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ILHIE Public Health Work Group Minutes - February 23 2011 

February 23, 2011

Attendees (phone and in-person):

  • Chair: Mary Driscoll, Illinois Department of Public Health (IDPH)
  • Ornela Besho, City of Chicago
  • Mark Chudzinski, Office of Health Information Technology (OHIT)
  • Craig Conover, IDPH
  • Doug Corbett, Ford-Iroquoi Public Health Department
  • Geoffrey Downie, University of Illinois at Chicago
  • Doreen Haaksma, Independent Consultant
  • Krysta Heaney, OHIT
  • Robin Holding, IDPH
  • Bala Hota, Cook County Health and Hospital System (CCHHS)
  • Dorian Jones, IDPH
  • Josh Jones, Chicago Department Public Health
  • Judy Kauerauf, IDPH
  • Lisa Kritz, Illinois Maternal & Child Health Coalition
  • Jessica Ledesma, IDPH
  • John Lekich, Healthcare and Family Services (HFS)
  • Miriam Link-Mullison, Jackson County Health Department
  • Karen McMahon, IDPH
  • Brian Nicholson, IDPH
  • Uche Onwuta, Kane County Health Department
  • Matthew Roberts, IDPH
  • Steve Seweryn, Cook County Department of Public Health
  • Mohammed Shahidullah, IDPH
  • Jeff Swim, DuPage County Health Department
  • Bill Trick, CCHHS


Krysta Heaney opened the meeting at 3 p.m. The meeting minutes from December 8, 2010, were approved.

HIE Update: Krysta Heaney shared with the group two Illinois HIE updates.

  1. Governor Quinn appointed eight of the nine Board members of the Illinois HIE Authority; those appointments have been confirmed by the Illinois Senate. It is anticipated that the Authority Board will have its inaugural meeting by the end of April.
  2. As approved by the Office of the National Coordinator (ONC), the state's strategy to ensure providers have at least one option available to them to meet the exchange requirements of Meaningful Use, in 2011, includes the implementation of the Direct Project. However, recent Direct Project developments suggest there may be an increase in the availability of exchange capabilities at the national level. One such development: Surescripts announced the launch with American Academy of Family Physicians (AAFP) of "AAFP Physicians Direct," a nationwide service for clinical information exchange. OHIT may reassess the timeline and focus of the Direct RFP as it continues to monitor progress on the Direct Project.

Bala Hota shared with the group, another Direct Project development: the "Lab Interoperability Cooperative (LIC)," a collaborative effort, funded through the Centers for Disease Control and Prevention, between the College of American Pathologists, Surescripts, and the American Hospital Association. The LIC grant will be used to assist hospitals in connecting their hospital laboratories, with public health agencies, to electronically transmit data on reportable laboratory results.

As additional Direct Project capacity increases, the Work Group will assess opportunities to use Direct Project to facilitate messaging to public health.

Meaningful Use Population Health Reporting: IDPH is tracking the number of new healthcare providers registering with, and beginning to test data submission to IDPH for the two applicable Meaningful Use population health reporting objectives.

Judy Kauerauf updated the group on the number of laboratories reporting data to the electronic disease surveillance system, I-NEDSS.

  1. The number of hospitals in the queue for registration continues to increase
  2. Two new contracts have been signed
  3. All providers are sending lead data, and several provider laboratories are testing submission for all data
  4. The Stroger-designed Electronic Laboratory Reporting (ELR) interface is in the replication process at several other hospitals

Robin Holding updated the group on the number of providers submitting data to the immunization registry, I-CARE.

  1. A total of 45 contracts have been signed.
  2. I-CARE is in testing with eight unique EHR systems

Public Health Work Group: Mary Driscoll led the Work Group in a discussion about the Work Group's next steps. The Work Group decided to move forward with the development of the "Public Health Node" concept. Steve Seweryn suggested identifying the various data elements that could support the functionality of the public health node. Miriam Link-Mullison proposed incorporating the Stage 2, and Stage 3, Meaningful Use data requirements, the State Health Improvement Plan (SHIP) priorities, and other state initiatives related to the Affordable Care Act. Mary Driscoll also recommended the Work Group determine how other states are addressing the link between state HIEs, and public health, and reference the recent CDC Association of State, and Territorial, Health Officials (ASHTO) calls.

Jessica Ledesma noted that the Work Group had previously started documenting the mandated data reporting elements collected by IDPH; the most current version of this document will be distributed to the Work Group prior to the next meeting, along with the following additional data sources: the CHIPRA grant quality measures, the proposed Stage 2 Meaningful Use objectives, local HIE fact sheets, and the list of statutes under review by the ILHIE Legal Taskforce Public Health Subcommittee. Geoffery Downie also recommended the Work Group take a look at the Institute of Medicine Report, "For the Public's Health: The Role of Measurement in Action and Accountability."

Bala Hota discussed how the public health node concept could be operationalized from a technical standpoint. Bala Hota suggested that public health could use its expertise as surveillance experts to develop a rules engine that would be housed within the HIE. Public health could identify and define the rules (e.g., case definitions) and how those rules are applied to route data to the appropriate public health services. This structure would also alleviate the burden of relying solely on vendor solutions that may not adequately address public health's data needs. Bala Hota offered to draft a straw-man of the technical architecture of the public health node.

The Work Group agreed to a future face-to-face planning meeting.

Immunization Data Registry Act: Lisa Kritz provided an update to the group on the status of the recently introduced Immunization Data Registry Act (HB 1338). The Human Service Committiee held a hearing today (February 23, 2010) for HB 1338; the bill is still in committee. Committee members asked bill sponsors to address the methods by which individuals will be notified of their options to participate in I-CARE; sponsors will work with bill supporters to identify additional opportunities for providing patient information. Craig Conover suggested looking to other states for guidance.

The Work Group plans to meet again in 3-4 weeks.

Meeting adjourned at 4 p.m.