Parts of this COULD be useful (ie in developing a leadership value proposition document), but as a PDF document, I find it useless. (Needs to be a word doc, and cut the cover sheet).
Notified 1 person
Kelley Chester
I can ask the Digital Bridge folks if we can have this in Word format or if it is ok for us to reproduce certain sections. I think it would be helpful for the group to identify which pieces of this document are relevant so that we can pull those out into a separate document.
Notified 1 person
Crystal Snare
PDF makes it hard to even discuss which sections we do/don't like, but here's my quick stab at an eCR edit:
<this may be the DB vision, but I think it's reasonable to adopt as a goal for eCR> Vision: To ensure the health of our nation through a bidirectional information exchange between health care and public health. <DB comes up in general discussions of eCR, so seems appropriate to include a bit on what it is - this next point has been edited for length> • Digital Bridge public-private partnership has designed a multi-jurisdictional approach to electronic case reporting (eCR) and is coordinating eCR implementations at sites across different states and cities. • What is electronic case reporting (eCR)? Electronic case reporting is the automated generation and transmission of case reports from the electronic health record (EHR) to public health agencies for review and action. eCR is a valuable tool that reduces the burden of public health reporting of infectious diseases, while improving the timeliness, accuracy and completeness of the data. <eCR helps NON-infx conditions too like childhood blood lead levels!> • eCR has many remaining legal and regulatory issues to ensure patient privacy and data security to be explored. Digital Bridge and health departments nationwide are working to protect patients, reduce costs, and improve population health. <that bullet is edited to make less DB-focused>
Expanded: Expanded Messages <edited slightly> Health care professionals Digital Bridge and eCR will lay the foundation for greater bidirectional exchange of data between health care and public health so that clinicians can be more easily informed about and collaborate with public health during outbreaks. By collaborating with public health, providers can describe what treatment guidelines and environmental risk factor data they want from public health and how it should be integrated into clinical workflows. This will empower clinicians with greater insights on managing chronic conditions, selecting preventative interventions, and reducing treatment costs.
Public health professionals and leaders Digital Bridge allows public health to speak with one voice and deliver a coherent message to health care providers and health IT developers that operate across jurisdictional boundaries. eCR creates a possibility of more timely and granular public health surveillance.
Electronic health record software vendors Digital Bridge ensures the perspectives of vendors are included. Digital Bridge allows health IT to proactively consider and create developments for the future.
Funders and influencers Digital Bridge will capitalize on existing privacy and security technologies protecting patient data, while exploring how our nation’s health information infrastructure can become more connected. Greater interoperability among health care providers and public health practitioners will allow coordination that can build healthier communities. Building on eCR, Digital Bridge will ultimately show how public health can access environmental information and social determinants of health in ways that improve clinical care and impact population health.
Messages for specific audiences (benefits and values of the Digital Bridge eCR approach): <edited slightly>
Health Care Professionals eCR will measurably streamline and simplify the case reporting and data collection processes. eCR will operate in the background of the electronic health record systems that health care providers are already using, greatly reducing labor costs associated with reporting. <After the coarse-sieve of a local reportability trigger table,> Using a centralized decision support service, eCR automatically conducts a sophisticated review of a reported case (e.g., patient location, health care provider location, lab results, state-specific reporting criteria) and sends the data forward as appropriate. <I have serious questions about this and I'd love to see how that's going to be developed - do clinicians have time/interest in reviewing RRs? If this is still amorphous, let's cut back on this promise to what we _can_ deliver!> eCR’s automated innovation allows two-way information exchange, thus closing the loop with health care providers after a case is reported. Upon automatic transmission and analysis of the data, the health care provider will get a response letting them know if the case was indeed reportable in their area/state and to which agency the data was transmitted. In the future, this response will help connect providers to the latest disease treatment guidelines and outbreak response protocols. Receiving this response will help health care providers better understand the nuances of reportable data in their state and help improve patient care.
