HLN Consulting

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How are Clinical Decision Support Artifacts Tested Today?

In October 2018 the Centers for Disease Control and Prevention (CDC) issued a Request for Information (RFI) for a Natural Test Collaborative (NTC). Through a series of questions, the RFI seeks opinions and information about "The development of a national testbed (notionally called the National Test Collaborative (NTC)) for real-world testing of health information technology (IT)" and "Approaches for creating a sustainable infrastructure" to achieve it. The scope of this RFI is daunting. It might be useful, rather than to try to tackle this whole topic broadly but superficially, to take just one Clinical Decision Support (CDS) domain and show as completely as possible how testing is currently done.

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Janet Hui

Janet Hui is a Senior Business Analyst at HLN Consulting, LLC, a health IT company. She supports development of decision support services for public health case reporting and immunization forecasting. Previously, Janet served as a Program Manager at the Council of State and Territorial Epidemiologists (CSTE), where she managed implementation of a nation-wide infrastructure to enhance disease surveillance. She holds an MPH in Epidemiology and certificate in Public Health Informatics from Columbia University.

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Lux Phatak

Lux Phatak is the marketing strategist for HLN Consulting, LLC. She is a versatile, results-driven professional with 20+ years of comprehensive experience developing exceptional relationships with clients, peers, senior leadership and community partners to provide sustainable solutions.

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Maiko Minami

Maiko Minami brings a diverse experience in public health and healthcare informatics to the HLN team. While currently a project manager, Maiko previously served as a senior business analyst at HLN with a concentration in standards and systems development for public health and health information systems. She has worked in the past to support a variety of national efforts, including facilitating the development of Syndromic Surveillance standards and recommendations for Meaningful Use, and the development of a national Newborn Dried Blood Screening (NDBS) HL7 Laboratory Orders and Results Implementation Guide.

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Major Interoperability Initiative Launched During the Annual Meeting of The Sequoia Project

On December 5, 2019, HLN Consulting, LLC participated in The Sequoia Project's day long annual meeting which was held just outside of Washington, D.C. at the Gaylord National Resort & Convention Center. As a leading healthcare informatics consulting company HLN monitors developments in healthcare interoperability nationally with particular emphasis on the impact to public health agencies and their stakeholders. This conference represented a good opportunity to participate in the start of a major interoperability initiative that will play out over the next several years. In addition to this report, the Sequoia Project posted the proceedings of the meeting online, including the recorded discussions as well as the slides from the presentations. Read More »

Major Upgrade to Innovative Open Source Immunization Forecaster Released

Press Release | HLN Consulting | August 12, 2018

Innovative open source software, originally developed for public health, is freely available to EHR and PHR systems to support clinical decision support for immunizations...ICE is a state-of-the-art open-source software system that provides clinical decision support for immunizations for use in Immunization Information Systems (IIS), Electronic Health Record (EHR) and Personal Health Record (PHR) Systems...HLN will be presenting this new version this week at the annual meeting of the American Immunization Registry Association (AIRA) and week of August 20 at the CDC Public Health Informatics Conference Read More »

New Modalities for Technical Assistance Consulting

Technical assistance (TA) is provided by expert consultants to public health systems projects in order to improve their performance against functional standards or to help solve recurring or one-time problems or issues. Unlike other forms of training or support, TA is usually focused or tailored to a specific circumstance or situation. Common examples of TA include assistance to a jurisdiction in migrating from one product to another, consultation related to a specific programmatic initiative such as school immunization health compliance, EHR interoperability implementation, or data quality review.

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ONC EHR Reporting Program RFI: A Public Health Perspective

On August 24, 2018, the Office of the National Coordinator for Health Information Technology (ONC) released a Request for Information (RFI) related to the EHR Reporting Program. This RFI is required by the 21st Century Cures Act and its primary purpose is to gather ideas and suggestions related to how ONC might provide better information about Certified EHR Technology (CEHRT). Apparently, the initial intention was to create a "star rating" like the type used in Consumer Reports to use to rate EHRs, but that seems to have been abandoned in favor of some kind of measurement system. But it is far from clear exactly how this would be done.

