Resource Sharing

Sara,

This is an AMAZINGLY useful resource! Thank you so much for sharing this cohesive, clear eCR Guide that WI has created! California is also working on developing a similar guide for our healthcare providers implementing eCR and this will be a very useful resource to guide our process.  

I love that you call out in your Priority 2 data element Appendix that HCOs/EHRs  "must map these data elements when setting up eCR" and CA 100% agrees. This is such a crucial point to make because CA has identified that medications administered, pregnancy, travel dates, and other critical elements are not pre-mapped at the eCR interface level, so each HCO must map these sections individually during testing and validation phases. These Xpaths may not always have data (ie: no meds for COVID), but IF data is input to the EHR we want to make sure public health receives that information and doesn't miss out on data due to a lack of mapping from the HCO/EHR. 

I just took a look through this document as well and I really like where you are going with it.   I especially appreciate the opportunity to use such a document to officially call out items that may be called out as optional in the spec but will be required in order to have a function case report.

Thanks you for sharing!!!!

Karla

I agree with everyone, thank you! We're working on ours right now too and will share with the community once it's done. 

Thank you Sara! This is very helpful!
We are wondering if anyone has a Parallel Validation plan, they are willing to share. Some of our questions include:

Any information appreciated! 
Thanks,
Deb

Deb  - CDPH has not yet approved HCOs to stop manual reporting. We recently convened a group of self-selected LHDs to participate in a monthly eCR Stakeholder Input Group (SIG) where CalREDIE provides updates on eCR and solicits discussion around topics like these to get their feedback and input. The topic of "turning off paper reporting" is something we're currently discussing with this group. I have a feeling that stopping manual reporting could vary between an emerging disease like COVID vs regular mandatory reporting conditions. I'll keep this group posted.

Melanie, Karla, and Marisa - thank you for the feedback and kind words!  I am hopeful this guide will help us get some of those elements that we need for case reporting. 

Deb - those are great questions and we have the same!  In our guide, we put a lot of "pilot" and "to be determined" when it came to ending manual reporting and validation of all conditions.  Would love to have a conversation about that and get ideas from one another.  At this time, the involvement for Locals is minimal but would like to think through how we could involve them more.  

Also if anyone has feedback, comments or suggestions on the WI guide, please let me know.  I have been adding updates as we discover missing pieces or things that are helpful.
Thanks!
Sara 

Thank you, Melanie and Sara !

I like the idea of an eCR Stakeholder Group. Not sure what CalRedie is but we may adopt your plan if you don't mind.
We are interested in discussing the parallel validation process with other Jurisdictions. Should this be an eCR Data Quality Subgroup discussion or perhaps taken offline? 
Best,
Deb

Deb,

the eCR Stakeholder Group is something CA has created as an internal communication point to engage our local health departments in eCR. For discussing across jurisdictions/states I think the CSTE eCR Workgroup, which has it's first meeting today 2/21 from 4-5pm ET, is the best place to bring this up since this CSTE workgroup is intended to be an STLT discussion-based forum. Thanks!

Great idea!
Thank you so much Melanie!

Melanie , please share the link to the CSTE eCR Workgroup page or the meeting information. Thank you!

Hi Sophia, to receive communications & meeting information for the eCR workgroup, please sign up for the distribution list by using the link below:

https://app.smartsheet.com/b/form/a245ab3c0b754161a9759a6a437c39cf

I will forward the meeting information to you for today.