electronic Initial Case Report (eICR)
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Clinical Decision Support Strategies for Electronic Case Reporting and its Open Source Connection
A key element of public health surveillance is the reporting of infectious and certain non-infectious conditions to state, local, and tribal public health agencies (PHA) around the United States. Historically, there have been a number of key challenges with the process of case reporting that is pervasive in the United States today. To help overcome some of these barriers, an effort has been underway to move the process of case reporting to electronic. A key component of the emerging electronic care reporting (eCR) strategy is the use of clinical decision support (CDS) to help clinical care organizations determine if a reportable condition is present in a patient's record. Multiple approaches have been identified for this CDS service, including a centralized model being implemented today, and several distributed options which will likely become equally viable. Given the size, diversity, and decentralized nature of healthcare enterprises, it is likely that all three approaches for CDS discussed in this article will be deployed simultaneously.
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HLN to Present Innovative Open Source Solutions at HIMSS19 Interoperability Showcase
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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ONC HTI-1 NPRM Through Public Health Eyes
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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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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US Senate Releases Draft Future Pandemic Preparedness Plan - Asks for Feedback
On June 10, 2020 the US Senate released a white paper titled "Preparing for the Next Pandemic" under the signature of Senator Lamar Alexander of Tennessee. The white paper has five recommendations to address future pandemics based on lessons learned from COVID-19 and the past 20 years of pandemic planning. "The five recommendations...along with a series of questions at the end of this white paper, are intended to elicit recommendations that Congress can consider and act on this year," Senator Alexander said in a statement, adding that "I am inviting comments, responses, and any additional recommendations for the Senate Committee on Health, Education, Labor and Pensions to consider. This feedback will be shared with my colleagues, both Democrat and Republican." This feedback from the public will be accepted until June 26, 2020... Read More »
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