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ONC Finally Releases TEFCA—What it Might Mean to Public Health

On January 18, 2022 the Office of the National Coordinator for Health Information Technology (ONC) finally released version 1 of the Trusted Exchange Framework,  Common Agreement and the QHIN (Qualified Health Information Network) Technical Framework (QTF). Several years in the making, these documents represent the latest attempt at initiating a national health information exchange in the United States. This project is being managed by ONC’s Recognized Coordinating Entity (RCE), The Sequoia Project, and was inspired by both the HITECH Act and 21st Century Cures Act.

ONC Releases Several New Specifications in 2022

The Office of the National Coordinator for Health Information Technology (ONC) started off the new year by releasing several new specifications supporting health information interoperability...On January 3, 2022 ONC released the Version 3 Draft of the US Core Data for Interoperability (USCDI) which defines a core set of data for common interoperability transactions in healthcare. It defines classes of data as well as specific data elements within those classes and represents the data that can be expected to be shared at minimum between data partners. While public health is included, ONC has recently recognized that public health use cases (and therefore their data needs) differ from clinical care use cases...

ONC Tech Forum 2020—An Attendee's Perspective

I attended the ONC summer Tech Forum in August 2020 which brought together over 1,500 industry experts and Federal partners to discuss technical innovations in health information technology and their potential impacts on the healthcare ecosystem...One of the most interesting parts of the conversation was focused on the efforts made by Honk Kong to develop an open source digital health platform. Over the past 20+ years, Hong Kong has been pursuing a "one system, one record" policy primarily built on open source components. Though they had little money to invest at the beginning, for them open source is more about retaining control than about controlling cost (though the lower price tag certainly got them started down this path)...

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Open Health Guide to HIMSS19

The annual gargantuan HIMSS conference is back in Orlando with over 45,000 participants from more than 90 countries. There will be more than 1,300 vendors at the exhibit floor and more than 300 educational sessions. As with the last several conferences, the focus on open source as the key underlying technologies of health information technologies continues to increase. In previous conferences, we have seen the rise of open source technologies, in particular, those related to interoperability such as FHIR and Blockchain. A large number of sessions at HIMSS19 will be focused on another set of technologies powered largely by open source software and design principles such as artificial intelligence (AI), machine learning, and natural language processing.

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Open Source Immunization Forecaster Updated to Support Pfizer COVID Vaccine

Press Release | HLN Consulting | December 16, 2020

On December 15, 2020, HLN released a new version (v1.26.2) of the Immunization Calculation Engine (ICE) in support of the Pfizer COVID vaccine. ICE is a state-of-the-art open source software system that provides clinical decision support for immunizations for use in Immunization Information Systems (IIS), Electronic Health Record (EHR), and Personal Health Record (PHR) Systems. Version 1.26.2 includes support for new COVID-19 Vaccine Group (with the Pfizer vaccine only). A subsequent release, coming soon, will likely add support for the Moderna vaccine. Read More »

Open Source in the Worldwide COVID-19 Response

February marks the celebration of creation of the Open Source Initiative (OSI) in 1998. OSI created the standard definition of the term Open Source that helped guide many of LPI's initiatives today. Through the past year, open source provided many opportunities to organizations to continue to work, implement their projects, and continue reaching out to communities. Here are just a few examples of how open source provides opportunities through the face of COVID-19. The COVID-19 crisis brought out all the creativity of the open source movement. In every area of innovation--open source software, open data, open collaboration, and even open equipment--companies and research institutes have addressed medical and public health needs quickly. This article highlights some of the initiatives in each area.

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Open Source Solutions For Public Health Case Reporting and COVID-19

The United States is continuing its slow emergence from a nation-wide shut down imposed to slow down the spread of COVID-19. Most states have started to reopen, with bars, restaurants, and many workplaces starting to fill. As people begin to spend more time together again, it is critically important that public health agencies do everything they can to help prevent further spread of the infection and continue to monitor the level of infection within the population. Data is an important tool that public health has to understand what is going on in the country. Years of limited government investment and neglect of current systems has limited public health's ability to meet the challenges of managing both localized outbreaks and pandemics.

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