Electronic Health Record (EHR) Software Vendors eCR will measurably streamline and simplify development and configuration of EHR software by EHR software vendors for their clients by reducing the need to accommodate local and regional public health reporting requirements. eCR is a stated attest<ation> objective for current Stage 3 of Meaningful Use of Health IT incentives. EHR software vendor support of requirements will enable their clients and associated public health agencies to declare readiness and receive financial incentives. eCR will provide information back from public health agencies on submitted case reports that may be incorporated into EHR software and provide enhanced clinical decision support such as condition and local jurisdiction specific guidance directly to the reporting clinicians.<again, lets edit this once we see what the big three are _actually_ building and what clinicians say they want/will use --- I'm doubtful they've got the time to page thru RRs or interact with them unless they're processed by EHRs)
Public Health Professionals, Directors and Leaders The automatic and streamlined approach of eCR will positively impact public health across the nation. Public health professionals will be able to interact more efficiently with health care providers to acquire more relevant information about particular cases. <this is misleading -- if we're talking about eCR, then yes, we'll get more info than ELR, but if you're leading PH to believe that there's going to be interaction with providers thru automated means, can we please wait on that promise until it's a lot closer to fruition? Do providers have time to read RRs?) Implementing eCR will ultimately <EVENTUALLY> render most manual case reporting tasks, such as follow-up calls and data entry, obsolete. eCR is a time-and-cost-efficient tool that leads to rapid productivity in disease case reporting and data collection. Organizations that successfully implement eCR are seen as leaders and investors in the drive toward improved patient outcomes and public health on a national scale. eCR establishes core infrastructure for more robust information sharing between health care and public health. Initially, this will support the delivery of treatment guidelines and coordination during outbreak responses. Future plans include providing health care with information on patients’ social determinants of health and environmental risk factors. <This is great - I like that they called out future plans, and I think this is where we have to put 'interactions with providers' for at least the next year or two>
IT Directors and Staff eCR is a complement to the existing Association of Public Health Laboratories (APHL) Informatics Messaging Services (AIMS) that many organizations already use for electronic lab reporting. The eCR system operates in the background of existing EHR systems, reducing costly labor and removing human error from the equation. AIMS is hosted on the Amazon Web Services cloud and uses the Reportable Conditions Knowledge Management System (RCKMS) for jurisdiction-specific public health case reporting logic. RCKMS, developed by the Council for State and Territorial Epidemiologists (CSTE), will validate incoming electronic case reports and ensure they are routed to the appropriate public health agency according to applicable laws and regulations. There is already a network of tools, resources, guides, technical assistance, and training available – and even more in development – to help IT directors and their teams guide both health care providers and public health professionals through the implementation of eCR in their day-to-day work.
Policymakers The health of the community is improved as public health authorities will be informed more quickly of disease outbreaks, such as Zika and Ebola. <???? Hyperbolic, edit or just cut - 2nd sentence is closer to reality? > eCR lays the foundation for more effective information sharing to assess and manage natural disasters and other public health crises, like Hurricane Katrina and the opioid epidemic, respectively. eCR improves consistency of disease case reporting by health care providers, and the consistency and speed at which public health professionals receive disease case information. Together this will provide a more timely and complete picture of reportable public health threats translating into better public health surveillance. The automatic and streamlined approach of eCR will help reduce the development of duplicative and redundant public health information systems, for use by both health care providers and public health professionals. With support from the Centers for Disease Control and Prevention and a wealth of partners, the tools and resources available to assist health care providers and public health professionals in successfully implementing eCR will continue to grow.
Talking-Points_V6_October-2017.pdf
(672 KB)
<this may be the DB vision, but I think it's reasonable to adopt as a goal for eCR>
Vision: To ensure the health of our nation through a bidirectional information exchange between health care and public health.
<DB comes up in general discussions of eCR, so seems appropriate to include a bit on what it is - this next point has been edited for length>
• Digital Bridge public-private partnership has designed a multi-jurisdictional approach to electronic case reporting (eCR) and is coordinating eCR implementations at sites across different states and cities.
• What is electronic case reporting (eCR)? Electronic case reporting is the automated generation and transmission of case reports from the electronic health record (EHR) to public health agencies for review and action. eCR is a valuable tool that reduces the burden of public health reporting of infectious diseases, while improving the timeliness, accuracy and completeness of the data. <eCR helps NON-infx conditions too like childhood blood lead levels!>
• eCR has many remaining legal and regulatory issues to ensure patient privacy and data security to be explored. Digital Bridge and health departments nationwide are working to protect patients, reduce costs, and improve population health. <that bullet is edited to make less DB-focused>
Expanded:
Expanded Messages <edited slightly>
Health care professionals
Digital Bridge and eCR will lay the foundation for greater bidirectional exchange of data between health care and public health so that clinicians can be more easily informed about and collaborate with public health during outbreaks.
By collaborating with public health, providers can describe what treatment guidelines and environmental risk factor data they want from public health and how it should be integrated into clinical workflows. This will empower clinicians with greater insights on managing chronic conditions, selecting preventative interventions, and reducing treatment costs.
Public health professionals and leaders
Digital Bridge allows public health to speak with one voice and deliver a coherent message to health care providers and health IT developers that operate across jurisdictional boundaries.
eCR creates a possibility of more timely and granular public health surveillance.
Electronic health record software vendors
Digital Bridge ensures the perspectives of vendors are included. Digital Bridge allows health IT to proactively consider and create developments for the future.
Funders and influencers
Digital Bridge will capitalize on existing privacy and security technologies protecting patient data, while exploring how our nation’s health information infrastructure can become more connected. Greater interoperability among health care providers and public health practitioners will allow coordination that can build healthier communities.
