was to explore what it would take to
achieve easy electronic information exchange between clinical
and public health organizations. The four clinical areas used as
examples—newborn screening, immunization, growth and
development, chronic disease care—have the potential for
bi-directional information exchange, not only for public health
surveillance but also for feeding timely information back to the
provider for clinical decision support and care coordination. We
compared information requested by a state health department
(Maryland) with information available from a large pediatric
provider in that state (Johns Hopkins Medical Institutions). The
task involved mapping public health and provider data forms in
order to better understand issues around overlaps and gaps in
data content, standards, and protocols for information exchange
between clinical care and public health.
Click
here to download the Report.
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