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electronic case reporting (eCR)

See the following -

2022 HL7 Working Group Meeting Continues to Advance a Public Health Agenda

By Daryl Chertcoff | October 7, 2022

The HLN Consulting team attended the HL7 36th Annual Plenary & Working Group Meeting (WGM) held in Baltimore, MD, September 17 – 23, 2022. More than 500 attendees, representing all aspects of the industry, were a part of the WGM in-person meeting after 2 years of virtual meetings. The seven day event started on Saturday with a weekend connectathon. This meeting offered an opportunity for attendees to come together and collaborate. It was a valuable meeting especially for people involved in standards development around healthcare. Read More »

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A Public Health Perspective on ONC's Strategy to Reduce Burden on Physicians

By Noam H. Arzt, Ph.D. | December 19, 2018

On November 28, 2018, the Office of the National Coordinator for Health Information Technology (ONC) released a draft Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs for public comment. The strategy aims to reduce the time and effort and improve the functionality of electronic health records (EHRs) for clinicians, hospitals, and other healthcare organizations. This strategy was developed primarily through the efforts of ONC-convened workgroups in response to requirements laid out by Congress in the 21st Century Cures Act (Section 13103). The report itself does not identify who exactly served on these workgroups and what organizations were represented.

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Cures Act EHR Reporting Program Draft Measures—What this Means for Public Health

By Noam H. Arzt, Ph.D. | February 17, 2022

As part of the ONC Health IT Certification Program, Congress mandated the establishment of an Electronic Health Record (EHR) Reporting Program to help determine the effectiveness of the program. The first step toward implementation was the development of an initial set of CEHRT developer metrics which were released in draft form in December 2021. When finalized, these metrics will represent data that EHR vendors will have to report to ONC as a Condition and Maintenance of Certification. The initial focus of the metrics developed was interoperability, and public health was one of four categories considered.

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Electronic Case Reporting (eCR) Takes Front Stage at PHI2018 Conference

By Noam H. Arzt, Ph.D. | August 27, 2018

But the real buzz at the conference seemed to be about electronic case reporting (eCR). This refers to the national effort to replace the current paper and FAX process of submitting reportable conditions from clinical care sites to state and local public health agencies with a more automated electronic process fed from electronic health records (EHRs)...HLN demonstrated the workflow for eCR at the HIMSS18 Interoperability Showcase. However, we did not see a lot of interest on eCR at the HIMSS conference. At PHI2018 we had significant interest, both among public health officials who were anxious to see how they could initiate eCR in their jurisdictions, and other vendor and stakeholder groups who seemed to feel eCR was becoming viable and more “real.”

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Health Organizations Implore Congress to Fund Public Health Surveillance Systems

By Noam H. Arzt, Ph.D. | March 29, 2019

HLN Consulting joined more than eighty organizations, institutions, and companies in imploring Congress to fund public health surveillance systems. The appropriations request letters – one to the House and one to the Senate – seek one billion in funding over ten years (and $100 million in FY 2020) for the Centers for Disease Control and Prevention (CDC). This funding would allow CDC, state, local, tribal, and territorial health departments to move from sluggish, manual, paper-based data collection to seamless, automated, interoperable IT systems and to recruit and retain skilled data scientists to use them.

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HIMSS18: Key Exhibitor Booths for Open Solutions, Collaboration, and Interoperability

The annual gargantuan HIMSS conference is back at Las Vegas with over 40,000 participants, over a thousand exhibitors, and more than 600 presentations. As we saw last year in Orlando, more than half of the conference presentations are focused on applications based on open source such as FHIR and Blockchain, and a great emphasis on open solutions for interoperability. With so many presentations and exhibits, it is impossible to provide a full overview. Below are a few of some of the most interesting exhibits of open solutions this year.

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Posted March 5, 2018 - 6:30pm by Roger A. Maduro
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HIMSS20 - The Open Health Companies That Were Going to Participate

The HIMSS20 conference has been cancelled as a result of concerns due to the global spread of the coronavirus. Although the conference is not taking place, we have decided to publish a variation on our annual HIMSS conference Open Health Guide. Open Health News has published Open Health Guides to HIMSS conferences almost since our founding. They were widely read with thousands of reads each. So they are now a tradition for our publication and there were many great open health companies that were going to have exhibits at the HIMSS20 conference as well as presentations. Dominant health IT vendors spend over a billion dollars a year in PR and marketing for their lock-in solutions. Unable to match that kind of PR power, the annual HIMSS conference has been one of the few opportunities where Open Health companies have had to present their solutions to the world.

