CDC Health Information Exchange HIE Accelerating Statewide Public
CDC Health Information Exchange (HIE) Accelerating State-wide Public Health Situational Awareness in New York Through Health Information Exchanges August 2008 Jack Brady, New York State Department of Health 1
Presentation 4 CDC HIE Project Overview 4 New York Health Information Technology Transformation Strategy 4 Challenges & Keys to Success 4 Questions and Answers 2
Project Overview 3
Objectives 4 Integration of Public Health Reporting Across Multiple HIEs § Universal Public Health HIE Architecture and Standards § Central Services and Data Standards for HIE 4 Enabling Bidirectional Flow of Information and Intelligence § Public Health Participation in RHIO Data Exchange § Dynamic Querying Capabilities 4 Ensuring Patient Privacy § Implement and Enforce Privacy & Security Standards § Minimum Data Necessary 4
Members of the NY Team 4 Public Health Organizations § New York State Department of Health § New York City Department of Health and Mental Hygiene § New York State Association of County Health Officials 4 Regional Health Information Organization Partners § Bronx (Bx) RHIO § Brooklyn RHIO (BHIE) § New York Clinical Information Exchange (NYCLIX) § THINC RHIO, Inc. § Western NY Healthelink (WNYCIE) § Long Island Patient Information e. Xchange (LIPIX) 5
Project Scope 4 Assessment and Evaluation § Minimum Data Set (MDS) § Implementation of the Biosurveillance Use Case 4 Build the Capability to Implement the Biosurveillance Use Case and the MDS 4 Demonstrate Bi-Directional Communication on the Data Exchanged 4 Implement Privacy and Security Protections and Data Quality Control 6
MDS Assessment and Evaluation 4 Determine Data Availability with RHIO Partners § Current / near term availability § Messaging and encoding capabilities § Initial identification of problem areas 4 Map MDS to Existing Data Sources / Systems 4 Final Year 1 MDS Assessment § Detailed data analysis and recommendations on changes § Data availability for Year 2 based on RHIO ability to implement the technology solution 7
Build the Capability to Implement the Biosurveillance Use Case and the MDS 4 Multi-Phased Approach § Initial Data Exchange (Year 1) n Participation by 3 RHIO Partners n Focus on data analysis and assessment n PHIN-MS for data transport n Implement initial data exchange n Identify Issues / challenges § Develop Public Health HIE Architecture and Standards (Year 1) § Implementation of the Public Health HIE (Year 2) 8
Data Exchange – Year 1 Data Exchange Data Visualization Direct Data Reporting PHIN-MS 9
Data Exchange – Year 2 and Beyond Data Exchange Data Visualization Direct Data Reporting Universal Public Health Node (UPHN) Statewide Health Information Network for New York (SHIN-NY) ……. . 10
Universal Public Health Node (UPHN) 4 Allows Public Health to function as a node on the Statewide Health Information Network (SHIN-NY) 4 Participating RHIOs interface with the UPHN following common specifications as a standard, publishable interface 4 Interface to be developed in the form of web services 4 Implementation Guides to be developed to detail implementation details 4 Four primary functions will be initially developed to facilitate the data exchange between Public Health and a RHIO 11
Universal Public Health Node Functions Patient Query “Find” and “Get” data from HIEs for a specific individual based on query parameters Line List Query Request and receive patient-level data for a specific disease condition in a patient/case line list format. Anonymize & Re-Identify Ability to transmit MDS line list data to public health with a “pseudonymized” linker and the ability to re-identify patient data back to a specific person for epidemiologic follow-up Analytic Query Analytic (aggregation/ summarization) queries based on pre-defined list of disease conditions and transmit counts to public health on both a scheduled and ad-hoc basis 12
Demonstrate Bi-Directional Communication on the Data Exchanged 4 Year 1 § Leverage existing communication mechanisms § Enhance data analysis / visualization tools 4 Year 2 and Beyond § Integration of data with existing / new applications § Enhance data analysis / visualization tools § Assessment of RHIO communication options 13
Implement Privacy and Security Protections and Data Quality Control 4 Establish Data Sharing Agreements § RHIOs § CDC 4 Leveraging Statewide Collaboration Process § Facilitates consensus decision making § Ensures consistent privacy and security policies across initiatives 4 Agreements Temporal - Will Evolve Over Time § Establish trusted partner relationships § Refine as data scope expands 14
New York Health Information Technology Transformation Strategy 15
HIE Project Integral to NY Vision 4 Health Care Efficiency & Affordability Law for New Yorkers (HEAL NY) Capital Grant Program § $1 billion investment over 4 years § Reform and reconfigure NY’s health care delivery system § Achieve improvements in patient care and increased operating efficiency § Advance interoperability through funding a shared health information infrastructure available to and supported by all providers, payers and patients. 4 HEAL NY 5 Grant (2008) § $106 million initiative to advance the technology required to achieve interoperable HIE and quality measurement and reporting capability § Expanded beyond clinical and EHR focus to include grants for: n Public Health Use Case n Immunization Reporting via EHRs n Chronic Disease n Prevention § Develop and invest in health IT § initiatives at a regional level Restructure health care delivery systems on a regional basis that results in improved quality, efficiency and stability of health care services 16
Statewide Public-Private Partnership & Collaboration Process 17
Challenges & Keys to Success 18
Challenges 4 Disparate data sources 4 RHIOs at varying levels of maturity 4 Timing – no quick fix 4 Sustainability 4 Balancing public health reporting and patient confidentiality 19
Keys to Success 4 Ability to influence adoption of standards 4 Effective collaboration at local, state, regional and national levels 4 Efficient integration with existing systems and processes 4 Effective RHIO implementation and certification processes 4 Ongoing evaluation and refinement 4 Flexible query capabilities to acquire the right data at the right time 20
Questions? 21
Thank You Jack Brady New York State Department of Health jrb 15@health. state. ny. us 22
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