Building on eCR, Digital Bridge will ultimately show how public health can access environmental information and social determinants of health in ways that improve clinical care and impact population health.
Messages for specific audiences (benefits and values of the Digital Bridge eCR approach): <edited slightly>
Health Care Professionals
eCR will measurably streamline and simplify the case reporting and data collection processes. eCR will operate in the background of the electronic health record systems that health care providers are already using, greatly reducing labor costs associated with reporting.
<After the coarse-sieve of a local reportability trigger table,> Using a centralized decision support service, eCR automatically conducts a sophisticated review of a reported case (e.g., patient location, health care provider location, lab results, state-specific reporting criteria) and sends the data forward as appropriate.
<I have serious questions about this and I'd love to see how that's going to be developed - do clinicians have time/interest in reviewing RRs? If this is still amorphous, let's cut back on this promise to what we _can_ deliver!> eCR’s automated innovation allows two-way information exchange, thus closing the loop with health care providers after a case is reported. Upon automatic transmission and analysis of the data, the health care provider will get a response letting them know if the case was indeed reportable in their area/state and to which agency the data was transmitted. In the future, this response will help connect providers to the latest disease treatment guidelines and outbreak response protocols. Receiving this response will help health care providers better understand the nuances of reportable data in their state and help improve patient care.
Electronic Health Record (EHR) Software Vendors
eCR will measurably streamline and simplify development and configuration of EHR software by EHR software vendors for their clients by reducing the need to accommodate local and regional public health reporting requirements.
eCR is a stated attest<ation> objective for current Stage 3 of Meaningful Use of Health IT incentives. EHR software vendor support of requirements will enable their clients and associated public health agencies to declare readiness and receive financial incentives.
eCR will provide information back from public health agencies on submitted case reports that may be incorporated into EHR software and provide enhanced clinical decision support such as condition and local jurisdiction specific guidance directly to the reporting clinicians.<again, lets edit this once we see what the big three are _actually_ building and what clinicians say they want/will use --- I'm doubtful they've got the time to page thru RRs or interact with them unless they're processed by EHRs)
Public Health Professionals, Directors and Leaders
The automatic and streamlined approach of eCR will positively impact public health across the nation.
Public health professionals will be able to interact more efficiently with health care providers to acquire more relevant information about particular cases. <this is misleading -- if we're talking about eCR, then yes, we'll get more info than ELR, but if you're leading PH to believe that there's going to be interaction with providers thru automated means, can we please wait on that promise until it's a lot closer to fruition? Do providers have time to read RRs?)
Implementing eCR will ultimately <EVENTUALLY> render most manual case reporting tasks, such as follow-up calls and data entry, obsolete. eCR is a time-and-cost-efficient tool that leads to rapid productivity in disease case reporting and data collection.
Organizations that successfully implement eCR are seen as leaders and investors in the drive toward improved patient outcomes and public health on a national scale. eCR establishes core infrastructure for more robust information sharing between health care and public health. Initially, this will support the delivery of treatment guidelines and coordination during outbreak responses. Future plans include providing health care with information on patients’ social determinants of health and environmental risk factors. <This is great - I like that they called out future plans, and I think this is where we have to put 'interactions with providers' for at least the next year or two>
IT Directors and Staff
eCR is a complement to the existing Association of Public Health Laboratories (APHL) Informatics Messaging Services (AIMS) that many organizations already use for electronic lab reporting. The eCR system operates in the background of existing EHR systems, reducing costly labor and removing human error from the equation.
AIMS is hosted on the Amazon Web Services cloud and uses the Reportable Conditions Knowledge Management System (RCKMS) for jurisdiction-specific public health case reporting logic. RCKMS, developed by the Council for State and Territorial Epidemiologists (CSTE), will validate incoming electronic case reports and ensure they are routed to the appropriate public health agency according to applicable laws and regulations.
There is already a network of tools, resources, guides, technical assistance, and training available – and even more in development – to help IT directors and their teams guide both health care providers and public health professionals through the implementation of eCR in their day-to-day work.
Policymakers
The health of the community is improved as public health authorities will be informed more quickly of disease outbreaks, such as Zika and Ebola. <???? Hyperbolic, edit or just cut - 2nd sentence is closer to reality? > eCR lays the foundation for more effective information sharing to assess and manage natural disasters and other public health crises, like Hurricane Katrina and the opioid epidemic, respectively.
eCR improves consistency of disease case reporting by health care providers, and the consistency and speed at which public health professionals receive disease case information. Together this will provide a more timely and complete picture of reportable public health threats translating into better public health surveillance.
The automatic and streamlined approach of eCR will help reduce the development of duplicative and redundant public health information systems, for use by both health care providers and public health professionals.
With support from the Centers for Disease Control and Prevention and a wealth of partners, the tools and resources available to assist health care providers and public health professionals in successfully implementing eCR will continue to grow.