Transcript Consolidated Health Informatics Presentation to AMIA

Consolidated Health Informatics
Public Health Data Standards Consortium
March 17, 2004
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Topics to discuss today…

Overview of Consolidated Health Informatics
– CHI history and strategy
– CHI in the Electronic Health Care Data Environment

CHI standards process
– Approach
– Portfolio overview– adopted, in-progress & upcoming
– Implementation action plans

Present and Future
– Accomplishments
– What follows in CY 2004?
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CHI History and Goals

One of the 24 Quicksilver eGovernment Initiatives…
– To enable the sharing of health information in a secure
environment to improve health
– To establish Federal health information interoperability
standards as the basis for electronic health data transfer in
all activities and projects and among all Federal agencies.
– Lead and influence in sync with industry
FOR MORE INFO...
See the Government-to-Business portfolio at the www.egov.gov web site
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CHI Strategy

CHI is part of the President’s eGov Portfolio

Goal - adopt existing clinical vocabulary & messaging standards
to enable interoperability in the federal health care enterprise

Agencies will build standards into individual IT architecture to
deploy in new systems and major system upgrades

“Tipping point” for industry – industry seeks federal lead

Policies preserve individual partner agency business rules

Complementary to HIPAA
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The Electronic Healthcare Data Environment
Administrative<<<<<<<<<<<<….>>>>>>>>>>>>Clinical
Transaction
Code Sets
Final 08/2000
Employer ID
Final 05/2002
Provider ID
Proposed
Rule 05/1998
Modifications
Final Rule
02/2003
Plan ID
Future
Attachments
Rule
Future
Messaging Standards
HL7, IEEE, DICOM, etc.
Health Insurance Portability & Accountability Act
Immunizations
Vocabulary
Physicals
Vocabulary
Interventions
Vocabulary
Laboratory
Vocabulary
Medications
Vocabulary
Nursing
Vocabulary
Consolidated Health Informatics
HIPAA Privacy Final (Modification) 08/02
HIPAA Security Final 02/03
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CHI Federal Participation
Managing Partner
HHS
Federal Enterprise-wide Governance Structure: CHI Council
Lead Partners
VA, DOD, HHS
Supporting Partners
SSA, EPA,
Commerce/NIST, NASA,
& more…
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Standards Adoption Process
Council
Consensus
Analysis and
Feedback
Deploy Teams
•Form SME teams
•Define scope
•Identify
candidate
terminologies
•Coordinate
outreach
•Evaluate
terminologies
•Assess
deployment
•Technical
presentation to
CHI Council
•Department/
agency review
and feedback
•CHI Council
establishes
consensus
Preliminary
Reports To NCVHS
Standards
Adoption
•Government-
wide policy
rollout
•Agency /
departmentspecific
implementation
via architecture
Final Reports
To NCVHS
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Communication with Industry

In partnership with the National Committee on Vital and
Health Statistics http://www.ncvhs.hhs.gov/
– To clarify the “range” of a clinical domain – what
meanings are included
– To clarify the choices we have
– To align public and private industry work to the extent
possible
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CHI Team Process
•
Form Team
•
Define Scope
•
Identify Candidate Terminologies
•
Evaluate Candidates
•
Assess Current Federal and Non-Federal
Deployment
•
Make Recommendation to Council
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Range of Possible Recommendations
• Perfect terminology; needs only “evergreening” to
maintain
• Imperfect terminology; must define weaknesses and
actions needed to fix
• No solution at this time – recommend development of a
solution – with whom would the government work to
develop that vocabulary?
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Standards Announced March 2003
1. LOINC: Laboratory Result Names
2. HL7 Messaging Standards: Includes scheduling,
medical record/image management, patient
administration, observation reporting, financial
management, patient care
3. NCPDP: Includes retail pharmacy transactions
4. IEEE 1073 Messaging Standards: Connectivity
5. DICOM Messaging Standards: Includes Image
Information to Workstations
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Recommendations under Review
Lab Results Contents
Demographics
Units
Immunizations
Medications
Interventions and Procedures (A.
Lab, B. Non-lab)
Diagnosis/Problem List
Anatomy/Physiology
Nursing
Billing/Financial
Medical Devices and Supplies
Encounters
Disability
Population Health
Text-Based Reports
History and Physical
Multimedia
Genes and Proteins
Chemicals
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CHI Accomplishments
• Defined target portfolio (24 domains)
• “Rolled out” first five standards
• Teams 6-24 produced working reports and
recommendations
• Presented all recommendations to HHS CAHIT, HHS
CIO Council and HHS Data Council
• Formed strong relationship with NCVHS Standards &
Security Subcommittee to obtain input from private sector
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What Follows in CY 2004?
• Roll-out adopted standards for remainder of
portfolio
• OMB “graduates” eGov Initiatives by September
2004
• CHI and Federal Health Architecture (FHA)
partner to integrate work
• Phase II planning sessions underway
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Discussion
Questions?
Suggestions?
FOR MORE INFO...
Government-to-Business portfolio at www.egov.gov
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