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Posted March 5, 2020 - 1:49pm by Roger A. Maduro
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HITAC Task Force Comments on ONC HTI-1 NPRM

By Noam H. Arzt, Ph.D. | June 22, 2023
 

On June 15, 2023, the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) Proposed Rule Task Force 2023 released its recommendations on the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) Proposed Rule which proposes new  provisions from the 21st Century Cures Act and makes updates to the ONC Health IT Certification Program (Certification Program). The limited-engagement task force met intensely during April, May, and June 2023 to develop its own set of observations and recommendations which were submitted to the Office of the National Coordinator for Health Information Technology (ONC).

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HLN to Present Innovative Open Source Solutions at HIMSS19 Interoperability Showcase

Press Release | HLN Consulting | January 22, 2019

For the third straight year, HLN Consulting, a leading medical informatics consulting company, will participate in the Interoperability Showcase at this year's HIMSS19 Global Conference and Exhibition which is being held in Orlando, FL from February 11-15, 2019. The Showcase itself runs on February 12-14 and consists of a series of connected demonstrations which are collaborative projects between 6-8 organizations using interoperability standards to exchange information and improve the quality and value of the care provided. Together they develop a storyline, or scenario, that contextualizes the value of their demonstration and tells the story of a patient, caregiver, or provider. This year HLN will participate in two scenarios...

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HLN's Immunization Calculation Engine (ICE) chosen as a Digital Public Goods Standard

Press Release | HLN Consulting | November 1, 2021

HLN Consulting is thrilled to announce that the Immunization Calculation Engine (ICE) project has been chosen by the Digital Public Goods Alliance (DPGA) as an innovative openly licensed technology and listed in their Digital Public Goods registry. Technologies included in the list are considered to be digital public goods in alignment with the Digital Public Goods Standard. ICE now appears in the Digital Public Goods registry where it is discoverable as a digital public good and reflected on a growing network of catalogs and aggregated lists of digital public goods.

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ONC Gets It Mostly Right with TEFCA 2.0

By Noam H. Arzt, Ph.D. | April 25, 2019

On April 17, 2019 the Office of the National Coordinator for Health Information Technology (ONC) released the second draft of its Trusted Exchange Framework and Common Agreement (TEFCA) for comment. The initial version was released more than a year ago in January 2018 (see my original blog). As before, this is in response to a requirement imposed by Congress in the 21 Century Cures Act. After a somewhat lengthy (but well written) introduction, the document contains three parts (compared to just two parts the first time around)...

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ONC HITAC Public Health Data Systems Task Force Releases Recommendations

By Noam H. Arzt, Ph.D. | November 18, 2022

On November 10, 2022 the Office of the National Coordinator for Health Information Technology’s (ONC) Health Information Technology Advisory Committee (HITAC) accepted and approved the recommendations of its ad hoc Public Health Data Systems Task Force. As discussed in an earlier post, the Task Force has been meeting since August 2022 and was charged with examining how improvements might be made in ONC certification rules for criteria related to public health data submission. In addition, and perhaps for the first time, the task force was also charged with developing recommendations related to the public health side of the equation: how public health data systems and/or standards might improve to ensure a smoother flow of information with clinical care. Read More »

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ONC HTI-1 NPRM Through Public Health Eyes

By Noam H. Arzt, Ph.D. | May 31, 2023

On April 18, 2023, the Office of the National Coordinator for Health Information Technology (ONC) published for comment the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) Proposed Rule which proposes new  provisions from the 21st Century Cures Act and makes updates to the ONC Health IT Certification Program (Certification Program). Weighing in at over 500 pages (the pre-release version), this proposed rule provides some refinements to existing ONC programs, corrections to others, and extensions to yet other provisions. ONC provides additional materials about this proposed rule, including fact sheets, blog posts, and records from topical webinars on their website. Note especially the information provided about a joint ONC-CDC sponsored informational webinar which took place on May 24, 2023, and is available for playback on the site.

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ONC Launches Public Health Data Systems Task Force

By Noam H. Arzt, Ph.D. | September 18, 2022

In August 2022 the Office of the National Coordinator for Health Information Technology (ONC) launched the 2022 Public Health Data Systems Task Force as a subcommittee of the Health Information Technology Advisory Committee (HITAC). The task force will meet through the beginning of November to present recommendations continuing and building upon the work of the 2021 task force. Members of the task force include individuals from various levels of government, relevant public health associations, and industry partners. Specifically, the task force is focused on the certification criteria for EHR products certified under the ONC Health IT Certification Program that cover transmission of data from EHRs to public health in these domains...

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ONC Releases Final Rule on Interoperability: How Might it Affect Public Health?

By Noam H. Arzt, Ph.D. | March 20, 2020

On March 9, 2020 the Office of the National Coordinator for Health Information Technology (ONC) released its final rule on the 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program. Referred to by some people as the "Information Blocking Rule," since this is the primary topic, the document actually covers a host of other issues related to interoperability driven primarily by requirements of the 21st Century Cures Act. In addition to the final rule itself you can read the ONC press release, a comparison between the proposed and final rules, and lots of other resources.

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