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ILHIE Public Health Work Group - Technical Infrastructure Subcommittee August 11 2010 Meeting Minutes 

August 11, 2010
2 p.m. - 3 p.m.

Attendees (By Phone):

  • Bala Hota, Stroger Hospital
    Bill Trick, Stroger Hospital
    Mary Driscoll, IL Dept. of Public Health (IDPH)
    Peter Eckart, Illinois Public Health Institute (IPHI)
    Jessica Ledesma, IDPH
    Judy Kauerauf, IDPH

Technology (OHIT):

  • Mark Chudzinski
  • Patricia Cunningham
  • Krysta Heaney

Bala Hota opened the meeting at 2:05 p.m.; roll call. Krysta Heaney will be responsible for taking and distributing the meeting minutes.

Bala reviewed the group's proposed goals to provide OHIT with recommendations for how the HIE could interact with public health, identifying key measures, variables and fields for public health. Bala asked what OHIT's timeframe was for work group deliverables.

Pat Cunningham summarized the major tasks and timeframes outlined in the Technical Infrastructure Section of the state's Strategic and Operational Plan. The Technology and Interoperability Work Group (T&I) will meet Monday (August 16) to begin identifying and prioritizing use cases for the state-level HIE. The system design and requirements for the state's RFP will be based on the specifications identified in these use cases.

Bala recommended the group could list interactions (data movement) between the state-level HIE and public health for both short term (e.g., immunizations) and long-term use cases.

Ivan Handler suggested the group also consider orienting their framework around the provision of services, in particular those that will help drive sustainability.

Bill Trick reviewed the framework for public health informatics represented in the "Interoperability for Health Information Exchange – Public Heath Interaction" diagram that was distributed to the group prior to the meeting. Transmission and terminology standards, as well as interoperability of the system at the provider level, were discussed.

A discussion followed on the possibility of the state-level HIE providing a rule engine as a future service for public health data and message routing, where the state-level HIE builds interfaces with IDPH for additional analytic services.

Bala asked if there had been any vendor engagement aimed at encouraging the adoption of standards-based vocabularies. Ivan indicated that the lack of a directive for nationally defined standards has served as a barrier for vendors to standardize. Bala recognized legally mandated reporting as a unique characteristic of public health, asking if there was a way to leverage this when engaging vendors on standardization.

Pat indicated that the specifications for the state-level HIE will determine how vendors are addressed. It's important to note that the system and infrastructure have to be scalable. In the initial phase, the state will provide a set of specific core services; as technology advances and the HIE matures, additional functionality can be implemented incrementally in subsequent phases.

At the next meeting, Bala will provide the group with an update on items discussed at Monday's HIE T&I Work Group. Based on the direction pursued by the T&I Work Group, this subcommittee will develop a plan to list services, data flows, data elements, etc., related to public health for the use cases selected.

There are no specific action items for the next call. The next meeting will be Wednesday, August 25, at 2 p.m.

Meeting Adjourned at 3:35 p.m.