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eCR/RCKMS Community of Practice

The purpose of the eCR/RCKMS Community of Practice Basecamp is to provide staff from state, local, territorial, and tribal public health agencies with a venue to participate in peer-to-peer discussions pertaining to using RCKMS. This Basecamp is not intended for formal communications about RCKMS or eCR and will not be moderated by CSTE staff. For technical issues or assistance with RCKMS, please visit www.rckms.org to submit a ticket. Disclaimer: The statements and responses posted on the eCR/RCKMS Community of Practice are solely the views of the authors and do not necessarily represent the official views of CDC or CSTE.
Becky Lampkins, Manager, Surveillance/Informatics Program at CSTEMeredith Lichtenstein, CSTELaura ErhartNancy Barrett, Epi 4/PH Informatics SpecialistRita Altamore, EpidemiologistDavid DiCesareWalter Kemper, ELR Coordinator, NC DHHS Div of Public HealthAmanda Payne, Senior Consultant at J Michael ConsultingJohn Satre, Informatician at Iowa Department of Public HealthShaily Krishan, Program Manager at CSTEJudie HyunKathy Turner, Deputy State Epidemiologist at IDSara Robinson, ID Epi Program Director at Maine CDCMisty Johnson, Informatician, WI DHSCrystal Snare +376 others
Added by Melanie Epstein-Corbin • Uploaded

Document ecr-requirements-checklist-v2.pdf (146 KB)

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Found here: https://ecr.aimsplatform.org/ehr-implementers/readiness-and-implementation-checklist 

"These requirements describe the needs and expectations for applications, networks, and vendor products used to provide eCR capabilities for case reporting between healthcare and public health."

Comments & Events

Melanie E. posted this on · Download ↓
Melanie Epstein-Corbin, CA eCR Lead Melanie Epstein-Corbin, CA eCR Lead
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eICRs are supposed to include critical public health data that are not available in common clinical documents like travel history, pregnancy, and occupation. This is an excellent requirement, however the lack of data quality and consistency that I've seen in eICRs from over 400 HCO facilities sending eICRs in CA are not meeting this requirement. Considering there are no current CMS or ONC requirements for an eICR format, necessary data elements to be sent in an eICR, data quality standards, or specific requirements for the eCR interfaces built by EHR vendors, public health agencies are going to be forced to create requirements for our own jurisdictions if we want to achieve a level of data quality that will serve surveillance needs for eCR. 
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Virginia Warren, Washington State Department of Health Virginia Warren
Thanks for sharing this resource Melanie! I wonder if it would be feasible/helpful to advocate for the eICR standard to be changed (via the HL7 public health workgroup) so that certain elements are required in the IG once a consensus emerges on PHA requirements. 
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Melanie Epstein-Corbin, CA eCR Lead Melanie Epstein-Corbin, CA eCR Lead
Virginia Warren, Washington State Department of Health Virginia  - I definitely think that would be useful path forward, but I think what would be most useful is to get the HL7 eICR IG explicitly called out in CMS or ONC guidelines which would require HCO/EHRs to use that standard. Then, and this could be worked on simultaneously, if we could lobby the HL7 PH Wrkgrp to update the IG with more stringent requirements, we would know that those requirements would actually get implemented by HCOs. Whereas right now, the HL7 eICR IG is more like a guideline, not a requirement.  BUT... kudos to the APHL/CDC Teams because they absolutely use the IG as the standard to meet during HCO and EHR onboarding for eCR. However, I know that we have at least one local health department and large HCO in CA that are not using the HL7 eICR IG or RCKMS and calling it eCR (and they'll still be able to meet CMS requirements because CMS doesn't require the IG). 
Angela Herbert, Informatician at Nebraska Department of Health and Human Services Agreed!!
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Virginia Warren, Washington State Department of Health Virginia Warren
I see your point! You want some "teeth" behind the IG. That makes total sense. 
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