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Towards Business Process Standards Anna O. Orlova, PhD Johns Hopkins Bloomberg School of Public Health
Health IT Standards Categories Data standards E.g., vocabularies and terminologies Information content standards E.g., Reference Information Models (RIMs) Information exchange standards E.g., messaging standards Privacy and security standards Functional standards and business process standards E.g., process/workflow Other E.g., IT standards Identifiers standards E.g. National Provider Identifier (NPI) Source: (2006). Health Information Technology Standards Panel (HITSP). www.hitsp.org 3
Session Outline Need for business process standards: example of immunizations Business process definitions Documenting business processes in public health From business processes to systems requirements Building a consensus on public health high-level business areas Connecting business processes, functional requirements, and IT solutions 4
Section A Need for Business Process Standards: Example of Immunizations
Example of Immunizations CDC is continuing the investment to assist states in developing immunization information systems (registries) confidential, computerized information systems that collect vaccination data within a geographic area. By consolidating vaccination records from multiple healthcare providers, generating reminder and recall notifications, and assessing clinic and vaccination coverage, registries serve as key tools to increase and sustain high vaccination coverage. The Healthy People 2010 objective is to increase to 95% the proportion of children aged <6 years who participate (i.e., have two or more vaccinations recorded) in fully operational, population-based immunization registries. Source: CDC. Immunization registry minimum functional standards. http://www.cdc.gov/nip/registry/min-funct-stds2001.htm 6
Example of Immunization Registries The goal of the Immunization Information System (Registry) is to support the business processes for preventing spread of infectious diseases by timely administering vaccination to the population (children, adults) within a geographic area To achieve this goal, the Immunization Registry system will support the following functions: Consolidate vaccination records from multiple health care providers within jurisdiction Generate reminder and recall notifications to providers and patients Assess clinic performance in vaccination coverage 7
EHR-S and IIS 8
Example of Immunizations Immunization Information Systems (IIS) serve a jurisdiction by providing a common repository for immunization information IIS features (functions): EHR-S Collect vaccination data by patient Generate reminder of next immunizations due Manage vaccine inventory (generate/manage vaccine orders, order deliveries and recall notifications) within clinic Assess vaccination coverage within clinic 9
Example of Immunizations Immunization Information Systems (IIS) serve a jurisdiction by providing a common repository for immunization information IIS features (functions): IIS Collect vaccination data by clinic, by jurisdiction Generate reminder of next immunizations due Consolidate vaccination records from multiple clinics Manage vaccine inventory (generate/manage vaccine orders, order deliveries and recall notifications) by jurisdiction Assess vaccination coverage by clinic, by jurisdiction 10
EHR-S and EHR IIS Features 11
Process Interoperability: Immunization Management Source: AHIC Immunization & Response Mgmt Use Case Diagram: http://www.hhs.gov/healthit/usecases/respmgmt.html 12
EHR-S and EHR IIS Features 13
IIS Interoperability Model 14
Process Interoperability: Immunization Management Source: AHIC Immunization & Response Mgmt Use Case Diagram: http://www.hhs.gov/healthit/usecases/respmgmt.html 15
EHR-S and EHR IIS Features 16
EHR-S and EHR IIS Features 17
EHR-S and EHR IIS Features 18
Health Department: Organizational Chart 19
Vision for 2014 Used with permission of Peter Elkin. All Rights Reserved. 20
RHIEs as NHIN Components Construction of exchanges requires clear understanding of interoperability in the context of business activities performed by the users Clinicians Public health professionals Patients 21
EHR-S: Public Health (PH) IS Features 22